"Sustaining Healthcare Infrastructure"

08:30-14:00 The Great CHES Golf Game

Fort Garry/Parliament Tour (Companion Program)


Grand Opening of Trade Show & Opening Reception 




Opening Ceremonies
Michael Hickey, CHES President




Transforming University of Winnipeg Infrastructure for a Sustainable and Healthy Community 


Dr. Lloyd Axworthy, President & Vice-Chancellor, University of Winnipeg, Winnipeg


Dr. Lloyd Axworthy graduated in 1961 with a BA from United College (now The University of Winnipeg), and received an MA and PhD from Princeton in 1963 and 1972 respectively, in addition to honourary degrees from universities from Coast to Coast.  Dr. Axworthy's political career spanned 27 years working locally, provincially, federally and internationally.  He has brought his breadth of experience to the University with an eye to responsible leadership and social and environmentally sustainable growth.  At the University, Dr. Axworthy is working to renew the campus and its downtown community with the view to making post-secondary education more accessible to inner city, Aboriginal, new immigrant and refugee students.  In doing so, part of his focus has been to renew Winnipeg's downtown urban infrastructure.  Many older buildings in Winnipeg's downtown core that had been given up as lost have now been revitalized into vibrant and vital University buildings.  Dr. Axworthy will share his experiences in the field of urban renewal and how it applies in the healthcare realm.  In addition, he will explore methods of delivery of healthcare in the years to come.  Come hear his innovative and visionary approach!



Track 1

The Future is Here - Z8000 


Gordon Burrill, PEng, FASHE,CHFM,CHC, President, Teegor Consulting, Fredericton
Mike Keen, PEng, MBA, Project Director, St. Michael's Hospital, Toronto
Jeffrey Kraegel
, Project Manager, Canadian Standards Association, Mississauga


This presentation will introduce the new national standard for health care facility design and construction: Z8000 Canadian Health Care Facilities. Expected for publication in fall 2011, this standard will influence every element of health care facility (HCF) planning, design, and construction in Canada. The presentation will give listeners the background they need to understand the new standard and how it will impact health care facility planning and design in Canada. Z8000 provides requirements and guidance for the planning, design, and construction of hospitals and other facilities in Canada. It is intended to be used by all facilities providing health care services regardless of type, size, location, or range of services.  It was developed for use by architects, engineers, planning and project managers, contractors and builders, commissioning teams, facility managers, maintenance managers, infection prevention and control personnel, and other health care professionals. 


Refreshment Break in the Exhibit Hall 



Track 2A

Bill C45: What Does It Mean To You Personally? 


Darcy McPherson, Assistant Professor, Faculty of Law, University of Manitoba, Winnipeg  

  Bill C-45 made changes to the federal Criminal Code.  It introduced specific requirements for supervisors in all work places in Canada.  Every employer and individual in positions of leadership is required under this law to protect the safety of their workers.  We are all used to workplace health and safety.  But Bill C-45 is criminal law.  Therefore, what you don’t know could mean criminal convictions for both you and your employer.  However, there are also some positives in this law for our members.  This session will investigate the requirements for supervisors and managers to protect their workers in their health care buildings under Bill C-45.  Come and hear what you need to know.
Track 2B

Mechanical Insulation: Why Should I Care? 


Steve Clayman, BComm, Director, Energy Initiatives, Thermal Insulation Association of Canada, Toronto 


Pipe insulation? Duct insulation? Equipment insulation? Things that don't light up, beep, come with touchscreens and remain mostly out-of sight? And no moving parts to wear out? What can be exciting about that? LEED and mechanical insulation; what's that all about? We'll find out how correctly specified and properly installed mechanical insulation impacts on energy consumption, greenhouse gas emissions and health and safety issues. We'll talk about a no-cost approach to determining when mechanical systems require immediate attention. We'll see how easy it is to "fix" seemingly complicated insulation deficiencies. We'll talk about protecting personnel, condensation control and addressing mould growth.  We'll see how a free, downloadable software tool, called "3E Plus" can tie all of these elements together. 


Lunch in Exhibit Hall / Visit Exhibits 



Track 3A

The Future of Medical Gas: A Z7396.1-12 Roundtable 


George Pankiw, Director, Facilities Planning & Redevelopment, Brant Community Healthcare System, Brantford
Paul Edwards, Vice President, VitalAire Canada Inc., Edmonton
Jeff Smith, Compressed Gas Specialist, Hemisphere Engineering, Edmonton
Barry Hunt, President, Class 1 Inc., Cambridge


The next edition of the medical gas pipeline system standard (CSA Z7396.1-12) is slated for release in 2012.  Over the next few years four (4) standards may be in use across the country (Z305.1-92, Z7396.1-06, Z7396.1-09, Z7396.1-12 & the BNQ Standard in Quebec) We have assembled a panel of committee members to discuss the upcoming changes to the standard and provide information that users of the standard (facility managers, consultants, suppliers and installers) may find valuable, especially if they are planning future projects.  Medical gas systems are critical for the treatment of patients; however, if they are not designed, installed or maintained properly they can create life-threatening situations.  The committee responsible for this standard continuously monitors such situations and modifies the Standard accordingly.  Our panel includes the chair of the CSA Z7396.1 technical subcommittee; CHES’s representative to the committee and other key committee members who can discuss and answer your questions.  The Panel welcomes questions submitted prior to the conference and may incorporate them into the session.  Topics such as AGSS/Scavenging, piping in new gas types into the facility, changes in schematics or tables etc. will be discussed along with submitted questions and questions from the session attendees.  
Please submit questions in advance to:  This email address is being protected from spambots. You need JavaScript enabled to view it. 

Track 3B

Infrastructure Opportunities: Asking the Right Questions 


Nick Stark, PEng, LEED AP, Vice-President, Knowledge Management, H.H. Angus & Associates, Limited, Toronto
Kim Spencer, PEng, LEED AP, Group Manager, H.H. Angus & Associates, Limited, Toronto


There are many considerations when presented with the challenge of maintaining or creating infrastructure to support the growing need for health care in our communities. This challenge can also be an opportunity, particularly when the right questions are asked:
• When does it make sense to renovate/renew an existing facility versus creating a new facility?
• Approaches to flexibility/adaptability – how does one plan for the future and a truly sustainable facility? 



Track 4A

CSA Maintenance Requirements: What You NEED To Know 


Gordon Burrill, PEng, FASHE, CHFM, CHC, President, Teegor Consulting, Fredericton 


CHES members are constantly challenged to meet legislated and code requirements while working within their budgets. This session will focus primarily on the maintenance aspects of Canadian Standards Association (CSA) standards. While often cited during the design stages, CSA standards are often forgotten after health care buildings have been built and their front doors are open to the public. The newest ventilation and medical gasses standards issued by CSA both contain significant changes in their maintenance chapters which are often referenced by Provincial legislation. Facility Managers are faced with hundreds of different documents each day, and sorting through all of the language can be a daunting task. Come and find out what you NEED to know to keep your facility working safely and efficiently. 

Track 4B

Sustainability of "This Old House" 


Craig Doerksen, CFM, CEM, MFM, PEng, Divisional Director, Facility Management, Health Sciences Centre, Winnipeg 


This presentation will focus on an overall strategy of managing an existing portfolio of hospital buildings. The key factors in an overall sustainable infrastructure plan include:

  • What features must be paramount in new construction or renovation
  • How does a facility determine these features (i.e. what is our space life cycle/turnover?, what is the facility funding model for infrastructure renewal, what is the likelihood of reprogramming, etc.)
  • How does a site determine the preventive maintenance model (and budgets) necessary to match the life cycle, usage and turnover of the installed infrastructure with the infrastructure renewal funding to the re-programming/renovation of space.
  • How do we maintain our new technological systems – where preventive maintenance does not really extend their life and may not even enhance reliability?

President's Reception 


CHES Gala Banquet 




CHES Manitoba Chapter AGM 



Track 5

It Starts With a Plan: Facility Condition Indexing 


Susan Anson, MBA, General Manager,  VFA Canada Corporation, Burnaby


If you have ever wondered what a Facility Condition Index (FCI) is or how it can help you to manage the physical assets in your care, Ms. Anson is the right person to answer that question.  She will explain how the FCI metric is calculated, the key facility data that you need to generate it, and how knowing the FCI for a building or for a portfolio enables responsible decisions in managing your healthcare facilities.  In her role with VFA Canada Corporation, Ms. Anson has been involved in ambitious projects providing condition assessments and FCI analysis to the health facilities inventory from coast to coast in Canada.  This session will demonstrate the value of the FCI as a decision-making tool and help to pass along the vast firsthand knowledge of the process, its benefits and its limitations. 


CHES National AGM 


Visit Exhibits; Lunch in Exhibit Hall; Draw Prizes 



Track 6A

Managing Infrastructure Risk in Healthcare Facilities 


Jay Trethewey, AScT, Director, Facilities Maintenance & Operation, Facilities Management-Lower Mainland, Vancouver
David Baxter, KPMG, Vancouver


Sustaining the infrastructure of health care facilities is not a simple task. Facility owners and operators are responsible for old and decaying buildings with relatively basic infrastructure, new buildings infused with the latest high-tech systems, and everything in between. Funding is a constant issue. The risks of infrastructure failure – risks to staff, public, patients, care delivery – are real and significant. And all of this is managed within the contexts of increasing regulation, and expanding stakeholder expectations.  How do we manage these competing demands effectively, sustainably, transparently?  The Facilities Team at Vancouver General Hospital, with support from the Vancouver Coastal Health executives, Risk management and KPMG, has developed a system to achieve these goals. The objective of the presentation is to describe this system; how it was conceived, developed and implemented; and is now being sustained and expanded to other facilities within the health authority. 

Track 6B

Manitoba Hydro Place: A Climatically Responsive Design


Tom Akerstream, Energy Advisor and Manager, Head Office Facilities, Manitoba Hydro, Winnipeg 

  Manitoba Hydro Place is a 22 story, 65,000 m2 corporate headquarters located in downtown Winnipeg. The building is the most energy efficient, sustainable office tower in North America. As a climatically responsive design the building literally operates as a living entity; reacting to climatic conditions to optimize natural lighting, natural ventilation and low grade solar thermal energy.  Most importantly, the building offers its occupants the highest quality of space with 100% fresh air every 20 minutes and direct access to outside views. Tom Akerstream will describe how this unique building was designed, works and what sets it apart from all other office towers.


Track 7A

Living with LEED: Life in a LEED Gold Hospital 


Richard Beam, System Director, Construction & Sustainability, Office of Supply Management, Providence Health Services, Renton WA


Providence Health & Services opened up the new Millennium with a decision to build their first ‘Green Field’ hospital in 36 years, to be located in the community of Newberg, Oregon, USA.    The 41 Bed, $US 56 Million replacement hospital, seemed ideal to challenge the design & construction team to step up to a new standard in sustainable construction called LEED.  For several years, team members had been exposed to LEED concepts at industry conferences, seminars, & trade articles which prompted them to ask, “Can we apply these ‘Green Principles’ to the Newberg project?”  They took the plunge.  This summer marked the 5th Anniversary of the completion of the first LEED Gold Hospital.  Richard’s presentation will take you on their journey leading up to the opening of Providence Newberg, as well as a retrospective on what it is like “Living with LEED”.  Health care professionals everywhere are asking themselves, “Is it worth the premium?” “What is that premium?”  “Was the vision for a sustainable hospital met?”  “What does the community think of their new ‘Green’ hospital?”  “How are employees, patients, and visitors reacting to this unique facility?” “Would you build another one?”  Please join Richard in a lively review of this iconic hospital and decide for yourself if a LEED Gold hospital is in your future!

Track 7B

Getting Roofing Right 


Derek Semeniuk, Consultant Public Sector Solutions-Roofing, Tremco Canada 


Sustainable Roofing can be achieved through durable designs, proper preventive maintenance and Proactive Roof Asset Management. A significant portion of maintaining any healthcare facility is ensuring the integrity of the roof membrane; but all too often once the roof has been installed it is quickly forgotten about until a leak occurs. Roofing is one of the most expensive assets any facility owns and choosing the right roof can be a daunting task. Choosing the wrong roof can lead to premature failure, mold problems, health issues, liability issues and significant increases in operating costs trying to keep that system watertight. These costs usually far outweigh the costs of designing a more durable solution from the beginning. Mr. Semeniuk is a leader in roofing technologies and will provide an informative discussion on roofing systems which are influencing designs today, review the essential requirement of Proactive Roof Asset Management and how regular Preventive Maintenance can help ensure the roofs you currently own are not costing you more than they have to.


Refreshment Break 



Track 8

Is It Time for the Wrecking Ball? 


Susan Anson, MBA, General Manager, VFA Canada Corporation, Burnaby
Norm Blackie, Acting Executive Director, Capital Planning Branch, Provincial Programs Division, Manitoba Health, Winnipeg
Phil Langford, Riverport Nova Scotia


With an aging healthcare infrastructure from coast to coast, it can be difficult to determine whether is it more cost effective to replace these aging buildings or invest in their redevelopment.  Please join our esteemed panel as they approach the topic of “replace or renovate”.  Our panelist range from condition assessors, to owners to operators and utility supplier and are sure to provide for a balanced and diversified view of the question.  The discussion is sure to give you ideas about whether to renovate or rebuild those old buildings that are so vital to the success of the delivery of healthcare. 


Closing Ceremonies