ACHA Quarterly_Summer 2014

ACHA

QUARTERLY SUMMER 2014 Contents ACHA Legacy Project Award . . 1 PDC Master Series: Targeting 100! How Health Care Can Meet the 2030 Challenge . . . . . 2 Call for Papers . . . . . . . . . . . . . . 3 Master Series at PDC. . . . . . . . . 3 Update from the Board of Regents Meeting. . . . . . . . . . . . . 4 Congratulations to the new ACHA Certificate Holders . . . . . . 4 President’s Message . . . . . . . . 5 Summer Leadership Summit – July 25-26, 2014. . . . . . . . . . . . 5 Calendar of Events. . . . . . . . . . . 6 Volunteer Opportunities . . . . . . . 6

NEWSLETTER CO-EDITORS John Blignaut, AIA, ACHA, LEED AP Don McKahan, AIA, FACHA

ACHA Legacy Project Award 2014 marked the roll-out and presentation of a prestigious new award in the field of healthcare design and planning – the ACHA Legacy Project Award. The purpose of the award is specifically to recognize “healthcare architecture that has and continues to demonstrate superior planning and excellence in design performance over an extended period of time, and remains of enduring significance.”

On March 18th, two winners were announced at the PDC Summit in Orlando, Florida. Dartmouth-Hitchcock Medical Center located in Lebanon, New Hampshire and Griffin Hospital, Derby, Connecticut shared the inaugural honor.

Both projects exemplified another of the award’s goals: to find projects that used ground-breaking concepts at the time of design and that have achieved long-term excellence. These projects will be the first two in a compendium of Legacy Award projects and as such will not only be celebrated for past achievements, but will also pave the way for the future as case studies and inspiration for current and future design and planning successes.

An article about the award and the two projects can be found in the April edition of Health Facilities Management magazine. Further information can be obtained on the ACHA website and that of Healthcare Design Magazine.

In addition, a video recording of the full

award presentation at the PDC Summit is posted on YouTube. (On YouTube search: ACHA Legacy Award.)

Now that the program is up and running and the first winners have been announced, it’s time to start planning for the second year of the award. The jury will be identified in early June. The submission deadline for nominations for the 2014-15 award is June 23, 2014. An explanation of the process and submission requirements can be found on the ACHA website www. healtharchitects.org/Awards/LegacyAward. asp.

ASHE has committed another plenary session to award the 2015 ACHA Legacy Project Award at the 2015 PDC in San Antonio, Texas in mid-March 2015. This continues the wide national platform suitable for this award. Help build the legacy.

Nominate a worthy project.

From left to right : William J. Hercules, Jennifer Aliber, Gail Dalstrom, William H. Karanian, Patrick Charmel, Connie S. McFarland, Philip E. Tobey, David Allison

PDC Master Series: Targeting 100! How Health Care Can Meet the 2030 Challenge Clyde Ted Moore III, AIA ACHA LEED BD+C Ms. Heather Burpee, on behalf of the University of Washington and the Integrated Design Lab in Seattle, presented one of the three Masters Series presentations for the 2014 ASHE PDC conference. Ms. Burpee is a research assistant professor of the Department of Architecture at the University of Washington.

Hospitals use 5% of all energy consumed in the United States including buildings, transport, and industry. Hospitals account for less than 1% of all commercial buildings, and less than 2% of all commercial square footage.

Heather Burpee and Joel Loveland authored a report titled “Targeting 100! Reduce Energy by 60% with Little Additional Capital Cost”. Essentially, the 60% that can be reduced is to get to 100 KBtu/SF year.

Operational acute-care hospitals today consume between 225350 KBtu/SF year. New hospitals, following AHRAE 90.1 2004, reduce that value to 200-250 KBtu/SF year. But, to put that into perspective, a typical office building only uses around 90 KBtu/ SF year.

The following strategies were outlined to get to the goals of the “Targeting 100!” report: First, reduce peak hospital loads, to utilize smaller and more energy-efficient systems.

Second is to employ solar gain reduction techniques by extended use of solar shades on the building. In addition, simultaneous daylight harvesting techniques can be used to reduce lighting loads. Similar to solar shading, the concept of a high-performance building envelope was also discussed.

Third was to de-couple the ventilation requirements from the heating and cooling loads. They proposed a displacement air system to reduce energy loads in lieu of the more typical VAV system as the comparison baseline. The “Targeting 100!” report references the Phase II Summary report titled “Healthcare Ventilation Research Collaborative: Displacement Ventilation Research”. That report, is based on using displacement ventilation systems in low risk private patient rooms only. It is based on doing 4 ACH (air changes per hour) instead of 6 to cut energy use by 1/3. It is important to fully understand all of the other nuances regarding this report in order to implement a displacement ventilation system. These include blocking all direct sunlight at the floor to avoid interruption of airflow mixing and using manual or automated solar control systems.

Fourth was to use one of three high performance plant designs.

The Baseline Plant design 1, identified as the “Conventional Plant”, was the commonly seen natural gas fired central steam boilers, and electric chillers, along with conventional cooling towers to reject heat. High Performance plant design 2, was identified as a “Distributed Heat Generation Plant”. This design created process steam for sterilization and humidification by using 2

smaller and more efficient dedicated gas-fired steam boilers. The same is true for domestic water heating but by using smaller gas-fired hot water boilers, and finally heating hot water is also done by small efficient gas-fired condenser Heather Burpee, boilers. All of these were on separate University of loops that were sized for the particular Washington functions and particular needs without conversion of steam to fit other needs with exchangers. High Performance plant design 3, was identified as an “Enhanced Heat Recovery Plant”. This plant is centered on electric heat recovery chillers for the primary source of both heating and cooling.

Small natural gas boilers supplement the heating water loop as needed. Small electric chillers supplement the cooling loop as needed. A much smaller supplemental cooling tower is used to reject heat, however, this system is uniquely set up to reduce the amount of rejected heat. Lastly, High Performance plant design 4, was identified as the “Ground Coupled Heat Pump Plant”. This system is centered on smaller, centralized electric heat pumps and a geothermal bore-field. This system supplies all cooling and heating through geothermal ground storage in lieu of air as a medium. A small supplemental cooling tower to reject excess heat is required.

Using these strategies, research data was collected at 6 locations within different energy code climate zones. The climate zones where these projects were located are identified as follows: Seattle 4C, Chicago 5A, New York 4A, Los Angeles 3C, Phoenix 2B, and Houston 2A. Some climates are primarily heating, and some were primarily cooling. The more extreme zones of 1, 6, and 7 were not included.

The study report concluded that “Target 100” was attainable in most climates. Another conclusion is that the heat recovery chillers and ground coupled heat pump systems performed very similar in cooling dominated climate zones. The only design that actually met the goals of Target 100 when averaged across all 6 sites and zones was the “Ground Coupled Heat Pump Plant”.

That design reduced energy use to 95 KBtu/SF year, versus the baseline average of 216 KBtu/SF year, which is below the target value of 100.

When compared to the baseline design, and averaged across all 6 of the locations, the “Distributed Heat Generation Plant” added 2% to the overall cost of the project, a 7-year return on investment, and a 56% reduction in energy use. The “Enhanced Heat Recovery Plant” added just over 2% to the project costs, had an 8-year payback period, and reduced energy use by 59%.

Lastly, the “Ground Coupled Heat Pump Plant” added about 3% to the overall costs, with an 11-year payback, and a 62% energy reduction. To find out more details please go to the “Targeting 100” website at www.idlseattle.com/t100.

Call for Papers The American College of Healthcare Architects is seeking white papers to be published on the ACHA website and archived for future access.

Topics Topics should focus on subjects not commonly covered in the literature and should address one of the following categories: 1. Education: Initiatives in an education-founded specialized field of practice to the Highest Standards 2. Evidence: Integrations of evidence-based strategies and values for safety in a continuum of care 3. Experience: Improvements through experiencebalanced patient satisfaction and performance quality 4. Environment: Innovations in planning/design for operational simplicity/positive outcomes and return on investment 5. Economics: Investment metrics built on an economic cycle horizon of sustainable healthcare value

Authors The first author must be an ACHA certificate holder. In keeping with ethical standards of publication, all authors must be involved in the conceptual development, gathering of information/data, writing and final review of the paper.

Deadlines There will be two phases to the submission. Initially, abstracts will be submitted and evaluated by a panel of ACHA reviewers. Those abstracts that are identified in accordance with the educational objectives of ACHA will be recommended for further development as papers.

Master Series at PDC The ACHA partnered with ASHE to provide an ACHA Master Series education track at the Planning, Design and Construction (PDC) conference held in Orlando, Fla. in mid-March. Three presentations were given as part of the series and contributed a high level of expertise and information to the conference. The three presentations were: “Next Practices: The “So What” of 3-D Printing and Regenerative Medicine” Douglas Childs, AIA, FACHA, Principal, TACTICS studio; James Yoo, MD, PhD, Professor, Institute for Regenerative Medicine, Wake Forest Institute for Regenerative Medicine; Richard M. Satava, MD, FACS, Professor Emeritus of Surgery, University of Washington Medical Center.

“Targeting 100! How Health Care Can Meet the 2030 Challenge” Heather Burpee, M.Arch., EDAC, Research Assistant Professor in Health Design and Energy Efficiency, University of Washington Integrated Design Lab. See the article covering this presentation in this edition.

“Transforming Health Care Design Using Practitioner-Led Research” Sheila J. Bosch, PhD, EDAC, LEED AP, Director of Healthcare Research, Gresham, Smith and Partners.

In addition, ACHA organized tours of six local health care facilities as a preconference attraction that is a highlight for many veteran conference attendees. An ACHA Exam Preparation Seminar provided a wealth of useful information for prospective certificants.

2014 Submission Periods May 15/Nov. 1 Call for abstracts July 15/Dec. 1 Deadline for submission of abstracts Aug. 1/Dec. 15 Abstract selection; authors advised Sept. 1/Jan. 15 Papers due Sept. 15/Feb. 1 Feedback to authors Oct. 15/Mar. 1 Revised papers due and posted online

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Abstract Format The abstract should include the following elements: Title page with author(s) name(s), title(s), affiliation(s) and contact information (address, phone and email) 300-word abstract/summary (maximum) Five keywords Category (education, evidence, experience, environment or economics)

Thank you to our corporate sponsor:

Submit in Microsoft Word format to: ACHA-Info@goAMP. com. More information is available on the ACHA website at www.healtharchitects.org.

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Update from the Board of Regents Meeting Carlos Amato, AIA, ACHA On March 16, 2014, the ACHA Board of Regents met in Orlando, Fla. in conjunction with the ASHE Conference. After breakfast and brief introductions, the leadership team got down to business and spent the next four hours discussing major initiatives currently underway.

Opening statements by Connie McFarland were followed by Carlos Amato and Bill Sabatini who presented the charge and purpose of the new Value Proposition Task Force. Our presentation included the list of questions the committee had drafted during several conference calls and a list of our new Task Force members. We stated the purpose of the task force is to answer two questions: 1) Why don’t more architects who design healthcare facilities seek ACHA certification? 2) And, what can we do about it?

Berchtold, ACHA Corporate Sponsor, exhibited their full range of surgical products and design assistance at the ASHE PDC in Orlando, Florida in March.

From left to right are Mark Nichols, ACHA Board of Regents Member; Brett Estabrook, Berchtold Director of Design and Business Development; Travis Larson, Berchtold Senior Design Consultant; and Kerry Sullivan, Berchtold Product Manager – Service.

Berchtold provides assistance to healthcare designers to provide surgical equipment products for complex clinical environments that enable staff to better focus on patient care. We wish to thank Berchtold for their continued Corporate Sponsorship of ACHA, including education and communication activities throughout the year.

A healthy debate followed, including the design of a survey to poll practicing healthcare architects not currently ACHA certified to investigate the root cause.

The Board of Regents then focused on the Job Analysis Task Force and the ACHA exam (Jennifer Klund), financials (Mark Nichols) and Ethics Issues approval of recommendations (Anthony Haas).

There was considerable debate regarding exam content and there was consensus that a focus on front end activities is preferred to more technical areas, since these are the most valued skills by clients and those who set apart certified healthcare architects from the rest. The question was asked: What can we do with the examination process to increase the number of current certificate holders but maintain our high standards? The Board recommended the exam be more straightforward and finding better ways to assist applicants to increase the pass rate.

The last part of the meeting covered the future of the Legacy Project Award, which was successfully led in 2013 by Bill Hercules.

Our 2014 initiatives list is ambitious and requires a great deal of strategy, focus and energy. We are looking for passionate, knowledgeable volunteers to help make it happen. If you are up for it, we would like to hear from you!

Congratulations to the new ACHA Certificate Holders William Downing

Alberto Sanchez De Fuentes

Thane Eddington

Timothy Spence

Susana Erpestad

Joshua Stewart

Paul Huysman

Jennifer Youssef

Stephen Kurpiewski

Reid Zwickel

Eyal Perchik

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President’s Message Engagement Announcement With this President’s Message, I am thrilled to announce that I am engaged ... totally engaged with the College.

Sorry for that playful declaration, but this year is my 40th wedding anniversary, so it’s been a very long time since I told everyone with great joy that I was engaged. And speaking of joy, I want you to know that my goal as College President is for us all to enjoy the various College activities throughout the year. We are volunteers and this is supposed to be a pleasant but valuable journey. Right? Right!

How many of you watched the presentation of the first Legacy Project Award at the ASHE PDC in Orlando in mid-March?

We have been working for two years – creating, preparing and then presenting the awards in front of a huge audience during a plenary session. It was fantastic and was well received by all. The recipients set a standard that will be a challenge to maintain in the coming years.

How many of you have been involved in planning the upcoming Summer Leadership Summit in Chicago in July?

We have the best Speakers Committee ever! They’ve been pulling all of their thoughts and ideas together into the perfect event to enlighten everyone in attendance, expanding our already broad body of knowledge.

How many are busily preparing for upcoming regional activities that begin in May and continue through September?

These events are bringing high-level Continuing Education opportunities to many parts of the United States, making it easy for all of us to keep up with our renewal requirements and expand our knowledge base.

A goal for our Board is to promote the opportunity for all certificate holders to become engaged in the activities of the College. The College is 15 years old and we have been building the level of involvement throughout our Connie S. existence. Many of our certificants McFarland have been involved since the first day we organized. We need that continued support from longtime certificants, but there are many who have just become certified and recognized for their mastery of healthcare architecture who could benefit from more involvement. We would love if certificants at all levels would become involved on a committee or task force. This not only helps the College be more relevant, but it also builds lasting relationships with your colleagues in the profession.

You will soon be receiving a survey for the purpose of identifying what job skills healthcare architects have that differentiate ACHA architects from other design professionals.

This information will be used by the Exam Committee to update examination questions so they will be relevant to those striving to become certified ACHA architects.

Please keep an eye out for this very important request from ACHA. The time you spend on the survey could be the beginning of your becoming more engaged in the day-to-day activities of the American College of Healthcare Architects.

And, it will be time well spent.

Connie S. McFarland, FAIA, FACHA 2014 ACHA President

Summer Leadership Summit – July 25-26, 2014 Chicago, Illinois Mark your calendars for the Summer Leadership Summit (SLS), July 25-26, 2014. This year’s theme is “Change” and will be held at the Chicago Marriott Downtown Magnificent Mile. The ACHA Certificate Holder’s Luncheon will be held on Friday, July 25th to open the Summit, featuring Deborah Bowen, President and CEO of the American College of Healthcare Executives. ACHA certificate holders and candidates are invited to attend the luncheon, but must RSVP. Summit speakers include: Paul Barach, MD, Principal, J Bara Innovation Richard Bracken, Chairman/CEO of HCA Patrick Charmel, President/CEO of Griffin Hospital Steve Littleson, President of Jersey Shore University Medical Center Pamela Peele, PhD, Chief Analytics Officer of UPMC Insurance/Evolent Health

The hospital tour will take place on Sunday, July 27th at Northwestern Memorial HealthCare’s new Outpatient Care Pavilion. The outpatient pavilion at 259 East Erie is set to open in Fall 2014 and will be a state-of-the-art medical facility with world-class medical office space designed from the ground up to optimize the patient and physician experience. The facility includes 93,000 square feet of medical, public and retail space: 14 floors of medical space, 2 floors of public and retail space, 1 floor of mechanical space and 7 floors of enclosed parking. Featured services include: medical office space, contemporary patient examination rooms and suites, ambulatory surgery center and advanced diagnostics.

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Calendar of Events

Volunteer Opportunities

JULY 25-26, 2014 Summer Leadership Summit Chicago, Ill.

INTERESTED IN VOLUNTEERING AND MAKING A DIFFERENCE?

SEPTEMBER 18, 2014 Central Texas Healthcare Leadership Summit Austin, Texas

Contact the ACHA Executive Office at 913-895-4604 or ACHA-Info@goAMP.com.

OCTOBER 9, 2014 California Health Facilities Forum Oakland, Calif.

THE ACHA VISION

BOARD OF REGENTS

COMMITTEE CHAIRS

»» Transforming healthcare through better built environments

PRESIDENT Connie S. McFarland, FAIA, FACHA

THE ACHA MISSION

PRESIDENT-ELECT Anthony Haas, FAIA, FACHA

ADVANCED EDUCATIONAL NETWORK COMMITTEE Angela Mazzi, AIA, ACHA

»» To distinguish healthcare architects through certification, experience, and rigorous standards THE ACHA EXISTS »» To enhance the performance of the practice of healthcare architecture through its certification, continuing education and other programs THE ACHA PROVIDES CERTIFICANTS »» The distinguishing credentials of a specialized healthcare architect to clients, prospective clients and other architects as well as advanced continuing education

SECRETARY/TREASURER Mark Nichols, AIA, FACHA REGENTS Carlos Amato, AIA, ACHA William Hercules, AIA, FACHA Jennifer Klund, AIA, ACHA Mark Nichols, AIA, FACHA A. Ray Pentecost III, DrPH, FAIA, FACHA John Rogers, FAIA, FACHA Phil Tobey, FAIA, FACHA PAST PRESIDENT Peter Bardwell, FAIA, FACHA EXECUTIVE DIRECTOR Dana VanMeerhaeghe, MPA

CERTIFICATION COMMITTEE Steve Templet, AIA, ACHA COMMUNICATION AND OUTREACH COMMITTEE Vince Avallone, AIA, ACHA Ted Moore, AIA, ACHA DEVELOPMENT COMMITTEE Mark Nichols, AIA, FACHA ETHICS COMMITTEE Anthony Haas, FAIA, FACHA EXAMINATION COMMITTEE Gary Vance, FAIA, FACHA FELLOWSHIP COMMITTEE H. Ralph Hawkins, FAIA, FACHA

6 The ACHA is a 501(c)(3) not-for-profit organization.

P.O. Box 14548 Lenexa, KS 66285 www.healtharchitects.org Telephone: 913 895 4604 Shawnee Mission, KS 66202 Permit No. 326

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