ACHA Quarterly - Winter 2014

ACHA

QUARTERLY WINTER 2014 Contents

ACHA Annual Luncheon Don McKahan, AIA, FACHA

ACHA Annual Luncheon. . . . . . . 1 2013 New Certificate Holders. . . 2 Congratulations to New ACHA Fellows. . . . . . . . . . . . . . . . . . . . 2 E. Todd Wheeler Receives 2013 Lifetime Achievement Award. . . 3 ACHA Master Series Bringing Healthcare Home. . . . . . . . . . . 3 The 5th Annual California Health Facilities Forum. . . . . . . . . . . . . 4 2013 Texas Regional Summit . . . 5 ACHA Legacy Project Award . . 5 President’s Message . . . . . . . . . 6

More than 120 credentialed architects and guests attended the ACHA Annual Luncheon prior to the HCD.13 in Orlando. Along with the presentation of the Lifetime Achievement Award to E. Todd Wheeler, new ACHA Fellows were announced, including: David J. Allison, FAIA, FACHA; Charles W. Cole, Jr., AIA, FACHA; Shannon Kraus, FAIA, FACHA; Rebecca Lewis, AIA, FACHA; Orlando Maione, FAIA, FACHA; Mark Nichols, AIA, FACHA; Percy “Rebel” Roberts III, AIA, FACHA; and Kurt Rockstroh, FAIA, FACHA. In addition, Wilbur Tib Tusler, FAIA, FACHA Emeritus,

received a special award for his many years of service to ACHA and other architectural/educational causes.

Attendees at the ACHA luncheon were treated to a presentation by Thom Kurmel, DDes, AIA. Mr. Kurmel, who served in the Office of the Secretary of Defense, spoke on “Serving Federal Healthcare Clients.” Thom spoke about the many health facility projects that need to be addressed by both Veterans Affairs and Department of Defense.

(The VA now has $50 billion in facility deficiencies and new projects that are needed.)

ACHA at the PDC Summit. . . . . 7 ACHA Master Series. . . . . . . . . . 7 Calendar of Events. . . . . . . . . . . 8 Volunteer Opportunities . . . . . . . 8

NEWSLETTER CO-EDITORS John Blignaut, AIA, ACHA, LEED AP

Luncheon Speaker Thom Kurmel, DDes, AIA

The Annual Luncheon garnered a full house

Don McKahan, AIA, FACHA

continued on page 2

ACHA Annual Luncheon continued from page 1 Mr. Kurmel stressed the importance of differentiating between planning and design services by architects and outlined the future of shared-service arrangements between healthcare branches of military.

Highlights from the Annual Luncheon:

2013 New Certificate Holders C. Jonathan Clark, AIA, ACHA Belinda C. Currin, AIA, ACHA Tim J. Dunnahoo, AIA, ACHA Anna B. Ghelase, AIA, ACHA Prajakti B. Glasco, AIA, ACHA Robert Harrett, AIA, ACHA

Luncheon with certificate holders, candidates and Herman Miller scholars

Jennifer Klund thanks Wilbur “Tib” Tusler for his service on the Board of Regents

Denise A. Holt, AIA, ACHA Marius J. Nimitz, AIA, ACHA Martin E. Noyd, AIA, ACHA Sheila M. Ruder, AIA, ACHA Thomas J. Testerman, AIA, ACHA Andrew R. Underwood, AIA, ACHA Omri Kenneth Webb, AIA, ACHA

Gary Vance and Kirk Hamilton congratulate new Certificate Holders

2015 President-elect Anthony Haas enjoys presentation

Congratulations to New ACHA Fellows David J. Allison, FAIA, FACHA Charles W. Cole, Jr., AIA, FACHA Shannon Kraus, FAIA, FACHA Rebecca J. Lewis, AIA, FACHA Orlando T. Maione, FAIA, FACHA Mark A. Nichols, AIA, FACHA Percy E. Roberts III, AIA, FACHA Kurt A. Rockstroh, FAIA, FACHA

2

2013 ACHA Fellows with President-elect Connie McFarland and President Peter Bardwell

E. Todd Wheeler Receives 2013 Lifetime Achievement Award Don McKahan, AIA, FACHA E. Todd Wheeler, FAIA, is the first healthcare architect to posthumously receive ACHA’s Lifetime Achievement Award. The 2013 award was presented on Nov. 17 at the ACHA Annual Luncheon.

Many of Mr. Wheeler’s friends and colleagues attended the award ceremony and several spoke about Mr. Wheeler’s accomplishments and his life-work. Ralph Hawkins recapped Mr. Wheeler’s professional career, David Ginsberg shares ACHA 2013 Lifetime Achievement Award, with architectural historian John Currie memories of colleague presented to David Ginsberg on behalf recounting the historic importance of Mr. E. Todd Wheeler of E. Todd Wheeler Wheeler’s work in hospital planning. David Ginsberg, who worked with Mr. Wheeler for many years at Perkins and Will, shared anecdotes and important memories from Mr. Wheeler’s life and career. The Hamilton Medal was accepted by David Ginsberg on behalf of the Wheeler family.

ACHA Master Series Bringing Healthcare Home Cynthia Keeffe, AIA, ACHA The American College of Healthcare Architects Master Series educational event titled “Bringing Healthcare Home” was held at the Gaylord Palms Resort and Convention Center on Saturday, Nov. 16. The session explored the evolving role of rehabilitation and post-acute care within the continuum of care. Discussion included strategic and operation issues that affect planning and design for long-term acute care, rehabilitation, skilled nursing facilities and home health facilities. Cynthia Keeffe, AIA, ACHA, kicked off the session with a thank you to the event sponsor, Gene Burton and Associates, and acknowledgement to corporate sponsors Assa Abloy and Berchtold.

Speakers included Fred Bentley, Managing Director, The Advisory Board, Scott Clark, CEO of Leading Edge Healthcare, and Lorraine Hiatt, PhD, Environmental Gerontologist. Fred Bentley shared strategic expertise in the fields of health policy, service line strategy and the transformation of the U.S. care delivery system. His presentation focus provided an overview of strategic and business issues related to operational models of care and alignments and the evolving role of post-acute care within the continuum of care.

Scott Clark provided perspective on healthcare management and consulting with an emphasis on programs to reduce hospital admissions and readmissions. He provided definition of post-acute facility types and discussed the impact of the Affordable Care Act on strategic business initiatives.

Lorraine Hiatt started her presentation with an exercise, asking the audience to stand and go through a series of activities that represented limited physical and cognitive abilities that seniors experience. Her presentation focused on understanding the issues related to limited abilities and how that understanding translates to planning and design solutions, physical space and the human experience.

The session included an interactive discussion with the audience of issues that included strategies for operational improvements, case studies, models of care and strategies for care management. The session concluded with each speaker responding to their view of the trends they see and vision for the future. The next big ideas included integration of technology, advancements in memory care and strategic business alignments resulting in evolving models of post-acute care.

3

The 5th Annual California Health Facilities Forum Carlos L. Amato, AIA, ACHA On Sept. 18, 2013, the College hosted the 5th Annual California Health Facilities Forum, an all-day event at the Hyatt Regency Orange County Hotel in Garden Grove, Calif.

This year’s symposium was titled, “Decentralized Healthcare and the Retail Experience.”

Peter Bardwell, FAIA, FACHA, President of the American College of Healthcare Architects (ACHA), provided the opening remarks, welcome message and an ACHA overview that stated our mission, vision and added value proposition.

This year’s forum began with keynote presentation by Michael Hubble, Senior Director for the Advisory Board Company. He described the market forces leading to the end of price as a growth lever, and the changing health insurance landscape, including health insurance exchanges. Mr. Hubble also talked about how to identify major decision-makers central to new provider partnership and care consumption trends.

He completed his presentation by sharing how to explain the value drivers influencing decision-makers’ partnership and care consumption decisions.

Following a short break, we had our trademark panel discussion, which was moderated by Zig Rubel, AIA. The discussion focused on this year’s conference theme. Our distinguished panel included Brendan Kremer, Associate Administrator, UC San Diego Health System; Sunil Shah, Executive Director of Facilities Planning and Design, Kaiser Permanente; Isabel Becerra, CEO, The Coalition of Orange County Community Health Centers; and Rebecca Hathaway, RN, MSN, EDAC, Assoc. AIA, Senior Operations Executive, UHS Temecula Valley Hospital.

Guests were asked to give their impressions on how their hospital system focuses on trimming waste and serving their clientele better. They were asked to speak about the retail experience and the tremendous cache of ideas and processes for transformational tactics. The panel talked about how the clinical experience can become a bargain

to heal better in decentralized healthcare facilities and retail experiences.

The lunch break included an exciting presentation by Dr. Richard Satava, Professor Emeritus of Surgery at the University of Washington Medical Center. Dr. Satava gave a master class on how disruptive technologies are radically changing delivery of healthcare. From complex directed energy therapies, to synthetic organs, to suspended animation and new hand held consumer devices, health and wellness is moving from the hospital to outpatient clinics and into the home. His presentation was by far one of the best we have ever had!

After lunch, Doug Childs, AIA, FACHA, provided the ACHA “Next Practices” Committee yearly update. This committee explores forward thinking practices that will contribute to making healthcare more affordable, accessible and that will ultimately improve the quality of patient care. An overview of the Committee’s work was presented, as well as a deeper dive into three next practices ideas: integration of mental health and primary care, 3-D printing and regenerative medicine. We encourage anyone interested in this exploration to contact us and become involved.

The update was followed by a closing presentation by Dr. John Mattison, Chief Medical Information Officer, Kaiser Permanente Health Systems. He talked about the three dialogues that we need to support systematically in our vision: between the individual and their professional care team; between the individual and their personal care team; and between the individual and the “patient persona” that resides within the individual.

The conference was made possible by financial contributions from more than a dozen sponsors, and eight months of hard work by a very active planning committee led again by Doug Childs.

We will be back in 2014!

New Book Soliciting ED Plans A new book on Emergency Department Design is soliciting floor plans, photographs and project data (ED projects can be built or unbuilt). There is no charge for inclusion in the book and the submitting architect will receive written credit, including contact information. For more information contact: James Lennon, ACHA, at: jlennon100@mac.com.

4

2013 Central Texas Healthcare Leadership Summit San Antonio, Texas, Sept. 26, 2013

R. Gregg Moon, AIA, ACHA Planning team: R. Gregg Moon, AIA, ACHA; Robert P. Walker, AIA, FACHA; Jason E. Puchot, AIA; Carlos N. Moreno, AIA; William H. Scott

The success of the Central Texas Healthcare Leadership Committee can be attributed to an excellent collaborative effort between the American College of Healthcare Architects and the San Antonio Chapter of the AIA/Healthcare Knowledge Committee, as well as the participation by local sponsors.

The format for the daylong event titled “Bringing Healthcare to the Patient” was a progression of topics starting from a worldwide perspective to literally “your own neighborhood and home.”

Dr. Ray Pentecost led off with a keynote address titled “Architecture for Health: the Architect as a Health Professional.” He presented to the approximately 80 attendees a global perspective of the role of architects and their effect and importance in healthcare delivery with historical and international examples.

The program then focused on healthcare at the state level with discussions by Dr. Dan Stultz, President and CEO of the Texas Hospital Association, and David Pearson, President and CEO of the Texas Organization of Rural & Community Hospitals (TORCH). Current and new trends in Texas healthcare delivery were reviewed and discussed.

During lunch, Jim Reed, President of the San Antonio Medical Foundation, gave an overview of the future developments in store for the dynamic San Antonio Medical Center. This was followed by an excellent ACHA awareness presentation

by Peter Bardwell, who would stay to moderate the final panel discussion of the day. But before that, our first panel discussion was led by Carlos Moreno with George Hernandez, President and CEO of University Health System and Dr. Carlos Rosende, Vice Dean for Clinical Affairs and Executive Director of the UT School of Medicine in San Antonio. This discussion gave the attendees an overview of the future visions affecting the developments in the San Antonio region by these two major institutions.

The final presentation brought us into the neighborhoods and homes of Bexar County residents with discussions by Mike Zucker, Chief Development Director of Baptist Health System (San Antonio), and Thomas Schlenker, Health Department Director and Health Authority for San Antonio and Bexar County. The neighborhood-eye view of Bexar County healthcare delivery brought the conference attendees back to home and encouraged them to focus on how important their role is to their neighbors and friends.

ACHA Legacy Project Award This award recognizes 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. The project must have been designed by an architect of record licensed in the United States at the time of the project’s completion.

2014 is the inaugural year for this award. The jury is reviewing the nominated sites in preparation for the announcement of the winner at the PDC Summit on March 18, 2014, in Orlando. This award presentation will provide a case study example of a project that used ground-breaking concepts at the time of its design and has achieved long-term excellence. The ACHA will be developing a living compendium of all Legacy Project Awards. This collection will be updated as new projects are recognized, and this information will be available on the ACHA website. Check out healtharchitects.org for additional information.

aCha legaCy projeCt award ExcEllEncE EndurEs Join us on March 18, 2014 at the PDC Summit for the inaugural american College of healthcare architects legacy project award Visit healtharchitects.org and learn how you can be a part of history.

5

President’s Message For those who have read my previous messages this past year, you may recall that a recurring theme is “So what?” And as my tenure as your president draws to a close, allow me to summarize one last time my response to that question, framed from a number of perspectives: So . . . why are we here?

We serve as ACHA certificants to . . .

• recognize that we have been challenged to demonstrate that we are “the best of the best”; and • appreciate that our achievement of ACHA certification is the “beginning,” not the “end” – and that we are obligated to pass on to others the benefit of our knowledge and experience.

So . . . what have we achieved in 2013?

Internal achievements: refinement of our policies and procedures • growth in our financial reserves, allowing us the ability to make wise long-term decisions for the College; • growth in the number of presenters and venues for the Exam Prep Seminar; and • creation of the Candidates program, extending our ability to help young (and “seasoned”) professionals to become Certificants External achievements: extension of our impact on the industry • creation of the high-visibility Legacy Project Awards (to be presented in March at the PDC); and • key regional, national and international presentations on the future of healthcare architecture So . . . what are the challenges?

Demographic realities • gray hair: the impending retirement of our “first generation”;

• a diminished pipeline: coping with “the lost generation” of young architects who, for a wide range of reasons, have not become licensed and/ or who have moved from the profession altogether; and Peter Bardwell • later age of initial licensure for those who do become licensed, perhaps as a function of the newer, more “flexible” NCARB examination process relative to earlier generations So . . . what can we each, personally, do?

Again, recognize that achievement of certification is “the beginning,” not “the end” – and importantly, “give back” to others . . .

• share the benefit of your accumulated knowledge and wisdom with your colleagues, clients, and communities; • actively seek out young and “seasoned” licensed professionals as candidates for ACHA certification; • step forward as a mentor to those candidates (particularly if you, yourself, have taken the ACHA examination and are familiar with that process); and • step forward as an ACHA committee member, speaker and contributor to our collective efforts Please use this as an opportunity to reach out and demonstrate your commitment to our colleagues – particularly to our next generation of healthcare architects.

We’ll all be better for it!

Peter L. Bardwell, FAIA, FACHA 2013 ACHA President

Thank you to our corporate sponsors:

6

ACHA at the PDC Summit ACHA Exam Preparation Seminar Sunday, March 16, 2014 11 a.m. – 1 p.m.

ACHA Facility Tours Sunday, March 16, 2014 1 p.m. – 5 p.m.

Important note: to register, please contact the ACHA Executive Office at acha-info@goAMP.com.

Attendees will receive two hours of learning credits for attending one tour (only one tour is available per attendee).

Attendees will earn one Learning Unit for participation.

Do you have a colleague who is considering ACHA certification? This exam prep seminar will provide useful information to submit a portfolio and prepare for the ACHA exam. Seasoned ACHAcertified healthcare architects will cover application materials, exam topics, sample questions, scoring criteria and exam schedules.

• Florida Hospital Celebration Health Bed Tower and Emergency Department, Celebration, Fla. • Florida Hospital Wesley Chapel, Wesley Chapel, Fla. • Nemours Children’s Hospital, Orlando, Fla. • Florida Hospital Nicholson Center, Celebration, Fla. • Florida Hospital/Sanford Burnham Translational Research Institute, Orlando, Fla. • Orlando VA Medical Center, Orlando, Fla.

ACHA Master Series Next Practices: The “So What” of 3-D Printing and Regenerative Medicine Monday, March 17, 2014 9:45 – 10:45 a.m.

Douglas Childs, AIA, FACHA, Principal, TACTICS studio This discussion, hosted by the American College of Healthcare Architects’ “Next Practices” Committee, will take a deep dive into 3-D printing and regenerative medicine, two technologies promising tremendous impacts on the healthcare landscape. Regenerative medicine works to heal and repair the body through use of cell-based therapies, stem cells and tissue engineering. In labs around the world, bioengineers have begun using 3-D printers to create prototype body parts, such as heart valves, ears and joints. Childs will discuss timelines for implementation of these revolutionary technologies, how they will affect patient care, healthcare costs and facility planning.

Targeting 100! How Healthcare Can Meet the 2030 Challenge Monday, March 17, 2014 3:15 – 4:15 p.m.

Heather Burpee, M.Arch., EDAC, Research Assistant Professor in Health Design and Energy Efficiency, University of Washington Integrated Design Lab The Targeting 100! research program, with its goal of reducing energy use by 60 percent from typical operational examples to less than 100 KBtu/sq. ft./year, lays the groundwork for achieving exceptionally energy-efficient hospitals. Detailed energy and cost models show it is possible to meet the 2030 Challenge across the United States with very little incremental cost increase. Strategies for achieving this goal include improving interior environmental quality, setting energy use goals and using energy benchmarking to track progress, and developing integrated teams and strategies. The presenters will use case studies to discuss how to adopt these strategies and introduce a digital tool developed for implementing Targeting 100!

Transforming Healthcare Design Using Practitioner-led Research Tuesday, March 18, 2014 8:15 – 9:15 a.m.

Sheila J. Bosch, PhD, EDAC, LEED AP, Gresham, Smith and Partners With the pressure to design superior healthcare projects on time and under budget, too often incredible opportunities to conduct practitioner-led research are lost. Research demands much planning and coordination, requires financial resources, and typically involves numerous stakeholders.

But, it isn’t impossible. During this session you will learn proven strategies for conducting high-quality research within your design practice, even if you don’t have a PhD. Based on lessons learned from practicebased research conducted during the past 5 years and by taking a peek at upcoming research, participants will be able to develop a strategy to transform the future of healthcare design.

7

Calendar of Events

Volunteer Opportunities

MARCH 16-19, 2014 PDC Summit Orlando, Fla.

INTERESTED IN VOLUNTEERING AND MAKING A DIFFERENCE? Contact the ACHA Executive Office at 913-895-4604 or ACHA-Info@goAMP.com.

MAY 18-21, 2014 Cleveland Clinic Patient Experience: Empathy + Innovation Summit Cleveland, Ohio JULY 25-26, 2014 Summer Leadership Summit Chicago, Ill.

THE ACHA VISION

BOARD OF REGENTS

COMMITTEE CHAIRS

»» Transforming healthcare through better built environments

PRESIDENT Connie 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 Connie McFarland, FAIA, FACHA EXAMINATION COMMITTEE Gary Vance, FAIA, FACHA FELLOWSHIP COMMITTEE A. Ray Pentecost III, DrPH, FAIA, FACHA

8 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

PAID

FIRST CLASS U.S. Postage