Building Innovation 2017 Conference & Expo Program Wednesday Sessions


Building Innovation 2017 Conference Program Schedule

Day 2 | Day 3 | Day 4

Day Three Sessions: Wednesday, January 11, 2017

*The publications are available as Adobe Acrobat PDFs unless otherwise noted. PDF

Session WE1A: Designing and Managing Facilities for Occupant Needs

Wednesday, 8:00 AM — 10:00 AM

Journey to Health and Wellness: Sustainable Design Practices
Randy Fiser, Chief Executive Officer, American Society of Interior Designers

As we spend 93 percent of our time indoors, our physical surroundings have a significant impact on our work, decisions, behaviors, and overall health and wellness. With rapid changes in the way we work today and the consequences that follow, such as health, wellness, productivity, engagement, retention and even climate change, we should be mindful of the design decisions in order to achieve sustainability. Design has the power to transform lives, and this incredible impact should be for the sustainability of the individual, organization and environment. Using a case study of a newly designed association headquarters, explore the principles to creating healthy spaces, the protocols and culture needed to achieve wellness, and the sustainability practices implemented to lessen our carbon footprint on the environment, all with the goal of high performance.

Developing a 3D Building Information Management Practice for Smithsonian Facilities
Sylvia Kendra, Associate Director, Facilities Knowledge Management, Smithsonian Facilities

Smithsonian Facilities provides world class stewardship of Smithsonian buildings, gardens and facilities— operating, maintaining and ensuring a safe, secure, healthy environment to over 12 million square feet of space. As a powerful information technology, Building Information Modeling (BIM) is undergoing rapid adoption throughout the building industry by architects, engineers and construction professionals. In recent years, the Smithsonian Institution has embarked on leveraging BIM for its facilities practice, and doing so with an approach and a timeline that best supports its professional practices. This presentation will review the key steps the Smithsonian is taking to implement the best of BIM, in a practical manner, that returns value to the organization.

Collaborating for a High-Performing Future: The Story behind the New ED & Psych Emergency Services Project on Vancouver Island
Ray Pradinuk, Principal, Stantec

Sparked by the challenge to create an "environment that staff would want to come to on their day off," the new Nanaimo Regional General Hospital (NRGH) Emergency Department and Psychiatric Emergency Services in Nanaimo, British Columbia  in Canada,  may be the first in the world to include nature-imbued courtyards within actual patient treatment zones,  achieving a level of daylighting unparalleled in a large Emergency Department in a modern hospital.  The pre-design collaborative Workshop established design goals and objectives, and sustainability strategies to achieve a LEED Gold solution around the four values of Timely, Respectful, Quality of Care and A Place People Would Want to Come to Work.  The most-important considerations informing the design were improved patient flow, functionality, privacy/confidentiality, safety and an abundance of natural day light. Stantec worked with the hospital to not only create innovative design concepts based on research,  sustainability and lessons learned from European hospitals,  but  demonstrated at every stage of design the cost benefit of increased daylighting on overall productivity gain through computer modeling and cost/benefit analysis, capital costs of the courtyards were weighed against the potential operational savings on staff costs, medical errors and improved clinical performance. This presentation reveals how collaboration has resulted in a high-performing future for the staff & patients. 

Session WE2A: Collaborative Design for Health

Wednesday, 10:15 AM — 11:45 AM

Case Study: National Institute of Allergy and Infectious Diseases
Judy Quasney, Director, Office of Workplace Solutions, National Institute of Allergy and Infectious Diseases, NIH

Collaboration has always been central to the culture of the biomedical sciences. Advancing resolution of complex problems, such as the emergence and spread of infectious disease, is becoming increasingly challenging. The increased importance of computational science—data collection, analysis and integration—however, is changing the research workplace and its classic “lab module" approach. Emerging requirements include research and development computational facilities, bioinformatics pods and interdisciplinary settings that bring together diverse specialists, beyond traditional “white coat" lab scientists, and foster knowledge-sharing. This presentation explores the changes as defined in the newly consolidated building for the National Institute of Allergy and Infectious Diseases (NIAID) within the National Institutes of Health (NIH) at Fishers Lane in Rockville, Maryland. Much of NIAID science occurs in an office building connected to a computational research center with a worldwide reach of multi-generational collaborators from networks in more than 100 countries. Topics to be explored include: a look at the “new" biomedical research space to enhance onsite and remote communication and support the collaborative requirements fostered by data sciences; creating “workplace agility" by effective use of modularity, prefabricated products and flexible space allocation strategies; and how the emerging field of precision medicine is redefining how biomedical research and healthcare will be delivered in the future.

Understanding Key Design Strategies that Impact Patient Outcomes
Ellen Taylor, PhD, AIA, MBA, EDAC, Vice President for Research, The Center For Health Design

Healthcare reform is in full swing, with the 2010 Patient Protection and Affordable Care Act (ACA) providing many opportunities for the built environment to be a driving force in better outcomes. Organizations are incentivized to improve the quality of the built environment to improve outcomes. Finding research and case studies to help designers stay current with healthcare design challenges and solutions is a time-consuming process. The Center for Health Design has organized information from peer-reviewed research, expert interviews and case studies to offer different perspectives that address the tough problems in today's complicated healthcare environment. This session reviews top issues and case studies to help designers identify solutions that improve outcomes. Some of the topics that will be covered include population health, environmental cleanliness, infection prevention, noise and communication. The speaker also will review the following case studies: noise-reducing strategies that resulted in a jump in patient satisfaction scores (from 50% to 90%) at St. Elizabeth Hospital in Appleton, Wisconsin; cleanliness best practices implemented at MedStar Washington Hospital Center's ER One in Washington, D.C., which improved patients' perceptions of cleanliness and reduced cleaning time by 50%; and design features that enhanced communication at Adelante Healthcare's new facility in Mesa, Arizona.

Getting Serious about the Science: The Potential of Multi-Firm Research Collaboration to Improve Evidence Quality and Applicability
Dr. Jeri Brittin, Director of Research, HDR

Over three decades, the field of evidence-based design has made great strides in applying evidence to the design of healthcare facilities, to the benefit of many occupants. This relatively new field also can improve evidence quality by taking further steps to mitigate bias and improve applicability, with designer-engaged research questions, stronger research designs, consistent measurement of environmental variables and human outcomes, and facility evaluations vetted by independent parties. It has been well stated that replication is the ultimate test of truth in science, and building and human outcomes research can make progress toward this goal. The speaker will discuss these timely issues in light of a pioneering, multi-firm Research Coalition that formed initially to evaluate the New Parkland Hospital facility in Dallas, Texas. This Research Coalition, including Blue Cottage Consulting, Corgan, HDR, Herman Miller Healthcare, Mitchell and the New Parkland Hospital, is a first in the industry. The Coalition's key aims are to vet and evaluate each other's research designs and results; to streamline, consolidate and disseminate post-occupancy research tools that can help move the industry toward more consistent measurement; to maximize research value for the healthcare organization; and to contribute substantively to the body of empirical work informing evidence-based healthcare design.

Session WE4A: Creating World-Class, Resilient Medical Facilities

Wednesday, 1:45 PM — 3:15 PM

Engaging the City of Chicago in Creating a “World-Class" Children's Hospital
Bruce Komiske, V.P. New Hospital Design and Construction, Erlanger Medical Center

Attendees at this session will learn how one institution defined “world class" and then created a vision to guide the construction process; learn how a new building helped Lurie Children's Hospital go from ranking #16 to #6 in the four years since moving to its new home in the heart of the city; learn about the challenges of building the world's tallest children's hospital on a tiny site (1.2 million square feet on a 1.8 acre site); learn how to engage an entire city in the design of the hospital to make it a healing environment unique to Chicago; and learn how this process can be accomplished with almost any project, in any city, without adding significant cost to the project.

Houston, We Have a Problem: Hurricane Ike Hits a Medical Campus
Bryan Bagley, PE, Project Manager for Utility Plants, Affiliated Engineers, Inc.

Established in 1891, the University of Texas Medical Branch (UTMB) at Galveston is the oldest medical school west of the Mississippi. In September of 2008, Hurricane Ike made landfall on Galveston Island, ravaging more than one million square feet of building space at UTMB Galveston. Flooding on campus reached up to six feet, causing the immediate failure of all campus utility systems. The two existing heating and cooling plants were critically damaged and the underground steam distribution system was a complete loss. Affiliated Engineers, Inc. worked closely with UTMB to develop a comprehensive four-step approach to ensure that the university would remain resilient during any similar future event. Attendees at this session will achieve the following learning objectives: 1. Discuss the history of UTMB Galveston and Galveston Island, and what long-lasting affect Hurricane Ike had on this coastal metropolis. 2. Develop an understanding of the operational and financial impacts Hurricane Ike brought to this campus. 3. Review the challenges and obstacles the campus had to overcome to return to normal business operations. 4. Identify the means to mitigate future infrastructure failures through a four-step solution and summarize the final mitigation plan enacted by the university.

Session WE5A: Healthcare Facility Life-Cycle Planning and Financing

Wednesday, 3:30 PM — 5:00 PM

Enabling Solutions for Healthcare Facilities
Kimon Onuma, President, Onuma, Inc.

In January 2016, the National Institute of Building Sciences Academy for Healthcare Infrastructure (AHI) published a number of white papers that have a wealth of information about healthcare facility owners and their needs. Challenges identified in the AHI white papers, such as cutting across the various stages of the life cycle of facilities, are being solved with technology ecosystems of open standards-based solutions that can be used by any owner. The need to treat data as an asset that can then be used to align the various stages of projects and manage existing facilities is the foundation of these projects. One in particular is a project, SEPS2BIM, initiated by the U.S. Department of Veterans Affairs (VA) for the Space and Equipment Planning System (SEPS) jointly used by the VA and the U.S. Department of Defense, Defense Health Agency (DHA). Complex infrastructure objectives can start to be solved with data that is consistently accessible by all stakeholders across the life cycle regardless of the tools they use. Mobile and easy to use solutions that plug into ecosystems of data make this possible and SEPS2BIM uses these modern approaches to make the data neutral and create this ecosystem. This presentation will demonstrate how this is possible today.

How the C-Suite Can Leverage Design-Led Delivery to Strengthen Balance Sheets: Increased ROI, Minimized Risk, Speed-to-Market Advantages
Deb Sheehan, Executive Director, Client Strategies, CannonDesign

This presentation provides a thorough explanation of speed-to-market real estate solutions, both repurposing aged physical assets as well as creating new models to meet healthcare's changing delivery paradigms. Cost benefits will be outlined in contrast to traditional facility construction methods that historically underperform and expose providers to risk in both financial and schedule measures. (A 2015 KPMG report indicated that 53% of owners reported having suffered one or more underperforming projects relative to budget and/or schedule in the previous year and only 31% of the owners' projects came within 10% of budget in the previous three years). The innovative design-led approach will illustrate how healthcare owners can increase communication between all stakeholders; maximize efficiency of supplier and operational resources; elevate quality of real estate assets over time; and mitigate risk associated through reduction of errors. The presentation will demonstrate relevant recent examples where health providers have been able to achieve guaranteed price, allow for reduced delivery timelines, increase certainty of predictable outcomes and accelerate revenue capture while essentially eliminate legal risk. The presentation will feature a full case study from Allegheny Health Network and how it created its Wexford Health & Wellness Pavilion an estimated 30% faster than historical delivery models would have achieved while adhering to a guaranteed maximum price and incurring $0 in error and omission charges.

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