The New England Healthcare Engineers’ Society Presents

Healthcare Engineering, Taken to New Heights

NEHES 2011 Fall Conference September 25 – 28, 2011 Killington Grand Resort Hotel and Conference Center Killington, Vermont

Our Mission The New England Healthcare Engineers’ Society is a professional organization whose traditions and continued success are based upon the following goals: • To promote better patient care by taking advantage of the latest developments in healthcare facility management, design, operation and maintenance techniques. • To promote the mutual exchange of technical assistance, ideas and experiences among members and other healthcare engineering professionals. • To promote the professional development of healthcare engineers through continuous education. Vermont Healthcare Engineers’ Society The Vermont Healthcare Engineers’ Society Fall Conference Planning committee invites you to attend the 2011 Fall Conference and Technical Exhibition at the Killington Grand Resort Hotel and Conference Center, Killington, Vermont. We promise a superlative program. Come join us for the education and social event of the year!

General Information CEU Credit Certificates of attendance with Continuing Education Units (CEU’s) will be awarded for educational programming at the close of the conference. Conference Attire Dress for the conference is casual. Meeting rooms can vary in temperature, so dress accordingly.

Hotel Registration You need to call the Reservations Department at 800-282-9955 to make your reservations. Be sure to refer to the NEHES Regional conference when making your reservations so you will receive the special group rate. ($120.00/night) Deadline for registering for the special group rate is: August 24th, 2011 If you are a Vendor attending the event and making reservations, please let the reservation department know that you are a “Health Care Exhibitor”.

NEHES Chapters Connecticut Healthcare Engineers' Society

Deposit You will automatically be billed for the first night’s room and tax. You will be asked for a credit card to guarantee your reservations and the credit card will be charged. They accept MasterCard, Visa, Discover, American Express or Diners Club.

Maine Healthcare Engineers' Society Massachusetts Healthcare Facility Professional Society New Hampshire Society of Healthcare Engineers Rhode Island Healthcare Engineers' Society Vermont Healthcare Engineers' Society

Hotel check-in time is after 5:30pm on the day of arrival. Checkout time is before 11:00AM on the day of departure. Late checkout fees may apply. Room availability cannot be guaranteed for early arrivals, but all efforts will be made to accommodate those guests who arrive early. Luggage storage is available. All rates are subject to the current Vermont State Rooms and Meal tax of 9%, Local tax of 1%, the Killington Grand Resort Hotel & Conference Center service charge of 7% or a 4% service charge in the Village Condominiums. REMINDER: September 25 – 28 is foliage weekend for Vermont. Please be sure to make your reservations as soon as possible.

Directions GPS may have you turn from US4 to East Mountain Road but it is easier to take Killington Rd Killington is located in central Vermont at the junction of U.S.4 and VT 100 North in Killington, 11 miles east of Rutland. From the Killington sign on Route 4 (across from Bill's Country Store) drive 3.6 miles up the Killington Road to the black Grand Hotel Sign on your left. Take a left at the sign onto East Mountain Road. We are located at 228 East Mountain Road, the Grand Hotel is on your right. 3 hrs. from BOSTON AREA: Take Interstate 93 to just south of Concord, NH Exit onto Interstate 89 north and follow to US 4 Rutland, Exit 1 in Vermont. Follow US 4 west to Killington. 3 1/4 hrs. from HARTFORD AREA: Follow Interstate 91 to north of Bellows Falls, VT. Take Exit 6 (Rutland) onto VT 103 and follow to VT 100. Take VT 100 north to US 4 and follow US 4 west to Killington. 4 3/4 hrs. from NY CITY (via Connecticut Turnpike): Connecticut Turnpike (Int. 95) to Int. 91 and then follow directions given under “Hartford.” 5 hrs. from NY CITY AND NJ AREAS (via NY Thruway): NY Thruway to Exit 24 Albany. Take Northway (Int. 87) north to Fort Ann/Rutland Exit 20. Pick up NY 149 and follow east to US 4. Turn left on US 4 and follow east to Killington. If lost please call 802-422-5001 for directions.

Schedule (Education Schedule Subject to Change) Sunday, September 25

Monday, September 26

Tuesday, September 27

9:30 – 4:30 NEHES 2011 Golf Outing

Registration All Day

7:00 - 8:00 Continental Breakfast

2:00 Bike Ride

7:00 – 8:00 Continental Breakfast

7:00 - 8:00 Past President’s Breakfast

Helicopter Rides may also be available on Sunday afternoon. (Rides are subject to demand and weather conditions). If interested, please contact Betsey Bianchi ([email protected]) by September 1

7:00 – 8:00 Board Meeting

8:00 – 9:15 Session 3, NFPA 99 2012 Update

8:00 – 9:00 Welcome/Keynote Speaker Holland Meads

9:15 – 9:30 Break

2:30 – 3:30 Session 7B No Rooms for Bugs - Patients Only 3:30 – 3:45 Break

Anytime – Visit the giant hay sculptures around Killington. 5:00 – 7:00 Conference Registration/ Welcome Reception 7:00 – Dinner on your own

Synergy Consultants, Inc. of Wareham, MA is sponsoring Holland’s presentation 9:00 – 9:15 Break 9:15 – 10:15 Session 1A HCFM Career Development

3:45 – 4:45 Session 8A Beyond “Wet Side Out, Dry Side In:” Building Envelope Assessment in the 21st Century

9:30 – 10:30 Session 4A Managing Conflict – The leader’s role in engaging staff

3:45 – 4:45 Session 8B Lean Tool – A3 Project Planning Say Goodbye to Value Engineering, Change Orders, Over-runs, and Punch lists

9:30 – 10:30 Session 4B Optimizing the Strengths of Your Intergenerational Workplace

5:30 – 6:30 Social Reception

10:30 – 10:45 Break 9:15 – 10:15 Session 1B Steam Systems Basics, Problems & Resolutions

6:30 – 9:00 Annual NEHES Banquet and Awards Ceremony -Entertainment to follow: Rusty DeWees “The Logger” Boston Globe says, The Logger is “Inventive, entertaining, exceptional”

10:45 – 11:45 Session 5A Benchmarking Energy Usage

Dinner Options: 10:15 – 10:30 Break There are a wide variety of wonderful restaurants in Killington. A detailed restaurant guide will be included in your welcome packet. Restaurants closest to the Killington Grand include: Santa Fe Steakhouse 802-422-2124 www.killingtonsbest.com Outback Pizza 802-422-9885 www.outbackpizza.com Lookout Bar and Grill 802-422-5665 www.lookoutvt.com Choices Restaurant and Rotisserie 802-422-4030 www.choices-restaurant.com

10:30 – 11:30 Session 2A LEED for Health Care

10:45 – 11:45 Session 5B Utilities Systems Management and Documentation

Suffolk Construction of Boston, MA. is sponsoring this appearance of The Logger

12:00 – 1:00 Lunch 10:30 – 11:30 Session 2B Is a CMS Survey in Your Future?

Wednesday, September 28

11:30 – 12:00 NEHES update

1:00 – 2:15 Session 6 NFPA 101 ®, Life Safety Code® The 2012 Edition and Beyond

12:00 – 1:00 Box Lunch in Exhibit Hall

2:15 – 2:30 Break

12:00 – 4:00 Technology Exhibit

2:30 – 3:30 Session 7A Sustainable Design & Energy Management Using Addressable Lighting Controls AIACES 111

8:30 – 9:45 Session 9 FGI Guidelines for Design and Construction of Health Care Facilities

2:30 – 3:30 Afternoon Break – VT appetizers and Microbrews – Exhibit Hall 4:00 – 5:00 NEHES Annual Meeting

7:00 – 8:30 Continental Breakfast

9:45 – 10:15 Break/Checkout 10:15 – 11:30 Session 10 Joint Commission Update

5:30 - 7:00 Social Reception 7:00 – Dinner on your own

Sunday, September 25 NEHES 2011 Golf Outing 9:30 am – 4:30 pm Killington Grand Resort Golf Course • Registration 9:30 – 10:00 • Shotgun Start at 10:00 • Scramble Format • Proper Golf attire must be worn • Followed by Golf Reception & Awards at Clubhouse To register, fill out the form in this brochure and mail it back to the address indicated.

Hay Sculptures Enjoy a self guided tour of the giant hay festival sculptures around Killington Bike Tour If interested, contact Rob Prohaska ([email protected]) Bring your bike and enjoy a scenic road (30 – 35 mile) tour of the Killington area.Those interested are welcome to meet Rob for a ride of the valleys surrounding Killington. Meet in the Killington Grand front entrance turnaround at 2:00 pm. Helicopter Ride (Weather Permitting) If interested in a short helicopter ride on Sunday afternoon, please contact Betsey Bianchi ([email protected]) by September 1, 2011. Rides are subject to demand and weather conditions.

Day 1

Day 2

Session 1A – HCFM Career Development Jack Gosselin, FASHE, CHFM Principal, Gosselin Associates Mystic, CT As the accountability continues to evolve in the expanding role of Healthcare Facilities Manager, it is critical that individuals in this field grow with the expectations of our institutions in this rapidly changing industry. This presentation identifies key competencies and traits that healthcare organizations are requiring from their engineering leaders and how these expectations should be incorporated into individual career development strategies.

Session 3 – NFPA 99 2012 update Dave Dagenais, SASHE, CHFM, CHSP, Director of Plant Operations/Security Safety Officer, Wentworth-Douglass Hospital, New Hampshire, is a NEHES Liaison to NFPA and serves on several NFPA and ASHE committees and task forces Dave will speak on the outcome of several NFPA 99 issues of critical importance to Facility Managers that were discussed and voted on at the NFPA Annual Conference and Expo June 14-15, 2011 in Boston.

Based on position specifications acquired from hiring institutions, this session will provide an understanding of the specific competencies organizations are seeking in facilities leadership. Additionally, guidance for the assessment of these skills and attributes to advance one’s individual career development will be presented. Session 1B – Steam System Basics, Problems & Resolutions Steve Jalowiec, P.E. CHFM, Administrative Director for Facility Operations Waterbury Hospital, Connecticut This course will overview the basic design of steam systems, typical components and utilization of steam. The challenges of operating these systems, troubleshooting and possible solutions will be reviewed. Session 2A – LEED for Health Care Jesse Robbins, AIA, LEED AP BD+C Architect, Freeman French Freeman, Inc. President, Vermont Green Building Network/Vermont Chapter, US Green Building Council Healthcare projects seeking LEED certifications have several choices to make at the beginning of a project: “LEED for New Construction and Major Renovation,” “LEED for Commercial Interiors,” and “LEED for Healthcare” can be used. This session will include an overview of “LEED-NC” and “LEED-CT” and focus on LEED for Healthcare, which was introduced on April 8, 2011, and contains many refinements of earlier LEED rating systems tailored specifically to the Healthcare Environment. Participants who have construction projects planned will benefit from the ideas presented in this session, regardless of whether they are planning to seek LEED Certification. Session 2B – Is a CMS Survey in Your Future? Participants: All from Fletcher Allen Health Care, Burlington, Vermont Jack Conry, Director, Security, Parking and Safety/Safety Officer Dawn LeBaron, FACHE, CHFM, Vice President, Hospital Services Lindsay Harbour, RN, CSP, CHSP, Safety Specialist The speakers will report on a recent survey at Fletcher Allen Health Care by CMS (Centers for Medicare & Medicaid Services).Topics will include a review of the survey’s findings, action plan, follow through, and detailed information about what triggers a full CMS survey. CMS maintains oversight for compliance with the Medicare health and safety standards for laboratories, acute and continuing care providers (including hospitals and other facilities) and makes available to beneficiaries, providers/suppliers, researchers and State surveyors information about these activities. After a visit by State of Vermont Licensing and Protection personnel, an inspector from the Boston-area CMS office then arrived for five days at Fletcher Allen.

Dave will review all the changes to NFPA 99 and the impact it will have on our industry; additionally he will review the outcomes of the following hot topics: • Is an operating room a wet location • Can medical gas systems be used for non-human consumption • Annual requirement for non-stationary medical booms • Testing requirements for receptacles • Use of GFIs in operating rooms • Selective coordination requirements • Campus electrical system requirements • Features of fire protection equipment. Session 4A – Managing Conflict – The leader’s role in engaging staff. Greg Nelson, President of Patient Perfect Healthcare Learning Objectives: • Learn conflict management tactics • Learn to set expectations • Learn the key skills for having a tough conversation • Learn to manage generational differences Note: The content and case studies of this 60-90 minute session are outcomes based. The examples and background purposefully originate from health care – based on actual case studies, current benchmarks and research-based tools and techniques from leading health care and service organizations. Session 4B – Optimizing the Strengths of Your Intergenerational Workplace Andrea McGill-O’Rourke, Vice President of Operations Gifford Medical Center, Randolph, VT In the contemporary American workplace there are four distinct generations of employees. Generational differences can lead to frustration, conflict, and poor morale. However, those very differences can also lead to increased productivity, and ultimately organizational success. Each generation brings with them different values, ideas, ways of communicating, and ways of getting things done. This workshop will introduce you to how these concepts vary, based on generational cohorts, and will focus on ways to both maximize these differences and similarities in an effort to strengthen your workplace. Session 5A – Benchmarking Energy Usage Tim Perrin, BEP, CEM, Key Account Manger, Efficiency Vermont Every dollar a nonprofit hospital saves on energy is equivalent to increasing patient revenues by $20. Benchmarking your hospital’s energy performance is a key first step to understanding and reducing energy consumption, costs, and environmental impacts. This session will outline the process of benchmarking, introduces the ENERGY STAR Portfolio Manager tool, and presents the results of a benchmarking program launched statewide for Vermont hospitals. “You can’t manage what you don’t measure”— benchmarking offers a powerful feedback tool to trend your hospital’s energy use over time, a comparison among peer institutions, and the potential to achieve national recognition for superior performance.

Session 5B – Utilities Systems Management and Documentation Ray Forsell, CCE, P.E., UVM Technical Services Partnership Utilities/Life Safey Management and Documentation • A review of pertinent CMS requirements and TJC Standards for Environment of Care Utilities / Life Safety Equipment Management • The important relationship between Utilities, Life Safety, and Equipment Management and Documentation Systems • Common issues found during surveys related to management plans, paper-based documentation and computerized documentation • Examination of a comprehensive approach to documentation and management of equipment related inspection, preventive maintenance, and corrective maintenance documentation. • Graphic documentation presentation models for survey success.

Session 8A – Beyond “Wet Side Out, Dry Side In:” Building Envelope Assessment in the 21st Century Peter Brooks, President, Infra-red Analyzers/Vector Mapping Developments in energy conservation, building design and technology have transformed the way we evaluate the building envelope. This seminar will discuss the state-of-the-art in building envelope performance and review available methods for evaluating envelope condition. We will consider the envelope as a whole, including the foundation, side walls and roofing system, and discuss the interaction of these components in selected case studies. The pros and cons of various moisture-detecting and integrity-testing technologies will be reviewed, including infrared thermography, nuclear interferometry, low- and high-voltage vector mapping. This seminar will be useful to building owners, facility and property managers, architects, specifiers, and building, roofing, and waterproofing contractors and consultants.

Session 6 – NFPA 101@ Life Safety Code® – The 2012 Edition and Beyond Bob Solomon, P.E. Manager, Building Fire Protection and Life Safety Codes National Fire Protection Association, Quincy, MA The 2012 edition of NFPA 101 was voted on by the NFPA membership in June of this year and new code was available in September. While myriad changes were made throughout the code, several changes directly impact the hospital and ambulatory healthcare environments. Revisions to rules on equipment in corridors, occupancy separation, arrangements and configuration of suites, along with other changes to the code reflect the manner in which hospitals are designed and function 2011. And while the ink is barely dry on the new code, a short list of topics for the 2015 code is already in the hopper. Most of these were identified at the July 2010 Healthcare Summit sponsored by NFPA and FPRF.

Session 8B – Lean Tool – A3 Project Planning Say Goodbye to Value Engineering, Change Orders, Over-runs, and Punch lists Nick Masci, LEED AP – Dacon Corporation Paul Demers – Vermont Manufacturing Extension Center

Session 7A – Sustainable Design & Energy Management Using Addressable Lighting Controls AIACES 111 Randy Mead, C.E.M., CBCP, CMVP, LEEP AP Control Technologies, Inc., Williston, VT Upon completion of this course, participants will be able to: Define how “Addressable Lighting Controls” reduce carbon footprint while aiding in the design of energy “sustainable” buildings; • Identify the six energy management strategies and their effect on energy efficiency and economic value while enhancing the health, safety and welfare of the occupants of a building

The Problem: Facility construction projects are plagued by mid-term changes, miscommunication, many hand-offs, re-work, value (aka “de-value engineering”), defects and misaligned objectives. The Solution: A3 Planning 1. The A3 was developed by Toyota as a problem solving tool. A3 refers to a European paper size that is roughly equivalent to an American 11-inch by 17-inch tabloid-sized paper. The A3 offers a structure to problem solving, involves the entire project team, creates alignment of goals, and fosters accountability to happen naturally. 2. The A3 is transferable to health care and has already been widely adopted. 3. All team members (owner, designer, and constructor) learn to see problems the same way. 4. A3 thinking means better and fewer meetings. 5. The A3 process documents costs and benefits. After Dinner Entertainment

• Evaluate the benefits an addressable lighting control systems can offer with respect to user comfort, safety, energy savings, system commissioning & maintenance when compared to traditional lighting control systems

Rusty DeWees – “the Logger” is a raw, energetic backwoodsman that is a combination of all that’s wonderful and wacky about the northern New England spirit. Rusty grew up in Stowe, VT and spent 11 years in New York City where he worked extensively in television and film.

• Assess other economic benefits and addressable lighting control system can offer. For example, optimization of HVAC energy use, flexibility to be part of any comprehensive, automated, building (energy) management system that encompasses lighting, HVAC, security and life safety systems.

Suffolk Construction of Boston, MA. is sponsoring this appearance of The Logger.

Session 7B – No Rooms for Bugs – Patients Only Stephanie Taylor, MD, MArch, CIC, CEICC Director of Research/Infection Control Professional MorrisSwitzer~Environments for Health As we all know, hospital acquired infections take a terrible toll on patient morbidity and mortality. The government will no longer reimburse hospitals for expenses incurred from injury caused by the inpatient stay. In fact, all hospital statistics are reported publically and hospitals with higher percentage problems will be penalized by the government and no longer reimbursed (as of July 1, 2011).

Day 3

Major players in Boston-area hospitals have come together to form the Hospital Acquired Infection Organization (HAIO). With help from other industries, such as pharmaceutical and nanotechnology institutes, they are borrowing concepts which could be incorporated into hospital rooms. Don’t wait until your hospital is in trouble, there are affordable steps that can be taken now, whether minimal changes you can do today to considerations for approaching major construction.

Session 10 – Joint Commission Update George Mills, MBA, FASHE, CEM, CHFM, CHSP, Senior Engineer Standards Interpretation Group, The Joint Commission, Oak Brook, IL Gain valuable information through an overview of the standards and their impact on your facility.

Session 9 – FGI Guidelines for Design and Construction of Health Care Facilities Kurt A. Rockstroh, AIA, ACHA President and CEO of Steffian Bradley Architects, Boston, MA Vice Chairman of the Health Guidelines Revision Committee, Facility Guidelines Institute (FGI) Develop a deeper understanding of the FGI Guidelines

Keynote Speaker: Holland Meads Holland Meads has been working with organizations for over twenty years, helping business teams and individuals improve their personal power and productivity. His engaging presentation style encourages people to use the principles he teaches to increases their own effectiveness. Some of his clients include: Olympic Regional Development Authority, Toyota, Wrigley Gum, the USA Luge, Bobsled and Skeleton Teams. Listen up LEADER….. Believe it or not, we DO understand that leadership at work or home isn’t easy. We watch every day and see you assume incredible responsibilities. You’re accountable for your actions and the actions of others you interact with on a daily basis. Your job is tough. But it is the job/life you chose. Holland will be speaking about – the eight keys we ALL need to embrace to be Effective Leaders at work or home! You are always leading and please remember: Everything you DO counts! With this said: Let’s take our personal leadership to new heights! Synergy Consultants, Inc. of Wareham, MA is sponsoring Holland’s presentation.

Guest Program While Society members attend educational sessions, guests are invited to enjoy the natural beauty and special activities of the Killington area. Monday, September 26

Tuesday, September 27

Monday features a trip to Simon Pearce Mill in Quechee, Vermont. Visitors can interact with teams of glassblowers, watch potters at work, shop in the retail store and enjoy lunch at the restaurant. Overlooking the falls in Quechee, the Simon Pearce restaurant offers inspired menus, featuring local ingredients from nearby community farms. Lunch is followed by shopping in the quaint town of Woodstoock and a final stop at the Long Trail Brewery.

On Tuesday, guests will have the opportunity to enjoy a working apple orchard (and go apple picking if the apples are ready), enjoy brunch at an authentic sugar house and country store and then either go for a hike to Deer Leap (a 3 mile hike with spectacular views) or enjoy time at the hotel spa before stimulating their senses with a chef demonstration. 9:00 am

Leave Killington Grand on a Shuttle Bus

7:00 am – 8:30 am

Continental Breakfast

8:00 am – 9:00 am

Welcome/Keynote Speaker

9:30 am – 10:30 am Apple picking and cider tasting at Mendon Orchards, Mendon, VT

9:30 am

Leave Killington Grand on a shuttle bus

10:30 am – 11:00 am Maple sugaring explanation at Sugar and Spice, Mendon, VT

10:15 am – 11:30 am Glassblowing demo and shopping at Simon Pierce 11:30 am – 12:30 pm Gourmet lunch overlooking a waterfall at Simon Pierce

11:00 am – 12:00 pm Brunch at Sugar and Spice Restaurant, Mendon, VT (served in authentic sugar house, each meal is made to order using their own recipes and freshest ingredients.)

12:45 pm – 2:45 pm

Old fashion general store and boutique shopping in Woodstock, VT

12:15 pm

On the way back, those interested will be dropped at the Inn at Long Trail to hike Deer Leap

3:00 pm – 4:00 pm

Tasting, gift shop and tour of Long Trail Brewery, Bridgewater, VT

12:30 pm

Return non-hikers to Killington Grand for spa services

4:30 pm

Return to Killington Grand

2:30 pm

Return Shuttle bus will pick up hikers at the Inn at Long Trail and return to Killington Grand

5:30 pm – 7:00 pm

Social Reception

3:00pm

Chef Demonstration at Killington Grand

7:00 pm

Dinner on your own

5:30 pm – 6:30 pm

Social Reception

6:30 pm – 9:00 pm

Annual NEHES Banquet and Awards Ceremony

CONFERENCE REGISTRATION FORMS Mail completed form with check or credit card information, or scan and e-mail this form if you are paying with a credit card. See information in the boxes below.

2011 NEHES Fall Conference Registration Form Name:

Mail to: New England Healthcare Engineers’ Society, Inc. c/o Margaret Yip Facilities Department Tufts Medical Center 800 Washington Street Box # 834 Boston, MA 02111

Title:

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Fee: $225.00 Active Member

$250.00 Supporting Members and Nonmembers

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Or scan form and e-mail to: [email protected]

Make Payable to NEHES AMEX

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Credit card billing address: Card Holder’s Signature: Nonmember Fee includes 1 year NEHES membership for those eligible for Active NEHES Membership, if approved, no refunds. Please check the membership that you belong to:

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CHFM

NEHES Board

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Unless you notify us, your name will be made available to the vendors attending the NEHES event.

2011 NEHES Fall Conference Guest Program Guest:

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Fee: $75.00 per person

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Mail to: New England Healthcare Engineers’ Society, Inc. c/o Margaret Yip Facilities Department Tufts Medical Center 800 Washington Street Box # 834 Boston, MA 02111 Or scan form and e-mail to: [email protected]

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2011 NEHES Fall Conference - Sunday Activity: Golf Outing Name:

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Email address: Golf Fee: $100.00 per person

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Mail to: New England Healthcare Engineers’ Society, Inc. c/o Margaret Yip Facilities Department Tufts Medical Center 800 Washington Street Box # 834 Boston, MA 02111

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NEHES c/o Margaret Yip Facilities Dept Tufts Medical Ctr. 800 Washington Street Box #834 Boston, MA 02111

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PERMIT #66 CHELMSFORD, MA

The New England Healthcare Engineers’ Society Presents

Healthcare Engineering, Taken to New Heights

NEHES 2011 Fall Conference September 25 – 28, 2011 Killington Grand Resort Hotel and Conference Center Killington, Vermont