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Advocacy Professional Development Networking Information
Resource
Optimize the Health Care Physical Environment
Strategic Goals: Regulation, Reputation, and Capacity
Strategic Goal: CapacityOur members will
be supported by a nimble association with the resources, relationships, decision systems and work processes necessary to achieve their envisioned future for the field
Professional Development
Current Information
Industry Trends
Tools & Guidance
The Next ThingHPCS
Task Forces
Task Force Leaders working
independently on Committee Activities
Advisory Committees
Use Advisory Committee for
updates on strategic
activities, barrier removal and to
access additional resources
HFCx
Succession Planning
Unified Code
Who’s on FirstWhat’s on
SecondI Don’t know’s
on Third
Strategic Imperatives
Planning SessionChairs, Co-chairs
Steering CommitteeASHE Staff
Highly Productive Committee Structure
Succession Planning “Project Pathways”
Increase Capacity for succession planning in
HFM
Marketing Assessment &
Evaluation
Determine Key PositionsAssess Job DescriptionsIdentify Emerging Skills
Product DevelopmentDevelop Curriculum
Templates & Guidance
Task Force Assignments
Internal Promotion
Task Force Assignments
University Career Paths
Task Force Assignments
Military, Industrial
Career Paths
Task Force Assignments
Steering Committee Develop Strategy (Strategic Imperative)
Educational Components for each pathway
Strategic Taskforce Exercise Project (STEP) Plan
ASHE STEP Plan
Corporate Sponsors
Regionplan
Region Sponsors
• ASHE Intellectual Capital• Corporate Sponsors
– National Focus– Work with Associate Board
Member to Grow Plan• Regional Plan
– Geographical Alignment• Region Sponsors
– Work with Region Board Member and Local Business Partners to Grow Plan
Region Plan
ASHEExec
Project Sponsors
Project Business Partners
University
Host Facility
• ASHE STEP Plan– Host Facility– Project Sponsors– Project Business
Partners– University
• Under Graduate Program• Graduate Program• Research• Internships
GradProgram
Under Grad
ProgramInterns
Research
Trusted Source of Information
Strategic Goal: ReputationStrengthen the reputation of facilities
professionalsand their strategic, operational, and business
value to the entire enterprise.
Certifications• Certified Healthcare Facility Manager (CHFM)• Certified Healthcare Constructor (CHC)
Professional Designations• Senior (SASHE)• Fellow (FASHE)Awards• Crystal Eagle Leadership Award • Emerging Regional Leader Award • Excellence in Facility Management • Vista Awards Program
Certifications, Designations, and Award Programs
ASHE Annual Conference & PDC Summit
ASHE Annual ConferenceJuly 21-24, 2013Atlanta, Georgia
www.ashe.org/annual
PDC SummitMarch 16-19, 2014
Orlando, Floridawww.pdcsummit.org
ASHE Education Portfolio
2012 Salary SurveyConstruction
Facilities ManagementProject Management
Operations/EngineeringNo of Beds Salary Bonus Salary Bonus50-100 Beds $73,413 $800 $80,073 $6,747200-300 Beds $99,588 $4,817 $99,240 $9,916> 500 Beds $125,131 $19,929 $117,986 $12,745>5M square ft $145,752 $24,772 $134,151 $19,339
* N = 2,788 +/- 5% (40% of HFM > 55 years old)
2012 Salary SurveyConstruction
Facilities ManagementProject Management
Operations/EngineeringTitle Salary Bonus Salary BonusManager $93,040 $5,460 $80,973 $3,514Director $120,181 $12,996 $98,938 $7,605Vice President
$196,925 $43,324 $179,745 $25,614
* N = 2,788 +/- 5%
2000 2003 2006 2009 2012
110
563
989
1771
386
Maintenance and Operations Code Compliance Planning, Design, and Construction Finance Management Administration
CHFM
The Value of the CHFM
• Required for employment in a number of facilities • Recognition by the hospital C-suite• Opportunity for advancement within your organization - Opens doors to more career opportunities
• Salary increases
Average Salary without CHFM Certification
Average increase Average Salary with CHFM
$94,281 $10,067 $104,348
Benchmarking 2.0 Operations and Maintenance
Benchmarking for Health Care Facilities
Utility Usage: Consumption metrics – per patient discharge
Annual Consumption/Discharge
PercentileElectricity
kWhFuel OilGallons
Natural Gas
Therms
Chilled Water
Ton Hours
SteamM-LBS
Domestic Water
Gallons
SewerGallons
90 3380.40 0.72 190.72 898.47 838.84 5583.76 4106.94
75 2455.43 0.42 126.17 307.84 12.36 3724.04 2403.96
50 1463.77 0.19 62.59 4.71 5.53 1889.20 671.46
25 827.56 0.05 22.31 0.12 1.63 671.99 51.35
10 368.04 0.03 1.41 0.0009 0.73 33.03 8.58
Mean 1829.04 0.28 92.30 295.29 463.20 2529.97 1559.70
Other Benchmarks• Cost/Adjusted patient days• Patient care volumes, procedures, throughput• Return on Investment (ROI)• Cash flow• Branding | Competitive position
ASHE Sustainability Committee – PDC MeetingMonday, February 25, 2013
Strategic Goal: RegulationRegulation: Our members will work in a regulatory environment characterized by:oGood scienceoDefensible economicso Informed policy-makingoClear decision authority
Poor Codes Cost Money without Improving Safety
• $4 billion a year wasted because of poor codes and standards
• Small things could have a profound effect nationwide
Codes and Standards
Source: American Hospital Association http://www.aha.org/aha/trendwatch/2011/11mar-tw-costofcaring.pdf
Who Regulates Hospitals?
ASHE Advocacy Program• Representation
oNationaloRegionalo State
• Proactive EffortsoManaging code and standards
ICC Ad-hoc Committee on Healthcare
• Prepared 35 proposals for IBC• 26 Approved
• Requirement for Fire/Smoke Dampers in smoke barrier walls – Disapproved
• Smoke Dampers exemption in Hospitals – Approved as Modified
Update: OR minimum 35% humidityo 2010: 7 CA hospitals fined >$100K for “putting
patients at risk of death or serious injury”o In cold weather cannot maintain >35% RH
ASHE coalition with APIC, SHEA, AORN, ASHRAE, NIHo ASHRAE 170 lower to min 20% o Adopted by NFPA 99 - 2012o > $200M over the next 10 yearso reducing the initial ventilation system
installation cost,o eliminating the need to modernize existing
systemso energy conservation savings.
CMS Draft memo March 15• RH of ≥20% permitted in anesthetizing locations:
recommending that RH not exceed 60% in these locations.
• Hospitals & CAHs must elect to use the categorical waiver: – Individual waiver applications are not required, but
facilities are expected to have written documentation that they have elected to use the waiver.
• Facilities must monitor RH in anesthetizing locations to ensure RH remains within the permitted range
ASHE Insider: March 26, 2013
Sprinkler Requirement for LTC• CMS requires sprinklers by Aug 13, 2013• Consider deadline extensions of two years if:
– undergoing major modifications in all unsprinklered living areas;
– Funds committed– construction plans submitted for approval
• An additional extension could be granted for up to one year, depending on the circumstances.
• ASHE Insider March 22
ASHE Insider: March 26, 2013
Hurricane Sandy and LSC• The Obama administration is reviewing
power failures at hospitals battered by Hurricane Sandy to determine whether requirements for backup power should be updated.
• “We are always looking at ways to update and improve our regulations, and we will apply our experiences with Sandy and other events to see if there are lessons there for improving the rules governing emergency preparedness,”
CMS spokesman Brian Cook (10/31/12)
Letter to HHS Secretary Sebelius• Congressman Michael Burgess, MD, R-TX• The 2000 Life Safety Code also references other technical
standards relating to the structure of hospitals. • Therefore, when hospitals comply with 2000 Life Safety
code, they also comply with other outdated technical standards. o For example, the 1998 standards for portable fire extinguishers,o 1999 National Electric code, o 1999 air conditioning and ventilating systems standards, o 1999 emergency and standby power systems standards, o 1994 elevators and escalators standards.
• Because privately accredited hospitals, that are deemed to meet Medicare standards, must comply with CMS regulations, the majority of U.S. hospitals are held to these ten-year-old standards
2014 - FGI Guidelines• Xiaobo Quan, PhD, EDAC: “Indoor water features can
play a significant role in creating a healing environment that is stress reducing and psychologically supportive,”
• Linda Dickey, RN, MPH, CIC: “There has been real harm related to these features,”
• Are indoor water features?– stagnant pools of disease or – flowing streams of healing
• ASHE Insider March 27
Threat to WMTS – TV Auction• Middle Class Tax Relief and Job
Creation Act of 2012 • Reallocate all TV Spectrum• Move WMTS to another TV band• Congress earmark $300M• Actual cost > $2B
• ASHE Insider March 26
ASHE Insider: March 26, 2013
In Summary
ASHE Is Dedicated to Optimizing the Health Care Physical Environment
Through Strategic Goals of • Regulation• Reputation• Capacity
ASHE Annual ConferenceJuly 21-24, 2013Atlanta, Georgia
www.ashe.org/annual
PDC SummitMarch 16-19, 2014
Orlando, Floridawww.pdcsummit.org
