NEHES Spring Seminar Set for Friday, March 20, 2015— Doubletree by Hilton (Formerly Four Points Sheraton)- Leominster

February 2015

NEHES Spring Seminar set for Friday, March 20, 2015— DoubleTree by Hilton (formerly Four Points Sheraton)- Leominster,

The Massachusetts continuing education credits. • NEHES Active Member -- $150 Healthcare Facility Attendees will also have several • NEHES Supporting Member -- Professionals Society opportunities during the day to visit with $250.00 invites you to attend dozens of vendors interested in • Non-Member -$275.00 the 2015 NEHES providing products and services to All fees include a free copy of the Spring Seminar healthcare facilities. Standard 170-2013 -- Ventilation of Friday, March 20 at Larry Williams is this year’s Spring Health Care Facilities (ANSI/ASHRAE/ the DoubleTree by Seminar Chair. ASHE will award this ASHE Approved) This is a $58 value! Hilton (formerly Four Points Sheraton) in program 4.5 Contact Hours or 0.45 For more info, contact Jack Gosselin at Leominster, MA. Continuing Education Units. [email protected] Click to register>>> The one-day annual event presents Online registration for both attendees education sessions on topics of interest to and vendors is available at nehes.org. engineering professionals while offering Registration fees are:

Engineering the Healing Environment Maintaining and Operating Spaces in Which to Heal

Our new mission statement on the healthcare system, we are leaders for • 1:15 PM – 2:15 PM NEHES Website reads: “To optimize “Engineering the Healing Environment.” Supporting Member Town Hall NEHES members’ professional It is a mighty task and one that Meeting development in providing the safest, challenges us every day. An open forum for discussion and efficient, and most welcoming healthcare feedback from our NEHES environment possible.” Supporting Members In the scope of today’s healthcare, a • 7: 00 AM Registration, Continental In the Amphitheatre network that can be complicated to the Breakfast, and Technical Exhibits consumer and to providers alike, we • 2:15 PM – 2:30 PM create the healing environment. • 8:00 AM – 8:30 AM Break For everything from the way the Welcome and Past President building looks to the signage that directs Recognition by Paul Cantrell, • 2:30 PM – 3:45 PM patients to our facilities, we are at the NEHES President 2015. Ventilation Controls and Life Safety forefront. Interface The comfort and safety of patients • 8:30 AM – 9:45 AM while visiting our facility falls at our How Proper Fire Protection System doorstep. As the old saying goes, “The Design Can Improve Patient Buck Stops Here!” Experience and HCAHPS. The sounds, sights, smells, comfort, tastes and touch in our facilities all • 9:45 AM – 11:00 AM become a part of the healthcare Technical Exhibits experience for patients and guests. In fact, we are vigorously evaluated on these items. How many of you have • 11:00 AM – 12:00 PM seen patient experience surveys with Operating Room Humidity and concerns about food, sounds in the Smoke Purge, NFPA 99 And Code hallway, the level of light in common Development areas and rooms, and the extremes of temperature control? Oftentimes, these • 12:00 PM – 1:15 PM experiences get more scrutiny from Lunch, Technical Exhibits, and patients than do the medical and clinical Raffle Drawings treatments provided. The healing environment in a room And while we could not function without • 1:15 PM – 2:15 PM at Concord (NH) Hospital. Paul our medical and nursing staffs, our Facilities Preparation– A Non-Ebola Cantrell, NEHES President, is specialties of clinical expertise, and our Designated Hospital Director of Facility Operations. array of professions that support the

Spring Seminar Offers World Class Education Sessions

How Proper Fire Protection retain this smoke venting requirement • Gene Cable, PE, MSFPE, Life Safety System Design Can Improve when they adopt the 2012 edition of Consultant, Albany, NY Patient Experience and HCAHPS NFPA 99. • Randy Hussey, CHFM, CFPS The NFPA code revision process will HCAHPS (Hospital Fire Protection Engineer Consumer also be reviewed and will cover how Eastern Maine Medical Center Assessment of Healthcare Engineers can contribute to Bangor, ME changes in the NFPA codes, including Healthcare Providers 90A, 99, and 101, that you must work with and Suppliers survey), measures a patient’s on a daily basis. perception of their • Jon Hart, PE-NFPA, Quincy, MA inpatient hospital stay. The results of the Facilities Preparation– A Non- survey are publically Ebola Designated Hospital available on the hospital A case study of the preparation and website and impact response of facilities management hospital reimbursement administration to patient presentation with ***Spring rates as well as a Ebola like symptoms. facility’s reputation. Presentation includes Seminar Noise in the hospital scores the lowest discussion of issues and Bonus*** on the HCAHPS surveys, according to locations where patients can data from Press Ganey© (2014). present and what response Free for How can the proper design of fire alarm to consider when developing All Attendees! systems, which are intentionally loud but protocol for response. also necessary as a life safety system, Areas addressed to impact noise reduction in hospitals? include Employee Health and Personnel As part of the Design standards require a minimum Protective Equipment, impact on EBS conference registration, every level of audibility and systems staffing. attendee will receive a compli- are required by NFPA® 72 to be tested at Logistics and the administration of mentary copy of Standard 170- least annually, and in most cases the Diagnostic Services. 2013 -- Ventilation of Health Care fire alarm system is to be activated during • Gary Valcourt, Associate Vice Facilities (ANSI/ASHRAE/ASHE fire drills. However, proper design and President of Capital Planning & Approved) This is a $58 value! installation can reduce nuisance alarms Facilities, UMass Memorial ANSI/ASHRAE/ASHE Standard and can minimize the noise associated Healthcare 170 offers guidance, regulation, and with system activation, mandatory testing, • Kenneth Lebetken, Manager of mandates to designers of health and drills. Environmental Health & Safety, care facilities. This revised 2013 • William E. Koffel, PE, FSFPE, UMass Memorial Healthcare edition incorporates 24 addenda President of Koffel Associates in • John Jepsen, Director of issued since 2008. It reflects current Quincy, MA. Housekeeping Services, UMass trends in health care facility design • Lynn Kenney, Senior Analyst, Memorial Healthcare and has been updated to reflect Advocacy Team, ASHE, Chicago, IL changes to health care design Ventilation Controls and Life references such as the Guidelines Safety Interface for Design and Construction of Operating Room Humidity and Will fire alarm system activation ruin Health Care Facilities, published by Smoke Purger, NFPA 99 and HVAC infection control efforts and if so the Facility Guidelines Institute. Code Development are there Code allowed options to avoid Ventilation design for health care The 2012 edition of NFPA 99 revised that? spaces is a combination of tasks the requirement to maintain a 35 percent We will provide a summary of how fire that leads to a set of documents minimum relative humidity (RH) level in protection and alarm used in construction. One such task operating rooms. Based in part on systems interface with requires medical planners to devel- research from the National Institutes of HVAC and ventilation rates. op departmental programs of spac- Health and a change to ANSI/ASHRAE/ Information will be es. These programs include ASHE Standard 170, Ventilation of Health presented relating to smoke space names that suggest the use Care Facilities, the value was lowered control, fume hoods, for which the space is intended, and to allow a 20 percent minimum RH. operating suites, and the health care ventilation designers Concerns over this lower level have been impact of system interface. depend upon these names to raised by the Association for the The requirements of NFPA determine the ventilation Advancement of Medical Instrumentation 90A will be highlighted along parameters for their designs. This (AAMI) about the lower RH levels. with recommendations as to standard provides these ventilation The 2012 edition of NFPA 99 also how Facility Managers can parameters. removed a longstanding requirement that effectively manage controls ventilation systems for operating rooms and fire alarm system be capable of automatically venting programming for better system smoke and other products of combustion. performance. Despite this, CMS has proposed to

President’s Message– Paul Cantrell Paul Cantrell, CE, were many that said it was too hard, or We need to keep our staff engaged, CPE, CHFM ridiculous to have to put something in educated, and aligned with the Director of Facility writing. numerous codes and regulations that Operations We complained that we couldn’t mandate the work that we do. It is a Concord Hospital Concord, NH operate like that. We claimed that we complex system that changes, almost 2015 NEHES President knew what to do and who to call when daily. Remember that your staff has skills faced with emergencies. and knowledge that can improve your Winter has finally shown its ugly head Today, we look back and say how organization. They deserve to have the and we have all been battling the forces grateful we are for the hard work that has best education and current information of nature and the backlash the storms been done to prepare us for these times available to give them the tools to excel. offer. of need. We know that it isn’t just about That is where I recommend NEHES I have heard from some of our relying on one person’s experience or membership. members, that they had to go into memory when disaster strikes. Today, I have personally seen to it that the incident command for four days to deal we are prepared and ready! appropriate staff have become members with one of the storms. This is one of the All of the standards that we are held to of NEHES because there is so much to main reasons why we prepare and why have been in place in one form or learn from its educational sessions and we practice. another for a long time. Too often, we networking at events. It wasn’t too long ago that some facility easily forget about them or we panic For only $35 a year, your staff has engineers were to the sidelines and when the regulatory agencies ask us to access to skilled experts in our would say “We live in New England, deal document our compliance with them. We profession. The information is timely and with it!” Instead, we are more prepared have all felt the pressure when a geared to solving problems that they and are no longer reactionary to an surveyor pushes for more encounter every day. I would conclude event like this. We now have the documentation. It is not good enough that a NEHES membership is the best capabilities to withstand long events and that we say we did something, we have $35 you can spend in 2015. are able to do this, in part, because to document it and show that we did it. Look around at your staff. See who CMS, via The Joint Commission, and It is at these times, when I’m most would benefit most from NEHES. Take DNV, mandated healthcare institutions to thankful that my NEHES membership the time to identify and empower them produce “plans” to deal with long term has paid for itself many times over. with a NEHES membership today. I interruptions in service (i.e. natural and We need to know what the pulse of the guarantee they will thank you for the man-made disasters). They made us surveyors is for a particular year. We opportunity. practice these plans, made sure we need to know about the codes and how looked for breaking points in our they should be interpreted. We need to planning, and made sure we identified know how to document that we have opportunities for improvements. complied with the codes. This is the time If we look back at when the real when NEHES has always come through initiatives for preparedness started, there for me.

52nd ASHE Annual Conference – July 12-15, 2015—Boston

practices for efficiency, sustainability, emergency preparedness, and other • Community Service Project on pressing topics in the field. Saturday before the conference - If you’ve ever wanted to attend a Project will include working with national conference, this might be your Habitat for Humanity. best opportunity as the conference will • Chapter Leadership Forum will be take place at the John B. Hynes led by Ron Vachon, Randy Hussey, Veterans Memorial Convention Center Paul Cantrell and others. only minutes away from the finish line for • NEHES Information Booth and The ASHE Annual Conference and the time honored Boston Marathon. Hospitality Suite— We will need Technical Exhibition is the trusted There will be plenty of opportunities for volunteers to help staff these national conference and trade show education, networking, socializing and locations. If you are interested in for healthcare facility management taking a moment or two to honor the volunteering, contact Paul Cantrell at and engineering professionals. This healthcare engineering profession. [email protected] year’s event is slated for July 12-15 Education credits are also available here in New England in Boston through ASHE with the awarding of Watch for ASHE Annual Conference continuing education units and contact updates on the NEHES website. The New England Healthcare hours. Engineers’ Society will take center stage The vendor display area usually has an as it takes on the role of host chapter to average of 320 exhibitors with the ASHE Annual Conference in Boston. information about products and services More than 3,000 professionals gather of interest to healthcare engineers and on-site to get vital information on health facility managers. care compliance, codes and standards As the host chapter, NEHES will be updates, emerging trends, and best heading up a few events and booths: 3

The Advocacy Highway– What Lies Ahead

Randy Hussey, CHFM, • Working with TJC to clarify Utility their policies and procedures regarding CFPS, Fire Protection Officer Management Inventory flammable gas delivery and storage, conduct a self-assessment of potential at Eastern Maine Medical requirements, dangers, and mitigate appropriately. Center • Collecting data from 12 hospitals on utility equipment repair to produce a As a reminder, U.S. hospitals are bound by several regulations: monograph with valuable data for • NFPA 50: Standard for Bulk Oxygen ASHE Advocacy highway remains a Facility Managers. Systems at Consumer Sites two-way communication street between • Working with local chapters to adopt ASHE and Chapter advocacy liaisons. the 2014 edition of the FGI to avoid • NFPA 54: National Fuel Gas Code The goal is to support communication, different states working with different • NFPA 58: Liquefied Petroleum Gas and improve advocacy efforts at the revisions of the FGI. Code national, state and local level. ASHE • An NFPA 99 Risk Assessment tool • NFPA 99: Health Care Facilities provides many practical tools and has been created by ASHE for the Code, including Chapter 5: Gas and resources to empower chapter advocacy 2012 edition of NFPA 99 (Health Vacuum Systems liaisons. Care Facilities Code). • Portions of NFPA 101: Life Safety Last year was busy and ASHE actively Code® pursued the following: There will be a PDC summit March 15- • A Barrier Management Symposium 18, 2015 in San Antonio, Texas focused You can expect more information on • Re-locatable power tap waiver from on innovation that will be key for Advocacy in the next quarterly NEHES CMS preparing hospitals for the future. newsletter. We expect to participate in a The Keynote Speaker will be Tom • Commented on the CMS proposed teleconference with ASHE on March 24, Kelley, author of Creative Confidence, rules for emergency preparedness 2015. George Mills from The Joint The Art of Innovation and The Ten Faces and adoption of the 2012 editions of Commission will clarify Utility Systems of Innovation will be first on the agenda NFPA 101, AND 99, FGI adoption Inventory Requirements for Hospitals. along with regulatory Issues covering efforts, proposals by the ICC to unify Do you have an advocacy question or topics such as Cost Effective Life Safety code requirements and ASHRAE comment? To reach Randy Hussey, call Compliance Tracks. Addenda. 207-973-7037 or email On January 29, 2015 there was a [email protected]. • ASHE was represented at AAMI, tragic explosion at a hospital in Mexico. It Power for Patients, NFPA, ASHRAE, is a reminder for all hospitals to remain and the ICC. vigilant about issues related to flammable materials. Items on the docket for 2015 include: ASHE suggests that members revisit New and Renewing NEHES Members— Join or Renew Today

Massachusetts Tufts Medical Center Concord Hospital Boston, MA Concord, NH Marie Burnham, Director of Engineering Mount Auburn Hospital Eric Russo, Water Treatment Engineer Paul Jappe, Technical Manager Cambridge, MA DuBois Chemicals, Medford, MA Viega LLC Atkinson, NH Scott Curran, Security Manager Maine Beverly Hospital Richard Saunders, Electrician Beverly, MA Randall B. Charpentier, Principal Consultant Concord Hospital HealthSafe New England Concord, NH Matthew Davy, Senior Engineer, Arup Topsham, ME Cambridge, MA Anthony Giglio, Sr. Project Executive Bob Davis, Manager Mech/Elect Gilbane Building Company Brian Glennon, Manufacturers Representative Maine Medical Center, Portland, ME Bedford, NH Wyllie Marketing Weymouth, MA Leslie Gammon, Director of Plant Operations/ Connecticut Security Jonathan Gyory, Principal Stephens Memorial Hospital Tom Morissette, After Market Sales Manager Levi + Wong Design Associates, Inc. Norway, ME The Kinsley Group Concord, MA East Granby, CT Joshua Hazelton, Regulatory & Compliance Greg Heppner, Senior Associate Maine Medical Center, Portland, ME Dean Petow, Commercial Industrial Sales TRO/JB Manager Boston, MA Chris MacKenzie, EVP Sales and Marketing Santa Buckley Energy, Inc. STARC Systems LLC Bridgeport, CT Anthony Lanci, Dir. Healthcare Operations Brunswick, ME Page Building Construction Co., Inc Stoughton, MA Terry Robbins, Director, Facilities Development & Engineering Scott LeClair, Principal Maine Medical Center, Portland, ME Fitzemeyer & Tocci Associates, Inc. Woburn, MA New Hampshire

Mark Robinson, Carpentry & Paint Supervisor Ron Bourgoin, Maintenance Mechanic 4

Nominations Open For 2014 NEHES Engineer of the Year— Deadline May 31, 2015 Completed nominations and supporting 2012 - Milt Dudley, CPE, CHFM, CHEC While we all appreciate the recognition documents can be mailed or emailed to: 2013—Ron Vachon, SASHE, CHFM, we receive at our individual facilities, one CHEC of the highest honors comes from the Jona Roberts New England Healthcare Engineers’ Dartmouth-Hitchcock Medical Center Society when they designate a member 1 Medical Center Drive as Engineer of the Year. Lebanon, NH 03756 Nominations are now being accepted [email protected] with a final deadline on May 31, 2015. Ron Vachon The 20th NEHES Engineer of the Year Past Engineers of the Year are: Engineer of the Year award will be presented to a NEHES 1996 - Mark Cappello Active member who has distinguished 1997 - Tom O’Sullivan Ron Vachon CHFM, himself/herself in service to the Society 1998 - Jack Gosselin, FASHE, CHFM SASHE, CHEC, Director and the healthcare engineering 1999 - Steve Cutter, SASHE, CHFM, of Plant Operations at profession. MBA, HFDP St. Mary’s Health Distinguishing qualities may include 2000 - Joe Mona System in Lewiston, service to their institution, their chapter, 2001 - Mark English, CCE, SASHE, Maine was honored at the 2014 NEHES Fall Conference as the Engineer of the fellow engineers, and the Society as a CHFM Year. whole. 2002 - Don Garrison, FASHE, CHFM The award honors exceptional service The successful candidate will be 2003 - Gene Cable, P.E., MSFPE to the healthcare engineering profession. announced during the NEHES Fall 2004 - Ron Vachon, SASHE, CHFM, Conference to be held in Newport, Rhode In making the award, NEHES CHEC President Ed Lydon, SASHE, CHFM, Island from September 27 to 30. 2005 - Joe Mona Please take a moment to review and said, “Healthcare institutions throughout 2006 - Bob Lord New England see the fine work of our download the nomination forms>> and 2007 - Steve Jalowiec, P.E., CHFM nominate a deserving candidate for members every day. Today, we honor 2008 - Fred Leffingwell, CHFM key individuals for their contributions.” acknowledgement as the next NEHES 2009 - Dave Dagenais, FASHE, CHFM, Engineer of the Year. Vachon serves on the NEHES Board CHSP as Chair of the NEHES Newsletter and

Website. 2010 - Ed Lydon, SASHE, CHFM 2011 - Jona Roberts, SASHE, CHFM

NEHES Receives Platinum Affiliation—ASHE Introducing Elite Status requirements. A bronze chapter that • Seventy-five percent of a chapter’s NEHES meets the elite criteria would earn a member hospitals must actively has once “bronze elite” chapter award. participate in Energy to Care, or the again This new elite option requires baseline chapter must show a 10 percent attained the information that must be gathered before increase in participating hospitals highest the status can be awarded. Therefore, over the previous year. level of the elite status will not be available to • The chapter must be an Ally of the chapter chapters until 2016. Sustainability Roadmap. If a chapter affiliation Chapters aiming for elite status in has already become an Ally, the awarded by 2016—the first year the award will be chapter must renew its position as ASHE– the granted—must provide the following an Ally of the Sustainability Platinum Level for 2013. information during 2015 to meet Roadmap. ASHE is introducing a new option for preliminary requirements for the 2016 • The chapter must appoint a chapters that participate in the Chapter award cycle. sustainability liaison, who must Levels of Affiliation Award program. Elite • The chapter must report to ASHE the participate in four quarterly status will be granted to chapters that are total number of chapter hospitals and conference calls over the course of actively involved with Energy to Care, the number that are participating in the year. ASHE’s energy benchmarking and the Energy to Care program. This Elite award winners will receive a awards program that encourages will give ASHE the baseline special plaque acknowledging the facilities to reduce operational costs information required to measure a chapter’s accomplishment and will be through energy savings. chapter’s participation improvement recognized nationally as outstanding The original chapter awards program in 2016. leaders in sustainability. remains unchanged. This bonus elite • The chapter’s board must vote to When asked if NEHES will be seeking program encourages energy awareness become an Ally of the Sustainability out the Elite designation, Administrative and urges facilities to monitor their Roadmap. Director, Jack Gosselin would only say, energy use to save money that can be • The chapter must appoint a “Of course. It was “built” for NEHES,” used to improve patient care. sustainability liaison, who must pointing out the chapter’s long history of Elite status is not an additional level of participate in four quarterly excellence and achievement. affiliation award, but rather a bonus to conference calls over the course of each of the platinum, gold, silver, and 2015. bronze awards. For example, a gold level For 2017 and subsequent years, chapter could earn a “gold elite” chapter chapters can earn elite status by award by meeting the Energy to Care completing three requirements:

State Chapter News—A Look From Around the Region

our Culture. NHHA Concord, NH Facilities, Riverwoods at Exeter – • May 15th- SMRT-Joe Bean-Energy [email protected] Conservation. Venue open Vice President: Greg Heilly, • June 19th- American Plant Mainte- Maintenance Operations Supervisor, nance, Steam Trap Program. NHHA Dartmouth Hitchcock Manchester Concord, NH Gregory.E.DHeilly@ Hitchcock.org 2015 Meeting Schedule (tentative): • August 6th- Twin-State Seminar. Secretary: Marc Tetreau Meeting place: NHHA – New Hampshire DHMC Lebanon, NH [email protected] Hospital Association, Airport Road, in • August 21st – NHSHFM Summer Treasurer: Marcel Alix, Supervisor of Concord, NH Outing Engineering, Monadnock Community

• September 27th – 30th Fall Hospital –[email protected] • January -LED for General Illumina- • Conference in Newport RI at the NEHES Rep: Peter Girard, Director of tion by Howard Weinberg. NHHA, Newport Marriott Concord, NH Maintenance, Granite Ledges – • October 16th – Lean Thinking with [email protected] • February 20th -Mark Fournier Nick Massey. NHHA Concord, NH BMOCS Building Maintenance • November 20th – ASHRAE 188 and NEHES Alt Rep: Scott Lever, Utilities • Operational Coordinate Systems. Water Management by Steve Cutter. Manager, Southern New Hampshire NHHA, Concord, NH • December 12 – NHSHFM annual Medical Center- • March 20th – Spring Seminar planning meeting [email protected] Leominster, MA • April 17th – Healthier Hospital Initia- tives-Embedding Sustainability into President: Tim Bishop, Director of

Hospital, Cambridge, Mass. Manager, Engineering Dept., Spauld- • July 12 – July 15, 2015 ing Hospital ASHE Conference – No Chapter [email protected] Meeting Secretary: Corey McNulty, Director 2015 Meeting Schedule in MA • September 27 – September 30, • January 2015 of Plant Operations, New Bedford Re- 2015 NEHES Fall Conference habilitation Hospital New Bedford Rehabilitation Hospital Newport, RI [email protected] Energy Markets 101, Options and A business meeting will be Opportunities conducted, venue to be determined Treasurer: Dave Fowler, Senior Di- • Friday, March 20, 2015 later rector- Support Services, Anna Working Lunch at the Spring • November, Jacques Hospital,[email protected] Seminar at Leominster Venue: TBD Chapter Representative: William • Thursday, April 16, 2015 Election of Officers Smith, Director of Plant Operations/ Educational Session and Business Telecommunications-Winchester Meeting Hospital- [email protected] TSIG will be presenting an President: Rod Maxwell, Facilities educational component at Spaulding

Chonko and Bill Heil – SMRT inspections. & Ian Burns from Efficiency Maine. • Next Meeting at WBRC – Bangor, • Maine will host the 2016 NEHES ME Spring Conference. Maine Healthcare Engineer’s Society President: Chris Henderson, Facili- January 2015 • Chris Henderson will send 2015 ties Operations Manager, SMRT Portland, Maine presentation topics out so the group Acadia Hospital, Bangor, ME can vote on what will be presented. [email protected] • Engineer’s meeting – 16 engineers Chapter Representative: Dan Bick- present • Milt Dudley suggested providing a ford, MEHES shirt to all active members. Director of Engineering, Central Maine • Presentation – CHP Concept – How Medical Center, Lewiston, ME it applies to different size facilities • Steve Jones from Building Envelope [email protected] and how Efficiency Maine can help Specialties in South Portland, ME fund these projects. By Michael announced that his company had purchased a drone for building

State Chapter News—A Look From Around the Region

Blanchard, CHFM, Engineering Direc- tor, Springfield Medical Care Systems [email protected] Vice-President: Erik Lahr, Supervisor of Facilities Management and Environ- President: Charles Brown, Director 2015 VHES Meetings mental Services at University of Ver- of Facility Maintenance Saint Elizabeth • March 6th- Central VT Medical mont Medical Center-Fanny Allen Home – East Greenwich, Rhode Island Center, Berlin, VT- Topic ~ Energy [email protected] [email protected] • May 8th- UVMC Main Campus Secretary/Treasurer: Robert Prohas- Vice-President: Joshua Barrette, Topic ~ Staff training/Development ka, Director of Plant Services, Brattle- Facilities Engineer, Kent Hospital boro Memorial Hospital • August 6th Treasurer: John R. Zoglio, Manager [email protected] Twin State VT & NH Chapters of Safety and Emergency Prepared- President & Chapter Rep: Location DHMC, Lebanon, NH ness, Kent Hospital Recommended Topics ~ BIM, Paul Roth, CHFM Lawrence and Secretary: Kimberly Silvestri, Director, Flooring, ASHE Strategies for Facility Development and Project Man- Regulatory Compliance & Man agement, Care New England Power, Energy Supply Options & [email protected] Waivers State Chapter Representative: James Carroll, Director of Facilities, • September 11 -Fanny Allen Memorial Hospital, New London, CT – Butler Hospital [email protected] Campus Colchester VT For info, contact [email protected] Annual Meeting President and Chapter Rep: Mark NEHES Rep: Paul Roth, CHFM

Timely Tips

Snow Loads on Roofs—Tips from • Review subsequent renovation/ integrated into the building design offering Gale Associates, Inc—Weymouth, MA modification drawings for conditions energy reduction and cost savings. that could result in additional loading The building was designed for patient With the considerable snowfall that New as a result of ponded water and convenience, confidentiality, and for England has been experiencing these drifting snow. clinical efficiency. Integrating ICF into the past few weeks, it is important that • Verify roof drainage capacity and the construction increased sound dampening; building owners and managers pay close existing drains/scuppers are not adding to patient privacy. Exterior attention to their roofs to avoid collapse. frozen, which can impede the cladding was also attached directly to the Roof snow loads are based upon drainage from the roof. If necessary, walls saving construction time and various factors including the regional snake out the drains. creating flexibility in the exterior design. ground snow • Observe the interior of the roof These sandwich-like forms made of load, exposure structure for potential deflections. polystyrene foam and concrete, create a tight seal factor of the • Determine a safe depth of snow for against building, and the roof in general and some specific extreme whether the drifting areas. Monitor the roof during temperatures. building is heavy snowstorms to check that Use of the ICF heated, these depths are not exceeded. insulated, and/ and or occupied. • Develop a snow removal plan. translucent Additional • Free-standing canopies, attached window Snow loads can create factors, such canopies, and overhangs are glazing extensive roofing damage. especially susceptible to excessive as geometry allowed this ICFs being installed. of the roof, pitch, roof covering, and loading of snow; keep the areas building to unbalanced loading, also affect the design beneath clear. incorporate large skylights and picture snow loads. Drifting can occur on roofs windows, while still realizing a savings of adjacent to rising walls, at roof projections Insulated Concrete Forms Create over $10,000 a year in energy costs. or adjacent buildings, including those Costs Savings —Tips from ICF also allowed for significant created by building additions or MorrisSwitzer~Environments for Health reduction in the capacity of the heating/ modifications and Consigli Construction Co. cooling systems which saved about To monitor and help safeguard against $70,000 in construction costs. excessive snow overload of roof The newly opened medical office structures, building owners and managers building for St. Joseph Healthcare in may wish to consider performing the Bangor, ME is one of the largest following steps: commercial buildings in the state to use • Check the original design documents Insulated Concrete Forms (ICF) in to determine if the roof was properly construction. To support designed. their sustainability goals, this high performance exterior wall system was 7

Dann Boyer— There’s Healthcare Engineering in his DNA Third Generation Healthcare Engineer

By Dan Marois, NEHES Newsletter River. at Champlain College in Burlington, VT. Editor, Mainely Communications “My father taught classes on boiler With the discount offered through the operations and I learned about that work NEHES association and education funds You might say that from him,” said Dann. “I went to night provide by his employer, Boyer is looking NEHES member, Dann school classes and then started working forward to earning his bachelor’s degree. Boyer has healthcare in the profession.” Boyer admits that his grandfather had engineering in his DNA. The younger Boyer admits that he an interesting start in engineering. He is a third generation always had an interest in math and “My grandfather worked in the Brooklyn family member working in science but he’s convinced that it was NY Navy Yard right before the outbreak the profession. the family tradition that brought him to of WW II where he invented a “bushing” Dann Boyer His grandfather, Joe healthcare engineering. that went on a torpedo,” explains Dann. Boyer aka “Blackie” was the Buildings In his current position as Director of “During the war, the enemy would try to and Grounds Superintendent at Facilities Operations at Sturdy Hospital in reverse engineer devices to see how Truesdale Hospital in Fall River, Mass. Attleboro, Boyer is already accomplished they were made. My grandfather His uncle, Ed Boyer, enjoyed a 45 year in his profession. invented a piece on the torpedo that if it career in healthcare engineering that He’s been a NEHES and ASHE was broken off to be examined, the began at Truesdale Hospital, then Union- member and earned his CHFM torpedo would detonate.” Truesdale after a merger, then Dann explains that his grandfather’s it became Charlton Memorial invention caught the attention of the US where he was Director of Government and he was asked to go to Buildings and Grounds. Ed the Newport Ship Yard. That’s how his was active in NEHES and career took him to the hospital locations served as President of the where he eventually worked. organization in 1989. Dann is proud to continue the family Dann’s father, Kenneth tradition having reached his father’s Boyer started his career at accomplishments and exceed them. Truesdale Hospital and was “Being part of NEHES and ASHE is with them in the merger as Generations- Dann Boyer’s Uncle Ed (at certification vital to staying current in the regulatory Union-Truesdale. He went on to left) with his Father, Ken, both longtime last year. environment,” said Dann, noting that he Women & Infants Hospital as healthcare engineers. He’s thought it important to earn his CHFM to Director of Building and worked his help in his personal development. Grounds, was later Clerk of the Works at way up the ladder starting as a Watch Boyer has been married for 22 years Sturdy Memorial, and finished out his Engineer in the Boiler Room to his and has three daughters, one age 20 career at St. Luke’s in New Bedford current position as Director. and twins age 11. Does he think there where he was Assistant Director of The 44 year old has already enjoyed a will be another generation of healthcare Buildings and Grounds. 22 year career in the profession. He engineers with the Boyer name? Dann estimates that his father was in earned his associate degree in “Who knows?” said Boyer. “One of the the healthcare engineering profession for Mechanical Engineering Technology last twins likes math and science.” a total of 55 years. year from Bristol Community College. He His uncle Ed, is deceased, while his is currently enrolled in the healthcare father is an 82 year old retiree in Fall studies program offered through NEHES

Nominations for ASHE Emerging Leader

It's time once again to be thinking To get the ball rolling for your deserving Previous winners of the Emerging about nominating someone that is candidate, take a look at the ASHE Leader Award have included: making a difference, through their application materials, and then contact leadership, within the New England Jona Roberts at 2002 Ron Vachon, CHFM, SASHE Healthcare Engineers' Society or an [email protected] before 2003 Dawn LeBaron affiliated state chapter. February 25, 2015 with your nomination. The Emerging Regional Leader Award All nominations submitted to NEHES 2005 Kevin J. Keating recognizes one individual from each of will be evaluated and a finalist will be 2006 Joseph C Mona the ten regional areas in the US. The selected as the NEHES endorsed 2007 Dave Dagenais, SASHE, CHFM, award recognizes individuals for their candidate from ASHE Region 1. CHSP demonstrated leadership skills, Nominations should include individuals 2009 Steve Jalowiec, P.E., CHFM exemplary commitment to their local who are new and future leaders in the chapter, as well and their contributions to field of healthcare engineering and/or 2011 Ed Lydon, SASHE, CHFM, ASHE and/or the healthcare profession. facility management, who have MSHCM It is important that candidates be demonstrated leadership ability either 2012 Jona Roberts, SASHE, CHFM nominated in time to complete all the through work with ASHE, their local submission requirements before the chapter or within their healthcare facility. ASHE deadline of March 2, 2015.

Education at Every Turn NEHES Is The Gateway to Opportunities Milt Dudley, CPE, CHFM, CHEC certificate programs. Director of Engineering truED® is the Inland Hospital innovative solution 2015 NEHES Education Chair Champlain College has developed to One of the best benefits of NEHES membership is the provide high-quality, opportunity to advance your education in the healthcare in-demand online engineering field. Whether it is attending our annual education at a education conferences, networking with your peers, or fraction of the cost of traditional college registering for special opportunities, there is education and tuition; creating a potential advancement at ever turn. Here are just a few of pathway to access the opportunities I’d like to highlight. debt-free bachelor's degrees, master's degrees, and certificates. • Active Member Scholarship Application The Champlain Approach includes: • Coursework entirely online. (Some programs have NEHES can help cover the cost of college courses through residency requirements.) its Active Member Scholarship Program. • Competency-based learning: maximize credits and Active Member is defined as those individuals who are experience directly employed in or by healthcare-related facilities (those • Practitioner-taught courses relevant to current practices that provide patient care), and who have responsibility in • Emphasis on technical knowledge and in-demand soft healthcare facility operations (e.g. facilities management, plant skills including problem solving & critical thinking, engineering, planning/design/construction, security, safety, communication & collaboration, and adaptability & clinical engineering, and telecommunications. creativity. Applications are now being accepted and can be completed Degree programs have various payment options and offer throughout the year. Scholarships shall be awarded on a degrees at substantial discounts. rolling basis until all funds have been allocated. The maximum For more information, go to Champlain College/ NEHES that may be awarded each year for an active member Program. scholarship is $2,000. Applications begin by providing the following information: • Owensboro Community and Technical • Name, Title, Current Employer, Employer Address, Tenure with Current Employer, Years worked in College Healthcare, Current level of education, Degree / Offering an Associate Degree specific to Healthcare Educational Program (enrolled or planned) Facilities Leadership, this program is available entirely online More detailed info can be found at Scholarship Application. and in-state tuition is charged regardless of where the student resides. This program was developed in collaboration with the American Society for Healthcare Engineering (ASHE) and the • Intern Scholarship Application Kentucky Society of Healthcare Engineers (KSHE). If you are The Intern Scholarship shall be awarded to an intern working working in for an Active Member’s institution. The goal of the program is healthcare to introduce an intern to the field of healthcare engineering in facilities hopes of recruiting them into the profession. management or Applications are accepted anytime between January 1 and you’d like to be April 15 for consideration this year. part of this The proposals will include detailed information about the exciting and Active Member’s institution and the scope and range of the rewarding field, work to be completed and the qualifications for a student OCTC’s intern. Healthcare Intern Scholarships shall be awarded on a rolling basis until Facilities all funds have been allocated. Intern Scholarship awards are Leadership Mark Robinson, from Tufts Medical Center, is up to $5000. Program could be enrolled in the Owensboro Program. More detailed info can be found at Intern Scholarship. for you. The program is convenient and affordable. • Partnership with Champlain College– This program can help you take the next step in your career Burlington, VT by preparing you to take the American Hospital Association’s Certified Healthcare Facilities Management exam. Graduates may transfer credits to work toward bachelor’s degrees. If you are looking for an online educational program that’s For information, go to Owensboro Program. affordable and can meet your educational goals, you might want to consider the partnership that NEHES has with

Champlain College in Burlington, VT. The program is called truED® and it offers both Bachelors and Masters degrees as well as undergraduate and graduate 9

Memorial Hospital in North Conway, New Hampshire A Case Study on Renewable Fuel Oil

Greg Gosselin steel fuel of the reduction in emissions comes from Northeast Regional Sales circulation the reduction in SO2. Soot blowers were Manager system was installed at Memorial Hospital to address Ensyn Fuels, Inc. installed for the Woodstock, VT circulation and delivery of Burning fuel oil in heating RFO to the applications can be problematic due to burners. Due Sox, NOx and particulate emissions. to space In addition, the carbon footprint from limitations at burning fossil fuels is high. Memorial Memorial Hospital, a critical access, acute care Hospital, the hospital located in North Conway, NH pump system faced the challenge of finding an was built on- alternative to #4 fuel oil. After site. investigating options ranging from solid For future biomass to compressed natural gas, installations, it Memorial Hospital turned to is intended for from Ensyn Fuels as the fuel that met the pump concerns about ash buildup in the boiler their goals of reducing costs while systems to be tubes. Because of this, the PM number improving their carbon footprint. delivered skid mounted for quick and at Memorial is higher than it would be in RFO—A Renewable Solution easy installation. In most cases, a boiler the absence of soot blowers. that burns fuel oil, natural gas or propane Renewable Fuel Oil (RFO) can be converted to burn RFO. For the Memorial Hospital Cost Savings installation at Memorial Hospital, During calendar year 2013, Memorial Cleaver Brooks designed a drop-in Hospital burned approximately 140,000 burner that fit seamlessly with the gallons of #4 oil. Memorial is saving boiler. This burner is capable of approximately 37% over the cost of oil burning both RFO and #4 fuel oil during the 2013-14 heating season. The giving Memorial Hospital a fuel entire conversion cost is included in the redundancy that did not exist prior price of RFO, so the savings are realized to the conversion to RFO. immediately because there was no capital required from Memorial Hospital. Emissions From the For more info, [email protected]. Combustion of RFO RFO is a truly renewable fuel that is produced on a sustainable basis. It is produced from biomass that grows in the short- term so when it is burned it is RFO is manufactured using Ensyn’s considered CO2 neutral. This has a RTP process. RTP is a thermal positive impact in reducing net green conversion process known as fast house gases in our atmosphere. pyrolysis, which is the rapid heating of Specifically, as a biomass in the absence of oxygen. The substitute for fossil process utilizes a circulating transported fuel oil in burner bed reactor system in which sized and applications, RFO dried biomass is contacted with reduces total circulating hot sand in the reactor. The green house pyrolytic vapor is rapidly quenched to gases by over produce a high yield of liquid fuel. 85%. At Memorial Hospital, the gross Conversion Process measured In most cases, RFO can utilize the emissions will be existing equipment post combustion. reduced by 68% However, due to the slightly acidic nature which also means of RFO, the pre-combustion fuel train that the emissions must be constructed of stainless steel. taxes paid to the At Memorial Hospital, a 15,000 gallon State of NH will above ground storage tank was installed also be reduced by for fuel storage. A separate stainless 68%. The majority

Lawrence and Memorial Hospital– New London, CT A Case Study Around Existing Construction

Jim Bell, AIA, ACHA capped for budgetary reasons, the added areas of the building while the main Principal space allowed for a shift from 12 private corridor was demolished and rebuilt, Moser Pilon Nelson / rooms to 22. receiving new ceilings, lights, millwork Architects The addition includes five private rooms and flooring. Wethersfield, CT. arrayed around a nurses station; rooms The bulk of the addition took place for meds, soiled garments, equipment during phase three, although the New healthcare campuses spread ever and staff rest rooms; and an attractive complexity of the addition meant that outward as needs for space arise, but family lounge/waiting area that is much of the new construction occurred administrators of most older buildings advantageously placed to soak up concurrent to the initial two phases. don’t have that luxury. Often, subsequent southwest-facing sunlight. There was We’re very familiar with the additions of hospital wings, parking concern by some of the nurses that the coordination difficulties inherent in garages and the like have left older addition might seem isolated from the hospital renovations, but few projects facilities hemmed in to the point where rest of the unit, but the built have been as intricate as the staging of adding on — or up — becomes cost- environment’s open plan has allayed construction on the addition was here. As prohibitive. An added difficulty is the need those fears. The addition links to the is true on most hospital campuses, the for most healthcare facilities to remain main corridor building site was not easy to get to — a operational throughout a construction and of the existing spectacular understatement, in this case. renovation. unit, and it On the roof above the Ambulatory Care As a design firm that has helped a can also be entrance, the site of the addition is number of healthcare facilities overcome accessed hemmed in by two taller structures on these issues, we know how much from one side and a narrow alleyway advanced planning is necessary. We’ve Ambulatory separating the main building from a also found that a lot of cooperation from Care below, parking garage. Getting materials and hospital administrators and staff is vital — using a staircase that had terminated at pieces of equipment up to the roof and a little luck helps, too. the former roof in anticipation of a future required a crane and a temporary The new joint replacement center at addition. Meanwhile, the five private shutdown of direct access to the Lawrence and Memorial Hospital in New rooms’ doorways are all visible from the Emergency department over several London, Conn., is the result of a complex nurses station, allowing for reduced weekends, which for the staff meant project in which an existing 12,000- staffing. setting up tents in the nearby parking lot, square-foot unit was renovated and 4,500 The renovation of the existing joint hiring valets to handle parking, and using square feet was added onto the adjacent center was tricky in and of itself, requiring staff people to bring patients into the roof of the Ambulatory Care building over the establishment of a construction building using three phases that each lasted between perimeter and negative air pressure in alternative two and three months long. Because this adjacent spaces for each phase, as well routes. project could not have proceeded as the coordination of sanitary piping Obviously, efficiently without complete buy-in by the connections with other floors. During the hospital staffers who would keep the unit renovation, we were required to keep our operating throughout the renovation, we floor and the floors above and below opted to utilize integrated project delivery operational and the number of available (IPD), bringing all stakeholders together beds in each phase at about two-thirds the existing total. The renovations to communication was vitally important in contractually and laying the foundation these circumstances, and the continued for a successful, lean process. private rooms occurred sector by sector, along with additions of ancillary facilities presence at the table of all stakeholders, The joint center started as a fourth-floor throughout the process, aided immensely 30-bed unit, but the rooms were primarily including a rehab gym, a central bath, a nurses station and support spaces. in the project’s successful completion. double occupancy, a situation that the It is hard to overstate what IPD brought hospital’s Certain aspects of the renovation were even more complicated — for example, to this challenging environment — the surgeons in need for pinpoint timing and cooperation particular the conversion of the nurses station into a new decentralized nurses station and in a phased project makes it particularly argued was beneficial for the various professionals on inconsistent enclosed charting room. This took place over the first two phases, necessitating site, as well as for the hospital’s patients. with modern standards. A construction of a temporary wall that bisected the existing nurses station while (To reach Jim Bell, [email protected]) key goal therefore became to create more private rooms rather than add beds, the other half temporarily remained in operation as before. With phase one and attention quickly turned to the adjoining three-story Ambulatory Care scheduled to wrap up at the end of the building. Originally designed to year, hospital administrators agreed to accommodate three additional floors — shut down the entire unit between Dec. just our luck — the building underwent a 21 and 31, allowing us to complete structural analysis that determined the certain overlapping areas such as the building could safely handle an additional main access corridor. This was possible 4,500 square feet without requiring any because few patients elect to schedule expensive structural upgrades. Although joint surgeries during the holidays, and the scope of the addition was now the hospital was able to accommodate a small number of joint patients in other 11

Your Journey of Career Development Planning a Career Roadmap– Excerpts from Inside ASHE

Jack Gosselin, FASHE, services, biomed, real estate, safety, perspective. CHFM security; as well as oversight of dietary, Consistently strive to improve yourself Principal purchasing, etc. and the value you bring to your role and Gosselin Associates Develop a career destination and organization. While in route, give yourself adjust accordingly as you travel. the opportunity to see and learn about Building your career in health care • Program the GPS career paths others have taken. facility management is akin a journey: Whether you are starting your career, • Provisioning There are plans to be developed, are in the middle, or are a seasoned What we prepare for and take along on directions to be derived, provisions to be professional, you owe it to yourself to our career road-trip is important, but it’s acquired, and milestones to reach. ask what components of your work also important not to pack items we don’t Regardless of the road you took to you enjoy and which you do not. In need—there is a cost to over provisioning. arrive at your job, appropriate career most cases you may find the tasks you Once you have determined your career planning will help create a satisfying trip. like are the ones you excel at most and destination, develop and acquire the skills • Choose A Destination conversely, the duties you enjoy less are and attributes, or competencies, that will Determining the ultimate role the ones you struggle with the most. help you gain the profile needed to arrive for you as an individual can be the Program your career path to steer at the role you have targeted. most challenging task in planning a towards a position that will use your Competencies can be categorized into career roadmap. We speak frequently strengths and skills for success. hard skills and soft skills sets. In the case about “arriving in the C-suite” or You will find more personal satisfaction of facility engineering, examples of hard “becoming a VP” as the culmination of a when you are professionally involved in skills would be the technical knowledge successful career in health care facilities the areas you enjoy most. we use to perform our jobs as defined. administration. Although appropriate • Forks in the Road Soft competencies are defined as the for many, we often see folks overshoot Many of us end up where we are style and form by which we manage. their niche. There exists a different professionally by departing from the Once you map out your career goals, dynamic in leading trades and leading planned route of career travel and find the gaps in your skill set and seek out board members, a fact you should be seizing unexpected opportunities that training or education to learn the skills cognizant of. Before determining your present themselves. Take advantage of needed. ultimate career rank, it is helpful to the forks in the road! Technical skills vary in depth and conduct informational interviews with Never pass on the assessment of a new application and are dynamic in the sense professionals who already have attained opportunity and the effects it might have they change and evolve with new the roles you may aspire to reach. on your career objectives. technology. In a general sense, organizational Soft skills are important to our field and size does not necessarily dictate specific • Watch for Road Conditions critical for career progression. These skills facilities roles but there are some Every institution, large or small, include communication, including generalizations that can be made. system and independent, rural or listening, writing and speaking; Smaller, community-based providers offer metropolitan, has a persona that negotiation; self advocacy; and team a multi-hat leadership environment with provides a working environment as dynamics. Effective networking, leading less fiscal resources, staff depth, and unique as the building structure itself. change, delegation, and problem solving system redundancy compared to their The old adage “if you’ve seen one are critical soft skills as well. larger metropolitan counterparts. These hospital, you’ve seen one hospital” is • Are We There Yet? truly accurate. Whether acquired or institutions offer increased visibility with a Only you will know when you have smaller management team and broader inherited, this working culture will define the way the organization operates in arrived at the career destination you range of influence. seek, but you can always continue to Large organizations can offer the everything from communication to accountability. advance yourself and your skills. Health challenges of complex properties, care delivery changes at a rapid pace, politically driven decisions, and cutting Seek a smooth travel surface. If your current institution’s culture is and we need to provide the most current edge technology. And of course, there is management practices we can. Continue every hospital in between! not compatible with your approach, progress can be slow and lead to to learn and grow professionally; the We often speak of horizontal and journey is never over. vertical career paths in our field. As an frustration. Acknowledge the shortcomings of an institution’s chemistry example, a role focused specifically on This article originally ran in the Winter 2014 engineering operations or planning, and learning from it can be helpful as you edition of Inside ASHE magazine, copyright design, and construction management evaluate potential compatible employers ASHE 2014. Full article for ASHE Members beginning in a community based moving forward. Strive to align with an only>> institution evolving up through a large organization that understands your role teaching hospital or system would as you understand it and appreciates the value of your efforts. be considered vertical growth. In other words, vertical growth relates • Ask for Directions to a defined area of accountability Seek feedback regarding your with growth into progressively larger performance from subordinates, organizations. Conversely, a horizontal peers, and supervisors alike. You will strategy involves growth in a broader find this dialogue to be productive range of administrative involvement and helpful in honing your individual in support areas such as facilities management style from a frontline management including environmental 12

E-Cigarettes in Healthcare Settings Factors to Consider

are a problem in my facility. Why Browne: should I be concerned? Besides air- quality issues, Browne: Visitors, patients, and staff may the biggest not understand that e-cigarettes are a risk to your risk for second-hand vapor or are a fire facility is fire. hazard, and will vape in places where There are they would not consider lighting a real numerous cigarette. E-cigarettes are probably NEHES member, Ed Browne, MS, instances where an e-cigarette battery already in your facility. CHFM, CHC, SASHE, FACHE, has burst into flame including a patient Corporate Director Real Estate & who severely burned while vaping at a So what do you recommend from a Facilities at Cape Cod Healthcare in hospital in New York. The FAA issued a healthcare engineering view? Hyannis agreed to share highlights from warning to airlines because e-cigarettes his article on the subject of e-cigarettes. are suspected in two separate fire Browne: Here are few items: incidents. The culprit? Most e-cigarettes • Review your smoke-free policy. Add So what is an e-cigarette? I don’t use a lithium ion (Li-ion) battery. But the e-cigarettes to the list of banned know anything about them. batteries are subject to damage or items and substances. overheating, and if left unattended while • Review local and state health and Browne: An electronic cigarette, charging or using a faulty charger you safety department policies on these commonly called an e-cigarette, have an unacceptable fire risk. The devices. generally consists of three main parts: devices are completely unregulated in • Train personnel to be aware of what • Atomizer which contains the heating both content and manufacturing. e-cigarettes look like – especially element and a wicking device when plugged in and charging. A • Storage tank to contain the nicotine- Has The Joint Commission issued any policies regarding e-cigarettes? patient, visitor, or staff member may infused liquid “juice” decide to charge up their e-cigarette

• Battery and not see any harm since they are Browne: The Joint Commission (TJC) To use an e-cigarette, a smoker turns not actually using it to vape. the e-cigarette on and a tiny heater prohibits the use of e-cigarettes (EC.02- 01-03 EP 1) and requires hospitals to • Create a policy about how and vaporizes the juice. The smoker inhales where devices may be charged. the vapor into their lungs, exhaling what have a written policy prohibiting smoking in buildings. While TJC recognizes that Consider eliminating unattended the e-cigarette industry calls “vapor” – charging, charging any devices in which is why using e-cigarettes is there may be some patient-specific exceptions, TJC takes the position that e areas where oxygen is in use, and commonly called “vaping.” number of devices that can be Most e-cigarettes are made to look like -cigarettes fall into the same category as cigarettes and hospitals must have charged at any one time. This policy and act like a regular cigarette – even should extend to everyone – mimicking the glowing tip policies in place to ban usage. patients, visitors, and staff. • Educate about the dangers of Li-ion Does “vaping” pose risks like Are there an issues with its effects on air quality? batteries. Charging in a hot place smoking real cigarettes? such as a car, overcharging,

Browne: Well, there are no FDA damage to the battery, and Browne: Since there are no regulations unattended charging can all lead to on what is put into the “juice” no one can approvals so there is no way of knowing exactly what a patient is inhaling – or fires. predict the dangers to vapers or air quality issues. A study published in the exhaling. Researchers are beginning to study the chemicals to find what is being Any final thoughts on the subject? New England Journal of Medicine (Jan. 22, 2015 Vol. 372 No. 4 ) described ingested and what impact the expelled Browne: While the medical community dangerously high levels of formaldehyde “vaport” has on both people and air. and Federal regulators are still wrestling produced by e-cigarettes. They found with e-cigarettes, you can be proactive. formaldehyde levels five to ten times the Can an E-cigarette be part of a amount found in regular cigarettes. smoking cessation program? View Ed’s Complete Article & Sources For people exposed to second-hand vapor, it is not the harmless water vapor Browne: You may encounter patients, edwardmbrowne.com/e-cigarettes-danger- that the e-cigarette industry reports. In visitors, or staff member who claim that facility/ fact, a German study in 2012, their doctor prescribed e-cigarettes to determined that the exhaled vapor help with a smoking-cessation program. contains “acid, acetone, isoprene, The truth is that doctors cannot prescribe formaldehyde and acetaldehyde, a non-FDA-approved device or averaging around 20% of what the treatment. Patients on a smoking- conventional cigarette put into the air.” cessation plan can only be prescribed These risks are health related. What medically approved products such as should NEHES members be nicotine patches. concerned about? I really don’t think that e-cigarettes 13

NEHES News Nuggets • Educator and Student Memberships • Testimonials Wanted • Honorary Memberships • Supporting Memberships There’s no doubt that social The NEHES website has more information on each of the media dominates the Internet and membership categories including links to join or renew NEHES is proud to be memberships. Go to Membership Application. represented with a website as well as pages on Facebook, • Leadership Series Booked Solid LinkedIn, Twitter, Flickr, Google+, and YouTube. One way to direct traffic to The NEHES Leadership Series being launched in 2015 needed at least 13 registered participants to be held as websites is to post testimonials planned. about your organization. These When the registration deadline arrived, there were not only 13 show up on search engines and registered participants—in fact, there were 30 participants; the prove to be a nice way to maximum number allowed in the class. compliment your organization. The program will consist of five one-day classroom sessions NEHES is looking for your and four webinars facilitated by Ken Blanchard Companies testimonials. Take a moment and go to the Testimonial Page senior consultant, S. Chris Edmonds over the next 13 months. and write a review on your experience with NEHES. After submitting your testimonial, it will be posted on the Courses slated for the program include: website for everyone to see. Take a moment and show your pride in NEHES. • Situational Leadership® II Take a look at the testimonials and add your own online. • DISCovering Self and Others® • Conflict Management • Apply for FASHE/SASHE Now • Leading People Through Change • Servant Leadership Applications for senior and fellow status (SASHE and FASHE) are due on March 1. Submit your application now to “The cost to participants is only $500,” said Jona Roberts, be recognized for your contribution to the health care facilities CHFM, SASHE, a NEHES Board Member who helped launch management field. Enhance your professional portfolio and the series. “The value of the class is $5000, which will be an gain the recognition of your peers and colleagues. Click here amazing value for NEHES members enrolled in the sessions.” for more info. • Michele Deane-Behind the Scenes • Supporting Member Forums in 2015 If you ever need to call the NEHES Administrative Office, there Mike Walsh, Supporting Member Liaison for the NEHES is a 50% chance that you will reach Jack Gosselin. Board of Directors and NEHES President, Paul The other 50% chance is that you will reach Michele Deane Cantrell are going to conduct a New England who also supports the NEHES Administrative Office. wide road show visiting state chapter meetings. From the office in Mystic, CT, Deane covers “Last year, we conducted a series of forums in just about every administrative task that keeps every state just for Supporting Members,” said NEHES running as the premier association Walsh. “This year, we are going to host a serving the healthcare engineering profession in luncheon as part of a regular state chapter New England. meeting and invite all members to an open Deane lives in southeastern Connecticut and forum.” holds a Master of Arts in Integrated The purpose of the forums is to seek feedback from Communications from the University of Hartford Supporting Members on ways to improve the NEHES and a Bachelor of Arts in English with a Minor in organization. “Many of the suggestions for improvement were Communications from Eastern Connecticut State University. implemented last year and we look forward to keeping the In addition to maintaining the member database and the communication channels open this year,” said Walsh. portals for registrations and sponsorships on the NEHES The schedule of meetings is still being compiled. Stand by website, Deane is involved in meeting and conference planning, for more info. email communications, telephone and email inquiries from members as well as administrative details for board meetings and retreats, and information gathering for ASHE. Deane is also highly visible at NEHES Seminars and • NEHES Dues Are Due Conferences registering attendees and problem solving for the smooth operations of multiple educational sessions, meeting Here’s a reminder that all NEHES memberships run from rooms and vendor exhibits. January 1 to December 31, regardless of the anniversary date Deane can be reached at [email protected]. of membership acceptance or past payments. There are five types of NEHES Memberships, each with varying annual dues.

• Active memberships

• Associate Memberships

News Across the Spectrum

ECRI • Fecal Microbiota Therapy: New 2014. Institute Hope for Other Serious GI The EarlySense system allows for Issues 2015 Disorders? personalization of detection and • Artificial Pancreas Device Systems: prediction of patient-safety and medical Watch List for problems. It can be tailored for each C-Suite What’s Coming after the First- generation System? patient based on movement history, Leaders • Telehealth: Have We Passed the allowing staff to get to patients' bedside Tipping Point in Clinical Use? before they try to get up from their bed. “Hospital leaders must carefully exam- The system has shown some ine their strategic and operational plans, impressive early results. A March 2014 The latest healthcare technologies and and assess the relevance of these new article in the American Journal of care process innovations are pounding technologies or infrastructure initiatives Medicine comparing results for 7,643 on hospital doors and looking through for their organizations. Our list shows patients using the monitors in the Califor- windows—and they want in. Will they them what’s coming around the bend so nia Hospital Medical Center's medical- actually improve patient care, or inflate they don’t miss out on the newest inno- surgical unit in Los Angeles with a con- hospital budgets for infrastructure, capital vations or get caught up in hype that can trol group of 5,329 patients found signifi- equipment, and physician preference lead to a costly mistake,” says Robert cant reductions in days spent in the ICU items? Maliff, director, applied solutions, ECRI following a transfer, as well as in overall ECRI Institute’s 2015 Top 10 Hospital Institute. length of stay and code blue rates. C-Suite Watch List, available as a free The ECRI Institute’s 2015 Top 10 Hos- For complete article>>> public service, answers key questions on pital C-Suite Watch List, plus actionable Combined Heat and Power new and emerging health technologies recommendations on “What to Do” about that potentially provide new ways to treat these issues, is available for download at Partnership Offers State and patients, improve care, and reduce costs. www.ecri.org/2015watchlist Federal Resources “C-suite leaders need a concise way of seeing where new and emerging health Contact-Free Patient Sensor The EPA provides a great online data- technologies fit, if at all, in their health base that allows users to search for CHP systems,” says Diane Robertson, direc- Reduces Alarm Fatigue policies and incentives by state or at the tor, health technology assessment, ECRI federal level. The site has two primary Excerpts from Modern Healthcare Maga- Institute. “Backed by our unbiased, evi- purposes: dence-based research, our annual zine Feb. 7, 2015 • Policy makers Watch List helps hospital leaders make technology and infrastructure decisions Avner Halperin and and policy advocates based on clinical evidence and cost.” three colleagues were can find useful infor- In its 2015 list, ECRI Institute, an inde- frustrated that their asth- mation on pendent nonprofit that researches the matic children had to significant state/ federal policies and best approaches to improving patient repeatedly go to the hos- care, examines 10 topics that hospital pital. They were told ear- financial incen- leaders should keep their eyes on over ly detection through al- tives affecting CHP. the next 12-18 months. This year’s list gorithms interpreting • CHP project developers and others includes: data on respiratory rate can easily find information about • Disinfection Robots: Do They Help and patterns would lead financial incentives and state/federal Prevent Hospital-acquired to earlier intervention and better out- policies that influence project Infections? comes. development. See what assistance you can find for • Three-dimensional (3-D) Printing So they invented a sensor that monitors heart rate, respiratory rate and your own heat and power projects. Buzz: How Many 3-D Printers Check out the complete website>>> Should You Plan on in 2015? patient movement and does not require direct contact with the patient. It could Ebola Focus May Have Hurt • Middleware Is Everywhere: Can It sense wheezing or coughing. It can be Help You Meet the National Patient Preparedness for Other placed beneath a mattress or chair pad. Safety Goal on Clinical Alarms? Outbreaks Signals from the sensor are interpreted • Post Discharge Clinics: Do They by algorithms whose predictions are in- Excerpts from Modern Healthcare Maga- Prevent Readmissions and Save formed by aggregated outcomes data. You Money? zine, Feb. 3, 2015 Designing the sensor so it does not • Google Glass—Dead for Consumers have to be in contact with the patient's Improvements in the way hospitals but Maybe Not for Healthcare: Will body eliminates a lot of staff work in address potential infectious disease Your Clinicians and Patients See setting up the monitors and gives Any Benefits? patients greater comfort and freedom of • New Anti-obesity Devices: Should movement, he said. And unlike with Got a story idea for the You Plan to Add Them to Your sensors that attach to the patient, NEHES Newsletter? Bariatric Armamentarium? hospital staffers don't have to worry • Caring for Millennials with Cancer: about the monitor falling off. That means Should You Create Adolescent and fewer false alarms and hence less alarm Send your story idea to Young Adult Cancer Centers to fatigue, a major concern for safety Improve Outcomes? experts. The Joint Commission named [email protected] alarm fatigue as one of its top issues for

News Across the Spectrum threats that arose from the Ebola The White management and profiling leadership epidemic highlight the importance of a House has is- companies. sustained approach toward prepared- sued a new re- Business leaders are moving ahead of ness, a new survey finds. port Primary regulations to avoid chemicals of high In a January survey of more than 1,300 Protection: En- concern to human health or the healthcare workers, there was an hancing Health environment in their products and supply increase in the number of respondents Care Resilience chains. They are meeting the needs of who felt their healthcare facility was for a Changing customers large and small who are con- prepared to receive a patient with the Climate with a cerned with toxic chemicals in products. Ebola virus compared with a previous pledge to follow From health care to retail, purchasers survey conducted in October. the are seeking products made with “While those working in infection guidelines that inherently safer chemicals. Now these prevention and control departments are proposed. purchasers will have a tool to quickly spent a significant amount of time on The "guide and tool kit" is designed to compare and benchmark suppliers. In Ebola-related activities, it has taken them help health care providers and others addition, socially responsible investment away from the other critical daily infection assure "the continuity of quality health firms can use this new tool to evaluate control activities,” said Mary Lou Man- and human care before, during and after companies on their chemical ning, president of the Association for extreme weather events," the report said. management and select companies for Professionals in Infection Control. The suggestions range from placing investment. “If you pick up a newspaper, the emergency rooms away from flood-prone The Chemical Footprint Project was national reality and the conversation has areas to backup plans for the generation founded by the really shifted from not just Ebola of electricity and water supplies. The environmental non-profit Clean Produc- preparedness but to this broader issue of report encourages all health care officials tion Action, The Lowell Center for emergency preparedness in general, and to work with local governments on road Sustainable Production at the University as it relates to infectious diseases,” said plans, to make sure that doctors, nurses of Massachusetts Lowell, and the Manning. “Other infectious diseases and patients can get to health care sustainability consultancy Pure such as influenza and, more recently, a facilities in an emergency. Strategies. Its mission is to transform multistate measles outbreak has kept a The report also proposes building or global chemical use by measuring and spotlight on hospital preparedness and rebuilding hospitals and other facilities so disclosing data on business progress to control efforts.” For complete article>>> that they can withstand extreme weather safer chemicals. events. It did not provide cost estimates The CFP will enable purchasers to for these kinds of projects. preferentially select suppliers and inves- Ebola Preparedness: Infection The administration's National Climate tors to Control, Protecting Staff, and Assessment, released in May, found that integrate changes in climate are creating more chemical Safely and Effectively Managing extreme weather, including hurricanes, risk into Contagious Patients tornadoes, wildfires, heat waves, their droughts and worsening air quality, the sustaina- This special episode from the Joint report said. That, in turn, is increasing bility analyses and investments. The Commission Resources Quality and risks to health. CFP results enable brands to market Safety Network (JCRQSN) features The Department of Health and Human their progress and success in using safer experts from The Joint Commission and Services has declared climate change chemicals. Go to full website>>> case study organizations who share their "one of the top public health challenges experiences treating patients who are of our time." suspected as having Ebola Virus The report said, too many health care Disease (EVD), including preparations facilities are vulnerable to future extreme for safely transferring confirmed or weather events. suspected patients with EVD, recom- "While the weather itself and its direct mended use and removal of personal effect on the health care system are protective equipment (PPE), and training uncontrollable," the report says, "some materials. elements of the system's vulnerability View complete video>>> can readily be improved." View the Complete Report>>> New Tool Measures Corporate Patient Safety Goals….. Enhancing Healthcare for a Progress Towards Safer Changing Chemicals Easy to Read Climate Hooked on Webinars? A group of corporate and NGO leaders have released a new tool for assessing Declaring leadership in corporate chemicals Check out these ones from climate change to be a public health haz- management. The Chemical Footprint ard, the Obama administration recently Project (CFP) provides the first-ever The Joint issued suggestions to help hospitals and common metric of its kind for publicly Commission, and the EPA. other health care facilities cope with mul- benchmarking corporate chemicals tiple threats of extreme weather.

Minimizing Environmental Footprint at Fable Hospital Fable Hospital’s features include: are focusing on. Kathy Gerwig Environmental Stewardship Taking action – how we can make a Officer • Larger single-patient, acuity- difference Kaiser Permanente adaptable rooms to reduce incidents of health care-associated infections What will it take to turn the hospital Environmental Leader/ Environmental & Energy and patient transfers leaders into environmental champions Management News motivated by environmental and human • Use of nontoxic building materials to reduce the effects of indoor air health benefits in addition to bottom-line Most people agree that a healthy calculations? environment is a necessary foundation pollution for human health. And yet, our society • High-efficiency particulate air • New level of commitment by sen- faces an interesting paradox in health (HEPA) filtration systems ior leaders: Move the work from the care: as hospitals deliver care to • Larger windows to increase the ben- individuals, their environmental footprints mostly isolated, grassroots-inspired eficial effects of natural light and – pollution, energy use, waste efforts to a commitment to be models of production, unsustainable food services nature views health, including environmental health, in – can be harmful to our health. • Single-use air circulation systems to their communities. One excellent first minimize the spread of infections step is to sign up with the Healthier Greening health care, the benefits Hospitals Initiative • Heat recovery systems, high- (www.healthierhospitals.org) and accept The health care sector can have a efficiency mechanical equipment, significant impact in improving the their leadership challenge. and external building glazing to environment in a number of crucial reduce fossil fuel consumption areas, but a key question remains: can • Strategy: Put effort into assessing environmental stewardship strategies in • Healing gardens accessible by the organization’s environmental footprint health care coexist with today’s constant patients and staff and the costs of that to the community in pressure to cut costs? In short, the • Low-flow water fixtures and terms of health effects. Then explore opportunities to reduce or eliminate answer is yes – and it can help reduce rainwater recapture systems to those impacts and document this in a health care costs for everyone. reduce water consumption; among strategy. There is a preponderance of evidence dozens of other features. that a greener health care enterprise is not only affordable but often results in an The Fable Hospital is, in fact, a fable, • Engage with staff and the commu- improved cost structure. With little or no illustrated in an essay by Blair Sadler nity: Hospitals are mission-driven investment, significant operating savings and other health care quality experts with institutions that improve community can be realized. A recent study published assistance from the Center for Health health. Engaging with staff and local by the Commonwealth Fund found that if Design. But the economic value of the residents about environmental health is the health care industry conserved improved clinical quality and an extension of that mission. Their energy, reduced waste and more effi- environmental impacts of the added fea- engagement informs priorities and ciently purchased operating supplies, it tures, based on evidence from actual makes success much more likely. could save more than $15 billion over 10 hospitals, is real. years. The economic and environmental value Changing an industry isn’t easy, but While these numbers are impressive, the totaled more than $10 million a year, the greening health care revolution is importance of sustainability in health which resulted in a payback period of just already underway and the patients will care cannot be boiled down to just the three years. Among the significant cost benefit as much as we will from a bottom line. We have to remember that benefits were savings from a 20 percent business side. We’re making great pro- greening the health care industry does reduction in hospital-associated gress. I hope you’ll join us! not just save money, it also saves lives infections, a 10 percent reduction in and makes care more affordable for patient length of stay, a 50 percent everyone. reduction nursing turnover due to Take for example the Fable Hospital, a increased safety and job satisfaction, an 300-bed, 600,000 square-foot regional 18 percent reduction in energy demand, medical center built at a cost of $350 and a 30 percent reduction in water million in 2011. Fable was designed and demand, totaling almost 10 million gal- constructed to meet the US Green lons. Building Council’s Leadership in Energy As this example shows, when weighing and Environmental Design (LEED) issues of environmental impact in health gold-certification level for green building care, we have to look at the triple bottom design, construction, operations and line of social impact, environmental maintenance. To do so, it included the impact and economic performance. best innovations for which there was strong evidence in the scientific literature While the three are frequently that they would improve patient and intertwined, in our industry, we are frequently guilty of focusing so intensely employee safety and health care quality on cutting costs that we overlook these while also reducing operating costs, even two other critical areas and the impact if initial construction costs are higher. they can have on those exact areas we

Active Shooter Incidents at Two New England Hospitals

In the span of one month, two New could happen. For training around an the hospital’s response to the shooting England hospitals experienced active incident of an active shooter, we work on was “textbook.” shooter incidents on their premises. security issues.” The doctor’s colleagues transported Bizarro-Thunberg said the incident at him immediately to the emergency room, Wentworth-Douglass was “very rare.” and hospital workers secured “But it could certainly happen,” she said. themselves in their offices. “People can go into hospitals anytime The Boston doctor who was fatally shot and they are open 24/7.” at Brigham and Women's Hospital had In a letter to patients and family treated the mother of the gunman, members Tuesday afternoon, Wentworth according to law enforcement sources -Douglass CEO Greg Walker said, “the and the shooter's sister. incident was isolated to the patient room and no other patients, family members or Wentworth-Douglass CEO, Greg Walker when employees were harmed.” Resources for Active Shooter & interviewed about the shooter incident. “The hospital is safe,” Walker wrote. Workplace Violence “This was a tragic event. Our staff responded and performed exceptionally Incident #1—Wentworth- Douglass Hospital, Dover, NH under extreme circumstances. Our priorities now are to continue to deliver care to

our patients and support our staff.” The first incident took place at Went- Workplace Other hospitals along the Seacoast worth-Douglass Hospital in Dover, NH on violence is a safety issue in health care December 30th when an apparent mur- expressed their sadness at the shooting facilities, and incident and want to reassure the public der-suicide took place in the critical care several resources that safety is a top priority. unit. are available: While many said that they have According to officials, police responded security practices in place and have reg- to a report of gunshots fired inside the hospital’s critical care unit shortly after 6 ular drills, many were reluctant to jeop- ardize their safety by sharing what • A Department AM. A man and a woman were found of Health and Hu- dead inside a private room when police measures are in place. man Services arrived at the scene. (HHS) guide dis- The two had been identified as cusses how to in- husband and wife based on the Incident #2—Brigham and Wom- corporate active husband’s posting on Facebook where en’s Hospital, Boston, MA shooter incident he placed a suicide note just moments planning into health care facility before the incident. A male doctor who was shot at a emergency operation plans. The “I want to start off by saying this is Boston hospital on Tuesday morning report states that most health care going to be officially ruled a murder- died later that day from two gunshot facilities practice drills for fires or suicide, when in all actuality, it is a wounds, according to hospital officials. tornadoes, but far fewer facilities drill double suicide,” wrote the husband. A suspect, who died from apparent self for active shooter situations. Get He posted that his wife had been -inflicted gunshot wounds, had entered Free HHS Guide>> suffering from mental illness since the hospital and asked for the doctor by • The American Organization of Nurse childhood and “trying to escape the bi- name. Executives (AONE) has published polar demons that have been swirling Just after 11 AM local time, Boston guiding principles on mitigating around in her brain.” He went on to say police received emergency calls about a violence in the workplace. The report that she was now “experiencing the only shooting inside the hospital. When also outlines five priority focus thing she feared more than her illness; officials arrived on the scene, they found areas. Get Free AONE Report>> life support on a respirator.” the suspect and a gun inside an • ASHE members can access a free Hospital President Gregory Walker examination room. It appeared the said he was saddened when he learned recording of a 2013 Annual suspect had died from self-inflicted Conference session on practical about the incident. Walker emphasized wounds. that no other patients were affected and preparedness for workplace violence A senior Boston law enforcement in health care facilities. The session the hospital’s services were never official noted that Brigham and Women’s disrupted during the course of the day. details the response of the had just gone through an active-shooter University of Colorado Hospital to Asked about the hospital’s policy on training in the last six months, and that firearms, Walker said they are not the theater shootings in Aurora, allowed into the facility. Colorado, as an example to help All the hospitals in New Hampshire guide preparedness efforts. receive ongoing training in emergency For ASHE Members Only>> preparedness, said Kathy Bizarro- Thunberg, vice president of the New Hampshire Hospital Association. “This is for all hazards, natural or man-made like what happened (at Went- worth-Douglass),” she said. “We try to take into account lots of situations that

Officer on the scene at Boston shooting. 18

Mechanical development of new requirements Systems Did you know ASHE members can • BHC News: News about the Handbook for earn continuing education units Behavioral Health Care Health Care (CEUs) by reading articles in Inside Accreditation program Facilities ASHE magazine and passing an online • Certification Matters: News about quiz? the Disease-Specific Care, Palliative Care, and Health Care Staffing Mechanical systems in health care This new member benefit was facilities tend to be more complex than launched last year with the publication • Services Certification programs systems in most other buildings and of the winter 2014 edition of Inside • Home Care Bulletin: News for the need more rigid maintenance to meet the ASHE. To earn CEUs through this Home Care Accreditation program special needs and functions of the particular edition of the magazine, you • In Touch: News about the Nursing facility. must have been an ASHE member as Care Center Accreditation program In a hospital, the HVAC system does of Dec. 1, 2014. • Lab Focus: News about the far more than keep occupants The quiz related Laboratory Services Accreditation comfortable. It also serves a critical to the winter 2014 Blogs Available: function in patient health and therapy edition will expire • The View From The Joint and in occupant safety. In addition, on March 1, so if Commission: News for hospitals mechanical systems must adhere to the you’d like to earn a many codes and standards that govern CEU through the • Leadership Blog: Articles on health care facilities. magazine, be sure For these and other reasons, proper to earn your CEUs design, operation, and maintenance of before then. The mechanical systems is crucial. spring 2015 edition The ASHE Mechanical Systems of Inside ASHE will current issues written by Joint Handbook for Health Care Facili- be published in March and will also Commission leaders ties provides detailed information to support the design, operation, and contain CEU • JC Physician Blog: Articles on maintenance of a facility’s systems. opportunities. current issues written by Joint Along with chapters on powerhouse To earn CEUs through the winter Commission physicians 2014 edition: equipment, HVAC and air-handling • @ Home with The Joint systems, and energy management, the • Access Inside ASHE (winter 2014 Commission: News for home care handbook presents information on code edition) and read the magazine providers compliance, alternative energy-saving • Download detailed instructions for • AmBuzz: News for ambulatory care strategies, and testing HVAC systems. using the online quiz system facilities. The publication is $95 for ASHE • Go online to take the quiz members and $125 for non-members

Purchase at the AHA store>>

Receive the Most Current Everything You Ever Wanted To Information from The Joint Know Commission About Want to know where to get the most Relocat- current information about healthcare Do You Know Someone able codes and standards? Consider signing Who Should Be A NEHES Power up for Joint Commission Online. Taps! Here is the list of all online items that Member? you can pick and choose from.>>>> ASHE has created several new resources for members regarding • Joint Commission Online: Weekly • Your Employees? relocatable power taps in light of new publication with news about Joint • Your Colleagues? Centers for Medicare & Medicaid Commission standards and survey Services waivers allowing power strip process, patient safety and more • Your Vendors? use in patient care areas. • Quick Safety: Monthly publication New resources for ASHE members that outlines an incident, topic or • Your Educators? include a comparison of guidance from trend in health care that could • Other Healthcare various organizations on RPTs, a chart • compromise patient safety Organizations? explaining the differences between RPTs • Sentinel Event Alert: Periodic alert and special purpose RPTs, and a sample about current health care quality and RPT policy that can be adjusted to fit safety issues Invite them by sending this link: your facility’s needs. For info, visit the RPT resource page>> • R3 Report: Periodic publication that nehes.org/member-benefits- provides the rationale and online-application/ Continuing Education Units references that The Joint Available Through Magazine Commission employs in the

NEHES Newsletter Events & Dates to Remember Volume LVI #1 (CHFM) Exam Review Course • March 15-18, 2015 Boston, MA ASHE Summit & Exhibition on Health New England Healthcare Facility Planning, Design, & Construction • July 13-14, 2015 Engineers’ Society: San Antonio, Texas Health Care Construction (HCC) Founded in 1958; Certificate Workshop - Boston, MA Affiliated with the American March 20, 2015 Society for • Healthcare Engineering NEHES Spring Seminar at the • August 6, 2015 (ASHE) DoubleTree by Hilton in Leominster, MA Twin State Seminar Organizers: Massachusetts Healthcare Summertime Education by NH & VT President Engineers’ Society— Chair: Larry Williams Paul Cantrell, CE, CPE, For info and registration >>> • September 27—30, 2015 CHFM NEHES Fall Conference [email protected] • July 12-15, 2015 Newport Marriott- Newport, Rhode Island President-Elect ASHE Annual Conference and Technical Organizers: Connecticut Healthcare Jona Roberts, SASHE, Exhibition Boston, MA Engineers’ Society —Chair: Jim Carroll CHFM [email protected] • July 12, 2015 • For full list of ASHE Calendar of Events Certified Healthcare Facility Manager Secretary Wes Pooler, CHFM [email protected]

Treasurer Alison Brisson GOOD READS AND WEBSITES [email protected] Good Reads and Websites is provided as a service to NEHES members and does not constitute an endorsement by NEHES. These are sources that members have found helpful in their work. ************* Newsletter/Web Co-Chair NEHES Newsletter/Web Co-Chair Anand Seth [email protected] Anand Seth, PE, CEM, CPE recommends:

Ron Vachon, SASHE, Most NE states follow FGI guidelines. The Massachusetts Dept of Public Health CHFM, CHEC has a check list which may be useful in other states as well. [email protected] http://www.mass.gov/eohhs/gov/departments/dph/programs/hcq/healthcare- quality/health-care-facilities/plan-review/forms/ ASHE Region 1 Director Ed Lydon, SASHE, CHFM [email protected] Paula Buick, RN, MBA, LEED Green Associate, Director Healthcare and Health Sciences Planning—PAYETTE – Boston, MA recommends: Membership Chair Larry Williams, CHFM Mark Graban’s blog covers all things “lean” particularly in hospitals. He has papers, videos, larry.williams@ umassmemorial.org webinars and podcasts. If you are tired of hearing about ‘lean’ I think Mark’s site has some real examples – Check out the Kaizen “I just want patients to stop vomiting on me”. Leanblog.org ************* Administrative Director’s Office Michele Deane [email protected] NEHES Time Travel—Preventative Maintenance Rack –1968 Jack Gosselin [email protected]

Newsletter Editor Dan Marois [email protected]

Office of the Administrative Director New England Healthcare Engineers' Society 47 Water St. Mystic, CT 06355

The opinions expressed by authors do not necessarily reflect the policy of NEHES.

All material in this newsletter is provided for information only, and should not be construed as professional advice. Please consult with your own professional advisors.