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 September 17-19, 2017
Scotiabank Convention Centre
Niagara Falls ON

Quality Healthcare by Design: Putting People First

 PROGRAM 

SUNDAY SEPTEMBER 17, 2017
09:00-16:00 The Great CHES Golf Game
18:30-22:00 Opening Reception Sponsored by Class 1 Inc.
Reception Entertainment - The Royz Band  Sponsored by Eaton
Queen Victoria Place Restaurant, Niagara Falls
MONDAY SEPTEMBER 18, 2017
07:00-08:30 Breakfast  Sponsored by Thomson Power Systems
08:30-08:45 Opening Ceremonies
08:45-09:30 KEYNOTE ADDRESS - Sponsored by Honeywell
Keynote Address Our Building, Our Health: Scaling Up Success across Canada
 

In Health care, sometimes the simple changes we make to the way we function every day end up having the biggest impact on people. whether it's giving patients and providers the ability to adjust the temperature in their rooms, or changing the way we schedule specialist appointments - everyone who works in the system has the ability to bring about change that matters. If we look for the opportunities to do more with less and think outside of the box, we can deliver a better care experience, improve people's health and lower costs inside the health care system at the same time. The challenge is to move from the pilot project to the system solution, so that success benefits all Canadians. To achieve that goal, we each have a role to play. 
 

Danielle MartinDr. Danielle Martin
Acclaimed Physician and Health Care Expert

Dr. Danielle Martin sees the cracks and challenges in our health care system every day. A family doctor and national media commentator on the health issues that hit closest to home for Canadians, Dr. Martin speaks with passion on our national health-care system, defending and defining the ways we can make it even more worthy of our immense national pride.

Her debate on the merits of the Canadian vs. American health systems in a U.S. Senate Subcommittee hearing in Washington, with Senator Richard Burr and Bernie Sanders, the video of her testimony went viral and has since achieved over 1.3 million views.

Currently, Dr. Martin practices in the Family Practice Health Centre at Women’s College Hospital, where she is also the Vice-President of Medical Affairs and Health System Solutions.

In 2006, her first year of practice, Dr. Martin helped launch Canadian Doctors for Medicare, representing Canadian physicians who believe in a high quality, equitable, and sustainable health system, and chaired its board until 2013. She went on to help found the WCH Institute for Health System Solutions and Virtual Care – a hub of innovation dedicated to solving the health gaps in our system.

In 2015, Dr. Martin was named Canada’s eighth most powerful doctor by The Medical Post, and in 2013 was named one of The Toronto Star’s top “13 People to Watch”. In the media she is a regular contributor to CBC TV’s The National, and writes a monthly column for Chatelaine magazine. Her upcoming book, Better Now: Six Big Ideas to Improve Health Care for All Canadians, will be published in early 2017.

09:30-10:30  PLENARY SESSION - TRACK 1
 Track 1:
Youth, Engineering, and Innovation 
  Raymond Wang, Youth Innovator, Entrepreneur & Non-Profit Leader 
 

Raymond Wang is a Youth Innovator who is passionate about science, technology, engineering and entrepreneurship. He is one of Canada’s Top 20 Under 20, and most recently, the recipient of the Gordon E. Moore award for the Top Project at the 2015 Intel International Science and Engineering Fair (ISEF). His internationally-acclaimed research in engineering mechanics, renewable energy, biomechanics, environmental management and computer science have made him a go-to-commentator on youth innovation. 

10:30-11:00 Refreshment Break in the Exhibit Hall  Sponsored by AAF Flanders
 10:30-14:00 Exhibit Hall Open 
 11:00-12:00 2 CONCURRENT SESSIONS - TRACKS 2A & 2B 
 Track 2A:
Contamination of Sinks and Drains with Gram-Negative Bacteria: A Call for Solutions 
  Heather Candon, Infection Control Manager, Mackenzie Health, Richmond Hill ON
Natasha Sait, Director of IPAC, Sunnybrook Health Sciences Centre, Toronto ON
Lorraine Maze, Infection Control Practitioner, Mount Sinai Hospital, Toronto ON  
 

Growing evidence that hospital sinks and drains may be reservoirs for gram-negative bacteria, which can be transmitted to patients, has led to a number of interventions aimed at addressing this challenge. During this panel discussion you will hear from Infection Control professionals from acute care facilities in the Greater Toronto Area about solutions that have been put in place to protect patients. Topics covered will include: how sink and drain design affects contamination rates, remediation techniques once a drain is contaminated, preventative maintenance of plumbing and novel patient care ideas to combat this issue. The objective of the presentation is to increase knowledge of the risk to patients posed by hospital plumbing contaminated by gram-negative bacteria in order to stimulate thought/discussion around solutions that can be incorporated into design to prevent contamination of sinks.  

 Track 2B: LEAN - Patient First from Planning to Construction
  Paul Blaser, Principal Architect, LEAN Integrated, Saskatoon SK
Jody Hettinger, Manager Construction and Security, Prairie North Regional Health Authority, Battleford SK
Faye Wood, Regional Property Management, Prairie North Regional Health Authority, Lloydminster, SK  
 

Patients are the most important in Healthcare. All value and waste is determined by them. LEAN in Healthcare is a well established process for improving flow, eliminating waste, and increasing Value. Since 2012, Saskatchewan has used LEAN for Planning Healthcare. The next step has been to introduce LEAN for Construction to Healthcare Projects. We will show how LEAN Planning can lead to LEAN Construction, and keep Patient First Care at the core from Planning to Delivery.

Objectives:
1) Demonstrate in detail how LEAN ensure Patient-First Planning for Healthcare Projects – Even for department renovations
2) Teach the core tools used in LEAN Construction
3) Identify how LEAN Planning can integrated with LEAN Construction Delivery to ensure a Patient-First Focus at every Step to meet every expectation
4) Describe the process and results achieved for a Dialysis Unit renovation at Battleford Union Hospital in North Battleford, SK

 12:00-14:00 Lunch in Exhibit Hall  Sponsored by Klenzoid Canada Inc. 
 14:00-15:00 PLENARY SESSION - TRACK 3 
 Track 3: Understanding Indoor Air Quality (IAQ) and the Great Benefits to Patients and the Healthcare Industry 
  Dr. Stephanie Taylor, CEO and Founder, Taylor Healthcare Consulting, Inc, Stowe VT 
 

Engineers put much thought and work into designing and managing building HVAC systems with the goals of preserving building materials, conserving energy consumption and keeping occupants comfortable.

The primary function of most buildings, however, should be to protect the health and safety of people. Paradoxically, the intersection of Indoor Air Quality (IAQ) and occupant health or disease is one of the least understood subjects in the field of public health! This is not from intentional neglect of engineers, but from lack of medical research on IAQ and health.

Two significant trends are occurring in this century: people spend more and more time indoors, and the incidence of chronic disease is higher than ever before. Are these two factors related? If so, how can indoor air management support occupant health and not promote chronic illnesses?

Objectives:
1) Understand the current Indoor Air Quality environment
2) Present New Research findings on the relationship between indoor air management and patient infections in hospitals. Micro-biome Study will be presented with new data. (in press 2016)
3) Review existing studies on IAQ and occupant health
4) Review solutions to improve IAQ and maximize Patient outcomes in Healthcare facilities.

 15:00-16:00 PLENARY SESSION - TRACK 4 
 Track 4: Engineering Infection Reduction at Vancouver General Hospital 
  Dr. Elizabeth Bryce, Regional Medical Director, IPAC, Vancouver Coastal Health, Vancouver, BC 
 

This presentation will describe the results of a pilot project that followed the microbiome of patients undergoing bone marrow transplantation, their healthcare workers and their environment. Patients were randomized to receive care in a regular isolation room or a room that had been re-engineered with self-disinfecting material on high-touch surfaces and with ultraviolet C light in the bathroom.

Objectives:
1) To discuss basic principles of engineering for infection reduction and summarize key studies to date on self-disinfecting surfaces
2) To describe the results from the first phase of the pilot project and the practicalities of operationalizing this type of study
3) To identify existing gaps in our knowledge regarding self-disinfecting surfaces and potential ways of further clarifying their role in healthcare.

16:00-17:00  "Happy Hour" in Exhibit Hall  Sponsored by Trane 
 18:00-19:00 President's Reception  Sponsored by Tremco
Ballroom CD, Scotiabank Convention Centre 
 19:00-23:00 Gala Banquet  Sponsored by Johnson Controls
Banquet Entertainment: The Birdtown Band  Sponsored by Chem-Aqua
Ballroom CD, Scotiabank Convention Centre
 
TUESDAY SEPTEMBER 19, 2017
 07:00-08:30 Breakfast  Sponsored by Stantec 
 08:30-09:30 PLENARY SESSION - TRACK 5 
 Track 5: Keeping the Patient in Patient Safety 
  Bernie Weinstein, Patient Advocate at the Jewish General Hospital, Montreal QC 
 

Patients for Patient Safety Canada is a patient-led program of CPSI. They are the voice of the patient (intended to include patients, clients, residents, customers, and family members) and bring their safety experiences to help improve patient safety at all levels in the health system.

Patients for Patient Safety Canada members’ unique and valuable perspective complements those of care providers, health leaders, policy makers, and managers of healthcare organizations. By working in partnership, they can help ensure that patient safety decisions and initiatives are truly patient-centered and result in safe care.

Patients for Patient Safety Canada member, Mr. Bernie Weinstein, will speak to the CHES membership about his family’s personal experience with patient safety in the Canadian health care system. He will also speak about his work as a Patient Advocate at the Jewish General Hospital and as a member of Patients for Patient Safety Canada. Mr. Weinstein will drive home the important role patients/ family members can play when they actively contribute to patient safety improvement initiatives from the beginning.

09:30-10:15 CHES National Annual General Meeting
10:15-10:45 Refreshment Break in the Exhibit Hall  Sponsored by Daikin Applied
 10:15-10:45 CHES Ontario Chapter Annual General Meeting 
 10:15-14:15 Exhibit Hall Open 
 12:15-13:15 Lunch in the Exhibit Hall / Draw Prizes  Sponsored by Thermogenics 
 13:15-14:15 2 CONCURRENT SESSIONS - TRACKS 6A & 6B 
 Track 6A: Supporting Infection Control: Progress in a Tertiary Care Hospital 
  Craig Doerksen, Divisional Director, Facility Management, Health Sciences Centre Winnipeg, Winnipeg MB 
 

Today’s hospital facility manager has what appears to be hundreds of priorities, codes and standards to follow and ultimately solutions and approaches to address infection control issues. What are the priorities? And how do I engage with infection control? What are the codes and standards that I have to or should follow? And how do I keep up with them and train my staff? What are the solutions and approaches available in industry? And how do I evaluate, choose and fund them? And to all of this – what is the real outcome? This presentation will take you on a whirlwind journey (not over the falls) where we have jointly worked with and alongside our infection control team to navigate with some good (and celebrated) success.

Objectives:
1) Understand how various infection control strategies employed by facility managers should be assessed.
2) Identify the many options and approaches to supporting infection control
3) Prioritize along with infection control which strategies should be employed.
4) Evaluation methods

 Track 6B: CSA Z317.14 - A New Standard for Wayfinding in Health Care Facilities 
  Robin Snell, Principal, Parkin Architects Limited, Toronto ON
Wayne McCutcheon, Partner, Entro Communications Inc, Toronto ON
 

CSA developed a new standard to develop and maintain wayfinding and signage systems for Health Care Facilities (HCF). The CSA Z317.14 standard is a practical guide to understand and implement wayfinding and signage systems for the HCF user’s journey to their HCF destination(s) and back again. Aligned with the conference theme “Quality Healthcare by Design: Putting People First”, the presentation will focus on the tools HCF managers and designers need to implement the Z317.14 standard.

Objectives:
1) Assess the new CSA standard for Wayfinding in Health Care Facilities and its relevance for facility planners, managers and designers;
2) Describe wayfinding and signage as a system ‘from macro to micro’, from place of origin to a specific destination and back again;
3) Identify the key elements and tools in a wayfinding and signage system;
4) Discover emerging technologies for wayfinding and signage including GPS, smart phone apps, touchscreen kiosks and user specific navigation.

 14:15-15:15 2 CONCURRENT SESSIONS - TRACKS 7A & 7B 
Track 7A:  CSA Z8000: Is It Making a Difference? 
  Mike Keen, P.Eng., MBA, Senior Director, Planning & Development, St. Michael’s Hospital, Toronto ON
Helene Vaillancourt, P.Eng., Ph.D, Executive Vice President, Standards Research and Planning, CSA Group, Montreal QC
 

Extensive literature exists regarding various infection prevention and control measures intended to reduce healthcare associated infections (HAIs).  CSA Z8000 standard on health care facilities has been developed by experts and published in 2011. It provides guidance on how to best design health care facilities to make them efficient, accessible, safe, sustainable and minimize health care acquired infections. The focus of the research project is to examine various design elements found in CSA Z8000 as they relate to infection prevention and control. We now have a number of new and renovated hospitals that have implemented the measures found in CSA Z8000 and many of these facilities have volunteered to share data. The results of the analysis of this data will identify trends and confirm the effectiveness of the standard for selected design elements such as single patient room, and recommend enhancements for continuous improvement of the standards. 

 Track 7B: Southlake's Story: Using RTLS to Put Patients and Staff First 
  Marcelino Moniz, Director, Facility Operations & Patient Access, Southlake Regional Health Centre, Newmarket ON
John Grajar, Manager, Support Services, Southlake Regional Health Centre, Newmarket ON  
 

Utilizing the capabilities of the existing enhanced Real Time Locating System (RTLS) already in use for tracking assets, Southlake Regional Health Centre was able to swiftly implement a Staff Assist Solution and offer added protection to all hospital staff without the additional costs and lag-time associated with a new enterprise-wide implementation.

Objectives:
1) Learn from techniques and communication tools used by an organization to enhance the safety of employees and gain corporate buy-in
2) Identify opportunities to expand the use of technologies already in-house to address other corporate needs
3) Develop policies, procedures and tools to gage success and areas of improvement in safety, efficiency, technology and corporate attitude.

15:15-15:45 Refreshment Break - Sponsored by HTS 
15:45-16:45 2 CONCURRENT SESSIONS - TRACKS 8A & 8B
Track 8A: Preventing Hospital-Acquired Infections Through Evidence-Based Design: Humber River Hospital Experience
  Nataly Farshait, Director of IPAC, Humber River Hospital, Toronto ON 
 

Healthcare providers function in the environment of enormous responsibilities and constant multitasking. Both infrastructure and design play a vital role in supporting healthcare workers in providing the safest and the most efficient care to patients. Moreover, hospital design is an essential aspect of the healthcare preparedness to the challenges of new and emerging infectious diseases, as well as higher public expectations and awareness of healthcare related risks.

The new Humber River Hospital was built to make compliance with infection prevention and control easy by default. The principals of evidence-base design were imbedded into every aspect of building including 80% of single-bed rooms; ventilation system with a sophisticated monitoring features; acuity-adoptable rooms with dedicated equipment; room sign monitors; 82 negative pressure rooms; storage areas designed to accommodate clean and soiled flow of the mobile equipment; pneumatic disposal system; automated guided vehicles (AGVs); and dedicated hand hygiene sinks.

There is a clear evidence that use of technology and a well-designed physical space plays an essential role in making our hospital safer for patients, visitors, and employees.  Future research is needed to correlate clinical outcomes, specifically related to hospital-acquired infections, with the individual role of the multifactorial design interventions.

 Track 8B: Global Health Trends: Applying Global Engineering Trends for Canadian Hospitals 
  Kevin Cassidy, B.Eng, P.Eng, Director- National Healthcare Lead, MMM/WSP Canada, Toronto ON
Bolan Rome, PE, LEED AP, Senior Vice President, CCRD/WSP Parsons Brinckerhoff, Dallas TX
 

Using case studies from recent international and domestic health care projects, Kevin and Nolan will look at design trends that put the patient and staff at the center of the design process and how these international trends can be applied in Canadian Hospitals, realizing efficiencies, operational savings and enhanced clinical outcomes.

Objectives:
1) Learn about technologies employed globally to mock up renovation spaces and test room layouts;
2) Utilize post occupancy evaluations to identify improvements to efficiency;
3) Identify areas where data acquisition can be employed to increase operational efficiencies

 16:45-17:00 Closing Ceremonies