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"Powering into the Future"

 

SUNDAY SEPTEMBER 22, 2013
09:00-14:00 The Great CHES Golf Game
Bus departs for Course at 07:30; departs from Course to return to hotel at 14:30
18:30-21:00 Opening Reception
   
MONDAY SEPTEMBER 23, 2013
07:00-08:30 Breakfast
08:30-09:00 Opening Ceremonies
08:30-16:00 Student Program
09:00-10:00 KEYNOTE ADDRESS
  Jay Ingram
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One of Canada's best-known science popularizers, Jay Ingram co-hosted and produced Daily Planet for over 20 years stepping down from his position in 2011. 

He has been awarded the 1984 Royal Society of Canada McNeil Medal for the Public Awareness of Science, the 1986 Sandford Fleming Medal from the Royal Canadian Institute for his work popularizing science, and the 2001 Michael Smith Award for Science Promotion by the Natural Science and Engineering Research Council of Canada. He holds four honorary doctorate degrees: from Carleton University, McGill University, McMaster and King's College in Halifax.
Ingram has written eleven books, three of which have won Canadian Science Writers' Awards. His latest is Daily Planet: The Ultimate Books of Everyday Science. In 2009, Ingram was appointed as a member to the Order of Canada. He is an engaging, provocative speaker who can address complex, scientific issues in non-technical terms, making them interesting, relevant and accessible to a wide range of audiences.

10:00-11:00 PLENARY SESSION
Track 1: Niagara Health: New St. Catharines Facility Improving Facility Management Efficiences Through Innovative Technologies - Panel discussion
  Panel tba
 

Niagara Health System (NHS) – New St. Catharines Site is a 375 bed facility with a projected >2 million outpatient, inpatient and day cases per year.  The facility is 1 million square feet and came with an overall project cost of $759 million dollars. The site was constructed leveraging the P3 model, and Johnson Controls is and will be the facility managers for the next 30 years. This is the largest hospital in the region and one of the most complex healthcare facilities in Canada.  The panel will discuss the utilization of technology in the design/build phase and how decisions made during this time will ultimately lead to environmental and operational excellence in facility management (FM).

11:00-13:30 Lunch in the Exhibit Hall
13:30-14:30 2 CONCURRENT TRACKS - 2A & 2B
Track 2A: You Can't Manage What You Can't See
  Roger Holliss, M.Eng., P.Eng., Director Engineering, Redevelopment, Parking, Security, St. Mary's General Hospital, Kitchener ON
Nicole Lobb, Account Manager, Seawood Solutions & Services, Thornhill ON
 

Hospitals deal with increasingly complex aging buildings, redevelopment projects, and knowledge management. To cope with this, St Mary’s Hospital has developed a unique approach that collates and links virtually all of its information; text, drawings, hard copy and digital into one organized system for those in charge of its management and operations. Through internal and web-based management tools, they have generated a robust single repository for  their facility’s information. This leading-edge approach creates an efficient real-time knowledge centre for its users that allows St. Mary’s to create partnerships with external stakeholders like vendors, contractors and consultants while maintaining control of the process, the quality of information and information ownership.

Track 2B: We Can Be Heroes - CHES, HAI's and the Physical Environment 
  Barry Hunt, BSc., Chairman and Cief Technology Officer, Class 1 Inc., Cambridge ON
 

Hospital acquired infections (HAIs) are the 4th leading cause of death in Canada. Every year, 10,000 Canadian patients will die from an HAI. And despite all the media attention, education and hand hygiene programs, the problem continues to get worse. But now, a solution based on managing the physical environment is appearing, and CHES members, including Facility Managers, Architects, Engineers, and Contractors all have a central role to play in leading the way to solving Canada’s biggest healthcare problem.

14:30-15:00 Refreshment Break in Exhibit Hall 
15:00-16:00 2 CONCURRENT TRACKS - 3A & 3B
Track 3A: Trends in Utility Reliability and Current Codes and Standards for Emergency Power
  Paul Isaac, PEng., General Manager, H.H. Angus & Associates Ltd., North York ON
Kim Spencer, PEng, LEED AP BD+C, General Manager, H.H. Angus & Associates Ltd., North York ON
Chris Turnbull, PEng, LEED BC+C, General Manager, H.H. Angus & Associates Ltd., North York ON
 

With increasingly failing electrical infrastructure in many parts of Canada and the lessons learned from the Quebec ice storm, the 2003 eastern seaboard blackout, hurricane Sandy as well as the increasing requirements of CSA Z32 over recent iterations, what is and where should we be with on-site emergency back-up electrical generation for hospitals? A mechanical counterpart of the CSA Z32 is CSA Z317.2 where iterations of this standard require increasingly more mechanical systems and healthcare departments be supported when the utility fails. This presentation will focus on examining trends in the utility reliability, natural and electrical system disasters and historic ability to respond to these event, current codes and standards for emergency power and review some recent recommendations such as the Ontario GOS guidelines. In addition, the presentation will examine how co-generation in healthcare facilities can act as back-up power for the mechanical systems to satisfy CSA Z317.2.

 Track 3B: Patient Wandering / Staff Duress Integration 
  Robert Hutton, CET, CEM, Coordinator, Facilities Engineering, St. Joseph's Health Care London, London ON 
 

This presentation will take the members thru the implementation of Patient Wandering Duress systems from two perspectives  - Green Field  and Renewal
 
The first  will follow the course of determining, procuring and implementing a retro fit of two existing separate systems with one integrated solution within the Rehab/Long Term Care settings at SJHC London by SJHC Facilities Engineering.
 
The second will be the design and implementation of  these systems in a new P3 project at the SJHC Mental Health Facilities  by the Honeywell Facilities Management team. 

 16:00-17:00 "Happy Hour" in Exhibit Hall
 18:00-19:00 President's Reception 
 19:00-23:00 Banquet 
   
TUESDAY SEPTEMBER 24, 2013   
 08:30-09:30  2 CONCURRENT TRACKS - 4A & 4B
 TRACK 4A:  Taking the Risks Out of Energy Efficient Retrofits
  Peter Love, President, Energy Services Association of Canada, Toronto ON
Allan McLuskie, Director, Facilities Management, Kingston General Hospital, Kingston, ON
Nabil Khalil, Energy Conservation Officer and Manager of Facilities Services, Baycrest Hospital and Centre for Geriatric Care
 

This presentation will start with a summary of recent studies on the major barriers to improving the energy efficiency of existing buildings, the two more important being availability of capital and lack of  understanding/confidence in the technologies.  It will then describe the evolution over the past 25 years of Energy Performance Contracts as a way to overcome the financial and technical risks associated with energy efficiency retrofits. It will then discuss how such contracts are now also being used to finance non-energy deferred maintenance priorities such as roof repair, safety upgrades, etc. It will then summarize on a number of recent successful projects in the health care sector. It will conclude with a more in-depth discussion of one health care project, presented by the facility manager responsible for the project. 

 TRACK 4B: Learning from the 'M' in the DBFM (design, build, finance, maintain) Process
  Karen Langstaff, BN, MHSc, Chief Planning Offier, St. Joseph's Healthcare Hamilton, Hamilton ON 
 

The presentation will include a high level review of the DBFM procurement process with a focus on the maintenance component over a typical 33 year timeframe. The philosophy of the proactive plan for plant and maintenance service will be reviewed and components of the maintenance section which can be used by any existing facility to improve services will be shared. Included will be how preventative maintenance work is planned, performed and measured using key performance indicators.  An outline of the tools used to audit the process will be reviewed including detailed plans for lifecycle replacement as well as the organizational process that makes this all work. A review of the data that is collected and how the data will be used to ensure that turnaround times and expectations are met will also be presented.

 09:30-10:30 CHES National Annual General Meeting
 10:30-11:00 Refreshment Break in the Exhibit Hall 
 11:00-12:00 2 CONCURRENT TRACKS - 5A & 5B 
 TRACK 5A: The Brave New World of Medical Gases: New Services, Licensed 
  Gordon Burrill, Vice-Chair, CSA Technical Committee on Medical Gases; President, Teegor Consulting Inc., Fredericton NB
 

Installers, Trained Operators, and the Qualified Person The 2012 CSA Standard on Medical Gases and it’s impact on installer and operator training and certification requirements 

 TRACK 5B: IAQ, Air Cleaning and Energy
  Jeff Watcke, IAQCP, Canadian District Sales Leader, Dynamic Air Quality Solutions, Princeton NJ
Timo Lucas, PEng., Canadian District Sales Leader, Trane Canada, Victoria BC
 

The demand on energy is only increasing, creating a huge opportunity to reduce energy consumption through new technologies in hospital buildings. IAQ technology can lower operating costs and energy consumption. Adopting energy-efficient design and technologies in HVAC and other areas in new and existing healthcare buildings can cut energy costs by as much as 40 percent.
 
An audience of architects, healthcare facility engineers , construction and project managers, will get an in-depth look at air filtration solutions that can significantly reduce energy consumption while dramatically improving IAQ. Jeff Watcke of Dynamic will also discuss why current systems are running inefficiently and provide insight from installations where indoor air quality has significantly improved due to new technology.
 
Detailing real world examples, such as Dynamic’s installation at ASHRAE Headquarters, and performance data to prove the impact that IAQ technology has on energy efficiency, attendees will discover strategies for reducing fan energy and static pressure. With a focus on industry trends and current market forces, this session will change the way people look at a facility’s energy consumption and air quality. 

 12:00-14:00 Lunch in the Exhibit Hall
Draw Prizes
 
14:00-15:00  2 CONCURRENT TRACKS - 6A & 6B
 TRACK 6A: Integrated Project Delivery: Lean Leadership in Saskatchewan Healthcare
  Tom Atkins, PEng., Vice President, Stantec Consulting, Regina SK
Art Winslow, Senior Project Manager, Graham Group 
Dave Hagan,
Director, Process Development, The Boldt Company
Derrick Lamb, Senior Associate, Buildings, Stantec Consulting, Regina SK
 

The presentation is better described as a presentation of background material followed by a panel discussion around Lean Healthcare Delivery as it is being deployed in the Five Hills Health Region both at the operational level and in the development of the new Regional Hospital.

The first section of the presentation will describe the current state of the AEC industry in terms of inefficiencies and other project delivery challenges.  It will review the current state of healthcare and identify the eight wastes in this and other production systems. The presentation will identify three strategies for removing waste and provide examples of how those strategies could be implemented.

The second part of the presentation will get into the specifics of what we can learn from other industries, particularly from manufacturing and how that might be applied to healthcare and the development of healthcare facilities.  It will go on to describe the Integrated Form of Agreement and how this contract form allows for the benefits of Lean philosophies to be integrated into facility development projects.  It will focus on key project principles, IPD team behaviors and tools.  It will close with a section on proof of concept, providing measured results for two projects that were developed for Sutter Health.

The panel discussion will allow the individual team members to provide their perspective on the implementation of this process in the FHHR New Regional Hospital project and to more deeply discuss specific impacts of the Integrated Form of Agreement.  It will also allow for questions from the attendees and engage is a conversation with all panel members.

TRACK 6B: Lighting Design Considerations for the Healing Environment
  Maarten Mulder, MSc, LC, Solutions Sales Manager, Acuity Brands Lighting, Vancouver BC
 

This presentation introduces participants to the fundamentals of lighting design and how that pertains to the shift in design to patient centered design.  Using the techniques of evidence based design participants are introduced to the effects of aging and other health considerations related to lighting.  Participants are shown specific considerations for patient rooms, nursing stations, surgical suites, radiology, labor & delivery, critical care rooms, labs, common areas, and exterior.  Considerations include aspects of illumination levels, directionality,  layout, and lighting fixture types appropriate for that space.  Attention is also given to new technologies and energy saving techniques within the context of healthcare facilities.  The optimized healthcare lighting environment considers the patient experience, caregiver and staff performance and environmental sustainability into a cohesive design.

 15:00-15:30 Refreshment Break 
 15:30-16:30 PLENARY SESSION 
 TRACK 7: Powering into the Future - The Journey to Self Sufficient Power
  Phil Renaud, Director of Facilities Engineering, London Health Sciences Centre, London ON
 

This presentation is aimed at helping the audience understand the options available to;

• address a hospital’s need to function and offer a safe haven, when there is an interruption to the power grid (beyond the typical services provided by a backup generator)
• implement retrofits that give a hospital’s power plant more flexibility to manage the ongoing risk of volatile energy prices
• optimize efficiency and reduce costs in situations where heat and power are required simultaneously 
• develop a business case for the addition of cogeneration and other steam driven equipment .

16:30-17:00 Closing Ceremonies