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44th Annual Conference of the
Canadian Healthcare Engineering Society

Enriching Patient Experiences by Optimizing the Environment

September 8-10, 2024
Halifax Convention Centre
Halifax Nova Scotia

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 CONFERENCE PROGRAM

TUESDAY SEPTEMBER 10, 2024  

SUNDAY SEPTEMBER 8, 2024
0700-1630
The Great CHES Golf Game *must register in advance
0800-1600 Companion Program *must register in advance
1300-1600 Facility Tour *must register in advance
1730-1830 Museum Tour - Pier 21 *must register in advance
1830-2030 Opening Reception - Sponsored by Class 1 Inc.
Reception Entertainment: Pat Wardell - Sponsored by Precise Parklink
Canadian Museum Of Immigration at Pier 21
MONDAY SEPTEMBER 9, 2024
0700-0830 Breakfast - Sponsored by Falkbuilt
0830-0845  Opening Ceremonies 
0845-0930  KEYNOTE ADDRESS - Sponsored by Honeywell
  Alan Mallory, CSP MA (Psych), BSc, PE, Peng, PMP 
  Alan is an international speaker, author and performance coach who is passionate about reaching new heights in all that we do. He has a degree in Engineering from Queen’s University and a Masters in Psychology from Adler University giving him a well-balanced approach to the inner and outer challenges we all face. Building experience through a lifestyle of adventure and challenge, Alan embarked on the journey of a lifetime and set a world record on Mount Everest along with three members of his immediate family. He believes in empowering people and embracing an agile mentality focused on relationships and results.
Administration 0.1 CEU REACHING NEW HEIGHTS THROUGH AGILE LEADERSHIP
This engaging keynote is a visual and educational experience packed with tools, strategies and actionable ideas that can be put into practice to make positive changes in our professional and personal lives. It focuses on agile leadership strategies in adapting and working through volatility as well as making timely adjustments based on immediate feedback and lessons learned. The presentation is built around the two years of planning and two months of climbing that went into making the goal of reaching the summit of Mount Everest a reality for Alan and three members of his immediate family. Considered one of humanity’s greatest feats of physical, mental and emotional endurance, the exciting expedition to the top of the world’s highest peak is a journey filled with unparalleled challenges through some of the roughest, most extreme conditions imaginable.
0930-1030 TRACK 1: PLENARY SESSION 
 TRACK 1: At Home in Hospital - Sponsored by Victaulic
  Barry Hunt, Prescientx 
Code Compliance
0.1 CEU 
Hospital patients miss the comfort and convenience of home. They also miss the control they have over their environment. Empowering patients and giving them convenience and control over comfort, privacy, communication, and entertainment is important. Building trust and giving patients peace of mind is critical to improving the patient experience. Patients need to feel safe and be safe. And they need to feel cared for starting with their environment.

Objectives:
•  Identify opportunities to improve patient control of their environment - eg - lighting, temperature, privacy.
• Assess the best strategy for building in ease of use and protection from obsolescence for communication and environmental controls from a patient's perspective.
• List the "must haves" every hospital should provide for patients in future. 

1030-1100  Refreshment Break in Exhibit HallSponsored by Belimo Air Controls Inc.
1100-1200 TRACK 2: 2 CONCURRENT SESSIONS: 2A & 2B 
 TRACK 2A: Pressurization and HVAC Configuration of Hospital Operating Rooms to Reduce Infectious Disease Transmission 
  Reza Daneshazarian, University of Toronto
Jeffrey Siegel, University of Toronto 
Operations & Maintenance
0.1 CEU 
Typical hospital operating rooms (OR) are positive-pressure, which can increase the risk of disease transmission within the OR and to adjacent areas. This work focuses on reducing airborne infectious disease transmission by evaluating OR design including HVAC configuration and the inclusion of an anteroom. The results showed that a negative-pressure OR or an adjacent anteroom can prevent the migration of the particles from the OR into clean corridors, reducing healthcare worker exposure to respiratory aerosol.

Objectives:
• List key factors in the HVAC configuration of hospital operating rooms that contribute to reducing the risk of surgical-site infections.
• Identify the impact of positive pressure in hospital operating rooms on the risk of disease transmission to adjacent areas.
• Assess the effectiveness of negative pressure configurations in operating rooms and anterooms in preventing the migration of infectious particles.
• Describe the role of anteroom presence in reducing the risk of disease transmission in hospital operating rooms. 

 TRACK 2B:  Lessons from Internalizing Continuous Optimization
  Pierre Iachetti, RPP, MCIP, PAq, LEED Green Asssociate, Director of Energy, Environment & Climate Change, Facilities Management, Island Health
Operations & Maintenance
0.1 CEU 
Island Health Authority recently developed and launched an internal continuous optimization program as a pilot project supported by BC Hydro and Fortis. We have internalized the function of identifying, implementing, and verifying energy conservation projects rather than leveraging external consultants for these important services. Our program results speak for themselves. We have achieved greater impact much faster and cheaper than the conventional consultant led model. There are many other values gained, which will also be discussed.

Objectives:
• Report on the results of our program
• List the values associated with internalizing continuous optimization
• Describe why internalizing this function leads to these improved results
• Identify how others can develop and launch their own programs

1200-1300  TRACK 3: 2 CONCURRENT SESSIONS: 3A & 3B 
 TRACK 3A: From Plan to Product: Navigating the Nuances of Delivering a Master Facilities Plan
  Jamie Cook, Colliers Project Leaders 
Planning, Design & Construction
0.1 CEU 
Leveraging This session will be a panel discussion about master facility planning – where to start, common challenges that arise, and how challenges evolve during each stage of the project lifecycle. Attendees will hear first-hand perspectives and lessons learned from Build Nova Scotia, The Government of PEI, and Shared Health Winnipeg.

Objectives:
• Describe essential prerequisites and the critical initial steps that lay the foundation for a successful master facility plan.
• Share the various nuances of master facilities planning and common pitfalls teams experience when developing and implementing a master plan.
• Describe how challenges vary at different stages of the planning process, how some might be interrelated, and how to spot warning signs that indicate potential issues.
• Identify guidelines to support teams navigating a master facility planning process and best practices on how to overcome challenges at any stage. 

 TRACK 3B: Electrifying Hospitals - Is the medicine worse than the disease?
  Tariq Amlani, Stantec
Carl Shilling, Stantec
Bernard Ropson, Stantec 
Code Compliance;
Operations & Maintenance
0.1 CEU 
Buildings are major contributors to global emissions. New laws, regulations, and tariffs are accelerating the embrace of decarbonization. Across North America and Europe, governments are pushing for emissions reductions to meet 2050 goals. Naturally the health sector is looking to electrification in its next generation and existing facilities. That’s good news. BUT electrifying hospitals is not a simple matter and is it really green? Explore these questions and more as we discuss sensible approaches to electrification.

Objectives:
• Assess if electrification is really green based on regional impacts and timelines for grid capacity.
• Describe the duration curve and how loads follow an exponential growth.
• Understand the ‘sharknado’ event.
• Identify the tradeoffs between patient care and energy improvement.
• Identify design optimization and solutions that go beyond 2050.

1300-1500 EXHIBIT HALL
1300-1400 Lunch in Exhibit Hall - Sponsored by DuBois Chemicals
1400-1500 Free Time in Exhibits
1500-1600  TRACK 4: 2 CONCURRENT SESSIONS: 4A & 4B 
TRACK 4A:  Approaching Long-Term Care Builds through Collaboration, Innovation and Lessons Learned (BC Health Authorities Unite) 
  Sarah Thorn, Manager, Planning and Projects, Facilities Management, Fraser Health
Rick Buksa, Senior Manager, Major Capital Projects – St. Vincent’s Heather, Providence Health
Drew Hart, Project Director, Major Capital Projects - St. Vincent’s Heather, Providence Health
David Neufeld, Director, Facilities Design & Construction and LTC Major Capital Projects | Island Health 
Planning, Design & Construction
0.1 CEU 
The Facilities Management and Major Capital project teams in the province of BC are working towards the delivery of numerous new Long-Term Care builds in British Columbia. These capital investments provide an opportunity to reflect on our lessons learned, consider innovative ideas, collaborate on procurement methods and share critical information on building systems that support better buildings with consideration for climate resilience.

Objectives:
• Encourage frequent information sharing through collaboration
• Demonstrate United Collaboration with Health Leaders and Project Teams
• Describe and Discuss New Innovations, Systems or Technologies
• Promote Climate Resiliency and Planetary Health

 TRACK 4B: Rethinking Healthcare Facilities Management - Implementing technology in the right way 
  Colin Flock, P.Eng., CPA, CMA, Senior Vice President, EllisDon Facilities Services
Pranjal De, P.Eng. VP, Integrated Building Technology Development, Modern Niagara
Operations & Maintenance
0.1 CEU
Healthcare FM teams are charged with continuously optimizing patient experience, whole-life asset condition, energy performance against cost and resource constraints. Technology, and a data/condition-based approach to asset management, is changing the way we enable clinical excellence.

Objectives:
• Understand challenges faced by the healthcare sector in creating a safe, functional, and comfortable space for patients and staff within resource, and cost output constraints.
• Learn how to effectively leverage a combination of facilities management methodologies and technology tools to optimize the environment, preserve assets, and enhance patient experiences. e.g. Fault Detection Diagnostics tools
• Understanding the potential of big data and automated diagnostics on the long term energy performance and facility condition index (FCI) rating.

1600-1700  "Happy Hour" in Exhibit Hall - Sponsored by Trane 
1800-1900 President's Reception - Sponsored by On Side Restoration 
Convention Hall C5, Halifax Convention Centre
1900-23:00  Gala Banquet - Sponsored by Chem Aqua 
Banquet Entertainment - Big City All Star Band - Sponsored by SDI Canada
Convention Hall C2-C3-C4, Halifax Convention Centre
TUESDAY SEPTEMBER 10, 2024
0700-0830  Breakfast
0830-0930  TRACK 5: 2 CONCURRENT SESSIONS: 5A & 5B 
 TRACK 5A: Alberta Health's Facility Maintenance and Engineering CSA Z8002.19 journey from assessment to implementation 
  Paul Perschon, Alberta Health Services 
Operations & Maintenance
0.1 CEU
Alberta Health's Facility Maintenance and Engineering CSA Z8002.19 journey from assessment to implementation. This session is focused on how Canada’s largest health authority has implementing this standard into the facilities operations across the province of Alberta at both at a provincial level, and at a site level (HCF Health Care Facility).

Objectives:
• Value of CSA standard for operations.
• Evaluation of current state - Assessment vs Audit - What's the difference?
• Engagement Strategy - How to involve both frontline and management.
• Operationalization of Plan System - Areas of focus (COMP, SOPs', Inventory Management, Training, and Safety). Implementation of CSA at a HCF (Pincher Creek, AB).
• Challenges, benefits, and opportunities of work done to date. An overview of the lessons learned along this 5-year journey.

 TRACK 5B: The Role of Mechanical, Electrical and Information Technology (MEIT) Design in the Patient Experience 
  Julie Lawson, HH Angus & Associates Ltd
Robyn Munro, HH Angus & Associates Ltd 
Planning, Design & Construction
0.1 CEU 
In this presentation, we will walk through a ‘day-in-the-life’ of an inpatient journey characterized by a prolonged medical stay, highlighting both challenges and opportunities where improvement could be achieved through the application of technology systems and management of the environment.

Objectives:
• Patient Care Experiences – focusing on patient care departments and patient rooms
• Managing Patient Movement and Overflow
• A Day-in-the Life Journey: from admission through to surgery and inpatient care
• Solutions covered: Automated Guided Vehicles, Pneumatic Tubes, Real-time locating system, bedside controls, patient washrooms, environmental comfort/feedback and infection control. 

0930-1015  CHES National Annual General Meeting
1015-1045 Refreshment Break in the Exhibit Hall - Sponsored by Abatement Technologies
1015-1045  CHES Maritime Chapter Annual General Meeting 
1015-1415  Exhibit Hall Open
1215-1315 Lunch in the Exhibit Hall 
1315-1415  TRACK 6: 2 CONCURRENT SESSIONS: 6A & 6B 
 TRACK 6A: The 2024 CSA HVAC Standard - What you need to know 
  Nick Stark, HH Angus & Associates Ltd. 
Code Compliance, Planning, Design & Construction
0.1 CEU
The Canadian Standards Association will be publishing the new edition of CSA Z317.2 Special Requirements for HVAC Systems in Health Care Facilities in June of 2024. There will be a considerable number of new and revised clauses that will impact the requirements for design, construction and operation of health care facilities across Canada.

Objectives:
• Identify potential impacts of the changes
• Prepare the listeners different approaches to HVAC that will be required in the future 

 TRACK 6B: A Robust Framework for Effective Project Delivery in Operating Hospitals 
  Rudy Dahdal, North York General Hospital 
Planning, Design & Construction
0.1 CEU
The recent completion of several capital projects at North York General Hospital, and the imminent approval of several others, have triggered the need to formalize project management processes that capitalize on lessons learned to improve project delivery. This session presents lessons learned in implementation of capital projects while maintaining full hospital operations and introduces a framework that provides project teams, including facilities management, with tools for effective and efficient project delivery.

Objectives:
• Discuss challenges and opportunities in delivering projects in aging hospital facilities while maintaining full operations
• Review challenges in balancing competing priorities amongst project stakeholders, including faciligties, project management team, funders, clinical user groups, and contractors
• Present a robust and dynamic framework for effective and efficient delivery of facilities redevelopment projects in complex healthcare environments
• Discuss processes and tools to manage, monitor and report on project performance

1415-1515  TRACK 7: 2 CONCURRENT SESSIONS: 7A & 7B
 TRACK 7A: CSA Z8005: A new standard for digital infrastructure and digital health care technologies in HCFs 
  Taimur Qasim, CSA Group 
Code Compliance, Planning Design & Construction
0.1 CEU 
CSA Z8005 is a new standard published to provide guidance on the topic of digital infrastructure and digital health care technologies. This presentation will cover the core concepts and tools included in the standard that should help HCFs around Canada plan and manage their digital infrastructure and digital health care technology projects.

Objectives:
• Describe the core concepts of CSA Z8005
• Explore how CSA Z8005 can support HCFs
• Share the various tools presented in CSA Z8005 

 TRACK 7B: Sight and Light | Design Beyond the Patient Room 
  Rachel Vair, DIALOG
Josh Bornia, DIALOG
Jill Robertson, DIALOG
Raul Dominguez, DIALOG 
Planning, Design & Construction
0.1 CEU 
A focused conversation on key challenges, opportunities and tradeoffs necessary to bring light and nature, not only in patient rooms, but in waiting areas, courtyards, staff areas, and all spaces of a healthcare facility. Leveraging tools like energy and daylight modeling, presenters will share an integrated, analysis-based approach to prioritize natural light and views of nature while optimizing building energy performance.

Objectives:
• Identify strategies to overcome potential barriers to providing daylight and views throughout a healthcare facility.
• Incorporate lessons learned and feedback from hospital administrators that incorporate expansive daylight and views into future design.
• Balance potentially competing sustainability goals, including daylight and views, thermal comfort, visual comfort, and energy efficiency 

1515-1545  Refreshment Break - Sponsored by Camfil Canada Inc. 
1545-1645  TRACK 8: PLENARY SESSION 
  Reconciliation and a Net-Zero Carbon Future: The New Cowichan District Hospital Aims to Give Back to the People and the Land It Will Serve 
  Meagan Webb, HH Angus & Associates Ltd.
Kyle Basilius, HH Angus & Associates Ltd.
Ryan Kennedy, HH Angus & Associates Ltd. 
Operations & Maintenance, Code Compliance
01 CEU 
A spotlight on the Cowichan District Hospital project in Duncan being delivered through the Alliance Procurement Model. The presentation will focus on the project goals of reconciliation, net-zero carbon future, and healing environment and how they are being delivered with the goal of giving back to the people and lands the project will serve as well as how the Alliance Procurement Model has been leveraged to achieve these objectives.

Objectives:
• Describe how the Alliance Procurement Model process and how the project delivery method has been leveraged to maximize the key result areas tied to staff wellness, healing environment, and Indigenous representation and inclusion
• Learn about how patient centered design and reconciliation was approached.
• Assess how sustainability and resiliency can support the needs of patients, their external support networks, and healthcare workers, including highlights of specific approaches while balancing energy and sustainability goals 

1645-1700  Closing Ceremonies