Featuring Keynote Speakers Terri Wareham of Kaufman, Hall & Associates and Gladys Campbell, Northwest Organization of Nurse Executives

In the heated debates about the future of healthcare, where does design fit in? Where are healthcare trends, both politically and economically, headed, and how will they affect your practice? What changes in market demand, financing and service delivery should we anticipate? Can we improve the patient experience, despite those economic challenges? Join us for this and other topics at the annual AIA Seattle/Architecture for Health Panel Medical Design Forum. The program features a case study, networking, interactive learning, panel debates & audience Q&A.

Architects and facility executives from around our region will learn how design today can anticipate the healthcare facilities of tomorrow. This popular annual forum features leaders in healthcare design and is in collaboration with the Washington State Society of Healthcare Engineers (WSSHE) and the Washington State Department of Health's Construction Review Services.

program
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THURSDAY, FEBRUARY 11, 2010
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9:15 — REGISTRATION: Continental breakfast

10:00 — WELCOME

David Frum, AIA, Clark/Kjos and Chair, AIA Seattle Medical Committee

10:25 — THE ECONOMICS OF HEALTHCARE: DOING MORE WITH LESS

Therese L Wareham, Kaufman Hall

12:00 — LUNCH: Please visit our sponsors and sign in twice; once for LUs, once for HSW/SD credits

1:00 — NEW THINKING IN PRACTICE: THE MEDICAL HOME

William D. Biggs, Executive Director Administrative Services Division, Group Health Cooperative
Jay Fathi M.D., Medical Director for Primary Care and Community Health, Swedish
Pat Justis, Medical Home Collaborative Manager, WA State Department of Health
Deborah Swets, Vice President, Membership, Washington State Hospital Association moderates this executive roundtable that considers the ideas, implications and benefits behind the latest patient care delivery concept called “Medical Home.” Read more here (pdf).

2:30 — BREAK

2:45 — ALTERNATIVE FINANCE, OWNERSHIP AND DELIVERY

Tom Owens, Attorney, NBBJ

Jim Yowan, President, Design-Build Institute of America

David Frum, AIA, facilitates discussion and review of alternative finance, ownership and delivery methods such as Integrated Project Delivery , and Design-Build- Operate-Maintain, in relation to their relevance and value more and more creative solutions are needed to keep construction projects moving forward. This experienced panel encourages audience Q&A.

4:45 — CLOSING REMARKS

5.00 — CLOSE

FRIDAY, FEBRUARY 12, 2010
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8:30 — CONTINENTAL BREAKFAST

9:00 — WELCOME
Duncan Davidson, Mahlum, and President, Architecture for Health Panel

9:10 — SPACE AS STRATEGY:

MOVING FROM KNOWING TO DOING IN HEALTH CARE TRANSFORMATION

Gladys M. Campbell, MSN, RN, FAAN
Executive Director, Northwest Organization of Nurse Executives

While the federal government struggles to find acceptable solutions to lower the costs of health care while expanding access to care, the transformation of the actual processes of care delivery will need to be addressed by the many disciplines and industry leaders on the front lines of patient care. The current literature tells us that health care is fraught with inefficiencies and safety concerns impacted by the systems and processes of care, models of care delivery, cultures of care and the geography or spaces where care is delivered. This presentation will provide a prospective from the front line on the impact of space on the work of patient care. The need for collaborative leadership, across disciplines, to address the transformational changes needed in the “geography of care delivery” will be provided.

10:45 — POLITICS AND THE FUTURE OF HEALTHCARE DESIGN
Congressman Jim McDermott

11:30 — LEARN TO SPEAK "CFO": FINANCIAL TOOLS FOR ANALYZING ENERGY MANAGEMENT PROJECTS

Terry Egnor
Senior Consultant to New Buildings Institute, BetterBricks Advisor

Make informed decisions and learn how to speak “CFO” by selecting and applying the right financial analysis tools for energy management projects. This session, brought to us by BetterBricks, provides an overview of financial analysis methods commonly used to evaluate specific projects such as equipment upgrades, renovations, and new construction opportunities for their financial viability. Special emphasis is placed on the need for analytic tools that capture the full cost of ownership and operation, (i.e. lifecycle costing) as the basis for strategic decision making.

12:00 — LUNCH: Please sign for Day 2 credit: once for LUs and again for HSW credits

12:45 — CODES

Chad E. Beebe AIA , CHFM, Manager, Construction Review Services, Washington State Department of Health

Chad will discuss new changes to the 2010 Edition of the Guidelines for Design and Construction of Health Care Facilities such as:

* Design information for technology and medical communication rooms
* A new appendix on performing patient safety risk assessments
* New material on selecting surfaces and furnishings
* Updated requirements for the design of hand-washing stations
* Updated design for protective environment rooms
* New appendix on way-finding features
* Design information for accommodating bariatric patients in the emergency department
* Movement of emergency department pediatric rooms and fast-track areas from the appendix to the main text
* Updated requirements for obstetrical facilities
* Revised organization and numbering to make similar requirements in different locations easier to find
* Patient Handling and Movement Assessment (PHAMA)

2:00 — A Paradigm Shift: Creating an Integrated Suite for Traditionally Disparate Departments

Jim Harman, AIA, Healthcare Architect, ZGF Architects
Barbara Anderson, RN, MN, Nurse Medical Planner, ZGF Architects

Rapidly developing technologies and medical advances have blurred the boundaries between surgeons, radiologists, and cardiologists, resulting in the integration of procedures, equipment, and recovery spaces. In response, Providence Health & Services utilized a new and emerging model of care, combining these three hospital services to create a 28-room, 2-level Integrated Surgical-Interventional Suite in its new 350-bed hospital in Everett, Washington. Research indicates clear benefits of integrating these three key hospital services, allowing for more efficient use of staff and space with a higher level of sterility to increase patient safety and enhance therapeutic experience. This presentation will discuss how three departments were combined, the evidence-based research that informed the project, and the resulting clinical and operational features of the suite.

4:00 — CLOSE

keynote speakers
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Therese L. Wareham, Partner
Kaufman, Hall & Associates, Inc.

Terri Wareham, a partner of Kaufman Hall, has provided capital consulting services to hospitals throughout the country. Her areas of expertise include capital and business planning, financial advisory services, and mergers and acquisitions.

Ms. Wareham has an extensive background in the development of strategic capital plans for both freestanding providers as well as multi-hospital systems. Her expertise also includes the structuring of various financing vehicles, the formulation of master indenture financings, mergers, acquisitions, divestitures, and affiliations. She has experience in virtually all types of financing mechanisms, including fixed rate, variable rate, insurance, demand bonds, advanced refundings, long- and short-term debt, letters of credit, leases, and secured transactions.

Ms. Wareham is a frequent lecturer and author on capital-related topics in healthcare for organizations including the American College of Healthcare Executives, Healthcare Financial Management Association, American Hospital Association, Florida Institute of CPAs, and The Governance Institute.

Ms. Wareham has an M.B.A. with concentrations in Hospital Administration and Finance from the University of Chicago Graduate School of Business. She received a B.S. from the University of Notre Dame.
 

Gladys Campbell, Executive Director
Northwest Organization of Nurse Executives (NWONE)

Gladys’ extensive background includes work at the National Institute of Health (NIH) and numerous clinical settings throughout the country. She is the past president of the American Association of Critical Care Nurses, a fellow at the College of Critical Care Medicine, a member of the American Nurses Association, is a published author, and a frequent national and international speaker. In November, she will be formally inducted into the American College of Nursing.

Gladys Campbell began her career in Seattle, Washington where she graduated from the University of Washington. After graduation she worked and lived in Seattle, Boston, New York and Washington DC where she completed her graduate work at the Catholic University of America and worked at the NIH for 20 years. After leaving Washington DC, she worked in Nashville, Tennessee and in November of 2003 relocated to Portland, Oregon where she was the Assistant Administrator for Nursing and Patient Care at the Providence Saint Vincent Medical Center for three years. She is currently Executive Director for Northwest Organization for Nursing Executives.

presenters
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Chad Beebe AIA
Mr. Beebe is a Registered Architect and a Certified Fire Protection Specialist. He is currently the manager of the Construction Review Services (CRS) program at the Washington State
Department of Health, which oversees the construction of licensed and certified healthcare projects in the state of Washington.

Chad’s experience includes master planning including the Department of Defense Base Realignment and Closure (BRAC) project, fire and life safety evaluation surveys for JCAHO Statement of Conditions, campus planning, feasibility studies, cost estimating and the design and construction administration of over 600 projects. Some of his more notable and interesting projects include America’s first floating school, and Washington’s first privately owned LEED Platinum building.

Mr. Beebe is a member of the American Institute of Architects and the National Fire Protection Association. As a recognized industry expert in the design and construction of healthcare facilities, he serves on many nation wide panels and committees that develop the regulations for the design and construction of healthcare facilities.

William D. Biggs, Executive Director Administrative Services Division
Group Health Cooperative

Mr. Biggs is a real estate professional with more than 25 years experience in architectural planning, construction, development, project and facilities management, land acquisition and disposition, leasing, corporate materiel management, administration, budgeting and leadership. He has been with Group Health Cooperative since 1986 and currently serves as Executive Director of Administrative Services. He is responsible for facilities, medical equipment, materiel management and other enterprise-wide administrative operations with an annual budget exceeding $117 million.  Mr. Biggs graduated from the University of Oregon with a Bachelor of Architecture Degree. He has served on several executive advisory boards including Project Management Institute, University of Washington Project Management Advisory Board, Premier Purchasing Partners Compliance Committee; Hospital Shared Services Association Board as President, and currently the Redmond Chamber of Commerce Board of Directors.  Group Health is a managed health care system operating in more than 3 million square feet located in approximately 50 locations in Washington State. With management support from CB Richard Ellis, Group Health has recently constructed 3 new medical facilities, a new corporate headquarters and is currently pursing a variety of significant remodel and replacement projects.

Terry Egnor, Senior Consultant to New Buildings Institute and BetterBricks Advisor

With over twenty five years of experience in energy management and services, Mr. Egnor, at MicroGrid and through his varied publications, has promoted the use of intelligent design and integrated systems to maximize building performance as well as provide additional customer benefits. With The Hartman Company, MicroGrid has produced a string of regional and national energy award-winning projects that substituted technology and intelligence for energy. Egnor, an ASHRAE member since 1983, is a Senior Consultant to NBI and a BetterBricks Advisor for the Northwest Energy Efficiency Alliance.

Jay Fathi, M.D.
Dr. Jay Fathi is a Seattle native, and received both his history and medical degrees from the University of Washington. He completed residency at Swedish Family Medicine in 1996, and worked as a faculty physician at the 45th Street Community Clinic for the next 12 years. Dr. Fathi's clinical interests include mental health/substance abuse issues and hepatology. In 2008, he was named Medical Director for the Program for Primary Care Outreach and Community Health at Swedish, which helps Swedish continue as a leader and innovative force in primary care and community/public health issues in the region.

Jim Yowan
Jim Yowan is a vice president of Mortenson Construction and leader of Mortenson’s Northwest operations based in Seattle, Washington. Jim has over twenty years of construction industry experience. Prior to returning to Seattle, Jim led a Mortenson group from Minneapolis, Minnesota that procured and built its largest and most complex projects throughout the United States. Jim was Mortenson’s onsite Project Director for the construction of the Walt Disney Concert Hall in Los Angeles, a project that many consider the most difficult construction project built in the United States in recent times. Prior to Walt Disney Concert Hall, Jim completed Mortenson’s largest design-build project at the time, a semiconductor manufacturing facility in Northern Ireland.  Jim received his Bachelor of Architectural Engineering degree from the Pennsylvania State University. Jim is the president elect for the Design-Build Institute of America Northwest Region and is on the board of directors for Enterprise Seattle and the Seattle Sports Commission.

 
many thanks to our medical forum sponsors
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SILVER

BRONZE
Andersen Construction
CDi Engineers
Cochran
Interface Engineering
GLY Construction
The Robinson Company
Wood Harbinger