HealthcareFacilities Journal of Canadian Healthcare Engineering Society
Volume 33 Issue 3
Inside The Green Issue Enhancing Care at Calgary's South Health Campus Staying Connected With Sustainable Technology Canadian Coalition and Energy Star Leading the Way
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HEALTHCARE HEALTHCARE VENTILATION SYSTEMS VENTILATION SYSTEMS What’s really in yours ? What’s really in yours ?
We are pleased to announce that Ventcare now monitors hospitals the We are pleased50toplus announce thatinVentcare Ontario region. now monitors 50 plus hospitals in the
Ontario region. Labour Canada has fully “acknowledged” scopefully of Labour Canadathehas work provided in the semi“acknowledged” the scope of annual inspection program. work provided in the semiIn addition, the written annual inspection program. documentation contributes In addition, the written greatly to thecontributes hospital documentation accreditation greatly to programs. the hospital accreditation programs. Further we are always pooling the knowledge resources Further we are always poolingof Infection Control and Engineering the knowledge resources of Groups like CHES, the ventilation Infection Control and Engineering inspection is in a constant Groups likeprogram CHES, the ventilation evolution meet future needs for inspectiontoprogram is healthcare in a constant patients and staff. evolution to meet future healthcare needs for patients and staff.
The location and inspection of the hospital ventilation fire doors may be part of The location and inspection the Some hospital your building audit thisofyear. of ventilation fire doors may be part of you have already taken advantage yourofbuilding auditsoftware this year. program Some of our new youwhich have already taken advantage in conjunction with our of patented our newrobotics, softwareallows program us which in conjunction with our to minimize ceiling access patented robotics, allows us requirements. to minimize ceiling access requirements. To date, of the thousands of fire doors inspected To date, of the thousands approximately 30% are of doors accessible inspected not fire humanly approximately are from traditional30% ceiling not humanly accessible access points. Our from traditional ceiling patented robot overcomes points.allowing Our thisaccess obstacle, patented robot overcomes complete documentation of all obstacle, allowing fire this doors within the ventilation complete documentation all system. Further, of the total,of7% fire doors within the ventilation have been found defective, blocked system. Further, the total, 7% with wood, wired up, orof simply closed have been found defective, blocked shutting off airflow. with wood, wired up, or simply closed shutting off airflow.
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Canadian Healthcare Facilities Volume 33
Canadian Healthcare facilities IS published BY under the Patronage of the canadian healthcare engineering society
Steve McLinden e-mail: firstname.lastname@example.org
Matthew Bradford e-mail: email@example.com
MediaEdge Communications 416-512-8186 e-mail: firstname.lastname@example.org
Articles 13 Call for Nominations: CHES Board of Directors / CHES Awards 16 Announcements CHES By-Laws Ammendments / CHES 2013 Webinar Series 32
17 Benchmarking 2.0 in Operation You can't manage what you don't measure 18
nhancing Care at Calgary's E New South Health Campus A study in sustainable design
SCIss JOURNAL trimestriel publié PAR MEDIAEDGE COMMUNICATIONS INC. sous le patronage de la société canadienne d’ingénierie DES SERVICES DE SANTÉ Steve McLinden e-mail: email@example.com
Rédatric intérimaire Matthew Bradford
MediaEdge Communications 416-512-8186 e-mail: firstname.lastname@example.org Pubicité
COORDINATEUR de production
23 Canadian Coalition and ENERGY STAR Leading the Way 30
departments 6 Message from the Publisher By Steve McLinden 8 Message from the President By John J. Knott 10 Chapter Reports
24 Setting the Standard with CSA Z317.13 Improving infection control during health care construction 26
CHES 2013 National Conference Preview
Green Seal: What's in the Wash? GS-51 sets new standards for laundry products
30 Colchester East Hants Health Centre Opens in Nova Scotia Embracing green innovations on the east coast 32 Staying Connected With Sustainable Technology Leveraging collaboration tech for a greener healthcare future 34 Preparing Facilities for Climate Change and Extreme Weather Strategies from the Canadian Coalition for Green Health Care
CHES Canadian Healthcare Engineering Society
Société canadienne d'ingénierie des services de santé
John J. Knott
EXECUTIVE DIRECTOR Donna Dennison Chapter Chairmen Maritime: Phil Langford Alberta: Ken Herbert B.C.: Mitch Weimer Ontario: Allan Kelly Manitoba: Reynold Peters Newfoundland & Labrador: Brian Kinden Founding Members H. Callan, G.S. Corbeil,
J. Cyr, S.T. Morawski
4 Cataraqui Street, Suite 310 Kingston, Ontario K7K 1Z7 Telephone (613) 531-2661 Fax (613) 531-0626 e-mail: email@example.com CHES Home Page: www.ches.org Canada Post Sales Product Agreement No. 40063056 ISSN # 1486-2530
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Embracing green healthcare from coast to coast Going green. We hear this phrase repeated in industries across Canada, and yet few match the level of commitment to environmental sustainability demonstrated by those in the healthcare field. Once again, we've dedicated an entire issue to showcasing eco-friendly healthcare initiatives across Canada. This includes an in-depth look at the green design concepts behind Alberta's new South Health Campus and Nova Scotia's new Colchester East Hants Health Centre; as well as updates on ENERGY STAR and Green Seal standards, and how they are being adopted by facilities throughout Canada. In our 2013 Green Issue, we also turn our attention to energy conservation techniques using video collaboration, as well as strategies from the Canadian Coalition for Green Health Care concerning how facilities can best prepare themselves for climate change and extreme weather. As well, please read with interest CSA's article detailing the ins and outs of its Z317.13 standard for Infection Control during Construction, Renovation, and Maintenance of Health Care Facilities. These are all essential reads for facility owners and operators aiming to stay ahead of the curve in terms of sustainable practices and patient care. As always, there are many exciting things on the go at CHES. Inside you will find information on the new 2013 Webinar schedule, nominations for both the CHES awards and board of directors and, of course, the latest news and previews for the 2013 CHES National Conference. Running September 22-24 at the National Convention Centre in Niagara Falls, Ontario, this annual industry event promises to offer excellent networking, educational, training, and entertainment opportunities. I look forward to seeing you on the tradeshow floor and at many of the informative sessions, panels, and presentations on offer. I hope you enjoy this issue and that it gives you a few green ideas of your own. If you have suggestions, or would like to submit a story idea for future editions, please email me at the address below.
Steve McLinden Publisher firstname.lastname@example.org Reproduction or adoption of articles appearing in Canadian Healthcare Facilities is authorized subject to acknowledgement of the source. Opinions expressed in articles are those of the authors and are not necessarily those of the Canadian Healthcare Engineering Society. For information or permission to quote, reprint or translate articles contained in this publication, please write or contact the editor. Canadian Healthcare Facilities Magazine Rate Extra Copies (members only) $25 per issue Canadian Healthcare Facilities (non members) $30 per issue Canadian Healthcare Facilities (non members) $80 for 4 issues A subscription to Canadian Healthcare Facilities is included in yearly CHES membership fees. La reproduction ou l’adaptation d’articles parus dans le Journal trimestriel de la Société canadienne d’ingénierie des services de santé est autorisée à la condition que la source soit indiquée. Les opinions exprimées dans les articles sont celles des auteurs, qui ne sont pas nécessairement celles de la Société canadienne d’ingénierie des services de santé. Pour information ou permission de citer, réimprimer ou traduire des articles contenus dans la présente publication, veuillez vous adresser à la rédactrice. Prix d’achat du Journal trimestriel Exemplaires additionnels (membres seulement) 25 $ par numéro Journal trimestriel (non-membres) 30 $ par numéro Journal trimestriel (non-membres) 80 $ pour quatre numéros L’abonnement au Journal trimestriel est inclus dans la cotisation annuelle de la SCISS. 6 Canadian Healthcare Facilities
Message from the President
Welcoming a season of growth and opportunity Spring is finally upon us and it is time to shake off those winter blues and the last remaining traces of cabin fever. What a wild winter of extremes we have had across the country. I hope everyone made it through without too much trouble, and that this message finds you all in good health. As always, I have many projects to report on. The partnership between CHES and the Canadian College for Healthcare Leaders (CCHL) is now official, and I am sure that you will start to see the results of activity between the two organizations shortly. Joint ventures in educational and conference offerings are already in the works. CHES will also use this pipeline to the C Suites to spread word of our activities and advocate for member education through conferences and other means. CHES is working hard to strengthen the organization nationally through the creation of new provincial chapters that will truly link us all from coast to coast. I will keep you posted on developments as they occur. CHES remains in conversation with the International Association of Healthcare Security and Safety (IAHSS) about forming a partnership with that group. It is our hopes that we can make an announcement on that in the near future. I encourage all of our members to take advantage of the CHES Webinar Series and to forward any webinar ideas our way. Every year, the Communications Committee puts together a great curriculum of very affordable educational offerings. It is a great way to educate yourself and staff, and the cost is the same if one person or a hundred people take it at any given site. I encourage you all to register for the upcoming 2013 series. The ASHE, CHES, and IFMA benchmarking results have been released and thanks go to Steve Rees for representing CHES in this venture. What an amazing result! We have also tabulated the results of our recent member survey and I thank those that participated. Already, action plans are being formulated to address many suggestions that we have received, and this document will help us to set a course for CHES to follow over the next few years. There is always room for improvement and developing new and better ways for CHES to add value added service for our membership. Finally, make sure you support your various chapter conferences and education days. It is always good to network with your peers and colleagues and see what is new in terms of technology and best practices. Keep your calendars open for the National Conference in Niagara Falls, September 22-24 at the Scotiabank Convention Centre. Ron Durocher and his conference team look forward to showcasing this area of the country and delivering an exceptional educational program and tradeshow. Hope to see you all there. John J. Knott, CET, HMT, CEM CHES National President
8 Canadian Healthcare Facilities
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Chapter Reports Apparently spring is here, but would somebody please advise Mother Nature? Her sense of humour leaves much to be desired! As it was noted in CHF's winter issue, the Alberta Chapter is attempting to continue our educational activities. By the time you read this, Alberta will have supported two such initiatives: March 6 & 7: CSA Z8000 & Z317.13 and Speaker/Panel presentations in Edmonton March 21 & 22: Canadian Healthcare Construction Course in Calgary Our members also had the opportunity to attend one meeting in February at the Kaye Edmonton Clinic, which featured a presentation by Doug Dunn. We have started discussions concerning the 2015 CHES National Conference in Alberta. Unfortunately, Banff did not made the cut due to extenuating circumstances. However, we will ensure a suitable location is found. Stay tuned for further updates. Finally, I want to urge our chapter members to please attempt to attend a few meetings. Your participation has a direct influence on our success. I hope to see you there, and that everyone has a great spring.
Preston Kostura, Alberta Chapter Chair
Wow! The 2013 CHES BC Conference and Tradeshow exhibitor registration is close to 80% full and delegate registration is starting to heat up. This means our conference in Whistler, slated for June 9-11, is just around the corner. The conference's theme, MISSION (im)POSSIBLE: Codes/Standards/Regulations, will focus on navigating the myriad of challenges faced by facility leaders when dealing with regulatory code related issues. For the second year in a row, registration is fully electronic and can be completed totally online. Please check www.CHES.org for registration information. The BC Conference Education Committee is finalizing what will be an amazing educational platform that has attracted an abundance of presenters for limited speaking opportunities. Thank you to all who applied. With the introduction of the recently updated CSA Z317.13, CHES BC has fielded a number of questions about the next CAN HCC CHES construction course. This is something that we’ll be working with our national office to try and schedule. CHES BC continues to offer a wonderful education program designed to help its members excel in their work life. We’ve received a number of applications for our $1000 educational scholarships to CHES members. We are also funding attendance for BC members at the CHES Webinar Series and we’re looking to top up some of our standing bursaries at BC educational institutions. The BC executive team met on Friday, March 1, in Vancouver for a full day of executive and conference meetings designed to prepare ourselves for the upcoming year and to help with that final push towards making the 2013 Conference another huge success. 2012 was a busy year for CHES BC and we’re looking forward to more fun in 2013.
Mitch Weimer, BC Chapter Chair
The Maritime Chapter has been busy over the past several months. The main business has been the revamping of the by-laws to put them more in line with those of the National Society. In addition, several members on the Executive Committee have reached (or are nearing) retirement age, and this has caused the chapter to look at bringing in fresh blood to take it to the next level in providing services to our membership. As a chapter with a large contingent of bilingual members, we are presently trying to implement action items that will entice more of these bilingual members to become actively engaged in chapter activities. Several suggestions have been brought forward as possible project stories for the Journal, and one has been earmarked as a possible contender for the Wayne McLellan Award of Excellence award at the CHES National Conference. A group has been established to assemble the application. This year, instead of holding one educational day, the Maritime Chapter executive team has decided to sponsor four 2013 webinars, put on by the society, for its membership. Our chapter conference has been booked for the Delta Hotel in Moncton for May 5-7, 2013. This year’s theme will be on 'commissioning' and several speakers have been already confirmed, including Bill Carson as the keynote speaker. Bill is the chair of the CSA sub-committees, which is putting together the new CSA Standards on 'Commissioning' and 'Maintenance and Operations'. The planning committee continues to firm up further details to make this a great conference. This year’s Bursary Sub-Committee, led by Bill Goobie, immediate past chair, is busy preparing applications for our 2nd annual $1000 Bursary, which we hope to give to a deserving family member from our membership at our annual conference. Last year’s winner, Janelle Poushay from Sydney Nova Scotia, is studying engineering at Dalhousie University. Who knows? Maybe she will end up replacing her father, Nelson, who is soon due to retire as director, Physical Plant for the Cape Breton Health Authority. Ralph Mayfield, Past Chair of the Maritime Chapter, has graciously agreed to chair the National Planning Committee for the National Conference to be held in Saint John New Brunswick. He and Donna from national office have been busy selecting the site of the conference and will soon have a contract signed so his planning sub-committee can start working on the program as well as other details. Currently, we are trying to ensure that we have a Maritime representative on all national and chapter committees / sub-committees so we can ensure our voice is heard and we can get as many members within the chapter active. As you can tell we have a number of committees operating and are a very active chapter. Phil Langford, Maritime Chapter Chair
10 Canadian Healthcare Facilities
The Canadian Healthcare Engineering Society (CHES) has launched a new electronic newsletter. As a supplier to the hospital and long term care sector, you have an opportunity to reach out to every CHES member plus an additional 2,000 long term care facilities. Your advertising message will be delivered to over 3,000 inboxes with the latest in news and developments in the health care sector.
New in CHES/SCISS
January 25, 2011
Benchmarking Study The Benchmarking Study is now available online as a downloadable pdf. Members must first login and then click on Resources. Read this article > Benchmarking Study The Benchmarking Study is now available online as a downloadable pdf. Members must first login and then click on Resources. Read this article > Benchmarking Study The Benchmarking Study is now available online as a downloadable pdf. Members must first login and then click on Resources. Read this article > Benchmarking Study The Benchmarking Study is now available online as a downloadable pdf. Members must first login and then click on Resources. Read this article > Advertise in the CHES/SCISS E-News For additional information, please click here.
Call today to book your spot. CHES e-news will mail monthly in 2013. Space is limited. Steve McLinden, Publisher • Tel: 866-216-0860 x239 • Local: 416-512-8186 x239 • Email: email@example.com
Chapter Reports The CHES Ontario executive has been meeting regularly. Discussions at our last meeting included our work with the Canadian Coalition for Greening Health Care (CCGHC), the LTC association show, the CCHF sponsorship, a conference update, and elections for the positions of VP, secretary, and treasurer. The Canadian Coalition for Green Health Care (CCGHC), in partnership with CHES Ontario, is working on a project sponsored by the Ontario power Authority to place energy efficiency service providers (EESPs) in service to all Ontario member hospitals. the roving EESPs will provide their expertise to hospitals at no cost. smaller hospitals are expected to gain the biggest benefit from the program because they would not have a dedicated staff for energy projects. CCGHC and CHES member hospitals who wish to be a part of the trial, please make me or the CCGHC aware of your interest. the success of the pilot will determine the duration of the program. Ontario’s 2013 conference will be in conjunction with the National Conference in Niagara Falls on September 22-24, 2013. The program is well under way and the details can be viewed on the CHES website. Thanks goes out to our volunteer planning committee members. Plan to attend so that you can “build your expertise” through the knowledge of our partners and peers. CHES Ontario is hosting an education day on April 3, 2013, with the topic being the new CSA Z-8000 standard. The event is intended for architects, engineers, planners, hospital engineering staff, and construction professionals. The session will be subsidized by the Ontario Chapter as a member benefit. The Ontario Chapter offers subsidized education opportunities a couple times per year. Make sure you take advantage of all your association has to offer. Elections for Ontario executive positions will be taking place at the end of September. I wish to thank all those who expressed an interest in the various positions available for election. Your interest in our association will help keep it strong. A call for nominations will be coming out shortly. Please consider standing for one of the positions. On behalf of our chapter chair, Allan Kelly, and myself, we hope to see you at the National Conference in Niagara Falls this September. Ron Durocher, Ontario Chapter past-chair
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CALL FOR NOMINATIONS FOR AWARDS
2013 Hans Burgers Award For Outstanding Contribution to Healthcare Engineering
2013 Wayne McLellan Award of Excellence In Healthcare Facilities Management
DEADLINE: March 31, 2013
DEADLINE: April 30, 2013
To nominate: • Please use the nomination form posted on the CHES website and refer to the Terms of Reference.
To nominate: • Please use the nomination form posted on the CHES website and refer to the Terms of Reference.
Purpose • The award shall be presented to a resident of Canada as a mark of recognition of outstanding achievement in the field of healthcare engineering.
Purpose • To recognize hospitals or long-term care facilities that have demonstrated outstanding success in completion of a major capital project, energy efficiency program, environmental stewardship program, or team building exercise. Award sponsored by
For nomination forms, terms of reference, criteria, and past winners, visit: www.ches.org / About CHES / Awards Send nominations to; CHES National Office firstname.lastname@example.org Fax: 613-531-0626
Spring/printemps 2013 13
CHES Board Nominations
Call for Nominations CHES Board of Directors
CHES members are invited to submit nominations for the following positions: • Vice President • Secretary • Treasurer A member in the Regular Membership Classification is eligible for office. Nominations can be received either by: Members identify and nominate eligible qualified candidates Members who are interested in standing may submit their own name as a candidate. Basic function and responsibilities of a board member: • Set policy and direction of the Society • Serve as a spokesperson for the Society • Represent the interests and discipline of the Society • Serve as technical resource for Society education programs, publications and advocacy • Promote membership and Chapter affiliation • Participate in Society committees In fulfilling these duties, the Board member: • Serves a two year term, after which he/she is eligible for re-election • Attends Board Meetings by conference call and at annual conference (financial assistance provided for conference travel expenses) • Carries out projects as assigned by the President • Prepares written report of activities for each Board meeting Candidates must be active in and a participating member of the Society for a minimum of two years. Candidate should be in compliance with all provisions of the By-Laws, having the ability to carry out the fundamental duties of the assignments of the Board. Candidates should obtain the approval of their superior for permission to serve on the Board. Nominations must be received by April 30, 2013 and should be sent by fax or email to: CHES National Office Fax: 613-531-0626 email@example.com Sincerely.
Michael Hickey Chairman, Nomination & Elections Committee Past President, CHES
CHES Canadian Healthcare Engineering Society
14 Canadian Healthcare Facilities
Société canadienne d'ingénierie des services de santé
WHY ARE WE AMENDING THE CHES BY-LAWS? The new Canada Not-for-Profit Corporations Act (NFP Act) establishes a new set of rules for federally incorporated not-for-profit corporations in Canada. These new rules will replace Part II of the Canada Corporations Act (old Act), the law that has governed federal corporations for nearly a century. CHES must replace its Letters Patent and by-laws with new charter documents by submitting Articles of Continuance to obtain a Certificate of Continuance, and creating and filing new by-Laws. The articles and by-laws must comply with the NFP Act. These charter documents set out the primary rules governing CHES. The deadline to make the transition is October 17, 2014. Corporations that do not make the transition by the deadline will be assumed to be inactive and will be dissolved. A sub-committee was formed to review the requirements of the Act and then change the current CHES By-Laws to comply with the new rules. You will be asked to vote on the Articles of Continuance on the website; and on the amended by-laws at the AGM. We will be sending out notifications, please look for the notifications and be prepared to vote so that your voice is heard. Transition Stages: April 16 - May 15, 2013
Members vote on Articles of Continuance
May 1-31, 2013 Amended By-Laws circulated to the membership for solicitation of comments. May 31-June 15, 2013 Further Amended By-Laws incorporating changes, if any, will be re-circulated to the membership by email and posted on the website. September 24, 2013 Amended By-Laws will be presented at the AGM in Niagara Fall ON for a Member vote.
ANNOUNCING CHES 2013 Webinar Series March 27, 2013 Green HVAC Done Right Speaker: Eugene Smithart, Trane Canada
November 27,2013 Leadership Speaker: TBD
April 24, 2013 Water, mould, and sewage restoration Speaker: Graham Dick, Genesis Restoration
Time: BC: 09:00 AB & SK: 10:00 MB: 1100 ON & QC: 1200 NS & NB: 1300 NL: 13:30
October 30, 2013 Disaster Management Speaker: Norm Ferrier, Emergency Management Consultant
REGISTRATION: CHES Member Series Ticket: $90 + $11.70 HST = $101.70 (1-time payment for all 4 sessions) Non-member Series Ticket: $120 + $15.60 HST = $135.60 (1-time payment for all 4 sessions) CHES Member Single Webinar: $30 + $3.90 HST = $ 33.90 (per webinar) Non-Member Single Webinar: $40 + $5,20 HST = $45.60 (per webinar)
The registration form is on the CHES website under Professional Development/Webinar Program. We invite you to join us for this series! 16 Canadian Healthcare Facilities
Benchmarking 2.0 in Operation
You can't manage what you don't measure By Steve Rees
In 2012, CHES partnered with the American Society of Healthcare Engineers (ASHE) and the Healthcare Institute (HCI), an affiliate of the International Facility Management Association (IFMA), in a healthcare facilities maintenance and operation benchmarking project called Benchmarking 2.0. For those that participated in Benchmarking 2.0, you already know that it is available for use at hci.IFMA.org. For those that did not participate, and for those that did, a published report will be available in April. The Benchmarking 2.0 tool that is available now is extremely powerful and can provide participants with much more in the form of customized reports. These customized reports will provide you with more specific information to suit your own organizational needs. In Canada, there have been many benchmarking initiatives in the past, but usually only provincial or organization wide. In Benchmarking 1.0, initiated by ASHE and IFMA in 2009, there existed only 7 participating facilities within Canada. In Benchmarking 2.0, there are 100 facilities participating because of the strong support of CHES nationwide. How many times have you asked—or been asked—how well your facility compares to others whether in terms of
energy consumption, maintenance strategies, or operational costs? I know for myself, there are common questions that were difficult to answer because of a lack of accurate information. With strong participation in Benchmarking 2.0 from all across North America, we now have that accurate information we need. We are able to compare facilities to similar facilities in the same geographic and climate zones. When comparing facility information, it is essential to fully understand the facility type, age, size, geographic location, and other important variables. It is detrimental if you don't have all the key information, or if the information is not accurate. For those that have participated in Benchmarking 2.0, please utilize the tool at hci.IFMA.org and let me know if you have comments or suggestions for Benchmarking 3.0 which we are already in early planning stages for. For those that did not participate in the survey, the Benchmarking 2.0 Report will be available in April, 2013. Please feel free to contact me with questions, comments and suggestions at firstname.lastname@example.org. Steve Rees is VP of Facilities Maintenance & Engineering Capital Management with Alberta Health Services
“When comparing facility information, it is essential to fully understand the facility type, age, size, geographic location, and other important variables.”
Spring/printemps 2013 17
Enhancing Care at
Calgary's New South Health Campus A study in sustainable design By Matthew Bradford
18 Canadian Healthcare Facilities
Alberta Health Services has welcomed a new star to its healthcare stable with the launch of the new South Health Campus (SHC) in its Calgary Zone. Spanning a 44-acre site in southeast Calgary, the $1.3 billion state-of-the-art acute care facility has started opening in phases, offering residents of southern Calgary, Alberta, and British Columbia communities a fresh, innovative, and green approach to healthcare delivery. “Our vision for the site included the creation of four philosophical pillars: Patient and Family Centred Care, Wellness, Collaborative Practice, and Innovation,” explains Lori Anderson, Vice President, South Health Campus, “The pillars were integrated into all aspects of planning for design, construction, and operations.” SHC's arrival is the result of over a decade of consultations between AHS and key stakeholders, developers, patients, advisory groups, and community members. Its goal: To ease demand for healthcare services within the region while offering a broad suite of services that embrace all aspects of health and wellness. “The decision to call the site a 'campus' was based on the desire to establish more than an acute care hospital, with opportunities for the community to access a variety of services focused on wellness, and
for the site to have a strong educational and learning focus for staff, patients, families, and the community,” explains Anderson. “The site will provide a full range of services to support the community and provide new capacity to Calgary in several priority areas.” To attain its ambitious design goals, AHS turned to Kasian Architecture Interior Design and Planning Ltd., whose portfolio includes numerous and noteworthy healthcare facilities including the Albert Children's Hospital, The U of C Child Development Centre in Calgary, Alberta; and the Jim Pattison Outpatient Care and Surgery Centre in Surrey, BC; among others across Canada and the globe. “The region recognized that the future success of the health system requires revolutionary changes to the way things are currently done. The South Health Campus presents a unique opportunity to increase bed capacity and explore new models of delivering healthcare in the Calgary Zone,” said Milton Gardner, Principal Architect with Kasian. Progress in Phases
SHC is slated to develop in phases, with its first $1.3 billion phase
Fall/automne Winter/hiver 2012 2013 19
scheduled to wrap up in full this fall. Once complete, SHC will offer a full suite of acute and ambulatory healthcare offerings, including cardiac, neurological, emergency, critical care, mental health, women's health, diagnostic imaging, general medicine, surgical services, and medical and surgical day services. At this time, it will contain 269 beds, 11 operating rooms, and be equipped to handle an annually capacity of 200,000 outpatients. Already, SHC has brought much needed support and services to the region. Since Fall 2012, the hospital has opened more than 50 programs and services, treating thousands of southern Albertans and adding much needed capacity for the region. Its SHC emergency department, opened January 14, 2013, treated an estimated 4,000 patients in its first month alone, and is
predicted to treat 60,000 in its first year. Elsewhere, SHC's Mental Health Emergency Services has also opened its doors; more than 10,000 diagnostic imaging (DI) exams have been performed; over 5,000 patients have been seen at its Neurosciences clinic; and over 2,300 patients have benefitted from its Academic Family Medicine department. Patient care notwithstanding, it is estimated that the facility will become home to 2,400 staff and 180 doctors by the end of the year. According to Gardner, the facility is more than ready to accommodate that volume, saying, “SHC is designed to optimize staffing. The campus has been designed to minimize the amount of staff walking while facilitating staff supervision and access to patients, thereby maximizing patient care time. Errors are further minimized by locating support functions close by and having patient rooms with universal services to facilitate flexibility while reducing patient transport.” South Health Campus' Standout Features
Innovation runs throughout the halls and healing spaces of SCH, with more to be incorporated as the facility nears its target completion. Standout features include: • H i g h l y a d a p t a b l e p a t i e n t accommodations and departments, allowing for rooms to be used for multiple purposes and for future renovations and expansions to be done at minimal cost and disruption to adjacent areas; • A YMCA fitness facility, promoting wellness and community for patients, staff, and community residents; • A demonstration kitchen, offering classes on healthy diet and cooking; • Health resources and knowledge centres; • Advanced equipment, including automated drug cabinets and an eSim lab; • A cafe style visitor concourse; and • Ample healing spaces, promoting natural health and wellness. “The South Health Campus is more than a place to treat illness and disease. By inspiring a wellness mindset, we focus on supporting, encouraging, and assisting people along their health and wellness 20 Canadian Healthcare Facilities
Architect: Kasian Architecture Interior Design and Planning Ltd. Interior Design: Kasian Architecture Interior Design and Planning Ltd. Landscape Architects: Phillips Farevaag Smallenberg & Scatliff + Miller + Murray Inc. Signage & Wayfinding: Shikatani Lacroix Geotechnical: Amec Earth & Environmental Elevator Consultant: Lerch Bates Transportation Engineering: Stantec Consulting Fire and Life Safety: Senez Reed Calder Fire Engineering Inc. Food Services: Kaizen Foodservice Planning & Design Inc. Construction Manager: Ellis Don Construction Structural Engineers: RJC / Stantec Mechanical Engineers: Weibe Forrest Engineering Electrical Engineers: Stebnicki & Partners Acoustic Engineers: Faszer Farquharson & Associates Ltd.
journey,” says Anderson, adding, “The wellness principle is incorporated into SHC services, programs and spaces.” GREEN TO THE CORE
Green design was one of AHS's core considerations for SHC from the very start. In concert with Kasian, construction manager Ellis Don Construction, structural engineers RJC and Stantec, mechanical engineers Weibe Forres Engineering, and other project partners, SHC's buildings were designed in compliance with USGBC LEED Silver standards and in accordance to GCHC guidelines. “During the course of schematic design, Alberta Infrastructure encouraged the design team and Alberta Health Services to achieve a LEED Silver designation for the project and this represented a significant challenge given the many sophisticated operational requirements for a modern healthcare facility which include 24/7 operations, requirements for 100% high volume air exchanges, energy and water use intensity, infection control requirements,
formidable regulatory requirements, and the heightened need for patient privacy,” explained Patrick McInenly, Director, SHC, Facilities, Maintenance and Engineering. The AHS design team pursued LEED Silver credits through five key sections, including: • Sustainable Site Development i.e, Erosion & S e d i m e n t a t i o n C o n t r o l , Pu b l i c Transportation Access, Bicycle Storage and ChangingRooms,StormWaterManagement, Rate / Quantity, Heat Island Effect (nonroof), Light Pollution Reduction, Water Efficient Landscaping: Reduce by 50%, and Water Efficient Landscaping: No irrigation. • Energy Efficiency: i.e., CFC Reduction, Optimizing Energ y Per for mance, Ozone Protection, and Measurement and Verification. • Materials and Resources: i.e., Storage a n d C o l l e c t i o n o f Re c y c l a b l e s , Construction, Waste Management, Recycled Content, Use of Regional Materials, and Durable Building Credits. • Indoor Environmental Quality: i.e., Spring/printemps 2013 21
Tobacco Smoke Control, Construction Indoor Air Quality Control, Low Emitting Materials for Adhesives, Paints and Composite Wood Adhesives, and Indoor Comfort Monitoring. As noted, water efficiency played a vital role in SHC's green build. Currently, the facility uses over 60% less potable water than a comparable facility thanks to the installation of low flow toilets and urinals, automatic sensing faucets, and an innovative system that re-uses water that would normally be deposited in the drain. Its design also facilitates the use of reverse osmosis (RO) purified water for boiler feed-water, general laboratory use, and final rinse cycles in surgical equipment sterilization processes. Furthermore, Gardner explains, “Generating RO water produces large volumes of waste water that is usually rejected to the building sewer. In the South Health Campus, that rejected water, as well as effluent from the regeneration of water softeners, is collected and re-used to flush toilets in the building. The result is an enormous savings in potable water usage.” Other energy saving initiatives include the incorporation of extensive heat exchange processes in the facility's HVAC systems, reflective roofing, use of triple pane windows, and other elements in the building envelope that combine to achieve high insulation values. “The triple glazing of all windows in occupied spaces allowed the team to achieve 22 Canadian Healthcare Facilities
user comfort and no glazing condensation without use of special perimeter radiation systems,” explains McInenly. “The added insulation values of the triple glazing allowed merely the use of regular air circulation to provide enough heating for the exterior envelope performance.” Speaking to the entirety of AHS's green approach, McInenly adds: “There is no question that it is important in this day and age for major government and healthcare facilities to build green and embrace every aspect of sustainable design. By embracing the tenants of sustainable design and construction, the South Health Campus ensures a long lasting, cost efficient, and environmentally sensitive facility to be used and enjoined for several subsequent generations of Calgarians and Albertans to come.” REFLECTING THE ALBERTAN SPIRIT
Aesthetically, Kasian aimed to create a “sense of place” through the application of innovative design both outside and throughout SCH. In so doing, it selected a “Tapestry of the Alberta Landscape” concept which incorporated 17,114 painted metals panels on the campus' main building envelop, representing a pixelated representation of the province's landscape. The use of glass and stone on the exterior wall, covered walkways, and entrance canopies were used to further convey a sense of warmth of community; while campus buildings were set up within a
distinct and interconnected landscape to create a “village feel”. “The campus provides a unique healing environment. The building features outdoor views from all patient rooms as well as natural lighting, soft colours, and natural finishes. This design reflects our philosophy of health, healing, wellness, and balance,” affirms Anderson. Focus was also given to incorporating wayfinding features to alleviate stress and confusion amongst patients and staff. Working with Shikatani Lacroix, the design incorporated ample use of natural lighting, colour coded floors and departments, smart placement of mechanical systems to reduce noise and disturbance, and an overall layout that enhanced visitor flow and orientation. Speaking to SHC's design in whole, Milton Gardner notes, “The way a hospital looks matters. South Health Campus's design gives special attention to the integration of community and hospital through the integration of retail uses and the YMCA within the hospital; as well as the orientation of the most public face—the clinics—to the proposed retail and commercial development of the new community. Attention to scale, openness, landscape, and a myriad of other human touches brings the building into contact with the community.” All in all, he adds, “I feel the hospital design achieves the ambitious and lofty goals set for it by the Province, and that makes me proud of the team's performance.”
Canadian Coalition and ENERGY STAR Leading the Way By Kent Waddington In 2012, the ENERGY STAR Health Care Energy Leadership Program (HELP) (www.energystar.greenhealthcare.ca/ help), with the assistance of CHES National and CHES Chapters, surveyed healthcare facilities across Canada to discover levels of awareness of ENERGY STAR and the degree to which ENERGY STAR qualified products are purchased. The survey found that few healthcare facilities include ENERGY STAR in their procurement policies, despite its ability to save money in the long-term, according to the Canadian Green Health Care Digest (December 14, 2012). Only 14% of respondents reported that they include ENERGY STAR in their procurement policies. Of HELP survey respondents, 86% indicated an awareness of ENERGY STAR, in line with awareness among the general public. Roughly 69% of respondents indicated they had purchased an ENERGY STAR qualified product in the past year, with 90% of respondents stating ENERGY STAR was either “somewhat” or “very influential” in their purchasing decision. The most popular ENERGY STAR qualified purchases were washing machines (clothes and dishes), refrigerators and freezers, televisions, and lighting. Canadian Participants
HELP is an initiative of the Canadian Coalition for Green Health Care www. greenhealthcare.ca, and My Sustainable
Canada (www.mysustainablecanada.org) to promote energy efficiency within Canada’s health services sector. The HELP Team provides participating institutions with educational webinars, ENERGY STAR training, 'Spot the ENERGY STAR Opportunities' walkthroughs at host facilities, sample ENERGY STAR procurement language, and a peer-to-peer network. The team also assists healthcare organizations wishing to obtain ENERGY STAR Participant status, which allows them to use the ENERGY STAR Participant logo to demonstrate a commitment to energy efficiency and ENERGY STAR. The Ottawa Hospital (TOH) recently became Canada’s first health care ENERGY STAR Participant, agreeing to use its formal alliance with Natural Resources Canada (NRCan) and ENERGY STAR to promote energy efficiency as a simple and desirable option for organizations and consumers who wish to reduce greenhouse gas (GHG) emissions, protect the environment, and save on their energy bills. Since then, Mackenzie Health (Richmond Hill, ON) and London Health Sciences Centre (London, ON) have also become ENERGY STAR Participants. Mackenzie Health includes ENERGY STAR as a criterion of their purchasing policy, ensuring high-efficiency ENERGY STAR qualified product options are considered as often as possible in the procurement process. London Health Sciences has a long history of involving its
employees in campaigns to reduce energy use and environmental impacts (through the CHESTER Network), and encourages employees to choose ENERGY STAR when replacing appliances at home. As ENERGY STAR Participants, they are working to increase public awareness of the growing list of opportunities for ENERGY STAR qualified products which meet efficiency specifications set by NRCan's Office of Energy Efficiency. TOH is also implementing internal purchasing policies and educating staff and suppliers on the necessity to consider ENERGY STAR qualified products whenever product replacement or new purchases are discussed. Together with their IT Team, TOH has made tremendous progress in upgrading the majority of their computers and peripherals to ENERGY STAR qualified products, and they continue to educate and incite careful consideration of energy efficiency in all redevelopment and purchasing initiatives throughout their three campuses. For the full case study, and more, visit www. energystar.greenhealthcare.ca/docs. To learn more about ENERGY STAR HELP, visit www.energystar.greenhealthcare.ca/help Kent Waddington is Communications Director with The Canadian Coalition for Green Health Care. Spring/printemps 2013 23
Setting the Standard with CSA Z317.13 Improving infection control during healthcare construction By Jeffrey Kraegel
One of the keys to a healthy hospital is keeping the bugs at bay. Viruses, bacteria, and fungi that would give little trouble to a healthy person can be fatal to someone who is already weakened by age, disease, or another condition. Over the past two decades we have learned more and more about the danger of infection from hospital construction, renovation, and maintenance activities; and Canada has led the way in standards to protect patients from these hazards. Since it was first published in 2003, CSA Z317.13, Infection Control during Construction, Renovation, and Maintenance of Health Care Facilities, has revolutionized work practices in and around healthcare facilities. As with every Canadian standard, it has to be periodically reviewed and updated, and this is especially important in a field that is evolving as quickly as this one. The latest edition of Z317.13 was released in December 2012, and although it keeps to the philosophies of the previous editions, it includes a number of changes and improvements—many inspired by questions and suggestions from users of the previous edition. The new edition includes: A strengthened and expanded quality management section; More detail on the management of water systems during construction; A new clause to provide for minor, short-term work above the ceilings; A new section on precautions to take when construction is going on in the vicinity of the HCF; • In-depth requirements for new construction, which are keyed to the categories and stages of construction; • Guidance on the sizing of HEPA filtered construction air units (CAHUs); and, • New checklists and examples. • • • •
The new edition is available to all CHES members through the CSA Group subscription, and can be accessed through the 'Membership Tools' button on the CHES website. Of course, having the standard is just one piece of the safety puzzle. Ensuring that those involved in the construction and/or renovation of healthcare facilities can effectively navigate the new sections of the standard, as well as understand the latest developments and requirements, is the missing piece. This can be accomplished 24 Canadian Healthcare Facilities
through training based on the standard. Training not only highlights the unique challenges that these types of construction and renovation projects present, but helps to ensure that projects are carried out as efficiently as possible right from the start. CSA Group has already revamped their learning services programs to match the 2012 standard. There are still two courses available, but one of them is new. Both are specially developed to help people move from the 2007 edition to the 2012 edition more readily. The courses are: Fundamentals of Infection Control during Construction, Renovation and Maintenance of Health Care Facilities: This course remains very similar to its predecessor except that it has been updated to include all of the 2012 information in the standard. Z317.13-12: Effective Implementation of Infection Control during Construction and Renovation of Health Care Facilities: A completely new course written specifically to take people further into the standard, but also to serve as a way to get the new information to those who have already attended both of the previous sessions. It consists primarily of case studies (all of them are new from the old Practical Applications course) and focuses in on the areas that saw the significant changes from the 2007. It has two intended audiences: Those who have studied the Fundamentals course (any of the 2003, 2007 or 2012 versions), and those with
extensive experience with IC procedures and involved in major construction projects. “Our aim is to ensure that participants understand the standard before learning how to apply it”, states Jill Collins, CSA Group Learning Institute Product Manager, adding, “Our faculty are leading experts in the field in Canada, bringing years of experience and an incredible depth of knowledge to the classroom setting.” The latest edition of Z317.13 is less than three months old, but with its new information and updates it is already creating a buzz. According to Gordon Burrill, past CHES President and Chair of the CSA committee that developed it, “I know it will go a long way to protecting people who are in our health care buildings for decades to come.” The new courses are currently available for registration on www.shop.csa.ca. Jeffrey Kraegel is a Project Manager with CSA Group, an independent, not-for-profit membership association dedicated to safety, social good and sustainability. Its knowledge and expertise encompass standards development; training and advisory solutions; global testing and certification services across key business areas including hazardous location and industrial, plumbing and construction, medical, safety and technology, appliances and gas, alternative energy, lighting and sustainability; as well as consumer product evaluation services. The CSA certification mark appears on billions of products worldwide. For more information about CSA Group visit www.csagroup.org
Healthcare Engineering Sustainable Design Plant Engineering HVAC Medical Gases
Lighting and Power Communications & Security High Voltage Energy Management
Life Safety Systems
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Accommodations Accommodations A block A block of of rooms rooms is is being being held held at at thethe Marriott Marriott Gateway Gateway onon thethe Falls Falls Hotel Hotel forfor CHES CHES delegates delegates at at thethe raterate of of $165 $165 plus plus taxes taxes forfor Cityview Cityview rooms rooms andand $185 $185 plus plus taxes taxes forfor Fallsview Fallsview rooms. rooms.ToTo receive receive thethe conference conference rate, rate, please please mention mention “Canadian “Canadian Healthcare Healthcare Engineering Engineering Society Society or or CHES CHES 2013” 2013” when when making making your your reservation. reservation.AllAll registrants registrants areare required required to to make make their their own own accommodation accommodation arrangements arrangements directly directly with with thethe hotel hotel byby calling calling 1-877-353-2557. 1-877-353-2557.Any Any unbooked unbooked rooms rooms willwill bebe released released forfor general general sale sale August August 21,21, 2013. 2013.
Ussher’s Ussher’s Creek Creek Golf Golf Course Course
Best Practice in Healthcare
Niagara Health – New St. Catharines Facility Improving Facility Management Efficiencies through Innovative Technologies - Panel 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). Thano Lambrinos, Division Manager, Proactive Maintenance, Plan Group, North York ON
You Can’t Manage What You Can’t See Leading-edge web-based visualization and management tools for drawings, documents and data driving new approach to project and building management, interaction with contractors, consultants, and 3rd party agencies
We Can Be Heroes – CHES, HAI’s and the Physical Environment 10,000 Canadians a year die from Hospital Acquired Infections. New studies show HAI’s can be reduced by as much as 80% by controlling the physical environment.
Patient Wandering / Staff Duress Integration Review of a new implementation of a patient wandering / staff duress system
Trends in utility reliability and current codes and standards for emergency power Utility reliability, natural disasters and outages, codes, emergency back-up generators; co-gen
Barry Hunt, BSc., Chairman and Chief Technology Officer, Class 1 Inc., Cambridge ON
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
Robert Hutton, CET,CEM, Coordinator, Facilities Engineering, St. Joseph’s Health Care London, London ON
Learning from the ‘M’ in the DBFM (design, build, finance, maintain) Process High level review of DBFM, philosophy of a proactive plan, KPI’s, audit tools.
Karen Langstaff, BN, MHSc, Chief Planning Officer, St. Joseph’s Healthcare Hamilton, Hamilton ON
Paul Isaac, P.Eng, General Manager, H.H. Angus & Associates Ltd., North York ON Kim Spencer, P.End/LEED, AP BD+C, General Manager, H.H. Angus & Associates Ltd., North York ON
Taking the Risks out of Energy Efficiency Retrofits 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. Peter Love, President, Energy Services Association of Canada, Toronto ON
IAQ, Air Cleaning & Energy Explore the evolution & importance of IAQ, costs, various technologies
Jeff Watcke, IAQCP, Canadian District Sales Leader, Dynamic Air Quality Solutions, Princeton NJ Timo Lucas, P.Eng, Canadian District Sales Leader, Trane Canada, Victoria BC
Lighting Design Considerations for the Healing Environment Explain the emotional aspects of lighting as they pertain to improved patient health and outcomes. *Correlate the types of rooms found in health care facilities and the recommended lighting practices and standards for those rooms. *Classify and apply practical design considerations for lighting in healthcare settings.
The Brave New World of Medical Gases: New Services, Licensed 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 Gordon Burrill, Vice-Chair, CSA Technical Committee on Medical Gases; President, Teegor Consulting Inc., Fredericton NB
Integrated Project Delivery: Lean Leadership in Saskatchewan Healthcare “Lean” Integrated Project Delivery for 15 new healthcare projects; Sutter health experience Tom Atkins, P. Eng, Vice President, Stantec Consulting, Regina SK John Liguori, Executive Director, Five Hills Health Region, Renton WA Dave Chambers, Lean Coordinator, HOK Architects, Renton WA
Maarten Mulder, MSc, LC, Solutions Sales Manager, Acuity Brands Lighting, Vancouver BC
Powering into the Future – The Journey to Self Sufficient Power London Health Sciences Centre’s journey to self sufficiency, the basic operation of a heat and power cogeneration plant, the economics and the other benefits the hospital has gained while pursuing our strategy. Phil Renaud, Director of Facilities Engineering, London Health Sciences Centre, London ON
POST-CONFERENCE WORKSHOP The New Edition of CAN/CSA- Z317.13 - Infection Control During Construction, Renovation, and Maintenance of Health Care Facilities
Establishing a thorough infection control system with the necessary procedures that ensure current, relevant information is maintained is critical to protecting patients, staff and visitors. CAN/CSA- Z317.13 lays the foundation for effective infection control measures when health care facilities are undergoing construction, renovation or maintenance. This National Standard of Canada has recently been updated including new areas of coverage, new system requirements and information. Take advantage of the opportunity to learn from one of the Technical Committee members who developed the Standard to ask your questions and gain helpful insight for your implementation programs. Learn firsthand what’s new in the Standard and how these changes will impact your organization’s or facility’s projects and implementation programs. Benefits of attending this workshop include:
s s s s
Learn how to navigate the new sections, latest developments and requirements of the standard Recognize risk factors and sources of health care facility infections Acquire practical knowledge on how to apply the necessary measures to help control risk Ask questions and hear answers from the experts
NATIONAL TRADE SHOW Some of the exhibitors you will have a chance to visit! Abatement Technologies Ltd. Asco Power Technologies Canada Bender Canada Inc. BG Distribution Carmichael Engineering Ltd. CEM Engineering CHEM-Aqua Canada Chubb Edwards, A UTC Fire & Security Company C/S Construction Specialties Class 1 Inc. Dafco Filtration Group ECNG Energy L.P. E. H. Price Energy Services Association Fluke Electronics Canada LP Follett Corporation Garland Canada Inc. Genivar GlassCell Isofab Inc. Kathabar Dehumidification Systems Inc.
Klenzoid Company Ltd. MacTech Systems Inc. N-Two Cryogenic Inc. Pall Medical Plan Group PMG Systems Ltd. Precise Parklink Inc. Rauland-Borg Canada Reliable Controls Corporation Sapling Company, Inc. Specified Technologies, Inc. The Stevens Company Limited Thermogenics Inc. Thomson Technology Tremco Canada Troy Life & Fire Safety Ltd. Union Gas Ltd. Ventcare Inc. Victaulic Company of Canada Ltd. Web Work by Tero
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Visit www.ches.org and click on the 2013 conference logo to get information, the Prospectus, contract, and floor plan, or call the CHES National Office for more information at 613-531-2661.
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GOLD Canadian Standards Association Genivar
SILVER Reliable Controls
Green Seal: What’s in the Wash? GS-51 setting new standards for laundry products By Robert Kravitz Throughout North America, several linen services, as well as hospitals, conduct what they call “Linen Awareness Days*” at different times of the year. Centennial Medical Center, an 860-bed facility in Nashville, Tennessee (US), is one such hospital. At one of their celebrations several years ago, Centennial set up booths in public locations and gave out prizes to those who could correctly answer such questions as: • How many washcloths do you think the hospital uses and washes daily? (Answer: The hospital uses as many as 5,000) • How many sheets (bed linens)? (Answer: As many as 2,500 sheets, pillow cases, etc.) • How many towels? (Answer: As many as 4,000) The goal of these Linen Awareness Days is to help educate patients, staff, and the public on just how much laundry the hospital uses and washes every day. According to one hospital administrator, Susan Cantrell, quoted in Coming Out in the Wash: A Hospital’s Experience with Onsite vs. Outsourced Linen Services,, “Everyone is just blown away. People don't realize the volume of linen that comes through a place this size.” They also would likely be “blown away” if they knew of all the chemicals, additives, and ingredients—many of which are potentially harmful to hospital laundry attendants using the products, patients and staff, as well as the environment—found in the laundry care products used every day. These laundry care products include such items as
detergents, stain and spot removers; as well additives such as alkali boosters, starches, fabric softeners, fabric refreshers, and antistatic and anti-wrinkle products. In fact, the public as well as many hospital administrators have become increasingly concerned about many of the ingredients commonly found in laundry care products. We now know that traditional laundry products can be significant contributors to water pollution, and both manufacturers of the products as well as users risk exposure to harmful chemicals through inhalation and skin contact. This is why there has been a growing demand in recent years among households as well as industrial and institutional marketplaces for environmentally preferable alternatives. To help facilitate this transfer to healthier alternatives, Green Seal, a leading, nonprofit Green certification organization, has just released GS-51, a new standards for laundry products used in institutional and industrial settings. GS-51 is designed to cover more than 20 categories of products used for conventional laundry and dry cleaning. It also provides important benchmarks in terms of product concentration to help promote sustainability and reduce the amount of fuel, paper, packaging, and related materials typically used to box, package, and transport laundry products. For instance, the standard establishes minimum requirements for concentrated (2X) and ultra-concentrated (4X) detergents and fabric softeners. Performance issues are also included in GS-51. Because of this, those manufacturers
earning GS-51 certification for their products must also demonstrate that their products meet—if not surpass—the performance of conventional laundry care products now in the marketplace. Along with giving purchasers a way to identify safer, effective, and more environmentally preferable institutional laundry products, Arthur B. Weissman, Ph.D., President and CEO of Green Seal, explains: “GS-51 allows manufacturers of certified laundry products to be recognized as leaders in the industry, and gives purchasers a way to identify safer, more effective, environmentally preferable products. Matching purchaser demand with more sustainable laundry products makes the market more efficient and beneficial.” For more information in Green Seal and its standards, visit www.greenseal.org. Robert Kravitz is a frequent writer for the professional healthcare, cleaning, education, and facility management industries. *Linen Awareness Days continue however they are often presented by outside services and not hospitals. Outside services now provide laundry services for many if not most North American hospitals. Spring/printemps 2013 29
Colchester East Hants Health Centre Opens in Nova Scotia
Embracing green innovations on the east coast By Krista Wood
On November 25, the new Colchester East Hants Health Centre opened in Truro, Nova Scotia, to serve residents of Colchester East Hants and neighbouring communities. The facility replaced the Colchester Regional Hospital, which first opened in 1926 and expanded in the 1960s and 80s. The Colchester East Hants Health Centre was designed and constructed to promote health and healing through its connection to nature and natural light. One of the first things that strikes visitors as they walk through the front door is the abundance of natural light and a great view of the healing gardens; just one of several gardens nestled amongst the facility's various wings. At 368,000 square feet, the Colchester East Hants Health Centre is 30% larger than the Colchester Regional Hospital, with larger patient rooms and operating rooms and expanded capacity for surgical services, dialysis, and ambulatory services like chemotherapy. The 30 Canadian Healthcare Facilities
emergency department was constructed to be 50% larger; and while the department opened with the same level of staffing as the previous facility, the additional space allows for greater privacy and space to grow into in the future. The facility is also home to a new palliative care unit, a new MRI service, a helipad for rapid transport, and the capacity for up to 124 beds. Privacy and infection control were paramount in the facility's design. Isolation rooms, larger spaces to offer care, and hand washing sinks inside patient rooms help protect patients and staff from the spread of illness. All patient rooms are private (one patient) or semiprivate (two patient). There are no wards. A lot of thought has also gone into the layout of the building to help provide the best possible care and to make it easy for patients and clients to access the services they need. Features include: • Many clinics and services like chemotherapy, dialysis, and rehabilitation are at the front of the building. • High volume services like diagnostic imaging and blood collection are located near the main entrance to allow for quick and easy access. • Inpatient units are set along the tree line at the back of the centre where there is less traffic and greater privacy. • Services which work closely together; i.e., the intensive care unit and operating rooms, or emergency and diagnostic imaging, are close to one another to support the movement and needs of patients. BUILT TO LEED
The health centre was designed and constructed with the health of its patients, staff, and environment in mind and is targeted to be the first regional hospital to be LEED Certified. The new centre has the potential to conserve 44% more energy than a traditional hospital, the equivalent of taking 2,700 cars off of the road each year. In addition, more than 25% recycled materials and more than 25% local materials were used during construction, thereby reducing the green house gas emissions associated with manufacturing, while supporting the local economy. Other green features include: • Low-flow fixtures, such as bathroom faucets and dishwashers, were incorporated into the design, which use 20-30 % less water. • Bike racks and lockers, to encourage physical activity and alternative modes of travels. • Glazed panels that reflect the sun’s heat in the summer and absorb the heat in the winter. This will help reduce heating and cooling needs, save costs and reduce carbon gas emissions. The increased natural light will also reduce the amount of time artificial lights need to be on. • Energy-efficient LED bulbs and office lights that turn on and off automatically, to help cut back on power use. • Heat wheels that capture heat from the air being exhausted and
help preheat the outdoor air coming in. This will reduce the demand on the heating system, while keeping patients and staff more comfortable. The health authority is pleased to be providing care and services in its new facility and looks forward to realizing all the benefits the facility was designed to offer their patients, clients and their health care team. Krista Wood is Director of Public Relations for Colchester East Hants Health Authority. All photos are credited to Babineau Photography. Spring/printemps 2013 31
Staying Connected With Sustainable Technology Leveraging collaboration tech for a greener healthcare future By Shanti Gidwani Today’s healthcare facilities are under great strain to co m p l y w i t h b u d g e t a r y re q u i re m e n t s w h i l e s t i l l maintaining or exce e ding qualit y standards, and continuing to offer the highest levels of care. With such a difficult task at hand, it is understandable that creating greener, more environmentally friendly facilities can be difficult to prioritize. However, making investments in collaboration technology can not only lead to a greener facility, but also result in cost savings and improved productivity. Using collaboration technology such as video-based collaboration solutions can help reduce a facility’s carbon footprint, reduce costs, and improve efficiency, while ensur ing the clinician-patient relationship is not compromised. The most effective way for a healthcare facility to use this technology to be greener is a threepronged approach. 32 Canadian Healthcare Facilities
Focus on converged infrastructure
Powering the connectivity of medical devices in healthcare facilities is the network backbone. This is the platform that ke eps de v ices such as table ts and me dical car ts communicating and updated with the latest patient records, or the knowledge of where critical clinical assets are located such as wheelchairs and IV pumps. This infrastructure is important to any green initiative because the more connected these devices become, the more it translates into a lower carbon footprint. This idea incorporates all facets of a healthcare facility including the network platform (usually a medical-grade network) to the medical devices it might be connecting, all the way to the bedside and nurse-call systems and even electronic medical records. As more things are connected to each other, less energy and fewer physical resources—by way of technology hardware and other equipment—are required
throughout the facility; for example, the decreased need to procure medical equipment that commonly ‘goes missing’ in a hospital environment. This convergence of hardware on the same network doesn’t start and stop with computer or IT-related technology. It can include the utilities that power the building, such as lighting and heating. Through smart utility management and initiatives like Smart + Connected Real Estate, these buildings can run at lower costs and be more energy efficient. Since hospitals are 24/7-type facilities, leveraging efficient utility management practices and the newest technology across their entire facility or network can be a significant green initiative. The converged infrastructure and robust medical-grade network can also power video and collaboration technologies, which can be powerful tools for healthcare facilities, as they are very relevant in delivering uncompromising patient care. Focus on better patient experience
As healthcare facilities look at installing technologies such as converged network backbones (connecting what was previously unconnected) the result is better patient care and a better patient experience. This can certainly do its part in making healthcare greener, because when we increase compliance and connectivity to the devices we deploy, both clinicians and patients benefit from the added bonus of greater cost and energy savings. Mobile, video-enabled devices such as tablets and smartphones are also beginning to gain traction with healthcare organizations. As more of them move towards using these handhelds, there will be less need for printing documents, lab results, and patient charts. Focus on collaboration
Accessibility to clinicians is a major priority in healthcare. Facilities that deploy collaboration technology like video-
based collaboration solutions allow their clinicians to be more efficient and productive. In a geographically disparate country like Canada, our specialists and super-specialists are in the highest demand, but also in short supply. To deliver quality care around the country, video collaboration can be deployed to ensure their time is used most effectively. Moreover, the majority of these specialists tend to live in urban areas, but through the power of video collaboration, a specialist can see patients in rural and remote areas of the country. This not only enables cost avoidance in the form of travel reduction, but also contributes to gains in productivity due to reduced travel time. The clinician’s overall carbon footprint is also reduced through the reduction of travel. Healthcare practitioners also have hefty professional development requirements and often participate in collaborative boards and committees. Using v ideo collaboration in clinician-to-clinician scenarios can still put specialists face-to-face while reducing global travel requirements. Making green a priority
As mentioned, in times of budget constraint, healthcare administrators and executives will need to consider ways in which they can create cost savings for themselves. Taking a ward-to-ward or facility-to-facility approach to instituting green practices might not necessarily showcase significant cost savings. Instead, making green a priority at the C-suite or board level will ensure organization-wide green messaging. Video collaboration built on a converged network backbone is one of the best ways to achieve the goal of making healthcare facilities greener while ensuring there are no compromises made to patient experience and care. Shanti Gidwani is National Senior Director of Healthcare, Cisco Canada. Cisco can be followed on Twitter @CiscoCanada and on its blog at www.canadablog.cisco.com. Spring/printemps 2013 33
Preparing Facilities for Climate Change and Extreme Weather Strategies from the Canadian Coalition for Green Health Care By Dylan Dingwell
Climate change and natural disaster preparedness are topics of grow ing interest and concern in h e a l t h c a re f a c i l i t i e s t h ro u g h o u t Canada. They have also become two of the most critical areas that facility managers and planning experts need to take into account when considering how a healthcare facility relates to its external environment. Last October, Hurricane Sandy provided a stern test of emergency management and recovery capabilities for health services facilities on the Atlantic coastline. One notable success story of facility preparedness that emerged after the storm was the use of combined heat and power (CHP)/ cogeneration systems, which offer e nv i ro n m e n t a l b e n e f i t s t h ro u g h greater energy efficiency, by several New England and New York hospitals. Though the local power grid was battered and bruised by Sandy, South Oaks Hospital in Long Island was able to preemptively disconnect from the power grid and rely on CHP to provide power until the utility had time to recover. Paul Cheliak, Director of Market Development at the Canadian Gas Association suggests that one of the often overlooked benefits of CHP is that these systems offer customers g r e a t e r r e l i a b i l i t y, s o m e t h i n g 34 Canadian Healthcare Facilities
impor tant to institutions like hospitals, noting, "While the energy efficiency and payback numbers of CHP are improving with new technology and low natural gas market prices, it is the underground natural gas pipeline infrastructure and the co r re s p o n d i n g re s i l i e n c y o f t h e technology that offers added reassurance for consumers during critical times of need.” Though most of Canada was spared the brunt of Hurricane Sandy, such extreme weather events are neither a distant memory nor an unrealistic expectation for many regions of Canada. Individual weather events have a complex network of causes, with climate change having a major impact on weather trends. As the Intergovernmental Panel on Climate Change (IPCC) warns: "A changing cl i m a te l e a d s to ch a n ge s i n t h e frequency, intensity, spatial extent, duration, and timing of extreme weather and climate events, and can result in unprecedented extreme weather and climate events." The effects of climate change extend beyond the possibilities of extreme weather. For example, the anticipated rise in overall and peak heat levels not only have population health ramifications, but also present a serious challenge for facilities, which
h a s co n t r i b u te d to t h e g row i n g popularity of passive cooling technolog ies from basic exter ior shades to green and cool roofs. All aspects of operations—from power and water consumption to food procurement—are increasingly taking environmental trends into consideration. The Canadian Coalition for Green Health Care (CCGHC) and its partners are working with funding from the Nova Scotia Climate Change Adaptation Fund to develop a tool to measure the resiliency of healthcare facilities in Canada to the effects of climate change. The project is based on a three-part definition of resiliency, which takes into account not only health systems' ability to withstand disasters and return to normal levels of functioning (resistance and recovery), but also their ability to learn from and adapt to climate effects. This resiliency tool should be available to facilities nationwide in 2013. Dylan Dingwell is National Manager of Program Delivery for CCGHC. CCGHC is Canada’s premier integrated green health care resource network; a national voice and catalyst for environmental change. For m o r e i n f o r m a t i o n , v i s i t w w w. greenhealthcare.ca.
HealthAchieve Save the Date Conference: November 4, 5, 6, 2013 Exhibition: November 4 & 5, 2013 Metro Toronto Convention Centre Toronto, Ontario, Canada www.healthachieve.com
“HealthAchieve 2012 was the perfect convention to catch up on the brains and the brawn of the public healthcare sector. This was an amazing experience, and I plan on attending every year from now on. From registration to the closing session, I felt like I was attending an elite event.” Aaron Foster Consolidated Health Information Services
“Fantastic opportunity to learn and network. Many of the speakers were truly inspiring... we can change the system!!!! Yes we can!!!” Eileen Bain Guelph General Hospital
“Excellent conference with an exhaustive exhibition which meets the needs of those involved in health care. A must go to event if you have anything what-soever to do with health care!” Douglas Queen Canadian Association of Wound Care
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Published on Apr 3, 2013