Canadian
HealthcareFacilities Journal of Canadian Healthcare Engineering Society
Volume 32 Issue 4
Sharing CHES Successes
PM#40063056
Inside Cottage Country Goes Cutting Edge CHES 2012 National Conference Preview Winning the Green Healthcare Game
Summer/été 2012
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contents
Canadian Healthcare Facilities Volume 32 Number 4
Canadian Healthcare facilities IS published BY under the Patronage of the canadian healthcare engineering society Steve McLinden e-mail: stevem@mediaedge.ca
Publisher
Matthew Bradford e-mail: matthewb@mediaedge.ca
Advertising Sales
Sean Foley
MediaEdge Communications 416-512-8186 e-mail: info@mediaedge.ca
Senior Designer
Annette Carlucci
Designer
Jennifer Carter
production Manager
Rachel Selbie
Editor
departments
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: stevem@mediaedge.ca
Éditeur
6 Message from the Publisher By Steve McLinden
8 Message from the President By John J. Knott
e-mail: matthewb@mediaedge.ca
publicitaire
Sean Foley
MediaEdge Communications 416-512-8186 e-mail: info@mediaedge.ca
Pubicité
Annette Carlucci
COORDINATEUR de production
Rachel Selbie
10
Chapter Reports
Articles 13 ENERGY STAR Launches Health Care Energy Leadership Program By Kent Waddington
Rédatric intérimaire Matthew Bradford
CHES Canadian Healthcare Engineering Society
17 SPECIAL FEATURE: Sharing CHES Successes 26 Cottage Country Goes Cutting Edge By Michelle O'Brodovich 30
You Can't Manage What You Can't See By Roger Holliss
34 Implementing Green Pest Control, STAT! By Bill Melville 38
Winning the Green Healthcare Game By Kent Waddington
42
CHES 2012 National Conference Preview
SCISS
Société canadienne d'ingénierie des services de santé
President
John J. Knott
VICE-PRESIDENT
Peter Whiteman
Past President
Michael Hickey
treasurer
Ron Durocher
Secretary
Robert Barrs
EXECUTIVE DIRECTOR Donna Dennison Chapter Chairmen Maritime: Bill Goobie Alberta: Ken Herbert B.C.: Mitch Weimer Ontario: Allan Kelly Manitoba: Reynold Peters Newfoundland & Labrador: Randy S. Cull Founding Members H. Callan, G.S. Corbeil,
J. Cyr, S.T. Morawski
Ches
4 Cataraqui Street, Suite 310 Kingston, Ontario K7K 1Z7 Telephone (613) 531-2661 Fax (613) 531-0626 e-mail: ches@eventsmgt.com CHES Home Page: www.ches.org Canada Post Sales Product Agreement No. 40063056 ISSN # 1486-2530
Publisher's Message
The countdown to Montreal begins The benefits of membership in any association go beyond professional development and 'rubbing elbows' with your peers. CHES members have always been supportive of all their association conferences, seminars, and trade shows and make key contacts that assist in improving their facilities. This edition of Canadian Healthcare Facilities includes a special feature detailing the benefits CHES members derive from participating in CHES events and programs. At the journal, we've received some great feedback and some wonderful stories that we have shared in the coming pages. This edition also includes the conference preview for the upcoming national conference in Montreal, Quebec September 23-25, 2012. “Towards World Class Healthcare” is the theme of this year’s event. On pages 42 - 48, you will find an outline of the session schedule and details on all the associated happenings at the conference. I hope you find the information within this issue helpful. As always, if you have ideas, suggestions or would like to submit a story idea for future editions, please email me at the address below. See you in Montreal.
Steve McLinden Publisher stevem@mediaedge.ca
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
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Message from the President
Delivering value, sharing successes For this special issue, we reached out to our CHES membership and asked them to provide us with some examples of how their involvement in CHES has provided them with valuable ideas and learning experiences which they have been able to bring into play at their workplace. These are ideas that have saved their organizations money through efficiencies gained, or through the provision of different options to an approach to a process or project. After all, this is what CHES is all about – the sharing of knowledge, information, and best practices; as well as mentoring, guiding, and even providing 'mutual aid' to other facilities around us. As CHES National President, I would also like to welcome the many first time readers that have been delivered a copy of our journal as a means of introduction to the Canadian Healthcare Engineering Society (CHES). I sincerely hope you take away a good feel for what CHES is all about, and how healthcare facility managers and staff from across Canada are working together to improve the efficiencies of their part of the overall operations, while at the same time maintaining service delivery levels and managing the inherent risks involved with the operation of a healthcare facility. CHES members achieve this through not only sharing their experiences and best practices, but also through their input and involvement in the creation of new engineering standards; providing feedback and ideas to our industry partners to help improve system and equipment designs; attending trade shows, workshops, and conferences, where new knowledge is shared; and through their commitment to being leaders in their organization and in their field. CHES is also involved on an international level with groups such as the American Society for Healthcare Engineering (ASHE), the International Federation of Healthcare Engineers (IFHE), and the International Facility Management Association (IFMA). Through groups such as these, CHES takes its knowledge and learning across all borders and brings internationally acclaimed 'best practices' to Canadian healthcare, along with the ability to benchmark against other facilities on an international scale. CHES has always believed in delivering ‘value for money’ to its membership. CHES membership includes access to the top ten CSA standards that impact on healthcare facilities; a value worth at least ten times the cost of a membership. CHES educational offerings are very reasonably priced. For instance, our Webinar Education series comes at a cost of $25 to $30 per session, and can be shared with as many staff as a facility wishes. Our workshops, trade shows, and conferences are also reasonably priced and quite often offer other learning opportunities in conjunction with the show. These include courses on Healthcare Construction, Infection Control, and Medical Gas Systems. In short, all healthcare facilities across Canada should have CHES members amongst their staff so that their facility can share in the benefits that other facilities have enjoyed for years. I thank you for taking the time to read through our journal and I hope it serves to give you an appreciation for the great organization that the Canadian Healthcare Engineering Society has become.
John J. Knott, CET, HMT, CEM CHES National President
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Alberta Chapter
Chapter Reports The Alberta Chapter had a successful site tour/meeting of the new Fort Saskatchewan Community Hospital. This is a new 38 acute care bed and expanded and modernized emergency and outpatient department facility that is now open for patient care. Another site tour/meeting of the new Calgary South Health Campus is planned for September 14, 2012. The Healthcare Construction Certificate Course held on April 19-20 in Edmonton was very successful with over 90 registrations. Planning has started for the 2012 Alberta Chapters Annual Clarence White Conference and Tradeshow, scheduled for November 19 – 20, 2012, at the Capri (Sheraton) Hotel in Red Deer. At time of print, the second call for nominations will be closed and any names for the three executive positions of vice-chair, treasurer, and secretary will be finalized and any necessary voting completed. The selected members names will be posted on the CHES web page and move into their positions at the Annual General Meeting in November. Our current vice-chair, Preston Kostura, will move into the chair position and i into the past chair. I hope everyone is having a safe and enjoyable summer and see you in Montreal at the National Conference .
ONTARIO CHAPTER
Ken Herbert, Alberta Chapter Chair
What a great summer it's turning out to be. The spring conference was fantastic, from the excellent presenters to the very scenic and entertaining cruises of the thousand islands. My hat goes off to Chris and his team; you have done us proud. Congratulations also go to Gerald LeMoine of St Mary’s Hospital in Kitchener, who won a trip for two to the Montreal National Conference. You lucky guy! I would like to welcome Roger Holliss to the executive as secretary. Roger is a seasoned facility director from St Mary’s General in Kitchener, and brings a great deal to the table. We look forward to working with him over the next year. Of course, I must also thank Jayne Novak, our former secretary, for her hard work and dedication to CHES Ontario. 2013 is an election year; we will have several positions open. Please consider running as you will find it is one of the most rewarding things you will ever do.” The second education session was held in Cambridge in April. We doubled our attendance from the first session, and had an excellent presentation from Garland on roofing. Our thanks go to Rick Anderson for organizing this event. We are now in the planning phase of our next education session, which will be in November in conjunction with the OHA. Stayed tuned for more information. Our proposal with the Canadian Coalition of Green Health Care and the OPA regarding revolving energy fund has been accepted. At this point, we are ironing out a few details of the agreement before signing. This will be great for all the hospitals in Ontario and especially the smaller ones that do not have the resources or funding to do projects. I want to thank Linda Varangu and Ron Durocher for taking the lead on this project – you are amazing people! Our membership continues to grow. Jeff Weir is doing a great job to make sure members are renewing, and I ask you help him out by checking to ensure your membership dues are paid. CHES Ontario receives a portion of each paid membership, and this helps run our business of providing education to our members. In terms of finances, we are doing very well. Ed Davies is keeping us on track, ensuring the spreadsheets are balanced and reports are filed with Revenue Canada. Considering the set back in the economy, our investments are doing well. I look forward to seeing everyone at the National in Montreal. May you all have a very safe and fun filled summer. Allan Kelly, Ontario Chapter Chair
National Healthcare Facilities and Engineering Week
CHES Canadian Healthcare Engineering Society
SCISS
Société canadienne d'ingénierie des services de santé
October 21 - 27, 2012 Recognize yourself, your department and your staff during Healthcare Engineering Week. Make sure everybody knows the vital role played by CHES members in maintaining a safe, secure and functioning environment for your institution.
10 Canadian Healthcare Facilities
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ENERGY STAR Launches Health Care Energy Leadership Program New program to assist hospitals and LTC homes embrace energy savings By Kent Waddington, Canadian Coalition for Green Health Care Energy intensity in Canada’s health services sector is the second highest of a l l com m erc i a l a n d i n s t i t ut i on a l facilities, according to a 2005 Natural Resources Canada report. This comes as no surprise as treatment and care facilities often require extremely high levels of energy to power diagnostic and emergency medical equipment, and other vital health ser vice machinery on a 24-hour, seven-daya-week basis. It is estimated our national health care energ y bill exceeds $1 Billion annually. Rising utility costs are once again prompting a growing number of C a n a d a’s ove r 3 , 5 0 0 h e a l t h c a re facilities and their facility managers to focus their attentions on ways in which they can reduce their reliance upon fossil fuels. Many are turning to ENERGY STAR for assistance. ENERGY STAR is the international symbol of energy efficiency and has been adopted by governments
throughout the world thanks to international cooperation agreements. E N E R G Y S TA R i n C a n a d a i s a d m i n i s te re d a n d p ro m o te d by Natural Resources Canada’s Office of Energ y Efficiency, w hich enrols participants as well as promotes and monitors the use of the ENERGY STAR symbol across Canada. Only manufacturers whose products pass ENERGY STAR test ing are allowed to display the ENERGY STAR symbol. Typically, a product must be among the top 25% of all makes and models on the market in terms of energy efficiency to be awarded the E N E RG Y S TA R s y m b o l , a n d a company must prove at least one of their products meets the ENERGY STAR technical specifications before it can use the symbol. Those w ho purchase ENERGY STAR qualified products save money because these products use less energy than conventional alternatives, yet Summer/été 2012 13
offer the same or better performance. From an environmental perspective, improving energy efficiency reduces air emissions that contribute to smog and climate change. The ENERGY STAR symbol appears on approximately 50 types of products such as household electronics, kitchen and laundry appliances, and light bulbs. While many may be familiar with these products for the home, there are tremendous opportunities for our healthcare facilities to embrace ENERGY STAR as part of an overall environmental stewardship initiative focusing on cost reduction and energy-savings. For example, there are ENERGY STAR qualified products available for use in healthcare kitchens, cafeterias, kitchenettes, office spaces; as well as common areas such as waiting rooms, lobbies, hallways, and washrooms. Many of these ENERGY STAR opportunities are featured in the Health Care Food Services Resource Guide: Going green in the kitchen with ENERGY STAR. ENERGY STAR is also more than just a symbol on a product. It encompasses a range of activities that have led to the development of industry accepted, energy efficient technical specifications. By purchasing ENERGY STAR qualified appliances and equipment, you are taking the first step to demonstrating your commitment to energy reduction and environmental leadership. Embracing savings with HELP Step two involves participation in the ENERGY STAR Health Care Energy Leadership Program (HELP), a newly
minted energy efficiency initiative designed to assist Canada’s health services sector more fully embrace energy savings and reduction opportunities. HELP was developed with the support of Natural Resources Canada’s Office of Energy Efficiency and is being brought to Canada’s health services sector by My Sustainable Canada (MSC), and the Canadian Coalition for Green Health Care (the Coalition) – two of Canada’s leading non-profit environmental stewardship groups. As ENERGY STAR participants and advocates for the sector, MSC and the Coalition, are working with forwardthinking and committed executives, facility operators, food and laundry service managers, and other green healthcare champions to help them better understand the potential their operations have to reduce energy consumption, educate staff, clients and volunteers; and turn energy dollars into healthcare dollars for improved care delivery. Participants in the voluntary HELP initiative will be able to take advantage of a number of no cost educational and logistical components. These include webinars and onsite ENERGY STAR training, ‘Spot the ENERGY STAR Opportunities’ walkthroughs at the Coalition’s 'Getting to Green' workshop host sites, sample ENERGY STAR procurement language for inclusion in Request for Proposal (RFP) documents, training on the online ENERGY STAR Simple Savings Calculator, and help in building business cases for the purchase of ENERGY STAR
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qualified appliances and equipment. Access to a national peerto-peer network is also planned. Participating with ENERGY STAR Any healthcare organization wishing to take their energy efficiency commitment to the next level will be assisted in becoming a formal ENERGY STAR Participant. Benefits of being an ENERGY STAR Participant include the ability to use the internationally recognized ENERGY STAR Participant symbol to promote your commitment, opportunities for joint marketing and promotional campaigns, having your organization profiled on the Canadian ENERGY STAR web site, heightened public image by showing leadership in addressing environmental challenges such as climate change and air pollution, support for implementing energy efficiency initiatives that save money and reduce GHG emissions, and access to additional training and print-ready promotional materials. The Ottawa Hospital (TOH) recently became the first healthcare facility in Canada to sign on as an ENERGY STAR Participant. According to Jessica Heiss, Coordinator, Sustainability & Building Integration at TOH, “We recognized that by joining we would have an incentive to better embrace energy efficiency throughout our sites and make it a much bigger element in our overall corporate planning and redevelopment strategy. In practical terms, we are working to increase the awareness of ENERGY STAR savings opportunities
among members of our purchasing teams and engineering consultants as we plan for new purchases and upgrade projects. ENERGY STAR offers a framework to better embrace energy efficient appliances, energy awareness training, and NRCan gives you an opportunity to be recognized for your accomplishments.” When proactive healthcare organizations like TOH embrace energy conservation and environmental management through formal policies and actions, they enhance quality of life for employees, clients, patients, and those in the surrounding communities they serve. Energy and operating cost decrease, workplace and healing environments become more comfortable and people-friendly, employee morale improves, local economies are stimulated, employees become more aware of how their actions can reduce their overall impact on the health of our environment, and aging facility infrastructure gets revitalized. Sound Energy management practices, which include the adoption of ENERGY STAR principles, can greatly decrease operating costs, free up much needed funds for infrastructure renewal, more importantly, and provide additional funds for patient care. And isn’t patient care what it’s all about? To learn more about ENERGY STAR and how you can work one-on-one with one of the new HELP Team members, contact them at feedback@greenhealthcare.ca or visit www.energystar.greenhealthcare.ca
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Special Feature
Everyone has a story to tell... To healthcare facility CEO’s and administrators across Canada, I am writing this letter to formally introduce you to the Canadian Healthcare Engineering Society (CHES). The society was founded in 1980 as a means for healthcare engineers from across Canada to share ideas, best practice, and knowledge of codes and standards applicable to healthcare. Since that time, CHES has grown to a membership of almost 1000 healthcare engineers, facility administrators a nd ma nagers, a nd associates from a variety of different technical fields. CHES's mission is ‘Building member expertise’, and our vision is to strive for ‘E xcel lence t h roug h pa r t nersh ips, innovation, accountability, and education’. As such, CHES has members working on many fronts – and on many committees – to build affiliations and partnerships with organizations such as the Canadian Standards Association (CSA), the National Fire Protection Association (NFPA), the A mer ic a n S oc ie t y for He a lt hc a re Engineering (ASHE), the International Federation of Healthcare Engineers (IFHE), a nd many more. Throug h partnerships such as these, CHES is advancing innovation through shared best practices and new technologies; ac c ou nt a bi l it y t h rou g h i nput on standards, codes, and regulation; and profe s sion a l de ve lopme nt of ou r
18 Canadian Healthcare Facilities
membership through education and credentialing. CHES membership comes at minimal cost and this cost is quickly recovered t hroug h t he ma ny educat iona l opportunities offered to our membership, not to mention the networking capabilities gained by our membership through our CHES website. For example, CHES members automatically gain access to the top ten CSA standards applicable to the healthcare field – a value of over five times the cost of membership. In addition to this, CHES offers webinars, area and provincial education days, conferences and trade shows, and a national trade show and conference that ty pically coincides with certification programs in healthcare construction and/or infection control. Inside this special edition of the Canadian Healthcare Facilities journal you will find examples of how members and their facilities have benefited from membership in CHES. I encourage you to read through these member testimonials and pass the journal along to others in your organization. Most of all, I encourage you to ensure that you have a CHES member in your organization. Sincerely, J.J. Knott, CET, HMT, CEM National President, CHES
Special Feature
MAKING CONNECTIONS AT CHES BC
Uniting healthcare professionals from across the country, CHES's annual conferences and trade shows afford engineers, healthcare stakeholders, manufacturers, and suppliers an opportunity to shake hands, exchange ideas, and form mutually beneficial partnerships. Such has been the experience for Chris Nicol, Field Inspec tor, L ower Ma i n la nd Faci l it ies Management, with Fraser Health in British Columbia. “The CHES conferences have allowed me to make some really good contacts that have helped me save the health region a lot of money, so it's been quite rewarding,” said Nicol, in an interview with CHF. For Nicol, the best demonstration of this occurred a few years back when he returned to Fraser Health after a brief tenure with Stantec Consulting and was soon tasked with renovating the region's operating room formalin exhaust hoods to meet Work Safe BC conditions. Limited by funds, and running out of workable solutions, Chris was referred to the expertise of one Ed Chesser, a mechanical engineer he'd met at an earlier CHES event. “I remember thinking that I'd met him at the CHES convention. He'd had a booth there for several years, I had his card, and I knew who he was,” said Nicol. “Because I had made this contact with him, I got him to work with us, and it just worked out great.”
Reflecting on more recent events, Nicol recalled meeting a rep named Andrew Reynolds from Spirax/Sarco at a CHES tradeshow, who assisted Fraser Health in inspecting, repairing, and upgrading steam traps throughout the regions – a connection he predicts will help Fraser Health save upwards of $1 million in energy costs moving forward. “Making those kinds of connections are really helpful. It's probably saved well over a million dollars for the health region down here just by using those connections,” said Nicol, adding, “Going to those trade shows and talking to the guys, you make those contacts and then all of the sudden it's 'Hey, I know that name. Now I know a guy I can deal with.'” In addition to making contacts, Nicol has also given of his own knowledge and expertise by conducting his own seminar during the 2011 CHES Conference on the subject of local area ventilation. Overall, he notes: “I've really enjoyed these events. They're really great to meet the people you're working with, the different consultants, and a lot of people selling very useful products and services. You get a real mix, and it's also really nice to get everyone in a different setting like that.” Chris Nicol Field Inspector, Lower Mainland Facilities Management Fraser Health Authority
Summer/été 2012 19
Special Feature
CHES has helped us, Fraser Health Authority F.M.O, and me immensely in that, we have been introduced to our counterparts in other regions who have faced similar challenges maintaining critical equipment to such detailed standards and strict service delivery models. SPD across Canada demands diligent service and high standards due to the nature of their business; down time is not an option. However, through CHES we are able to meet and discuss how to rise to these challenges with limited funding, learn how to track the increased costs involved with this type of maintenance, and submit them as pressures to the executive. We are also able to meet with the service and engineering arms of the vendors who supply this equipment to our hospitals. This offers us more insight into their equipment and philosophies. It also assists us in the RFP processes for critical equipment because we know more about the product and its service, not just from the vendors but from F.M.O. at other hospitals who may have these products in their facilities. I would also like to add that CHES has played a big part in our success. Without CHES there would be no venue to network with health care focussed suppliers or our counterparts in other regions. I have learned so much about where health care is going from attending CHES conferences, and met many important contacts in other regions who have shared their ideas and experiences with me at CHES and all year round. This sort of networking saves so much time and money because we never have to reinvent the wheel – somebody, somewhere, has already done it and is more than willing to help you do it better. Marc Dagneau Technical Coordinator, Facilities Management for Fraser Health Authority
20 Canadian Healthcare Facilities
I attended the provincial CHES conference in 2009 knowing I would be involved in nurse call system replacements through the following year(s). The trade show gave me efficient access to most of the major vendors, and the time to compare product applications and budget price ranges. Casual networking with my peers regarding their experiences with the various vendors allowed me to further prepare for my final selection process. While I could have sourced this information at my workplace, this venue provided both me and my peers time away from the usual work demands, and developed a more complete picture of the offerings from each nurse call system supplier. Beyond this, the previous conventions I've attended have provided other opportunities, such as the chance to network with peers and engage in concept and ideas exchanges regarding issues like specific maintenance solutions, capital project methods, and human resources staffing. In addition, the trade shows have provided a means to compare products and services; while the education programming has provided insights and ideas on issues pertaining to infrastructure, regulations, standards, proposals and industry innovations. I have always felt enriched by these conferences, which my knowledge base, adding value to my effectiveness. Dave Griffiths Technical Coordinator, Fraser Health Authority
Special Feature
Building Opportunity at CHES Ontario All my life I have worked in either the commercial or industrial sector. Over the last 10 years I discovered healthcare and have never looked back. My first job in healthcare was at St Michael's Hospital in downtown Toronto. Coming from a commercial real estate job to a hospital was big awakening, as it introduced me to different systems I'd not seen in a commercial environment like medical gas systems and dialysis water systems, not to mention all the infection control procedures. I had a great director who showed me the ropes of working in a hospital. This director was also the chair of many standards at CSA, but like me wore many hats, and operations and maintenance was only one small part of his portfolio. I had to learn the way hospitals operated from my building staff and CHES. CHES provided a networking group which I greatly admire to this day. Facility managers and directors share their insights and problems they have with their facilities, as well as provided solutions and feedback as to how to solve these challenges. CHES also provides a great deal of educ at ion se s sions t h roug h t he provincial or national conferences. These education sessions have been of great value to facility managers and directors since they deal with new technologies, CSA standards, and case studies on issues or successes. Today, I am heavily involved in CHES. I sit as the Ontario chair and also the chair for the Partnership and Advocacy Committee. As long as I am in healthcare (and even when I retire), CHES will be a big part of my life. Like my good friend Don Spielmacher said, “CHES is a great organization; it has great people that will make a difference in physical plant departments all across the nation.” Allan Kelly, Director of Facilities Guelph General Hospital
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Special Feature
INFORMATION EQUALS SAVINGS IN NL CHES has provided me with countless information and savings on healthcare projects, best practice and technologies. I remember being a tad intimidated when I attended my first CHES conference and met the CHES president at the time, Hans Burgers. The CHES organization, trade show, and plans for a NL chapter were only seeds that Hans planted in my mind. I was accepted by the national engineering team with open arms, and time over time have used the education and contacts to help with our own board, LGheath, and at a provincial level. I have experienced many ef fective outcomes w ith the information obtained from the CHES family, but thought it would be best to have my colleagues from two other boards, Brian Kinden and Keith Allen, give their examples of what CHES means and does for us all. Randy S. Cull Regional Director Support Services Labrador-Grenfell Health
During the conference in St. John’s Newfoundland our team was introduced to the solid chemical treatment system being offered by Chem-Aqua. This system is now installed in our facilities to provide chemical treatment of our boilers. It is cost effective and provides a much safer solution for our staff. In addition, various presentations on codes and standards at CHES events have been helpful in the past, as have presentations related to energy conservation which have assisted our team in developing similar initiatives at our facilities. Keith Allen Regional Director, Infrastructure Support, Western Regional Integrated Health Authority 22 Canadian Healthcare Facilities
Special Feature
A Central Health representative met a Fyfe Co. representative at a CHES Conference Trade Show in St. John’s, Newfoundland, back in March 2009. At the time, the question was asked: “Could the Tyfo Fibrwrap System be a more cost effective alternate to steel reinforcement on the underside of an existing floor slab to accommodate heavy MRI machines, which would exceed the existing structure load capacity?” Central Health then partnered with AMEC Americas LTD to complete a review and design of the Fibrwrap system. It was decided to use the fibrwrap system for a number of reasons; primarily, Central Health found that implementation of the Fibrwrap system eliminated the need for new structural steel, concrete cutting, concrete footing placement, soil compaction, and steel rigging. As a result, this saved a tremendous amount of time, money, and disruption to the daily functions of the health care centre. In June 2010, Fibrwrap Construction was issued the purchase order for the Gander Hospital project and the target installation date was set for August 2010. A small crew of four Fibrwrap Construction certified applicators arrived on site at the Gander Hospital fully equipped with the Tyfo materials, necessary tools, and saturation machine to ensure quality assurance. No plumbing or electrical functions had to be disrupted during the installation. Access was achieved by simply removing the ceiling tiles and enclosing a small working area with hanging tarps to enable access to the beams. The job only took four days from start to finish including the application of the required Tyfo Advance Fire Protection System. A two-hour fire rating was required for this particular application, and the Tyfo Certified Applicators worked in very tight areas with no disruption to the hospital.
Following the project, Alphonsus Hanlon, Project Engineer at the James Paton Memorial Regional Health Centre, was overheard telling Tom Trainor, Manager, Atlantic Canada for the Fyfe/Fibrwrap Group, that, “Not only did you save Central Health money, no one in the hospital heard a thing during the Tyfo installation.” Thanks to our partnership with Fyfe Co. and the installation of the Fibrwrap System, Central Health gained new knowledge and an advantageous facility upgrade; benefits that owe their origins in part to that initial meeting on CHES's trade show floor. Brian Kinden Regional Director, Engineering Services, Central Health
SAVING ENERGY THROUGH EDUCATION AT Norfolk General Hospital By J.J. Knott Director of Plant Operations, Norfolk General Hospital Our Energy Management and Pollution Reduction Program was conceived 'in house' in 1991, and has been developed over the years with input from 'many' – a lot of which has come through CHES related education and networking opportunities. It has not only provided remarkable savings to Norfolk General Hospital (NGH), but it has also reduced harmful emissions and waste into the environment. Moreover, it's shown that careful planning, monitoring, and attention to detail can yield great rewards. Over the initial 10-year period of our energy conservation program, cost-avoidance measures produced savings of more than $132,000 per year in overall energy expenditures and a greater than 22% reduction of consumption across the board. Despite ongoing rate hikes (i.e., 28% in electrical; 75% in commodity gas; 21% in water and sewage), we paid less for these utilities in calendar year 2001/2012 than when we launched the program in 1991. Our annual gas and water consumption continues to drop, and we are managing
to hold the line on electrical consumption despite the increase in use of electrical equipment and technologies. Currently, the hospital is saving approximately $410,00 per year on energy, compared to the base year of our program. Our efforts have also benefited the environment in countless ways, such as reducing boiler flue gas emissions, effluent release into the sewer systems, greenhouse gas emissions from solid, fossil-fuel, electricity generation, mercury from lighting fixtures, emissions from incinerators, and reduction in the use of harmful chemicals. Measurement systems are again something that our facility came across at CHES events. We have also performed audit functions through our CHES partnerships and have most recently completed an ‘Environment of Care’ audit that ties physical environment to patient and staff satisfaction ratings. The NGH program tackles energy conservation and pollution sources on all fronts. To develop the most effective solutions, staff Summer/été 2012 23
Special Feature conducted extensive research into new technology and equipment, performed evaluations on the various options available, then developed a plan. A lot of these new technologies were introduced to our facility through CHES's trade shows or through information passed on by other CHES members to us. Staff examined every detail of retrofits and new equipment related to energy management and pollution reduction. This included exploring efficiency, eco-friendliness, ease of operation and maintenance, anticipated energy demands, and more. The plan was methodically implemented, with impressive results. Of course, the keys to sustaining our success are monitoring, measurement, rapid response, control, and ongoing education. We believe the saying, “You can’t save what you can’t measure”, so we place great emphasis on measuring operations and responding quickly when data shows room for improvement. These control measures mean a significantly reduced negative impact on our environment, and a “Healthy Environment equates to a Healthy Community”; something that our hospital truly believes. Awards and recognition Our effor ts have been recog nized by organizations that see NGH as a leader in pollution prevention and energy conservation. Others have learned from our initiatives and implemented their own models based on our experience. Some examples include the 1995 award for Outstanding Achievement in Energy Management for Hospitals in Ontario, from the Task Force on Energy Management in Health Care Facilities in Canada; the Ontario Hospital Association’s Green Health Care Award for Energy Conservation in 2001, and the inaugural CCHSE award for Energy Conservation in 2003 Industry partnerships Lastly, partnerships are important to Norfolk General Hospital in terms of networking and the sharing of ideas and expertise with others on municipal, provincial, and national levels. Advice is free, but experience can be costly, so there is much to be gained through the experience of others. Norfolk General Hospital has made substantial gains through our industry partnerships through CHES and the Canadian Coalition for Green Health Care, another CHES partner. Education received through these organizations have proven to be priceless.
24 Canadian Healthcare Facilities
CHES members attend a Canadian Coalition for Green Health Care (CCGHC) workshop
Examples of Energy Conservation and Pollution Reduction Measures at NGH • Fewer lamps going to landfill. • Lower electrical consumption, reducing related greenhouse gas emissions. • Laundry service has been outsourced to a company that demonstrates energymindedness and eco-consciousness through the use of solar heating panels, the recycling of water, and limited use of harsh chemical. • Reduced motor run time, lowering demand on energy. • Less gas consumption, reducing the elements released into the air from natural gas combustion • Less water use through reduced boiler blow-down, chiller system make-up water, low flow toilets and tap fixtures, ‘waterless’ medical air and vacuum systems, and air cooled versus water cooled refrigeration equipment; minimizing the flow of contaminants and wastewater into the ecosystem. • Shutting down our two incinerators, reducing overall fuel consumption, costs, and emissions. • Improvements to the building membrane, through newly designed building membrane technologies, significantly reducing energy requirements. • Interval metering has been used to trend our electricity use and peak loads, helping to manage our overall electricity use. • Preventive maintenance, lowering system start-up loads, and reducing electrical and steam demand through system waste (i.e. steam leaks). • Boiler systems have recently been equipped with linkageless boiler controls and these have served to reduced our natural gas consumption by 60,000 m3 per year. • Our housekeeping department has successfully converted their cleaning chemicals over to a line of ‘green’ products. • No chemicals are used for landscaping purposes and our lawns are kept weed free through hand weeding of the lawn areas. • Investments have been made in new fan system technology that utilizes ‘Variable Frequency Drive’ (VFD) and sophisticated controls, allowing the hospital to run our systems more efficiently.
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Cottage Country Goes Cutting Edge
Haliburton Highlands Health Services gets geothermal upgrade By Michelle O'Brodovich
Located about three and half hours north of Toronto, Haliburton Highlands Health Services (HHHS) serves the 17,000 residents of Haliburton County who are residents, cottagers, and visitors in the villages of Haliburton and Minden. With its northern border running along Algonquin Park, Haliburton County is surrounded by some of Canada’s most breathtaking natural landscapes and vital ecosystems. Its denizens have historically had a keen interest in sustainability and the environment, and so it is not surprising that they have been so supportive of HHHS’s ground-breaking energy efficiency project involving solar panels, and geothermal heating and cooling. Construction on this $2,238,000 project took place from 2010 to 2011. Today, HHHS boasts energy consumption rates that are 50% below the average of similar facilities. The alternative energy solution Being located in a more rural area without access to natural gas, HHHS was sensitive to changes in unregulated and volatile oil prices. Rates varied considerably; in 2011 alone, oil climbed from $0.68 to over $1.00 per litre. Before the project, oil represented twothirds of the hospitals’ total energy consumption. “We had to handle a couple of problems,” explains HHHS President and C.E.O. Paul Rosebush. “We needed to find a costeffective solution to meet our heating and cooling needs in the
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future. In addition, we operate in a very green community. This made us want to ex p l o re a l te r n a t ive t y p e s o f e n e r g y systems.” HHHS’s Environmental Supervisor Peter Fear re y saw enor mous potential for integrating alternative energy solutions to reduce energy costs and greenhouse gas emissions, noting, “I felt strongly for years – over five years of working towards this – that HHHS would get a lot of savings out of this.” Following a competitive tender call, HHHS par t nered w ith Ecosystem, a performance-based firm of energy specialists, to bring the project to life. As part of an energy performance contract in which annual energy savings, construction costs, and government incentives are guaranteed, Ecosystem and HHHS worked together to redesign and optimize the
energy infrastructure at both Haliburton and Minden hospitals. Geothermal heating and cooling Both HHHS hospital sites were good candidates for geothermal energy measures due to high oil prices and the unavailability of natural gas. That being said, it was only natural for there to be concerns regarding the implementation of newer technologies. Recalls Rosebush: “The challenge for the organization was that the geothermal solution looked good on a theory level, but would it actually work? Would our lakes be adequate? Would it be practical?” At Minden Hospital, Ecosystem’s team drilled 15 wells, each 540 feet deep. Engineers discovered that the area’s overburden was about 60 feet, which is quite deep. As a result, the wells had to descend further in order to increase the solution’s heat transfer capacity.
Summer/été 2012 27
At the Haliburton site, 15 loops of 400-foot pipe were sunk into the lake using weights. The pipes come from the hospital penthouse to the lake in a trench located 6-feet deep, below the frost level. As Ecosystem’s project designer Guillaume Lavallée notes, the project was designed to ensure there was no
damage to the HHHS’s natural inhabitants both during construction and operations, explaining, “We wanted to make sure that our energy solution didn’t have a negative impact on HHHS’s surroundings. That’s why we took several precautions during construction, including the installation of geotextile cloth to protect the lake
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from the work area. We also made sure that work took place outside of fish spawning season and that minimal alterations were made to the shoreline when the pipes were laid in the lake.” At both Minden and Haliburton hospitals, the geothermal measures were optimized by the conversion of the cooling network to a dual temperature network for the heating and cooling of air. This allowed the heat pump to operate at temperatures as low as 95°F, thereby reducing electricity consumption and increasing efficiency. A second heat pump was installed in cascade to increase the temperature up to 160°F for the main heating network.
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Rooftop solar panels The Ontario Power Authority’s microFIT incentive program made solar energy a financially attractive option for the project by providing 0.802$/kWh for power generated by the photovoltaic (PV) solar panels. Both hospitals have inclined roofs facing southwest; a set-up providing for easier installation, lower costs, and a shorter payback period. In addition to being a renewable source of energy, the solar panels are also a visible reminder to Haliburton’s community of the HHHS commitment to sustainability.
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The benefits for the community – which include jobs for local contractors and business for local hotels and restaurants – are what m a k e s H H H S ’s m a n a g e m e n t especially pleased. “This has been met with wide approval from politicians to patients who come into the hospital,” said Rosebush, “[They think] this is a great thing to be doing because we’re
Other ECMs The project at HHHS also included several energy conservation measures (ECMs) to reduce consumption, including the installation of a building automation system and the addition of variable frequency drives on chilled water pumps and air handling units. These measures helped to optimize hospital building operations while also increasing comfort for patients and staff. The results Today Haliburton Highland Health Services benefits from $190,000 per year in guaranteed energy savings and an additional $12,000 in avoided maintenance costs. Energy consumption has been reduced by 42% and greenhouse gas emissions by 800 tons of CO2, the equivalent of removing 250 cars from the roads. Thanks to the alternative energy measures, the hospitals are less dependent on oil and therefore less sensitive to oil price variations. In addition, HHHS was able to renew some critical assets, including its entire cooling networks and new heat pumps to replace aging boilers and chillers while also providing system redundancy.
reducing pollution while meeting our energy requirements.” “Everyone had some ownership, everyone is on board” added Fearrey. “We’re a small community and as the project starts to show the savings, it will become even more of a win-win.” By Michelle O'Brodovich, a writer focused on the North American energy efficiency sector.
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You Can't Manage What You Can't See
Putting facilities management information systems in a clearer light By Roger Holliss
The old adage, “you can’t manage what you can’t see”, definitely holds true for information systems in facilities management. Over the years, facilities managers have been grappling with a growing inventory of digital and print resources. As the complexity of information resources grows, the ability to make intelligent decisions based on good, consistent data diminishes. There are countless situations where facilities managers squander too much time retrieving, validating and reconciling data from disparate sources. On top of that is the extra time often spent correcting decisions that have been made as a result of missing or conflicting information. Wasted time is more than an inconvenience. If incorrect decisions are made, there are additional costs associated with ‘undoing’ the initial work 30 Canadian Healthcare Facilities
“Given that information is managed within individual unlinked silos, more often than not that information is not crossreferenced very well – or at all.” and making the required modifications. This is unacceptable in environments where maximizing time and money is increasingly important. This issue has become such a prevalent one with facilities managers, it will be a focal point of discussion at a dedicated engineers’ session at HealthAchieve 2012, taking place at the Metro Toronto Convention Centre November 5 – 7, 2012. The information divide The problem is a simple one to explain, but not so easy to resolve. The information accumulated and required to support facility management in the healthcare industry is diverse. Managers have a seemingly endless inventory of hard copy and digital text files and drawings, along with information on equipment repairs, heating and cooling
system design and consumption, piping systems, steam lines, firewall ratings, compliance requirements, and more. Given that information is managed within individual unlinked silos, more often than not that information is not crossreferenced very well – or at all. Without the right linkages between sources however, it’s easy to see why there would be disparities in information on the same topic. For example, nomenclatures for equipment may differ between databases and documents making it difficult to know if you’re working with the most up-to-date versions. In an ideal world, facilities managers should be working with a holistic, networked information system. While this approach makes sense, laying the groundwork is a task that takes time, patience and painstaking effort to locate,
reconcile and collate vast amounts of infor mat ion. Once these init ial foundations are in place however, the efficiencies to be gained are substantial. Building the single source of truth Over the past few years, St. Mary’s Hospital’s facilities management team has been focused on doing just that. Over that time, the organization has developed a specific process that is proving to be highly effective in achieving holistic information system goals. The first stage in achieving a holistic system was the development of an overall hierarchy of information. This starts with identifying a common source or driver into which all elements can feed their information. In St. Mary’s case, it was asset management software. Once this
Summer/été 2012 31
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decision is made, a strategy can be developed to determine how resources will be linked. Step two is all about standardization. Nomenclature is a major issue in facilities management. Different sources of information often include different terms for the same thing . Manufacturer and vendor terminology can differ considerably from that found in management systems. Equipment could be identified in any number of ways depending on the source, including vendor numbers, abbreviations, aliases, or acronyms. T h i s i s a hu ge probl em w h en attempting to cross-reference data, since systems simply can’t find the appropriate matches where the naming co nve n t i o n s d i f f e r. Ta ke a n a i r conditioning unit for example. Is it called an air conditioner or an A/C or identified by a model number? Is it hyphenated, upper or lower case, or entered with or without spaces? The same questions can be asked of electrical systems and devices, plumbing, fire systems, and whatever else falls under the facilities lexicon. It is essential therefore to establish a primary document for the naming of each device, and then review all existing files and data sources to ensure those assets are renamed accordingly. Once the file and device names are standardized, it’s easy to create a manageable and navigable file hierarchy. Which leads to the next step: establishing a hierarchy within the organization’s asset management system. In a recent tally, St. Mary’s had over 4,500 assets being controlled through the system, with more being added each month. To manage that, the organization established an asset tree that functions similarly to a hard copy directory. In simple terms, if you know the name of device or file in one format, it will be same throughout your system. From St. Mary’s experience, this represents the lion’s share of the work. Creating the standards, while time consuming, is a relatively straightforward task. The real challenge comes at the point where the engineering team works to apply these standards to all existing information systems so it can be used effectively.
The final step in achieving a holistic system is the establishment of rules for version control. This means ensuring that files remain in a central location for retrieval by authorized users, and restricting the storing of separate files by individuals. Documents accessed from the main filing system are available in a read-only format to ensure that any changes, when they do happen, are always properly documented and filed. This is especially important given that a good portion of individuals accessing the files are outside suppliers who require access to the most up to date documentation. Getting the buy-in It’s worth noting that at St. Mary’s one of the biggest challenges in managing the transition to the new system was not an internal one; it was getting the suppliers and vendors to switch over and comply with the organization’s newly established file naming standards. Once the benefits were spelled out to them, they began coming on board. These include more e f f i c i e n t m a i n te n a n ce p ro ce s s e s (vendors can look up information on any device), fewer errors (information is always up to date) and an easier, more cost-effective bidding process (complete contract descriptions and submission forms are accessible online). The move to a holistic information system is not an easy task. But that journey begins by drawing a line in the sand, and slowly but surely creating a standardized, easily accessible and wellmanaged information resource. How can this be accomplished? Get back to how you organize things, decide on what to call it, and apply it to your day to day operations. A standardized, holistic and comprehensive information system not only minimizes the amount of time (and mone y) wasted in managing an organization’s assets, it enables a proactive, focused approach to decision making in an environment where efficient use of resources is critical to success. Roger Holliss, Director of Engineering, Redevelopment, Security & Bio-Medical Services, St. Mary’s General Hospital, K i t c h e n e r, C o m m i t t e e M e m b e r, HealthAchieve 2012
Implementing Green Pest Control, STAT! By Bill Melville
While hospitals and other healthcare facilities have always been expected to provide guests with a sterile environment, there is an ever-growing expectation that this also should be done in a manner sustainable for the environment. This goes for all aspects of healthcare operations, including pest control. Healthcare facilities are prime targets for pest infestations. Among other factors, around-the-clock foot traffic from patients, staff and v isitors provides opportunities to enter your facility, while foodservice operations attract pests. Pests don’t just make your patients and staff uncomfortable, they are also known to carry diseases that can endanger the health of your patients – especially those w ith weakened immune systems. To effectively prevent potential pest issues while also considering the environment and limiting the amount of chemicals exposed to patients, many healthcare facilities are turning to an Integrated Pest Management (IPM) approach. IPM is an environmentally friendly pest control op t i on t h a t on ly u s e s ch em i c a l treatments as a last resort, making it the safest method for people, property and the environment. Effective IPM is a process, not a one-time event, and involves proactive sanitation and facility maintenance. To help you get started, consider the following tips that you can implement, STAT! 34 Canadian Healthcare Facilities
Sanitation and facility maintenance Pests need three key elements to survive – food, water and shelter – and your facilit y prov ides al l three. Therefore, sanitation is an integral part of any IPM plan as it can help to remove the conditions that attract pests before an issue arises. Your sanitation and facility maintenance efforts can reduce your use of chemical applications by helping to proactively prevent pest issues. • Regularly inspect the exterior of your facility for any cracks and crevices where pests may enter. It only takes an opening of 1.5 millimeters for most insects to enter a building. Seal openings with weather-resistant sealant and incorporate copper mesh to prevent rodents from gnawing through. Also consider installing weather stripping around doors and windows to further seal out pests. • Clean and rotate dumpsters and t r ash compac tors re gular ly by working with your waste management company, as these are great food sources for pests. Also, locating these as far from your facility as possible will help to keep pests away. • Work with your employees to keep break rooms tidy and free of open food containers. Ask employees not to store food in locker rooms and to clean out lockers regularly to help eliminate any temptation for pests. • Eliminate water sources in and around your facility, such as leaky
HVAC units or pipes, and standing water near dumpsters. And, of course, clean up spills immediately, even if it is just water, as pests only need minimal amounts of water to survive. • Before accepting food and equipment shipments, inspect them thoroughly for signs of pests such as shed skins, droppings, or live or dead pests themselves. If you see any of these signs, refuse the shipment and alert your provider immediately. Training A strong partnership between you, your staff and your pest management provider is one the most important elements in an IMP program. A solid foundation of support can help ensure nothing slips through the cracks – pests included. Ask your pest management professional to train your employees on ways to identify potential pest issues. As your front line of defense, your staff should report pest sightings immediately so you can work to prevent a few pests from turning into an infestation. Taking time to define roles and proactively educate your staff can help reduce pest infestations. Analysis Before treating a patient, you first need to know the problem, and the same goes for pest management. Your facility is unlike any other, from its floor plan
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and access points to its staff and services. A 'cookie cutter' program doesn’t account for your facility’s specific needs, so work with your pest co n t ro l p rov i d e r to a s s e s s yo u r specific environment by: • Identifying any active pests and their locations in your facility; • Pe r f o r m i n g a c o m p r e h e n s i v e inspection to detect any sanitation issues or structural conditions conducive to pest infestations; and • Evaluating r isk based on your facility type, evidence of current pest activity, pest pressure in your area and any conditions uncovered during the inspection that could contribute to pest presence. Tools Along with sanitation and facility maintenance, the right tools are crucial to a successful IPM program. When combined with a comprehensive IPM strategy, these tools not only help control pests’ access to7/11/12 your facility, Dafco_HalfPgAd_KGC 11:12
but also can be used to monitor their activity to identify problems before they grow. • Fly lights use ultraviolet light to attract flying insects to a non-toxic sticky board located within the unit. These lights work well when placed near entrances to waste disposal areas where pests are likely to be in search of food. • Sticky boards, or glue boards, trap crawling insects and rodents on their non-toxic sticky surface. Place them under equipment and in seldom used areas like storage closets to monitor for pests. Synthetic versions of insect pheromones or food lures are often used to attract insects to these traps. • O r g a n i c c l e a n e r s m a d e w i t h naturally occurring bacteria and enzy mes help control pests by eliminating the grease and grime they feed on and breed in. Organic cleaners can be used on floors and uipm AM e q Page 1 e n t to re m ove o r g a n i c
matter that cockroaches, ants and flies feed on. • Exterior lighting can be a powerful tool in helping control pests. Florescent light attracts flies and other insects, and should therefore be located further away from the building to draw them away. Any lighting near the exterior of the building should use sodium vapor bulbs, which are less attractive to insects. As the saying goes, “An ounce of prevention is worth a pound of cure.” With these tips and by partnering with your pest control provider, you can work to not only prevent pests, but do so in a way that is environmentally responsible and sustainable for the future. Bill Melville is Quality Assurance Director for Orkin Canada. Mr. Melville has 35 years of experience in the industry and is an acknowledged leader in the field of pest management. For more information, email Mr. Melville at bmelville@pcocanada.com or visit www.orkincanada.com.
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Winning the Green Healthcare Game HealthAchieve celebrates green achievements in healthcare By Kent Waddington, Canadian Coalition for Green Health Care Each year at HealthAchieve, innovative organizations are recognized for their achievements in energy efficiency, water conservation and protection, waste management, and overall individual leadership. The annual Green Health Care Awards, organized by HealthAchieve in conjunction with the OHA and the Canadian Coalition for Green Health Care, hold a special place at this event, since it provides a chance to showcase leadership and excellence in reducing the sector’s environmental impact – a topic that is near and dear to the hearts of stakeholders 38 Canadian Healthcare Facilities
throughout the sector. This year’s winners will be announced at HealthAchieve 2012, being held November 5 to 7 at the Metro Toronto Convention Centre. (For details on 2012 submissions, visit www.healthachieve. com/greenawards) The standouts in this area also provide an opportunity for others within the community to learn best practices. The following is a sampling of how some of the 2011 Green Health Care Award Winners excelled in their commitment to environmental stewardship and achieved award-winning status from their peers.
Energy Efficiency: London Health Sciences Centre The London Health Sciences Centre began a formalized Energy Stewardship Program in 2003 in order to develop a complete energy package. This comprehensive program consisted of several components, including energy procurement, retrofits, and monitoring and tracking of energy costs; as well as staff engagement and behavioural change. As part of the energy procurement i n i t i a t ive , L H S C wo r ke d w i t h a consulting agency to establish goals,
“LHSC's energy conservation efforts go back a number of years. In 1998, Victoria Hospital was converted to a natural gas- based cogeneration site, thereby reducing reliance on the city power grid and emissions.” develop a risk management strategy, and compile a gas supplier portfolio. The purchasing review process involved a number of stakeholders in mapping out a future direction, taking into account changing consumption projections and adapting to new construction and equipment needs. LHSC's energy conservation efforts go back a number of years. In 1998, Victoria Hospital was converted to a natural gasbased cogeneration site, thereby reducing reliance on the city power grid and emissions. Several retrofit phases followed, including upgrades to the lighting and building envelopes, as well as installation of energy-saving technologies such as variable speed drives and heat recovery systems.
The success at Victoria led to similar retrofits at the University Hospital campus. The most recent initiative (phase V) is focusing on water conservation as well as lighting retrofits, exterior LED
lighting installations, fume hood control upgrades and the installation of a second gas-fired cogeneration unit bringing the on-site generation capacity at Victoria Hospital to 11 MW.
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“Through their collective efforts, CKHA has scored a number of firsts for the healthcare industry.” In tandem with the technical aspects, LHSC put extensive effor t into establishing a dynamic employee engagement program that has been adopted by six hospitals in Ontario and two in Alberta. Overall, these projects have reduced LHSC’s electrical use by over 20% per year. Through constant monitoring and tracking, and with the support of employees, LHSC reports that it continues to reduce consumption per square meter. Annual savings from the five phases to date have exceeded $3 million, with a total annual greenhouse gas emission reduction of over 8 million kgs. Waste Management: Chatham-Kent Health Alliance A waste reduction and recycling program is just one of several strategies in the Chatham-Kent Health Alliance’s (CKHA) environmental stewardship program. Led by the Green Team, this staff volunteer group has found ways to divert an enormous amount of waste through numerous initiatives including waste audits, environmental expos, and the outstanding efforts of departmental and individual champions. CKHA’s waste audit program is focused on tracking recycling performance as well as establishing future waste reduction targets. This 40 Canadian Healthcare Facilities
process has been commended by the Ministry of the Environment and is now being used as a template for other healthcare facilities. For the past six years, the Green Team has also hosted an annual Environment Expo to allow Alliance members and suppliers to showcase their successes in recycling, energy sav ings, and liv ing healthy and environmentally friendly lives. Attendance and interest continues to grow from within and outside the organization. In 2011, the audience of over 600 attendees included employees, high school students, and community agencies. Departments and individual employees have executed a number of notable
initiatives on their own, including an ultrasound gel bottle-recycling program (Diagnostic Imaging Department staff) and a return to vendor program (Materials Management Department). Other recycling efforts include electronic waste, metal, fluorescent lamps, and print cartridges. Through their collective efforts, CKHA has scored a number of firsts for the healthcare industry, including an instrument tray wrap recycling program (a project that has been highlighted in a Ministry of the Environment Best Pr a c t i c e C a s e S t u d y ) ; a n d t h e implementation of reusable pharmaceutical medical collection containers for hospital units and medication carts. CKHA also implemented a program called “Operation Green”. In many cases, operating room items are readied for surgery, go unused, and are eventually disposed of. Operation Green sets out to collect these clean unused items and re-direct them to the developing world. This project will not only decrease a large percentage of waste, but also improve the lives of those less fortunate. Other waste reducing measures include a clinical form standardization program that has reduced paper disposal by 40% and annual print and paper costs; and a Sharpsmart program in which disposable sharps containers were replaced with new recyclable ones. CKHA also developed an Energy Matters website in partnership with Honeywell to offer employees up to date information and tips on waste reduction, energy conservation, and recycling programs.
Overall Leadership: St. Joseph’s Care Group St. Joseph’s Care Group (SJCG) has gained a significant reputation in Northwestern Ontario/Thunder Bay community for its ongoing green efforts. In recent years, the organization has won the Municipal Green Award, the City of Thunder Bay Clean Green and Beautiful Award, the Environmental Stewardship Award, and the Green Healthcare Award for Overall Leadership at HealthAchieve 2011. These awards pay homage to SJCG’s commitment to energy conservation, greenhouse gas reduction, and recycling and reuse/waste management programs throughout its facilities. The list of green accomplishments is extensive. The most recent green award was presented to The Sister Margaret Smith Centre for achieving LEED (Leadership in Energy and Environmental Design) Gold certification. The Sister Margaret Smith Centre has been designed to use 68% less indoor water and 42% less energy than conventional buildings. LEED standards are also being used in construction of new buildings. St. Joseph’s Care Group is now exploring the feasibility of rooftop solar panels for the CEISS (Centre of Excellence for Integrated Seniors’ Services) Sister Leila Greco Apartments and addition to the Hogarth Riverview Manor. The focus on energy conservation continues through the efforts of a dedicated Greening Health Care Committee that engages in environmental initiatives across all sites. The organization has also hired an environmental technician student to help develop and promote information and educational programs, as well as host presentations and events for new hires and existing staff to raise awareness and keep the momentum going. Current recycling efforts are diverse, and include batteries, fluorescent light bulbs, cans, plastic bottles, paper, cardboard, printer cartridges, electronic waste, glass, and furniture, among other items. Recent waste audits were conducted to not only identify current diversion rates, but to seek out even more opportunities to reduce waste (In 2011 sites diverted between 22.95% to 38.18% of their waste from landfill).
The submission deadline for the 2012 Green Health Care Awards is September 14, 2012. Ontario health service providers who are members of the OHA and/or the CCGHC may submit for multiple award categories. Visit www.healthachieve.com/greenawards for more information.
To drive more results, SJCG is now exploring the feasibility of composting for kitchen and cafeteria waste for an organic vegetable garden which was established to create employment opportunities for people with a serious mental illness and to support various food banks throughout the region. It is also looking at replacing styrofoam and plastic containers with starch-based products. A recently introduced micro-fiber mop system has reduced chemical
usage by 92% and water usage by 7 5 % . Even com mu n i c a t i on s a re “green” through the availability of online resources, including an internal newsletter. Whether building a case for energy conservation, or recycling waste, these organizations have proven that despite budget constraints, dedication and commitment to green initiatives can make a significant difference.
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“Towards World Class Healthcare”
32nd Annual Conference of the Canadian Healthcare Engineering Society
Palais des Congrès
Montréal, QC
September 23-25, 2012
SPONSORS KEYNOTE
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PROGRAM
Track 2B
Sunday September 23, 2012 09:00-14:00 11:00-16:00 14:00-16:00 18:30-21:00
The Great CHES Golf Game Companion Program – City Tour of Montréal Tour of Pavilion K, Montréal Jewish Hospital Opening Reception
This presentation will aim to introduce the Infection Control Practitioner (ICP) to those individuals working in the healthcare construction field. It will explore construction/renovation projects through the lens of an ICP and identify the roadblocks that prevent an effective working relationship between architects, contractors, engineers, facility personnel and the ICP. Common problems will be presented using real examples and potential solutions discussed.
Monday September 24, 2012 07:00-08:30 Breakfast 13:00-16:00 Companion Program – Flavours & Aromas of Little Italy Tour 08:30-09:00 Opening Ceremonies 09:00-09:45 KEYNOTE ADDRESS Senator Larry Smith On December 20, 2010, he was summoned to the Canadian Senate on the advice of Prime Minister Stephen Harper, Smith sits in the upper house as a Conservative. Larry Smith, who was President and CEO of the Montreal Alouettes for 12 seasons, is one of the most recognized figures in the Quebec community. The Montreal fans first got to know him as a star fullback from 1972 to 1980, and then as President and Chief Executive Officer from 1997 to 2001, when he led the Alouettes’ organization through one of the most important periods of the franchise history. After two years as president and publisher of The Gazette in 2002 and 2003, Smith reassumed the presidency of the Alouettes in March 2004 until December 2010. His return to the Alouettes allowed Smith an opportunity to add to his rich football legacy in Quebec. Smith’s first term as Alouettes’ president followed five years as Commissioner of the Canadian Football League. He has worked tirelessly for professional and amateur football over the last 30 years, playing a key role in reviving the tradition and glory of football in Montreal and the province.
09:45-10:45 PLENARY SESSION Track 1 World Class Healthcare: U.S Perspectives Dale Woodin, FASHE, CHFM. Executive Director, American Society for Healthcare Engineering As the conference explores what “World Class Healthcare” means, Mr. Woodin will bring the perspective of how the United States of America has grappled with this question. Healthcare is a political hot potato everywhere in the world, but has been publically evident in American politics over the past few years. Mr. Woodin’s unique background in healthcare facility management in combination with his current role as executive director of ASHE has placed him at the heart of the conversions. From discussions with representative at the American Hospital Association, to Congressional hearings to applications for Code provisions and meetings with the US Center for Medicare and Medicaid Services, Mr. Woodin will share his perspective on what World Class Healthcare is from his unique perspective.
10:45-11:15 Refreshment Break in Exhibit Hall 11:15-12:00 2 CONCURRENT TRACKS – 2A & 2B Track 2A Therapeutic Design in Health Care Lynne Wilson Orr, Principal, Parkin Architects Limited, Toronto; Erinn Haley-Stephenson, Assoicate, Parkin Architects Limited, Toronto The development of evidence based design research has led to a reexamination of the definition and application of design elements within the healthcare setting. What was once seen as ‘nice to haves’ are now recognized as elements which have a therapeutic value for patients, visitors and staff. This presentation will review current design research and its application within the healthcare setting.
Infection Prevention and Control Requirements During Healthcare Construction and Renovation: The ICP is not the enemy Jessica Fullerton, Infection Control Practitioner, University Health Network, Toronto Western Hospital, Toronto
12:00-12:45 2 CONCURRENT TRACKS – 3A & 3B Track 3A Applications for Antimicrobial Properties of Copper Alloys and Their Impact on Patient Safety Harold Moret, Project Manager, Copper Development Association, New York; Wilton Moran, Project Engineer, Copper Development Association, New York; Adam Estelle, Project Engineer, Copper Development Association, New York Antimicrobial copper alloy surfaces kill disease-causing bacteria. Preliminary results in a recent clinical trial showed that the use of these surfaces reduced infection rates by more than 40%. These results have tremendous implications on patient safety as each year 100,000 people die from HAI’s in the U.S. Antimicrobial copper alloys can be fashioned into a variety of products such as bed rails, IV stands, and many more to provide antimicrobial protection between cleanings.
Track 3B
Case Study: State of the Art Water Distribution System at Alberta Children’s Hospital and Subsequent Water Quality Research Allan Roles, VP Capital Management-Calgary Zone, Alberta Health Services, Edmonton Marc Kadziolka, P.Eng., Wiebe Forest Engineering The new Alberta Children’s Hospital opened in 2006. Prior to design and construction a team of Alberta Health Services (AHS) facilities staff, infection prevention and control staff, Wiebe Forest Engineering (Marc Kadziolka), a biology professor and researcher from the University of Calgary, and a researcher from the Provincial Lab formed a team to design the Alberta Children’s Hospital with a state of the art domestic water distribution system. Among many unique features, ultra violet light water disinfection was used to treat all incoming water. A research grant of $400,000 was secured to perform water quality and biofilm formation research over a 5 year period following the opening of the hospital. That research is nearly complete. This presentation will describe the innovative features of the water distribution system and high level results of the research.
12:45-15:30 Lunch in Exhibit Hall Visit Exhibits Refreshment Break 15:30-16:15 2 CONCURRENT TRACKS – 4A & 4B Track 4A Energy Performance in Hospitals of the Future Laurier Nichols, Vice President-Expertise (Building), Dessau, Longueuil QC Because of their purpose and ventilation requirements, hospitals have a much higher energy consumption rate than average buildings. Given the current problem of climate change, designs for the hospitals of the future must include mechanisms for decreasing their energy consumption. The presentation will demonstrate that it is possible to maintain good air quality and rigorous comfort conditions, while having high-performance heating, ventilation and air conditioning (HVAC) systems.
Track 4B
Emergency Management Norma McCormick, Founder and Principal, Corporate Health Works, Inc. Over the past 10 years several human-caused and natural disasters have highlighted the importance of emergency preparedness and disaster response capabilities among health care facilities. In these incidents health care providers in institutions and in communities have found themselves on the front line and this has precipitated an examination of emergency preparedness and contingency planning. Health care organizations must be prepared not only to recover from the direct impact of a disaster on their own operations, but continue to function as first line responders. The focus of this presentation will be the application of CSA Z1600 Emergency Preparedness and Business Continuity by health care facilities and organizations. This standard provides guidance on the identification and assessment of risk, the assignment of the resources to prevent and mitigate impact, and strategies to improve emergency response, disaster recovery and contingency planning considering staff, supplies, facilities, communications and information technology.
16:15-17:00 2 CONCURRENT TRACKS – 5A & 5B Track 5A Monitoring-based Commissioning as a Tool for Evaluating and Optimizing Energy Performance of the LEED Certified Buildings Boban Ratkovich, President, CES Engineering Ltd., Burnaby BC; Thomas Martin, Building Energy Analyst, CES Engineering Ltd., Burnaby BC
from 2002-2004 has given him a world view of healthcare from a clinical, facilities management and construction perspective. Having worked in a global environment and working with partners to the IFHE from all around the world, Mr. Baekken will share his perspective on what World Class Healthcare is from his unique perspective.
09:30-10:15 CHES National AGM 10:15-10:45 Refreshment Break 10:45-11:30 2 CONCURRENT SESSIONS – 7A & 7B Track 7A OR’s: What is done in Europe - Standards and Requirements Jean-Michel Vanhee, Clean Process Segment Manager, Camfil-Farr/France, La Garenne Colombes, France This session will give the participant a clear understanding of the different standards and norms used worldwide for building and retrofits in operating rooms. The participants will learn what is being done in other countries and what their approach is when establishing requirements for air cleanliness. Several installations and arrangements will be presented.
Track 7B
This presentation describes the Monitoring-Based Commissioning process as a method for evaluating and optimizing the energy performance of LEED buildings during the first year of operation. This relatively new process consists of collecting, storing, analyzing and reporting energy use data to optimize energy performance by giving end users the ability to make informed, effective energy decisions. The methodology is elaborated through a case study of a typical hospital project utilizing synergies between building energy simulations, measurement and verification and the commissioning process.
Track 5B
CHUM: an Intergrated Design Approach for a New, State-of-the-Art Healthcare Facility Nick Stark, Vice President, Knowledge Management, H.H. Angus & Associates Limited, Toronto; Andrew King, Design Principal, Cannon Design, Montreal; Azad Chichmanian, architecte associé, Partner, DCYSA Architecture + Design, Montreal The Centre Hospitalier de l’Université de Montréal, (“CHUM”), represents the largest single healthcare development underway in Canada. Situated within a dense urban context in downtown Montreal, the CHUM project has presented considerable challenges during the project pursuit, design and construction phases. As well, it has offered unique opportunities to collaborate within our design team to provide realistic, efficient and cost effective solutions to these challenges.
In 1998, McGill University Health Centre (MUHC) was at a crossroads. Just renovating its buildings was no longer a solution. There was a substantial gap to be closed in terms of obsolescence, maintenance and bringing up to standard. The Department of Technical Services set itself a strategic vision: to be one of the best in the world! Action followed, as did results. The presentation will describe this extraordinary and inspiring process.
11:30-13:30 Lunch in Exhibit Hall Visit Exhibits Exhibit Draws 13:30-14:15 2 CONCURRENT SESSIONS – 8A & 8B Track 8A Infection and Climate Control Possibilities for Construction of Health Care Facilities Bob Bedard, General Superintendent, Edmonton North Area & Senior Superintendent, Fort Saskatchewan and Strathcona Hospitals, Ellis Don Construction Services, Edmonton AB; T.J. Johnson, Vice President, Cavelier Industries, Edmonton AB The Fort Saskatchewan Community Hospital has explored innovative techniques to provide temporary heating and cooling systems while building new hospital facilities. The importance of managing the building’s internal environment during construction is emphasized in the reduction of risk for future patient infections. This presentation will highlight new methodologies for the use of negative air machines and construction air handling equipment and show how these innovations are changing the face of future healthcare construction in Canada. The real life experience on this site will translate into an increased awareness of how care during new hospital construction can have a lasting impact on improved patient safety throughout the life of the building
18:00-19:00 President’s Reception 19:00-24:00 CHES Gala Banquet Tuesday September 25, 2012 07:00-08:30 Breakfast 08:30-09:30 PLENARY SESSION Track 6 World Class Healthcare: International Perspectives Gunnar Baekken, St. Olvas Hospital, Trondheim, Norway As the conference explores what “World Class Healthcare” means, Mr. Baekken will bring the perspective of how the international community has grappled with this question. Mr. Baekken’s unique background in healthcare facility management in combination with his service as president of the International Federation of Hospital Engineers (IFHE)
Strategic Vision: World-Class Technical Services Serge Sevigny, Director of Technical Services, McGill University Health Centre (MUHC), Montreal QC Antonin Bouchard, Associate Director of Engineering and Operations, McGill University Health Centre (MUHC)
Track 8B
Road to ISO Marc Dagneau, Technical Coordinator, Facilities Maintenance & Operations, Fraser Health Authority, New Westminster BC; Mitch Weimer, Director, Facilities
Maintenance & Operations, Fraser Health Authority, New Westminster BC This presentation will outline the highly evolved relationship between Fraser Health’s Facilities, Maintenance & Operations and Sterile Processing Departments; how this relationship came to be through SPD’s implementation of ISO; the benefits of this relationship and ISO accreditation in general; the struggles of implementation, and current efforts to maintain standards and continuously improve; the organizational pitfalls, and the necessary day-to-day coordination; what we look like now—our communication structure; our team, and its development; philosophies—past, present and future; our goals, achievements, learning outcomes, and perception of the future.
14:15-14:45 Refreshment Break 14:45-15:30 2 CONCURRENT SESSIONS – 9A & 9B Track 9A Exploring World Class Technolgies for Healthcare Michael Methot, District General Manager, Quebec, Honeywell, Lachine QC This presentation is aimed at helping the audience understand technologies that are being utilized around the globe that can be applied to Canadian healthcare facilities. State-of-the-art technologies have enabled many foreign hospitals a benchmark as it relates to Page to4become world class facilities contributing to more favourable patient outcomes.
Track 9B
“From 9 to 1 with the Help of LEAN”: The Devlopment of Alberta Health Services Facilities Maintenance and Engineering Division Steve Rees, Vice President, Capital Management, Alberta Health Services, Edmonton AB This presentation will review the development of the Facilities Maintenance and Engineering (FM&E) division of the Alberta Health Services Capital Management department. It will focus on how LEAN Process Improvement was used to help improve safety, morale, staff engagement, productivity, and overall job satisfaction for the 1200 FM&E staff.
15:30-16:30 PLENARY SESSION Track 10 High Performance and Building Innovations - The Perspective of the Quebec Ministry of Health and Social Services Pierre Gauthier, Director of Expertise and Normalization, Ministry of Health and Social Services, Quebec QC Presentation of the practices and tools implemented by the Quebec Ministry of Health and Social Services to ensure that the various buildings of the public institutional network are modern, high-performing and state-of-the-art. The Ministry makes a special, concerted effort to obtain and develop a solid, recognized knowledge base and seek effectiveness and innovation.
Trade Show 16:30-17:00 Closing Ceremonies
TRADE SHOW September 23-25, 2012
Palais des congrès de Montréal Salle 220DE 800 - GP 721 412 421 607 818 502 400 718 819 625/627 813 - GP
AAF International Abatement Technologies Ltd. Acklands Grainger Adanac Air Tube System Air Liquide Medical Amico Corporation Anixter Canada Inc. Asco Power Technologies Canada Austco (Canada) Blackstone Energy Services, Inc. Busch Vacuum Technics Inc C/S Construction Specialties Company 901/903 - GP Camfil Farr (Canada) Inc. 918 Canadian Safety Anchor Inspection Inc. 410 CEM Engineering 522 Certolux, A Division of Visioneering Corp. 808 - GP CHEM-Aqua Canada 908 - GP 800 720 -‐ GP 618/620 Chubb Edwards, A UTC Fire & Security Company 1009 - GP 721 712/714 Class 1 Inc. 525 412 326 726 Confort Medic 614/616 Conval Quebec - GP 421 902 1019 D.H. Jutzi Limited 617 607 511 Dafco Filtration Group 425 621 Delta Controls Inc. 818 727 214/216/315/317 Direct Energy 519 617 503 600 Dri-Steem Corporation 513 Duzcart 823 605 607 ECNG Energy L.P. 1003 - GP 400 504 801 - GP Ecosystem 520 EI Solutions 718 802 - GP 803 - GP Energent Incorporated 506 719 Fibrwrap Construction Services Ltd. 819 809 - GP 418 Fluke Electronics Canada LP 624/626 625/627 615 Follett Corporation 604
717 Masco Canada Forbo Flooring Systems 821 MediaEdge Communications Inc. AAF International Franke 603 Morse Canada Systems Inc. Freudenberg Filtration Technologies Abatement T echnologies Ltd. 501 Notifier Canada GAL Power Systems 827 PALL Medical Acklands G rainger GE Lighting 1001 - GP Philips Lighting GlassCell Isofab Inc. Adanac A ir T ube S ystem 606 Phoenix Controls Corporation Groove Identification Solutions Inc. Air Professionels Liquide Medical 521 Pneumatic Tube Systems Inc. Groupe ERP, Produits 725 Pressalit Care Hansa Medic Amico Corporation 500 Primex Wireless Hazmasters Anixter Inc. Produits Chimiques Magnus Ltée Herman Miller Espace SolutionCanada 919 Qualitair Inc. Hilti Canada Aquaelectronik 706/708 Technologies Inc. 401 Rauland-Borg Canada Hippo Facilities Management Asco P ower T echnologies C anada 700 Reliable Controls Corporation HO Trerice CO & Watson McDaniel 516 SANUVOX Technologies Honeywell LimitedAustco (Canada) 703 Sapling Company Inc. Ingersoll Rand Security Technologies nc. Ltd. 202 Services, Siemens ICanada Johnson Controls Blackstone Energy Simplex Grinnell Klenzoid CompanyBusch Ltd. Vacuum 1018 T echnics I nc 414 Specified Technologies, Inc. LSS Life Safety Services
813 -‐ GP 901/903 -‐ GP 918 410
C/S Construction Specialties Company Camfil Farr (Canada) Inc. Canadian Safety Anchor Inspection Inc. CEM Engineering
705 707 507 402 715 724 527 701 526 807 - GP 601 702 602 406 722 515
Stanley Security Solutions (MAS Division) Steam Specialties StonCor Group Sybertech Waste Reduction Ltd Tero Consulting Ltd. Thermo 2000 Thermogenics Inc. Thomson Technology Trane Canada Tremco Canada VFA Canada Corporation Victaulic Company of Canada Ltd. Visonic Technologies Americas (ELPA) Weishaupt Corporation Willoughby Wilshire Works Solutions
CHES ANNUAL 2012 TRADE SHOW & EDUCATION FORUM, MontrÉal, Qc
EXHIBITOR PREVIEW Implementing Green Pest Control, STAT!" with "CHES 2012 National Conference Preview
Certolux Specialty Luminaires is a division of Visioneering Corp., Canada’s largest independently owned lighting manufacturer. Founded in 1952, we employ over 300 professionals and are represented in every province and territory across Canada. We offer an extensive line of medical and cleanroom luminaires.
Camfil Farr is the world’s largest and leading manufacturer of filters and clean air solutions. Camfil Farr delivers value to customers all over the world while contributing to something essential to everyone – clean air for health, well-being and performance. Come visit us at booth 901 & 903
Visit us at booth 522!
* Improve Indoor Air Quality
Reliable Controls® will be previewing the MACH-ProAir™ versatile VAV controller. Engineered to exceed the specifications for a wide variety of Variable Air Volume (VAV) applications, the MACH-ProAir™ is a fully programmable BACnet® Building Controller (B-BC), with numerous downloadable standard codes and flexible I/O options, all priced to meet a modest budget.
* Save Energy * Total filtration for Hospitals and Healthcare Facilities * Pre-filters, final filters, HEPA filters and Cleanroom filters
www.reliablecontrols.com/MPA
Come visit us at booth 700
Healthcare facilities choose Follett more often than any other brand. We offer the largest selection of ice and water dispensers for patient care in the industry as well as a full line of high-performance countertop, under counter and upright refrigerators and freezers for pharmacy, labs, blood banks and more. Come see us at booth 615
* HVAC air filters for all applications Come see us at booth #511
* Contact us at 1-888-628-3458 for more information
Distributor and fabricator of thermal and acoustical insulation systems; solutions provider for all of your mechanical, architectural, industrial, institutional and commercial needs. Exclusive supplier of TEMA (Thermographic Energy Maintenance Audit). See us at booth #902 GP
ASCO Power Technologies Canada For more than 40 years ASCO Power Technologies has been the leading Canadian manufacturer of Automatic Transfer switches and Generator Control Switchgear. We are proud of having introduced every major technical innovation in the transfer switch marketplace.
Steam Specialty Sales is pleased to welcome Healthcare professionals to our booth at 707. As the fastest growing steam company in Canada we welcome the opportunity to demonstrate our capabilities for improving your boilerhouse and DHW systems with modern controls, energy saving systems and turnkey solutions for improving steam quality and purity to CSR.
We provide nationwide 24 hour field service and technical support. Come see us at booth #400
Come see us at booth #707
46 Canadian Healthcare Facilities
HealthAchieve 2012 Conference: November 5, 6 & 7 Exhibition: November 5 & 6
Metro Toronto Convention Centre Toronto, Ontario, Canada
www.healthachieve.com
Talk about a great set of speakers. From world-famous business gurus to renowned musicians, the array of exciting speakers confirmed for HealthAchieve 2012 continues to grow. Confirm your spot at the health care industry’s must-attend event by registering now – while Early Bird rates are still available – at healthachieve.com/registration “ Another exciting year with a lot of great educational topics, speakers and exhibits. I came back to work rejuvenated and excited to apply some of the material I had learned at my organization.” Dylan Eldred, St. Thomas Elgin General Hospital Delegate, HealthAchieve 2011
Jim Collins
Hellen Buttigieg
Donald Berwick
Jann Arden
A student and teacher of how good companies become great, Jim’s books have sold over 10 million copies worldwide.
As host of HGTV’s “Neat”, Hellen’s mission is to help people make time and space for what matters most.
Past Administrator of U.S. Medicare, Dr. Berwick envisions a system in which high-quality care is accessible to everyone.
Jann is an award-winning talent who captivates audiences with her heartfelt music, quick wit and honesty.
In 2012, HealthAchieve will again be the largest and most respected event of its kind in North America. Register now to join the best and brightest minds at this one-of-a-kind health care show – while Early Bird rates are still available! healthachieve.com/registration
Dr. Peter Jensen
Steven Page
Peter applies his work with Olympic athletes to coaching high performance at major corporations worldwide.
Co-founder of The Barenaked Ladies, Steven has made an indelible mark on Canada’s music scene and cultural landscape.
HealthAchieve for TWO SWEEPSTAKES
facebook.com/ HealthAchieve @HealthAchieve
search: HealthAchieve
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