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Canadian

HealthcareFacilities Journal of Canadian Healthcare Engineering Society

Volume 31 Issue 4

Summer EtĂŠ 2011

PM#40063056

Energy Conservation

Inside

2011 National Conference preview The Indoor Air Quality Roller Coaster LGHealth's Retrofit Successes

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contents

Canadian Healthcare Facilities Volume 31 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

Editor

design and layout Annette Carlucci production Manager

departments

Rachel Selbie

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

10 Message from the President By Michael F. Hickey

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

12

Chapter Reports

Articles 18

Cover Story (coming)

22 The Indoor Air Quality Roller Coaster: Exploring the health benefits of plants By Brian Kinden

Rédatric intérimaire Matthew Bradford

CHES Canadian Healthcare Engineering Society

SCISS

Société canadienne d'ingénierie des services de santé

President

Michael Hickey

VICE-PRESIDENT

J.J. Knott

Past President

Stephen Rees

28 LGHealth's Energy Retrofit Successes: Over a decade of green savings

treasurer

Peter Whiteman

Secretary

Philip Langford

30 Shutting Out Warm Weather Pests By Bill Melville

EXECUTIVE DIRECTOR Elizabeth Hooper

26 CHES 2011 National Conference Preview: The big show comes to Winnipeg By Reynold J. Peters

34

CHES 2011 National Conference Guide

Chapter Chairmen Maritime: Bill Goobie Alberta: Ken Herbert B.C.: Mitch Weimer Ontario: Allan Kelly Manitoba: Richard Lacoursière 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

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Message from the Publisher

Gearing up for Winnipeg We're now at the halfway mark for 2011. Time flies by so fast, and so much has happened in the last six months. I have seen new enthusiasm with the journal and greater participation from all members. Our project features continue to provide insight into construction methods from facilities across the country. Thank you again to everyone who is taking the time to provide quality content for our members. Preparation for the 31st annual national conference “Sustaining Healthcare Infrastructure” is well underway. For the fist time ever, the National Conference will be held in Winnipeg, from September 25-27, so mark your calendars and confirm your attendance. This year’s event will be held September 25-27 so mark your calendars and confirm your attendance. And if you want a sneak peak at what's in store for the big show in Winnipeg, flip to pages 34 through 38 for a comprehensive conference preview, as well as specifics for the seminar line-up. In this issue, you'll also find articles on the energy retrofits undertaken by the LabradorGrenfell Regional Health Authority. Take note of the energy savings and the reduction of impact on our environment. Mike Sawchuk has also contributed an interesting perspective about the positive effects of plants within the work environment in “The Indoor Air Quality Roller Coaster”, and Bill Melville has provided a 'how-to' guide for detracting unwanted visitors in health care facilities in “Leaving Warm Weather Pests Out in the Cold”. As always, check out each chapter report for an update on what's happening in other parts of the country. Finally, I must pay a special thank you to Mike Hickey, the outgoing president of CHES. Mike took over under difficult circumstances and has conducted himself with the outmost professionalism during his tenure as the CHES president Have a great summer and look forward to seeing all in Winnipeg in September. 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. 8 Canadian Healthcare Facilities

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Message from the President

A Final Farewell and Thanks Wow … this is it; my final report as president of our wonderful organization. It's hard to believe it has been three years since I was sworn in. I remember the shocking and saddening call I received from Elizabeth on that long weekend in October 2008 telling me our colleague and friend President Wayne McLellan had passed away. We still miss him dearly, and I know he will always be remembered by his CHES friends. I can honestly tell you the past three years have been ones of tremendous growth for me. I have worked very hard in my CHES life, but I can truly say (in the words of Don Spielmacher) “That I got back ten times more than I put in”. We have such a wonderful organization that we should all be so proud of! My final report is all about thank-yous. I’ve had the privilege of meeting and working with so many wonderful people during my term; from our excellent executive team to partners such as Elizabeth and Donna (Events Management), Barry Hunt (Class 1), Luis Rodrigues and Lori Hunter (Honeywell), Subroto Chakravorty (Chem Aqua), Bill Corrigan and Derek Semeniuk (Tremco), Daryll Nazarene and Tim Walden (Johnson Controls), Steve McLinden (MediaEDGE); and to lifelong friends I have met such as Gord Neal (Manitoba) and Gordon Burrill (Maritime). Please don’t be offended if you do not see your name here, as this page is just not long enough to list them all. I have been witness to many milestones including the growth of our organization to 1000 members; the first ever CHES National Conference in Newfoundland and Labrador; the creation of the NL Chapter of CHES; the legendary Newfie kitchen party; the planning of the first ever CHES National Conference in Quebec; the release of our new and amazing website www.ches.org; the tremendous growth of the Canadian Healthcare Construction Course; the continued growth with partners CSA, ASHE, CCHL/CCHSE, and the Green Coalition for Healthcare; the development and introduction of the Medical Gas course; and of course the backbone of our society, the great progress and accomplishments of our Working Committees and the wonderful people who have volunteered to make them work so well. That structure was introduced by Wayne at our National in 2008, and it continues to serve us well by truly making us a coast to coast to coast organization. My gratitude also goes out to the past presidents, chapter chairs, conference planning chairs and their committees, and to you the CHES members who taught me so much about what CHES stands for. Finally (and most importantly), I must give thanks to my wonderful wife Judy and our beautiful daughter Candace. They have been there for me throughout the growth of my career, and have supported me unconditionally as I flew 70 flights a year for my three jobs (my real day job at Northern Health, my CHES job, and the work I do with CSA). They truly have been the rocks that have kept me strong, and I thank them and love them dearly for that. I am such a fortunate man. Although I am moving to my role as past president for the next two years, I do hope to continue to work with CHES for many years to come. I am so proud of what CHES has become, and will be there to cheer the organization on as we forge into the future. Thank you to all for your support, particularly those who have put their name forward to carry on the strength we have developed in our executive team. We truly are in good hands. And for the last time I will say: thank you for the great work you do to keep CHES strong. I look forward to seeing you in Winnipeg in September. C

M

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CM

MY

CY

CMY

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Yours sincerely Michael Hickey, President 10 Canadian Healthcare Facilities

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Manitoba Chapter

BC Chapter Report

alberta Chapter

Chapter Reports This spring's Healthcare Construction Course in Red Deer was a great success with over 90 registrants on hand. We're looking forward to another course being held in Alberta in 2012. In addition, our spring half-day education day and golf game was cancelled due to not achieving a minimum of 20 registrants by the deadline of June 3, 2011. Planning is underway for the Alberta Chapter Annual

Clarence White Seminar and Tradeshow for the revised dates of Nov 14-15, 2011, at the Capri Hotel in Red Deer. Our planning chair for this year is Randy Badry.

Ken Herbert Alberta Chapter Chair

The BC Chapter is coming off of its most successful chapter conference ever. The 2011 BC Conference was held on June 12-14, 2011, in Whistler, BC, and was a huge success with over 400 attendees. There were fantastic education sessions at the conference, all of which presented to large crowds, and the tradeshow included wonderful array of exhibitors, and received great reviews. The CHES BC grassroots program was also popular, and provided the opportunity for over 20 Health Authority Supervisory and Trades staff to attend the conference on the daypass program. At the Gala Banquet, ventriloquist Norma McKnight and her stage puppet had many in tears of laughter. A special thanks goes out to BC past president Steve McTaggart for all his help at the conference. The conference theme was built around 'Change' and its affects on health care. It’s one of the constants we deal with in health care, and managing and embracing change has become a key factor in our everyday lives. The keynote speaker for the conference was Peter Goldthorpe – VP of Facilities Management for the Lower Mainland BC Health Authorities. Peter orchestrated one of the largest back of the house department consolidations in BC healthcare history when he brought together the complete Facilities Management services of four Vancouver based BC health entities. Peter spoke on back to basics leadership, and how this can help us all deal with and support change in the workplace.

CHES BC has been the catalyst for the creation of BC healthcare’s provincial Facilities Maintenance and Operations technical working group. This group is comprised of representatives of all BC healthcare authorities. It met once again at CHES to work on issues with provincial implications, and has begun to strengthen its links with the Ministry of Health. This year, CHES BC is moving forward with an aggressive education agenda for its members. I’d like to take this opportunity to announce to BC CHES members our education sponsorship program has now increased to a maximum of $1000 per person, and is open to all BC CHES members. CHES BC has also increased both the quantity and types of education programs we will support for 2011/12. The Education Committee is working on developing this agenda for a fall release. We’ll be sending out targeted information as well as posting the education program on the BC page of the CHES website. CHES BC also has standing bursary programs with 6 BC colleges. We’re working on creating recipient profiles for inclusion on the BC page of the National website. Please check the BC Page on the CHES website in the fall for the full updates and details.

The Manitoba Chapter and the National have completed the education and companion package for the National Convention being held this year in Winnipeg. Manitoba’s own Dr. Lloyd Ax worthy will be the keynote speaker, and Rocky Rolletti will be the conference banquet entertainment. The great CHES golf game will be held on the Sunday at “The Bridges Golf Course”. As a chapter, we are looking forward to an excellent conference. This is an fantastic opportunity for all to attend a great educational event focusing on 'Sustaining Healthcare Infrastructure'. It is the Manitoba Chapter's intent to pay each Manitoba’s registrant’s annual National fees if they attend the conference. We are looking forward to meeting you all here in Winnipeg, Canada’s newest home for an NHL Team The chapter has also booked the venue for the 2012 Education Day in April 2012. The event will focus on life safety issues within our facilities, and should be of interest whether we come from an acute healthcare or a PCH. After the National Conference, and once we have the itinerary completed, we will publish that information.

I will be passing on the role of Chapter Chair to Reynold Peters, and thereby leaving a vacancy to be filled in the provincial co-chairs position. A call has gone out for nominations for the position of Secretary and Treasurer. These chairs have been filled by the same individuals for the past four years, and we would like to see other CHES members take an active role in the chapters leadership. It is important that we as healthcare engineers collaborate together in finding viable and sustainable solutions to the complex healthcare requirements we face daily. As a chapter, this is something we look forward to; that is, meeting colleagues from across the country and learning from each other how to keep our healthcare infrastructure healthy, despite the economical challenges we face daily. On behalf of the Manitoba Chapter, have a safe and enjoyable summer. See you in September!

Mitch Weimer BC Chapter Chair

Richard Lacoursiere Manitoba Chapter Chair

12 Canadian Healthcare Facilities

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MARITIME CHAPTER

I am pleased to report the Maritime Chapter annual conference, held May 8-10, was a great success. Attendance was down from previous conferences due to economic restraint and travel restrictions, however it did not affect the overall conference. Thanks to strong support from the industry and suppliers, we had a fantastic tradeshow and full sponsorship of all events. I’d like to express sincere thanks to all the executive and members who pitched in to make it a great conference. We were also very pleased to

have Mr. J.J. Knott in attendance! We are currently in the planning stages for a fall educational seminar. If all goes according to plan, the topic will be the much anticipated CSA Standard, Z8000 Canadian Health Care Facilities.

NL & LABRADOR CHAPTER

Chapter Reports

Our Chapter Executive was recently busy organizing the Professional Development day (PD), which took place on May 9th at the Albatross Hotel in Gander, NL. The PD day was a great demonstration of what can be achieved with the cooperation and hard work of our society and that of our sponsors, all working together for the greater good of healthcare engineering in Newfoundland and Labrador. Although we started organizing a PD day, what we ended up with was a mini conference. This was due to the support and attendance of our members, and the generosity of our sponsors. We had nine booths, five corporate sponsors and 60 delegates attend our event. The event kicked off with a

meet and greet on Sunday evening, and on Monday featured four educational presentations on energy management, infection control, chemical storage/fire life safety and water treatment. We finished with a delicious meal provided by the Albatross Hotel, and entertainment provided by the new group to hit the charts (a lot of you have heard of them), “Ches of CHES and friends!” In addition, we were pleased to have Peter Whiteman from the national executive in attendance. After all the learning and fun, members of the CHES NL executive are now back to the grindstone on policy development.

Bill Goobie Maritime Chapter Chair

Randy S. Cull Newfoundland & Labrador Chapter Chair

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Ontario Chapter Report

Chapter Reports It has been a very busy year for CHES Ontario. Our May conference was a huge success. Ron Durocher - with his team including Bob Belanger, Jim McArthur, J.J. Knott, Gary Siebel, Michael Bendell, Gord Bartlett, Dave Abbott, and Ken Preston - did an amazing job organizing this event. The theme for the conference was “Linking our Knowledge”. The organizers provided excellent presenters who discussed the procurement strategies, updates to CSA and discussions on leadership. We are now underway with the planning of the 2012 conference which will be held in Kingston. We were also delighted that Phil Langford could attend and bring greetings from CHES National. The new executive for the next two years was introduced at this conference. It consists of Ron Durocher, past president; Paul Soares, vice president; Jayne Novak, secretary; Ed Davies, treasurer; Rick Anderson, education chair; Kevin Day, communications chair; and Jeff Weir, membership chair We had another successful year of educational sponsorship for the Ontario Chapter. The colleges who award bursaries in the Society's name include Canadore College in North Bay; St. Lawrence College, in Kingston/ Brockville/ Cornwall; Niagara College, in Niagara-on-theLake & Welland; Fanshaw College, in London/Woodstock; Conestoga College, in Kitchener;, Seneca College, in Toronto; Durham College, in Oshawa; St. Clair College, in 1 2011/02/17College, 4:20:56 PM in Owen Sound Windsor/11_CCL_CHES_halfpage.pdf Chatham; and Georgian

/ Barrie. To date, since 1996, over $300,000.00 is being held as endowment capital in the name of CHES-Ontario, towards scholarships in (9) Ontario Colleges. I had the privilege of meeting one of the recipients and accepting his thanks at an appreciation ceremony at Durham College. Our members' tuition applications for the 2010-year have totalled $2000. The CHES Ontario Executive encourages all of our members to take advantage of the generous opportunity for tuition reimbursement. Membership continues to grow, with Ontario picking up 57 new members for a total of 388 members - up from the previous year. CHES Ontario also recognizes the value of our 'Long Term' members, with 20-year and 30-year recognitions. A restaurant gift card was sent to 23 regular members who have been continuous members for more than 20 years, to have a celebration at our expense. These members are among the 'elite' few that have endured for these many years in an industry that has experienced many changes. Their continued dedication is appreciated in support of our Society. The new executive is looking forward to the new challenges in our society. From 'Linking our Knowledge' we hope to encourage more members to join CHES and encourage existing members to be involved in their chapter. Allan Kelly Ontario Chapter Chair

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CHES Remembers Geoffrey Ernest Yellow Geoffrey Ernest Yellow passed away on May 13th, 2011, at the age of 55. A much loved family man and resident of Grimsby, Geoffrey worked for 26 years at the West Lincoln Memorial Hospital, where he quickly became manager of environmental services, and a favourite amongst staff and visitors. In addition to giving his time and energy to his family and career, Geoffrey also contributed greatly to his home town of Grimsby, serving 13 years as a volunteer firefighter, and as a celebrity ambassador for the Fergie Jenkins Foundation. Following the death of wife Nancy in 2003, Geoffrey rededicated himself to spending time with his loved ones, and helping his community. He also purchased his 'prize possession', a 2005 Harley-Davidson Electra Glide Classic, which he used to clear his head on long rides, and become an active member of the Jordon chapter of the all-firefighter motorcycle club, Brothers Keepers. Geoffrey was returning home from an annual biker gathering on May 13th, just five days after he walked his daughter down the aisle, when he was struck head-on by a vehicle in the wrong lane. He will be greatly missed by his family, friends, fellow firefighters and everyone at the West Lincoln Memorial Hospital.

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National Healthcare Facilities and Engineering Week October 23 - 29, 2011 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.

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John Natalie has a green job. As Program Manager for Environmental Sustainability at the Hospital for Sick Children (SickKids) in Toronto, Natalie was hired in 2010 with specific responsibility for implementing hospital initiatives to support a corporate strategy of creating a sustainable infrastructure and promoting a socially responsible work environment. Notably, his salary is paid for entirely out of the energy savings and utility company incentives SickKids earns each year through its ongoing energy and environmental program. Since 2004, despite the addition of medical equipment and intensification of services, the hospital has lowered total energy use by 19.3% across its three Toronto sites, recording $1.98-million in utility cost savings in 2009 alone. Add in $135,775 in incentive payments from Enbridge Gas since 2007 and energy conservation has been an important contributor to Sick Kids’ operating budget. “Over the past seven years we have undertaken a succession of initiatives to lower our energy operating costs, “ says Ron Lowe, the hospital’s Director of Facilities Operations. “We manage these efforts ourselves. Our people are skilled at spotting and fixing inefficiencies.” Those initiatives range from a sophisticated control system for operating theatre ventilation, which assures proper differentials as well as saving energy, to tracking down and repairing steam leaks. SickKids has conducted lighting retrofits, modified its heat recovery systems, upgraded and reprogrammed building automation systems and even installed a rooftop solar thermal system to preheat hot water. The total cost to date has been paid for with less than one year of savings, and SickKids is now among the most energy-efficient hospital corporations in Ontario. “But we feel we have only just begun,” Lowe says. “Working with a large number of other Ontario hospitals through the Greening Health Care program, we have targeted doubling our savings over the next few years.” “Energy conservation is about good management, not big capital expenditures,” he adds. “There is always an economical way of correcting inefficiencies – the trick is in finding the opportunities, thinking them through and making sure that improvements are maintained over time.” This experience is being leveraged in the hospital’s new Research and Learning Tower, which is now under construction. “We are incorporating all we have learned into our new facility,” he says.

PERFORMANCE BASED PROGRAMS Ontario is entering a new era of performance based conservation. Whereas utility programs in the past have relied on engineering calculations of savings, today real performance data informs conservation action. Performance based programs such as are helping organizations quantify their potential, determine where savings are to be found, share best practices and verify that savings are actually achieved and sustained over time. The next generation of conservation programming can build on the performance based conservation process and new standards by: • Supporting the establishment and growth of collaborative, data-driven, multi-year programs for all building types and homeowners; • Raising the expectations for engaging building owners in comprehensive conservation action; • Establishing building-specific benchmarking standards and conservation targets so that all potential savings are identified and harvested: and • Supporting continuous energy use monitoring and reporting with incentives linked to actual savings to reward comprehensive initiatives and drive continuous improvement.

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large savings, while its IT department is contributing with a sophisticated network control system that substantially lowers the energy use of its 12,000 computers. Systematic testing of the heating, ventilation and air conditioning systems is uncovering a range of problems, some dating back to original design and construction, with others resulting from operational inefficiencies or deterioration over time. “We are now busy identifying and fixing these problems,” Parkes says. The Simcoe County District School Board recorded savings in excess of $300,000 in

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2009 as its program got underway. In addition, since 2007 it has earned more than $63,000 in incentives from Enbridge Gas based on actual, recorded gas savings. When the current multi-year program is completed the Board is targeting Board-wide savings of 26% – worth more than $2 million per year. “We are improving our indoor environments in schools and lowering maintenance costs as well as saving energy and reducing our carbon footprint,” Parkes notes. “Millions of dollars in savings are just the beginning.”

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THE POSSIBILITIES For building owners, every portfolio of buildings contains potential for conservation that can be converted into capital. Benchmarking and target-setting point to where savings are to be found. Low- and no-cost recommissioning and operational improvements typically make up the larger part of the savings. Ontarians spend approximately $20 billion each year on utilities for buildings and homes. Up to half of this amount is being shown to be wasted so unlocking up to $10 billion in annual savings could create more than 50,000 direct, high quality jobs, while adding more to the Ontario economy than all federal and provincial stimulus spending over the past three years. The Green Energy Act has set the stage for rapid growth in energy conservation across the province. To realize this potential, strong regulations centred on the real performance of buildings will be required, as well as incorporation of current standards and best practices into the design, retrofit and operations of public sector facilities. Government can lead by example, adopting the key principles of benchmarking, target-setting and accountability for results, while supporting the capacity of businesses across the province to meet the growing market. The Building Code can follow, incorporating higher design and performance standards to consolidate performance improvements. In a period of fiscal austerity, reducing utility costs provides an option for saving money in order to maintain services, as has been the case at SickKids. “Most of our savings have gone into preserving frontline service jobs,” Ron Lowe explains. Meanwhile, the market for energy conservation services and performance based solutions is set to take off in Ontario. This market will reward new methods and knowledge and inform new approaches to business. Companies that adapt and consistently deliver high standards of building performance will prosper in the emerging green economy. Market transformation presents risks and opportunities from which arise new market leaders. Ian Jarvis is President of Enerlife Consulting and a past president of the Canada Green Building Council.

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The Indoor Air Quality Roller Coaster Exploring the health benefits of plants By Brian Kinden

If we were able to turn the clock back and visit major medical and office facilities built before and directly after World War II, we might notice most of these facilities had few (if any) indoor foliage. One reason for this is that these buildings were designed to emphasize the formidability and power of concrete and steel. Indoor vegetation simply did not fit in. This philosophy took a turn in the early 1970s. Most likely as part of the 'environmental' movement which was sweeping North America. During this time, more and more medical and other types of facilities started installing plants in lobbies, offices, common areas, and elsewhere throughout the building. They did this because there was a greater appreciation of the outdoors, and they wanted to somehow bring this 'green' inside. More importantly, researchers and scientists started reporting conclusive evidence that rooms with plants had better, cleaner, and healthier air. The research found plantfilled rooms contain up to 60 percent fewer disease-causing

airborne molds and bacteria when compared to rooms without plants. The plants also absorb and then convert volatile organic compounds (VOCs), along with carbon dioxide and other toxins and impurities, into healthy air (see sidebar: The “Pearling� of Air) *included below* However, things took yet another turn in the 1980s. The air quality benefits of indoor vegetation were apparently forgotten, or perhaps developers and building owners questioned the expense of selecting and then maintaining the vegetation. It is true: plants, especially large plants, can be costly if purchased, and their life span in interior settings can be relatively short. Additionally, by the 1990s, there was a belief that every section of a facility must somehow produce revenue or serve some useful or economic purpose. The plants were taking up space that could be better used, at least financially, for leasable office area, shops, kiosks, and so on. Plants proving their value Although scientists back then knew plants filtered air and

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As we know, pearls are made by oysters through a fairly simple process. What apparently happens is a foreign substance slips into the oyster’s shell, causing an irritation. The oyster’s natural reaction is to encapsulate that irritant to protect itself. The natural substance created by the oyster eventually turns the irritant into a pearl. In many ways, indoor vegetation does the same thing with airborne toxins. The plants absorb pollutants into their leaves and transmit the toxins down to their roots where they are turned into a food source. Using these impurities as a source of food, the plant produces new leaves and the process of photosynthesis begins. During this process, in which the leaves absorb light and convert it to energy, the plant releases life-sustaining oxygen into the air.

co nve r t e d a i r b o r n e tox i n s i n to healthier air, there was no conclusive evidence that this had a positive, measurable impact on the health of people using these facilities. That all changed in 1998, when Professor Tove Fjeld of the Agricultural University in Oslo, Nor way, began a series of studies on indoor air quality. The studies were conducted in 51 d i f f e re n t o f f i ce s a n d b u i l d i n g s . Thirteen common varieties of indoor vegetation were installed throughout the locations for a set duration and then removed from the locations for a comparable time period. The same participants were involved in both studies; no other changes, structural or other w ise, were made in the

facilities other than the removal of the plants for the study. Looking for possible health improvements when the indoor plants were installed, the researchers discovered: • The participating workers reported 20 percent less fatigue when the plants were installed; • The number of headaches was down by 30 percent; • Respiratory problems including coughs and dry or sore throats declined by as much as 40 percent; • T h e re w e re 2 5 p e rc e n t f e w e r complaints of dry facial skin; and • Overall, when plants were installed there was a 23 percent reduction of 12 different health-related

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symptoms or complaints commonly reported in the buildings and offices. Installing indoor plants for the purpose of promoting health is a concept that is gaining a renewed interest. Hopefully, more facility managers and owners will become aware of the benefits and take action. Ad d i t i o n a l l y, t h e r e i s a n o t h e r renewed movement taking hold in the commercial building sector: cleaning with plants and other biorenewable resources. Protecting indoor air quality In recent years, researchers have found new ways for vegetation to help protect indoor air quality and health, this time in the form of biorenewable cleaning products. These products are typically made from such plant items as soy, corn, coconut, parsley, citrus, lavender, and other plant sources. Each plant type may have special cleaning applications. For instance,

soy-based products are often used for hard-surface cleaning, metal p o l i s h i n g , a n d l i ke co r n - b a s e d products, even removing graffiti. But unlike conventional cleaning products, and because bio-renewable cleaning products are made from living vegetation with no petroleum by-products, they emit few if any volatile organic compounds (VOCs) or other chemical ingredients that can harm indoor air quality. In fact, some bio-renewable products are now considered so helpful in protecting the environment, they are Green certified. For instance, Canada’s EcoLogo™ program has established standards and criteria for bio-renewable programs under its certification criteria CCD-110 Cleaning and Degreasing Compounds Biologically Based. The great takeaway To g e t h e r, c l e a n i n g w i t h b i o renewable products and increasing the number of plants around the building continue to play an

When there’s a failure, how long will you be down? Old, obsolete, and overloaded electrical and automation equipment. Harsh operating environments. No readily available repair parts. Limited capital expenditure budgets. Any one of these situations can seriously impact your facility’s uptime.

important role in maintaining building occupants’ health. Because we have seen the interest in indoor foliage come and go, the great takeaway here is very simply that in the indoor environment, plants should not be taken away. They serve a purpose other than providing beauty. Similar to bio-renewable cleaning products, they help keep people healthy. Vegetation is helping us develop new methods to make cleaning healthier and more protective of the environment. It is expected that interest and growth in biore n e w a b l e c l e a n i n g p ro d u c t s w i l l increase considerably in the next few years. And as it does, plants again will help improve and protect the indoor environment. Mike Sawchuk has been involved with the Green and professional cleaning industries for more than 15 years. He is currently Vice President and General Manager of Enviro-Solutions, a leading manufacturer of certified-Green cleaning chemicals based in Ontario, Canada. Reprinted from Canadian Property Management January 2011

Let Schneider Electric™ help you with… Identifying risks in your facility Planning for equipment modernization Reducing expenses through reliability centered

maintenance plans To download our white paper discussing how to maximize electrical system reliability, and to obtain more information on our consulting services, visit www.SEreply.com and enter keycode d875v or call 800-265-3374. © 2011 Schneider Electric. All Rights Reserved.

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CHES 2011

National Conference Preview The big show comes to Winnipeg By Reynold J. Peters

We hope you are planning to join us in Winnipeg for the CHES 2011 National Conference at the Winnipeg Convention Centre, September 25th-27th, 2011. A major part of our annual conference is our tradeshow featur ing over 120 exhibitor booths representing many different types of vendors, including ventilation, filtration, roofing, security, communication, controls, flooring, and energy companies, to name a few. Delegates will have an opportunity to tour the Exhibit Hall during dedicated tradeshow hours and view all the new products and services on display by our vendors. The tradeshow will also include our 'CHES Green Park' area, showcasing vendors whose products and/or services reflect a corporate mission to support the health and well-being of people and the planet. As hospitals embrace environmentally responsible health care service delivery, they are looking now more than ever for 'green' products and services to assist them in fulfilling their healthcare commitment. Also new to the tradeshow this year is our “Inspire Green program”, in which vendors who feature products or services that can help contribute to the sustainability of our sector, will be awarded an 'Inspire Green' icon for display in their exhibit area. Delegates are encouraged to look for the 'Inspire Green' icon and ask these vendors for details. Once again this year we have planned some exciting social events, one of which includes the great CHES Golf Game at Bridges Golf Club on Sunday September 25th. This will be a shotgun start Texas scramble format, starting at 10am. Also on Sunday, the conference will kick off with the Opening Reception in the Exhibit Hall. Join us for food, friends and fun!

This year, the CHES Gala Banquet will be held at the Winnipeg Convention Centre on Monday September 26th, and will feature Rocki Rolletti and the Retro Rhythm Review, starring entertainer, comic, and journalist Peter Jordan, who is guaranteed to rock your socks off. Jordan's band took Winnipeg's entertainment scene by storm with its decidedly goofy take on rock n' roll in the 1980s. He went on to star in the CBC-TV work series It's a Living, which aired on CBC Television from 1989-2003. This year’s Companion Program features two tour options. Join us on Sunday September 25th and experience the Fort Garry Hotel's award-winning Sunday Brunch at this beautiful, historic hotel. Designated as a national historic site, this former Grand Trunk Pacific Railway hotel is one of Winnipeg's most prestigious landmarks. The Fort Garry Hotel is more than an elegant hotel - it is an architectural icon, and one of the city's most recognizable structures. After brunch, all are invited join Frank Albo, researcher and academic inspiration behind the bestselling book, The Hermetic Code, for an unforgettable tour of decoding the famous symbols and architecture that make the Manitoba Legislature Building truly unique. During this tour, you will unlock the mysteries of one of Canada's most unique architectural landmarks, begin your understanding of this magnificent building, and uncover trails of occult clues concealed in the building's architecture; including hidden hieroglyphic inscriptions, numerical codes, and Freemason symbols so intelligently masked they have escaped historians and visitors for nearly a hundred years! On Monday September 26th, 2011 we will be

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highlighting a tour to Pineridge Ho l l ow, d u r i n g w h i c h yo u w i l l experience the genuine warmth of the Prairies during lunch at Pineridge Hol low Restaur ant. Nestled just outside of Manitoba's scenic Bird's Hill Provincial Park, just 30 minutes from downtown Winnipeg, this turnof-the-century style Carriage House sits among six acres of gardens, ponds, flowers and peaceful property which is free to roam and enjoy. After enjoying some shopping in the Piner idge ROOFING • REROOFING Ho l l ow b o u t i q u e a n d f u r n i t uNEW re B L I S H E D 1 9 2 7 showroom, you will enjoy a midN G E N V E L Oafternoon P E C O NWine T R Aand C T Cheese, O R S graciously WATERPROOFING • TRAFFIC TOPPINGS hosted at the home of Diane Price of BGE Service & Supply Ltd. LIGHTWEIGHT CONCRETE ROOF look forward to seeing you in ROOFING • We REROOFING Winnipeg for the CHES National INSULATION SYSTEMS Tradeshow & Education Forum in E S T A B L I S H EEN/COOLSeptember ROOFING 2011! GREEN/COOL ROOFING

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LGHealth's Energy Retrofit Successes Over a decade of green savings

The Labrador-Grenfell Regional Health Authority's (LGHealth) mandate is to provide integrated health services throughout northern Newfoundland and all of Labrador. In order to carry out this mandate, we must provide quality facilities to our clients and staff at a reasonable cost. With over 100 facilities in 25 communities, LGHealth is responsible for more than 1 million square feet of property. We construct, maintain and operate these facilities in the best interest of the board, and in the most cost effective manner as possible. A significant portion of our budget is consumed by direct energy cost expended in the form of heat, light and air conditioning. This oil, electricity and direct operating cost requires an operating budget of over $11 million. Acknowledging this, the board engaged in an energy performance contract (EPC) with Johnson Controls (JCI) in the fall of 1999 to improve the overall efficiencies in operations and carry out general Facility Improvement Measures (FIMs) in the southern facilities. The

objectives were to both achieve energy savings and bring our facilities to a better standard to reduce risk. This contract was valued at $1.977 million, partnered with a grant from Natural Resources Canada and the International Grenfell Association. It was contracted with JCI to be paid out at $242,108 per year for 8.2 years; 100% of which would be paid for through operating and energy savings. This contract was realized approximately one year ahead of its target date. During the contract period alone, these efforts have: • Reduced our oil consumption by 2,971,035 litres; • Reduced our greenhouse gas emissions by an equivalent of 8,402 tonnes of carbon dioxide annually - or 1,709 cars taken off the road; • Realized financial savings: our actual financial avoidance for operations was $1.83 million, however our performance contract only claimed $718,990; and • Improved the conditions of our facilities.

Although the contract period is over, our facilities and environment continue to benefit from these improvements, and will continue doing so for a very long time. It is intended to redirect the savings stream to future energy FIMs throughout the region. A second round of retrofits The savings stream generated from the initial retrofit has now been directed to “Energy Retro #2”. Because of our excellent track record, and available funding, we were in a position to go it alone and direct our own energy retrofit. We call this a “revolving funds method of financing”.

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Although technology has changed over the past 10 years since our first retrofit, the process is similar. We selected I.B. Storey Professional Energy Solutions out of PEI as our consultant, and are going proceeding according to the plan. First, we established a regional baseline using both our resources and software developed by I.B. Storey, giving us the ability to track this part of the project via the web. We toured the facilities in the region and developed a list of “Energy Conservation Opportunities, (ECOs)”. This ECO list is based on simple payback methods, and projects are chosen based on our own balance of savings and urgency. We work directly with our consultant on energy related matters. Once the various projects are complete, and the quantified increases in the savings are generated and identified with baseline tracking, it results in a larger saving and subsequent increased base budget available for more ECO projects in our facilities. Thus far we have undertaken three projects including a regionalized Computerized Maintenance Management

“When you have the resources, dealing directly with your own energy consultant is the way to go.” System, Ionic bed humidification for HVAC and Insulation Specialties. Many more improvements are to follow. In summary, when the energy contracts are too big for self financing and /or the available upfront funding is not available, it is recommended that one utilizes an EPC contractor as a solution to managing your energy needs and opportunities. When you have the resources, dealing directly with your own energy consultant is the way to go. Without the success of the first EPC, and the benefits of working with a reputable contractor, we would not be in a position to go it alone. This system is working well for our board and we are looking forward to get more ECO projects completed as time goes by. Energy Retofit #2 has eliminated bank interest and contractor margin, giving us more bang for our heathcare dollar. Undoubtedly, we have and will continue to reduce our carbon footprint, reduce operating cost and improve the comfort and quality of our facilities through out the region.

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Shutting Out Warm Weather Pests How to prepare your healthcare team to prevent unwelcome warm-weather pests By Bill Melville

With hot summer weather and vacation season quickly approaching, it is tempting to just want to slow down and chill by the pool. But while the summer months encourage people to take time off, it also encourages others to become more active – namely, warm-weather pests. High amounts of foot traffic from patients, staff and visitors make healthcare facilities par ticularly vulnerable to pests such as flies, cockroaches or mosquitoes, all of whom can threaten not only the health and

safety of your staff and patients, but also the reputation of your facility. Despite your staff ’s best efforts, they can unknowingly contribute to allowing these pests into your facility. Therefore, it’s important to work with them and your pest management provider to keep warm-weather pests away. The best preventative method incorporates an Integrated Pest Management (IPM) program, which takes a proactive approach to pest management instead of relying on chemical treatments. IPM

emphasizes sanitation and facility maintenance, and is environmentally friendly. Because the members of your staff are the most important players in the sanitation and maintenance of your facility, it’s crucial to ensure they understand both the importance of IPM and their role in the process. Avoiding a warm welcome for pests Flying pests such as flies and mosquitoes, and stinging pests like bees and wasps, can pose a serious health risk to your

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Check out www.ches.org for more information about your association.

• Check out national news. • Stay in the loop with professional development including all local and national events. • Know what’s going on in your local chapter. • Take advantage of membership tools and other benefits. • Plus all the latest content from the most recent edition of Canadian Healthcare Facilities. All members are encouraged to visit the website and take advantage of the many member benefits it offers.

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patients, staff and visitors. Flies carry Your staff can help prevent these pests • Check for positive airflow at your up to half a billion micro-organisms, before they have a chance to enter your facility by holding a strip of paper including pathogens like E. coli and facility by implementing the following near doors. You have positive airflow salmonella, while mosquitoes can tips: if the paper blows outward when you transmit diseases such as the West Nile • Provide a barrier against flying pests open the door, which can help blow virus. Stings from bees and wasps not by installing a double set of sliding pests out as well. Work with an HVAC only can be uncomfortable, they can doors in high traffic areas such as professional to correct any negative also cause allergic reactions ranging the lobby and emergency room airflow, which can pull flying insects Thermogenics_CHF_Summer08.pdf 7/11/08 entrances. 1:04:40 PM from swelling to anaphylactic shock. into your facility. • Install fly lights which use ultraviolet light to draw pests into a sticky trap, and consider replacing outdoor fluorescent lights with sodium vapor lights, which are less attractive to flies at night. These are particularly useful in high-traffic areas and at entrances to your facility. • Ensure all trash is sealed in plastic bags, and tied tightly, before disposal. Cover all trash cans with tightly sealed lids to keep attractive odours from tempting pests toward your building , and empt y trash cans regularly, particularly if they contain food waste. Stomping out crawling pests Cr aw ling p ests such as ants and cockroaches can become extremely active in the summer and will be in search of food, water and shelter. Cockroaches are particularly notorious for spreading germs wherever they travel, and ants have even been known to invade IV lines in search of moisture. Train your staff on these preventative steps to help avoid these pests: • B e c a u s e c r a w l i n g p e s t s l i k e cockroaches only need an opening the size of 2 millimeters to enter a building, it’s important to seal any cracks and crevices in the facility’s walls or floors w ith a weatherresistant sealant. • Where possible, install door sweeps under doors and weather stripping around both doors and windows to create a barrier against pests. • P l a c e g l u e t r a p s u n d e r n e a t h equipment and in corners to catch problems early on. These traps can help you identify and proactively monitor for crawling pests. • Ask employees to avoid creating a picnic for pests by storing any food 32 Canadian Healthcare Facilities

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left in break areas and locker rooms in tightly sealed containers. Eliminate food and water sources by immediately cleaning up spills and regularly wiping down surfaces in places like waiting areas or patient rooms. Pests need very little food or water to survive, so even the smallest spill can sustain them. • Repair any leaking air conditioning units or washing machines promptly to eliminate sources of moisture that encourage pests searching for sustenance. • Cut down grassy areas, eliminate any mulch surrounding your facility where ant nests or mounds might be found, and trim back vegetation at least one meter from the facility, as they provide hiding places for pests. Also consider installing a gravel strip around the building about 75-centimeters wide, which creates an uneven and u n p l e a s a n t s u r f a ce f o r c r aw l i n g insects.

“Despite your staff ’s best efforts, they can unknowingly contribute to allowing these pests into your facility.”

While your staff ’s first step in pest management should be to implement effective sanitation and facility maintenance practices, they should also remain on the lookout for signs of pests that may still enter your building. A pest management professional can help train your employees to look for signs of pest activity such as droppings, cast skins, w e b b i n g , a n d l ive o r d e a d p e s t s , particularly in “hot spots” such as kitchens, patient rooms, employee break rooms and washrooms. If you do see signs of pests, work with your pest management professional to solve the problem. Finally, it’s important to recognize the efforts of your employees and their partnership against pests. Training your staff on how to prevent pests and working with your pest management provider will ensure you and your patients can rest easy this summer. Bill Melville is Quality Assurance Director for Orkin PCO Services. 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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31st Annual Conference of the Canadian Healthcare Engineering Society

Sponsors KEY

DIAMOND

PLATINUM

GOLD

SILVER Precise Parklink Reliable Controls Corporation Thomson Technology VFA Canada

September 25-27, 2011 Winnipeg Convention Centre Winnipeg MB

BRONZE

“Sustaining Healthcare Infrastructure” www.ches.org

FRIEND

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BGE Service & Supply Ltd. Camfil Farr (Canada) Inc. LM Architectural Group Axis Communications IEM Industrial Electric Mfg (Canada) Inc.

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PROGRAM Sunday September 25, 2011

12:15-15:00 Lunch in Exhibit Hall / Visit Exhibits / Refreshment Break 15:00-16:00 2 CONCURRENT TRACKS – 3A & 3B Track 3A

Paul Edwards, Vice President, VitalAire Canada Inc., Edmonton Jeff Smith, Compressed Gas Specialist, Hemisphere Engineering, Edmonton

Monday September 26, 2011

Barry Hunt, President, Class 1 Inc., Cambridge

7:00-8:30 Breakfast 10:30-16:30 Pineridge Hollow Tour (Companion Program) 8:30-8:45 Opening Ceremonies 8:45-9:45

The next edition of the medical gas pipeline system standard (CSA Z7396.112) is slated for release in 2012. Over the next few years four (4) standards may be in use across the country (Z305.1-92, Z7396.1-06, Z7396.1-09, Z7396.1-12 & the BNQ Standard in Quebec) We have assembled a panel of committee members to discuss the upcoming changes to the standard and provide information that users of the standard (facility managers, consultants, suppliers and installers) may find valuable, especially if they are planning future projects. Medical gas systems are critical for the treatment of patients; however, if they are not designed, installed or maintained properly they can create life-threatening situations. The committee responsible for this standard continuously monitors such situations and modifies the Standard accordingly. Our panel includes the chair of the CSA Z7396.1 technical subcommittee; CHES’s representative to the committee and other key committee members who can discuss and answer your questions. The Panel welcomes questions submitted prior to the conference and may incorporate them into the session. Topics such as AGSS/Scavenging, piping in new gas types into the facility, changes in schematics or tables etc. will be discussed along with submitted questions and questions from the session attendees. Please submit questions in advance to: ddennison@eventsmgt.com

KEYNOTE ADDRESS Dr. Lloyd Axworthy, President & Vice Chancellor, University of Winnipeg Dr. Lloyd Axworthy, President and Vice Chancellor of The University of Winnipeg, is working to renew the campus and its downtown community with the view to making post-secondary education more accessible to inner city, Aboriginal, new immigrant and refugee students. In doing so, part of his focus has been to renew Winnipeg’s downtown urban infrastructure. Many older buildings in Winnipeg’s downtown core that had been given up as lost have now been revitalized into vibrant and vital University buildings. Dr. Axworthy will share his experiences in the field of urban renewal and how it applies in the healthcare realm. In addition, he will explore methods of delivery of healthcare in the years to come. Come hear his innovative and visionary approach!

9:45Track 1

PLENARY SESSION The Future is Here – Z8000

Track 3B

Marianne Lee, PEng, LEED AP. Group Manager, H.H. Angus & Associates, Limited, Toronto

Mike Keen, PEng, MBA, Project Director, St. Michael’s Hospital, Toronto

Kim Spencer, PEng, LEED AP, Group Manager, H.H. Angus & Associates, Limited, Toronto

Jeffrey Kraegel, Project Manager, Canadian Standards Association, Mississauga

There are many considerations when presented with the challenge of maintaining or creating infrastructure to support the growing need for health care in our communities. This challenge can also be an opportunity, particularly when the right questions are asked: • When does it make sense to renovate/renew an existing facility versus creating a new facility? • Approaches to flexibility/adaptability – how does one plan for the future and a truly sustainable facility?

16:00-17:00 2 CONCURRENT TRACKS – 4A & 4B Track 4A CSA Maintenance Requirements: What you NEED to know Gordon Burrill, PEng, FASHE, CHFM, CHC, President, Teegor Consulting, Fredericton CHES members are constantly challenged to meet legislated and code requirements while working within their budgets. This session will focus primarily on the maintenance aspects of Canadian Standards Association (CSA) standards. While often cited during the design stages, CSA standards are often forgotten after health care buildings have been built and their front doors are open to the public. The newest ventilation and medical gasses standards issued by CSA both contain significant changes in their maintenance chapters which are often referenced by Provincial legislation. Facility Managers are faced with hundreds of different documents each day, and sorting through all of the language can be a daunting task. Come and find out what you NEED to know to keep your facility working safely and efficiently.

10:45-11:15 Refreshment Break in Exhibit Hall 11:15-12:15 2 CONCURRENT TRACKS – 2A & 2B Track 2A Bill C45: What does it mean to you personally? Darcy McPherson, Assistant Professor, Faculty of Law, University of Manitoba, Winnipeg Bill C-45 made changes to the federal Criminal Code. It introduced specific requirements for supervisors in all work places in Canada. Every employer and individual in positions of leadership is required under this law to protect the safety of their workers. We are all used to workplace health and safety. But Bill C-45 is criminal law. Therefore, what you don’t know could mean criminal convictions for both you and your employer. However, there are also some positives in this law for our members. This session will investigate the requirements for supervisors and managers to protect their workers in their health care buildings under Bill C-45. Come and hear what you need to know.

Track 2B

Mechanical Insulation: Why should I care? Steve Clayman, BComm, Director, Energy Initiatives, Thermal Insulation Association of Canada, Toronto Pipe insulation? Duct insulation? Equipment insulation? Things that don’t light up, beep, come with touchscreens and remain mostly out-of sight? And no moving parts to wear out? What can be exciting about that? LEED and mechanical insulation; what’s that all about? We’ll find out how correctly specified and properly installed mechanical insulation impacts on energy consumption, greenhouse gas emissions and health and safety issues. We’ll talk about a no-cost approach to determining when mechanical systems require immediate attention. We’ll see how easy it is to “fix” seemingly complicated insulation deficiencies. We’ll talk about protecting personnel, condensation control and addressing mould growth. We’ll see how a free, downloadable software tool, called “3E Plus” can tie all of these elements together.

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Infrastructure Opportunities: Asking the right questions Nick Stark, PEng, LEED AP, Vice-President, Knowledge management, H.H. Angus & Associates, Limited, Toronto

Gordon Burrill, PEng, FASHE, CHFM, CHC, President, Teegor Consulting, Fredericton

This presentation will introduce the new national standard for health care facility design and construction: Z8000 Canadian Health Care Facilities. Expected for publication in fall 2011, this standard will influence every element of health care facility (HCF) planning, design, and construction in Canada. The presentation will give listeners the background they need to understand the new standard and how it will impact health care facility planning and design in Canada. Z8000 provides requirements and guidance for the planning, design, and construction of hospitals and other facilities in Canada. It is intended to be used by all facilities providing health care services regardless of type, size, location, or range of services. It was developed for use by architects, engineers, planning and project managers, contractors and builders, commissioning teams, facility managers, maintenance managers, infection prevention and control personnel, and other health care professionals.

The Future of Medical Gas: A Z7396.1-12 Roundtable George Pankiw, Director, Facilities Planning & Redevelopment, Brant Community Healthcare System, Brantford

10:00-17:00 The Great CHES Golf Game 10:00-16:00 Fort Garry/Parliament Tour (Companion Program) 18:30-21:00 Grand Opening of Trade Show & Opening Reception

Track 4B

Sustainability of “This Old House” Craig Doerksen, CFM, CEM, MFM, PEng, Divisional Director, Facility Management, Health Sciences Centre, Winnipeg This presentation will focus on an overall strategy of managing an existing portfolio of hospital buildings. The key factors in an overall sustainable infrastructure plan include: • What features must be paramount in new construction or renovation • How does a facility determine these features (i.e. what is our space life cycle/turnover?, what is the facility funding model for infrastructure renewal, what is the likelihood of reprogramming, etc.) • How does a site determine the preventive maintenance model (and budgets) necessary to match the life cycle, usage and turnover of the installed infrastructure with the infrastructure renewal funding to the reprogramming/renovation of space. • How do we maintain our new technological systems – where preventive maintenance does not really extend their life and may not even enhance reliability?

18:00-19:00 President’s Reception 19:00-24:00 CHES Gala Banquet

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Tuesday September 27, 2011 7:00-8:30 8:00-8:30 8:30-9:30 Track 5

hospital and decide for yourself if a LEED Gold hospital is in your future!

Breakfast CHES Manitoba Chapter AGM PLENARY SESSION It Starts with a Plan: Facility condition indexing Susan Anson, MBA, General Manager, VFA Canada Corporation, Burnaby If you have ever wondered what a Facility Condition Index (FCI) is or how it can help you to manage the physical assets in your care, Ms. Anson is the right person to answer that question. She will explain how the FCI metric is calculated, the key facility data that you need to generate it, and how knowing the FCI for a building or for a portfolio enables responsible decisions in managing your healthcare facilities. In her role with VFA Canada Corporation, Ms. Anson has been involved in ambitious projects providing condition assessments and FCI analysis to the health facilities inventory from coast to coast in Canada. This session will demonstrate the value of the FCI as a decision-making tool and help to pass along the vast firsthand knowledge of the process, its benefits and its limitations.

9:30-10:30 CHES National AGM 10:30-13:15 Visit Exhibits Lunch in Exhibit Hall 13:15-14:15 2 CONCURRENT SESSIONS – 6A & 6B Track 6A Managing Infrastructure Risk in Healthcare Facilities Jay Trethewey, AScT, Director, Facilities Maintenance & Operation, Facilities Management-Lower Mainland, Vancouver Cheryl Mar, Facilities Integrity Programs Manager, Facilities Management, Lower Mainland, Richmond Timothy Clarke, QMS(LA), EMS(LA), HMS(LA), GHG Lead Verifier, Senior Manager, Sustainability Services, KPMG Performance Registrar Inc., Vancouver Sustaining the infrastructure of health care facilities is not a simple task. Facility owners and operators are responsible for old and decaying buildings with relatively basic infrastructure, new buildings infused with the latest hightech systems, and everything in between. Funding is a constant issue. The risks of infrastructure failure – risks to staff, public, patients, care delivery – are real and significant. And all of this is managed within the contexts of increasing regulation, and expanding stakeholder expectations. How do we manage these competing demands effectively, sustainably, transparently? The Facilities Team at Vancouver General Hospital, with support from the Vancouver Coastal Health executives, Risk management and KPMG, has developed a system to achieve these goals. The objective of the presentation is to describe this system; how it was conceived, developed and implemented; and is now being sustained and expanded to other facilities within the health authority.

Track 6B

Manitoba Hydro Headquarters: LEED Platinum case study Tom Akerstream, Energy Advisor and Manger, Head Office Facilities, Manitoba Hydro, Winnipeg Manitoba Hydro Place is a 22 story, 65,000 m corporate headquarters located in downtown Winnipeg. The building is the most energy efficient, sustainable office tower in North America. As a climatically responsive design the building literally operates as a living entity; reacting to climatic conditions to optimize natural lighting, natural ventilation and low grade solar thermal energy. Most importantly, the building offers its occupants the highest quality of space with 100% fresh air every 20 minutes and direct access to outside views. Tom Akerstream will describe how this unique building was designed, works and what sets it apart from all other office towers. 2

14:15-15:15 2 CONCURRENT SESSIONS – 7A & 7B Track 7A Living with LEED: Life in a LEED Gold Hospital Richard Beam, System Director, Construction & Sustainability, Office of Supply Management, Providence Health Services, Renton WA Providence Health & Services opened up the new Millennium with a decision to build their first ‘Green Field’ hospital in 36 years, to be located in the community of Newberg, Oregon, USA. The 41 Bed, $US 56 Million replacement hospital, seemed ideal to challenge the design & construction team to step up to a new standard in sustainable construction called LEED. For several years, team members had been exposed to LEED concepts at industry conferences, seminars, & trade articles which prompted them to ask, “Can we apply these ‘Green Principles’ to the Newberg project?” They took the plunge. This summer marked the 5th Anniversary of the completion of the first LEED Gold Hospital. Richard’s presentation will take you on their journey leading up to the opening of Providence Newberg, as well as a retrospective on what it is like “Living with LEED”. Health care professionals everywhere are asking themselves, “Is it worth the premium?” “What is that premium?” “Was the vision for a sustainable hospital met?” “What does the community think of their new ‘Green’ hospital?” “How are employees, patients, and visitors reacting to this unique facility?” “Would you build another one?” Please join Richard in a lively review of this iconic

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Track 7B

Getting Roofing Right Derek Semeniuk, Consultant Public Sector Solutions – Roofing, Tremco Canada Sustainable Roofing can be achieved through Durable designs, proper preventive maintenance and Proactive Roof Asset Management. A significant portion of maintaining any healthcare facility is ensuring the integrity of the roof membrane; but all too often once the roof has been installed it is quickly forgotten about until a leak occurs. Roofing is one of the most expensive assets any facility owns and choosing the right roof can be a daunting task. Choosing the wrong roof can lead to premature failure, mold problems, health issues, liability issues and significant increases in operating costs trying to keep that system watertight. These costs usually far outweigh the costs of designing a more durable solution from the beginning. Mr. Semeniuk is a leader in roofing technologies and will provide an informative discussion on roofing systems which are influencing designs today, review the essential requirement of Proactive Roof Asset Management and how regular Preventive Maintenance can help ensure the roofs you currently own are not costing you more than they have to.

15:15-15:45 Refreshment Break 15:45-16:45 PLENARY SESSION Track 8 Is It Time for the Wrecking Ball? Susan Anson, General Manager, VFA Canada Corporation, Burnaby Norm Blackie, Acting Executive Director, Capital Planning Branch, Provincial Programs Division, Manitoba Health, Winnipeg Phil Langford, Riverport Nova Scotia How do you decide whether to continue investing in facilities? It takes a strategic approach based on accurate data and critical environmental elements. If a building is less critical, or if its condition is so poor that the cost of improvements is too high, it is time to plan for disposition or re purposing. On the other hand, a key asset, such as an emergency clinic, could be targeted for investments to improve the condition and proactively renew systems. The vital element is understanding current facility condition and remediation costs through accurate data and analysis. Learn how healthcare organizations are deciding the fate of aging buildings.

16:45-17:00 Closing Ceremonies

SOCIAL EVENTS Sunday September 25, 2011 10:00-17:00 The Great CHES Golf Game Again this year we will be holding the Great CHES Golf Game. This will be a shotgun start Texas scramble format and will take place at Bridges Golf Course. Cost: $85 per person (includes cart)

10:00-16:00 Fort Garry/Parliament Tour Experience the Fort Garry’s award-winning Sunday Brunch at this beautiful, historic hotel. Designated as a national historic site, this former Grand Trunk Pacific Railway hotel is one of Winnipeg’s most prestigious landmarks. The Fort Garry is more than an elegant hotel - it is an architectural icon and one of the city’s most recognizable structures. After brunch, join Frank Albo, researcher and academic inspiration behind the bestselling book, The Hermetic Code, for an unforgettable tour of decoding the famous symbols and architecture that makes the Manitoba Legislature Building truly unique. Unlock mysteries of one of Canada’s most unique architectural landmarks, begin your understanding of this magnificent building, and uncover trails of occult clues concealed in the building’s architecture, including hidden hieroglyphic inscriptions, numerical codes, and Freemasonic symbols so intelligently masked it has escaped historians and visitors for nearly a hundred years! Is it possible that the Manitoba Legislative Building is really a conduit of magical power? Is this building’s location in the centre of North America a site for numerous earth energies? Come and find out for yourself! Tour: $95 per person

18:30-21:00 Grand Opening of Trade Show and Opening Reception Our conference will kick off with the Opening Reception in the Exhibit Hall at the Winnipeg Convention Centre. Join us for food, friends and fun! Reception included with registration.

Monday September 26, 2011 10:30-16:30 Pineridge Hollow Tour Experience the genuine warmth of the Prairies during your lunch at Pineridge Hollow Restaurant. Nestled just outside of Manitoba’s scenic Bird’s Hill Provincial Park, just 30 minutes from downtown Winnipeg, this turn-ofthe-century style Carriage House sits among six acres of gardens, ponds, flowers and peaceful property for you to roam and enjoy. After enjoying some shopping in the Pineridge Hollow boutique and furniture showroom, you will enjoy a mid-afternoon Wine and Cheese, graciously hosted at the home of Diane Price of BGE Service & Supply Ltd. Tour: $65 per person >

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ACCOMMOdATIONS

18:00-19:00 President’s Reception 19:00-24:00 CHES Gala Banquet The CHES Gala Banquet will be held at the Winnipeg Convention Centre and will feature Rocki Rolletti and the Retro Rhythm Review. Entertainer, comic, and journalist Peter Jordan will rock your socks off at banquet. Jordan’s band, Rocki Rolletti and the Retro Rhythm Review, took Winnipeg’s entertainment scene by storm with its decidedly goofy take on rock n’ roll in the 1980s. Jordan went on to star in the CBC-TV work series It’s a Living, which aired on CBC Television from 1989-2003. The program won two Gemini awards for Best Host Lifestyle or Performing Arts Program or Series, once in 1998 and again in 2000. He was a fourtime nominee in the same category. Jordan was also a regular contributor to CBWT’s 24Hours LateNight program in the 1980s. He continues to contribute to CBC-TV news on a regular basis.

Accommodations: Delta Winnipeg Hotel A block of rooms is being held at the Delta Winnipeg for CHES delegates at the rate of $149 (Delta room), $174 (Premier room), and $189 (Deluxe room), plus taxes. To receive the conference rate, please mention “CHES 2011” when making your reservation. All registrants are required to make their own accommodation arrangements directly with the hotel. Any unbooked rooms will be released for general sale August 23, 2011. Reservations: 204-942-0551

Trade Show

Banquet included with registration. Extra banquet tickets $95 per person

Conference: Winnipeg Convention Centre

144 121 52 54 148 46/87 140 149 1 41

Abatement Technologies Ltd. Ambassador Sales Asco Power Technologies Canada Austco (Canada) Axis Communications BGE Service & Supply Busch Vacuum Technics Inc. C/S Construction Specialties Ltd. Camfil Farr (Canada) Inc. Canadian Coalition for Green Health Care 150 CAPPstone Incorporated 125 Casterland 8 CEM Engineering 57 Central Hydronics Inc. 98 Certolux 106 CHEM-Aqua Canada 65 CHES 64 CHES 2012 Conference 116/117 Chubb Edwards, A UTC Fire & Security Company 138 Class 1 Inc. 45 Coinamatic Commercial Laundry Inc. 120 Comarico Equipment Ltd.

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39 129 88

Dafco Filtration Group Corp. Delta Controls Direct Energy Business Servicesd Limited 152 Dri-Steem Corporation 81/82 E. H. Price Ltd. / PrecisionAire (Flanders) 136 ECNG Energy L.P. 147 Ecosystem 105 Energent Incorporated 60 Engineered Air 47 ERV Parent Co. Ltd. 128 Fibrwrap Construction Canada Ltd. 142 Fluke Electronics Canada LP 55 Follett Corporation 50 Forbo Florring Systems 86 Freudenberg Nonwovens 110 Garland Canada Inc. 53 GE Energy, Industrial Solutions 124 GE Water and Process Technologies 112/113 Gen-eer Construction Ltd. 56 GlassCell Isofab Inc. 114 Hazmasters 131 Hippo Facilities Management

103 130

Honeywell Limited IEM Industrial Electrical Mfg. (Canada) Inc. 111 Ingersoll Rand Security Technologies 102 Johnson Controls 4 Klenzoid Company Ltd. 119 Kraus / Floors with More 44 Lenel Systems International 126 Life Safety Services 51 LSI Floors Inc. 40 Manitoba Hydro 146 MCW Custon Energy Solutions 38 MediaEdge Communications Inc. 122 Midwest Engineering 93 Morse Canada Systems 42 Nexterra Systems Corp. 109 nora systems inc. 135 Notifier 49 Philips Lighting 2 Phoenix Controls Corp 133 Poly-Mor Canada Inc. 5 Primex Wireless 100/101 Qualitair Inc. 59 RANA - On-site Gas Systems

90 3 139 6 99 134 62 143 85 7 115 89 123 137 153 107 104 151 127 145 141 132 48

Rauland-Borg Canada Refrigerative Supply Reliable Controls Corporation Share Canada Siemens Canada Ltd. Siemon SimplexGrinnell Specified Technologies, Inc. Stanley Healthcare Solutions Steam Specialty Sales StonCor Group Sybertech Waste Reduction Ltd Tempeff North American Thomson Technology Toromont CAT Trane Canada Tremco Vernacare VFA, Inc. Victaulic Company of Canada Ltd. VitalAire Canada Inc. WEB WORK byTero Wesco Distribution Conada, LP

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Fores

CHES ANNUAL 2011 TRADE SHOW & EDUCATION FORUM, winnipeg, MB

EXHIBITOR PREVIEW The Camfil Farr Hi-Flo ES is a high-efficiency energy-saving air filter. It will remove fumes, smoke, bacteria, virus-bearing droplet nuclei and other contaminants detrimental to human health. Its fine microfiber media ensures lifetime efficiency and its unique pocket configuration can save 30% in energy when compared to other filters.

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. We provide nationwide 24 hour field service and technical support. Come see us at booth #52.

CAMUS Hydronics Ltd. is a Canadian based manufacturer of highly innovative and eco-friendly gas fired copper tube and stainless steel boilers and water heaters for residential, light commercial, commercial and industrial applications. Camus products are sold worldwide with representation across Canada, the United States, Australia, China and Russia. Come see us at booth #57.

Wall Protection For over 50 years, C/S Construction Specialties Company has been the industry's exclusive supplier for Acrovyn Interior Wall and Door protection products. Manufacturing Acrovyn corner guards, handrails, crash & accent rails, protective wall coverings, door and frame protection and the NEW Acrovyn Door System. Save time & money with Acrovyn Wall Protection. Call 1-888-895-8955 for your local Rep. www.c-sgroup.com Come see us at booth #149.

Come see us at booth 1

Coinamatic Commercial Laundry is a leader in the industry providing laundry equipment sales and service to healthcare facilities across Canada. CCL offers a complete line of commercial laundry equipment for sale or rent, and is the exclusive Canadian Distributor of IPSO laundry equipment. Ask us about EnvirO3matic, our advanced laundry oxidation system designed to kill bacteria and viruses, while saving significantly on utility costs! Come see us at booths 45.

magnus

Come see us at booth #50

Marmoleum Composition Tile by Forbo Made from natural ingredients, MCT linoleum tile features a low cost of ownership and is occupancy ready, requiring no initial maintenance. Its naturally inherent antimicrobial and antistatic properties offer improved indoor air quality and combat MRSA and other strains of bacteria.

Ingersoll Rand Security Technologies is a leading global provider of products and services that make environments safe, secure and productive. Market-leading products include electronic and biometric access control systems, time-and-attendance and personnel scheduling systems, mechanical locks, door closers, exit devices and other technologies and services for global security markets. www.ingersollrand.com Come see us at booth #111

Come see us at booth #139

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38 Canadian Healthcare Facilities

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CHF Summer 2011  

CHF Summer 2011