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Brought to You By

     
  Corporate Realty, Design & Management Institute

IFMA Health Care Institute

 
     

Summit Co-Chair

     
 

 
  Larry Borsinger, Summit Co-Chair and Director of Facilities Operations Regulatory Compliance, New York Presbyterian  
     

Summit Moderator

     
 

 
  B. Alan Whitson, RPA, Author of “327 Questions to Ask Before You Sign A Lease” and “Understanding Regulatory Issues in Leasing Medical Office Buildings and Healthcare Facilities”  
     

Industry Partners

     
- Array Architects  
- Aridus  
- Assa Abloy  
- Camfil  
- Colliers International  
- DuPont Surfaces  
- Grainger  
- Jensen Hughes  
- Kawneer  
- Koffel Associates  
- Lane Office  
- Revista  
- Schneider Electric  
- Sika Sarnafil  
- Simone Healthcare Development  
- Skanska  
- Specified Technologies Inc  
- Tarkett  
- Wexler Healthcare Properties  

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WM Industries  
     

Media Partners

     

 

 

 
     

Education Partner

     
     
 

 
     
     

Attendee Comments

     
  "I liked the ideas about the direction of healthcare from care leaders in health"

"Promoted creative thinking"

"I enjoyed the real estate conversations and the networking"

"Location"

"Opportunity to network"

"I liked the short session on tips and things to avoid- Very useful information"

"Networking"

"Format and location"

"Location"

"Variety"

"The Summit was very informative and current. I got a lot from it. If possible, please do include me on your mailing list for similar Healthcare events"

"I very much enjoyed attending"

"Networking & learning best practices"

"Big picture perspective"

"Moderator's humor"

"Great Show"

 "Moved quickly; Maintained schedule; Great networking opportunity; Comfortable environment"

"Tips tricks and traps"

"The, panels were helpful. These real-world stories were most helpful; Healthcare real estate data & trends; Lots of experts in diverse areas; Appreciated that the speakers did not sell their products "

"The heads up panel was a great kick-off and very interesting" 

 
     
     
    New York 2016 - Post Summit Wrap
 

Reported by Theresa Walsh Giarrusso & Eileen McMorrow of McMorrow Reports/Healthcare

   
 
 

 

 

 

 

Key Takeaway Messages

 
   
 

Heads Up on Healthcare

   

-David Peknay (left), Director, Corporate Healthcare Ratings, S&P Global Ratings Services (formerly Standard & Poors)

-David Sandman (right), President & CEO, New York State Health Foundation

Takeaway Messages:

  • Era of the shiny new hospital is over. Care is moving to the outpatient setting. Smaller healthcare facilities will have to become affiliated with larger ones. Healthcare is becoming more and more about the consumer, as it should be.

  • Healthcare organizations are investing in outpatient care, urgent care and home care. They have to make themselves competitive and attractive to insurance companies by creating a broad network of services.

  • Millennials will bring higher deductibles and consumers making more choices. They will expect more transparency in care.

  • There are more than 1,600 measurements used in the healthcare industry to measure quality of care but they don’t mean anything to the consumers. The industry needs outcome measures that normal people can relate to such as: Did they clean their hands? Did they give correct meds?


Understanding The Joint Commission’s New Safer Matrix

-Dodd Day, Life Safety Code Specialist, The Joint Commission

Takeaway Messages:

  • SAFER has a new matrix as of Jan. 1, 2017, that evaluates the scope and likelihood of risk in your facility. FMs can learn more about the new SAFER scoring on the Joint Commission’s website under the tab “Survey Process” or check the Joint Commission’s Perspectives magazine, May 2016 issue.

  • The Survey Activity Guide (SAG) provides FMs with the answers they need to know before an inspection. FMs need to prepare with the Document Review List. It tells you exactly what the inspector is going to want to see. Organize your documents accordingly.

   

Understanding Recent Rule Changes from CMS

-Eric Babcock, Director/NY, Jensen Hughes

Takeaway Messages:

  • The NFPA 101, 2012 edition replaces 2000 edition. The adoption is effective July 5, 2016. . If construction began after July 5, 2016 project is classified as “new.” If construction completed before July 5, 2016 project is classified as “existing.”

  • Facilities completing construction in the near future should confirm the applicable Code with the AHJ (CMS or state).

  • Main changes from NFPA 2000 to 2012 editions: Editorial changes, Definitions, Suite arrangement, Exiting, Corridor clutter, Special hazards.

  • Waivers are still permitted.

 

   

Cyber Attack! Infrastructure Guidelines to Thwart Data Thieves & Hackers

  -Fred Cohn, Program Manager, Schneider Electric, and Consultant to MIT Research & Department of Homeland Security National Cybersecurity Communications Integration Center (NCCIC)

Takeaway Messages:

  • When it comes to theft of hospital data is being stolen, operations technology (OT) is the target. Some of this equipment was designed and installed before cybersecurity became prevalent.

  • If a system is connected to the building, there’s easy access. When Target’s customer credit card information was stolen, hackers gained entry via an HVAC contractor. Thieves are using HVAC and building systems to get access to your data. Remember, healthcare data has 10 times the value of credit card data.

  • Steps to Protect Yourself

  • Patch your systems even if you have to go offline briefly. Unpatched systems are an invitation for cyber attack.

  • Monitor your vendors for patch availability. If you’re not downloading the patches for systems maintenance, you should.

  • Define and enforce Contractor Guidelines. Contractor computers must be patched and updated Anti-Virus definitions and scanned. Scan all USBs particularly if they originate with a contractor.

  • Enforce VPN connections.

  • Change passwords; change default passwords.


Repurposing Unconventional Sites for Healthcare

-Jeffrey Drucker, Regional VP/Northeast Region, Array Architects

Takeaway Messages:

  • Many healthcare facilities are repurposing unconventional sites, such as hotels, garages, retail, warehouses, offices and even residential.

  • Important items to consider when evaluating viability of repurposing a properties:

    • A good property manager who understands your needs

    • Length of time you plan to be in the building

    • Are floor plates appropriate?

    • Can it be zoned for medical use?

    • Can you have signage in lobby?

    • What are structural challenges particularly if imaging equipment will be installed, i.e, are vibrations a problem?


Case Example on Speeding Your Project to Market with Modularity

 -Akua Lesesne, Team Leader/Global Branding, DIRTT Environmental Solutions

Takeaway Messages:

  • Using a 3D BIM-based platform, you can deliver prefab and pre-engineered interiors to the construction site. It is not like prefab from the past because you are able to build customized interiors.

  • Do not build out in a linear fashion. Deliver prefab product, assemble, place in base building, and then clean-up.

  • At HRH in Poughkeepsie, project time went from 17 weeks down to 13 weeks for a savings of 25 percent. This is typical of pre-engineered projects. In general, expect a 15 to 20 percent savings in cost.

 

 


Healthcare Real Estate Market Trends–Story Behind the Numbers

-Mike Hargrave, Principal, Revista

Takeaway Messages:

  • With nearly $1 trillion in real estate value, the healthcare sector far exceeds hospitality and other areas.

  • Outpatient Inventory: Over 32,500 properties totaling 1.3 billion sq. ft. Estimated value: $350 billion.

  • Inpatient Inventory: Over 5,570 properties totaling 1.5 billion sq. ft. Estimated value of $588 billion.

  • U.S. construction pipeline is strong. As of mid- year 2016 there were 767 inpatient properties and 648 outpatient clinics under construction.

  • Most main campus hospital construction is expansion.

  • New York metro area medical market is big and diverse. Investors now covet outpatient facilities. Montefiore, New York Presbyterian, and Northwell continue to grow their portfolios.

  • Brooklyn is a leader in NYC healthcare construction projects.


Where Real Estate Intersects with Design & Construction

   

-Mike Hargrave (left), Principal, Revista

-Guy Leibler (center), President, Simone Healthcare Development

-Jeff Rosser (right), Vice President, Skanska USA

 

Takeaway Messages:

  • Care is continuing to move out of the main hospital. If activity is not related to patient care then that service is NOT physically inside the hospital.

  • Hospitals are becoming huge ICUs.

  • A hospital's primary money makers: high-risk infants; head, neck and orthopedic.

  • Under the new reimbursement scheme, caring for grandmother in an acute care setting for 15-days is a money-losing situation for hospitals.

  • Brand-name hospitals are extending their care for chemotherapy and radiation to the suburbs with branded satellite facilities. This benefits patients as they get the best care and no longer have to travel back and forth to the hospital.


Acute Care: Where Design & Construction Intersects with Operations

-Evan Wyner (left), Project Management Colliers International’s Northeast Team
-Joseph Lorino (right),
PE, LEED AP, Vice President, Facilities Management, New York Presbyterian Hospital/Weill Cornell

 

Takeaway Messages:

  • Even with all the new construction we are still operating buildings from 1926.

  • Senior leadership understands that what is behind the wall is as important.

  • We working to take BIM modeling to the next level, optimizing the layout of equipment spaces, and above ceiling areas so the equipment can be serviced properly, and performance optimized.

  • We want healthcare FMs to have remote access to building systems. However, IT department is often blocking access.
     


Lease vs. Own Debate for Healthcare Providers

     

-Jeffrey Cooper (left), Managing Director, Healthcare Real Estate Capital
-Mary Beth Kuzmanovich {center),
National Director/Health Services, Colliers Intl.
-Jay Miele (right),
Managing Director, Hammond Hanlon Camp

Takeaway Messages:

  • There is huge demand for healthcare real estate by investors, as rental rates for medical office buildings have gone from $16 to $21 per sq. ft.

  • If a health system monetizes real estate assets, they have the cash to pursue strategic objectives such as acquisitions. However, if you have never done this, it can take two years to think through all the details.

  • Nationally, weaker hospitals are being acquired, and then the acquiring organization is doing a sale-leaseback of the real estate assets to help fund the acquisition, improve the balance sheet, and invest in projects that improve the financial performance.

  • Because of the high property tax rates in New York, non-profits are using some very complex tools to avoid the taxes on space they lease.


Alarming Statistics on Fatal Falls

-Reported by Cynthia Hubbell of Tarkett

  • Each year some 11,000 fatal falls happen in hospital settings.

  • One out of every seven patients falls in the hospital. Previously we thought most falls in the hospital occurred during the night shift between 11pm and 6am. However, research has shown that most falls actually occur during the day shift in late afternoon as caregivers prepare for the pending shift change.

  • Tip: Get the glare and shine off the floors. These two factors are a slip-fall waiting to happen!