HomeAbout Us Speaker's BureauOur Seminars Continuing Education  Resource LibraryBookstore  Calendar   FaceBook  Twitter



Quick Links




Brought to You by

  Corporate Realty, Design & Management Institute

Health Care Institute of IFMA




For Information on HCI (Health Care Institute) Southern California Chapter, contact:

Bill Foulkes bfoulkes@ccorpusa.com

Kim McHugh kim.mchugh@am.jll.com


Industry Partners

  AD Systems
Cambridge Sound Management
DPR Construction
DuPont Surfaces
Layton Construction
nora systems, inc.
Schneider Electric
Specified Technologies Inc.

Media Partners



Education Partners



Attendee Comments


"Several engaging speakers and excellent networking opportunities with healthcare executives"


"Event had a good mix of clients, architects and contractors / suppliers"

"Good networking"
"Jodie Lesh (of Kaiser)"

"Small scale, opportunity to network"

"Attendance (size) conducive for more intimate setting and productive networking"

"Variety of interesting subject. Great discussions"

"Topics were broad ranging and well suited to the audience. Speakers were informed and engaging"

"Executive level presentations and case studies"

"Bill (Foulkes) was a good choice as moderator. Great mix of speakers and content. Morning break was appreciated"


"Venue/location was unique. Really kept it moving. Liked promise to send presentations and information afterwards"

"Learning about Kaiser Permanente's place in community, Learning about Shriners (Children’s Hospital); Learning about potential to operate 'off-grid'"


"Great crew and networking"
"Speakers and content good- Appreciate sharing presentations"

"The macro - big picture"

"Shriners (Hospital for Children) and healthcare as economic engine sessions"

"Healthcare as economic engine"

"OSHPD and how it can relate to our product to help get specified"

"Like short time format for each topic"

"Tip, Tricks, & Hidden Traps is a great idea"

"This was a great event. Really enjoyed it"

"Blending of topics, professional roles and content. The shorter presentations with specific content kept attendees attention"

"Enjoyed the networking"



Birthday Celebration



Presented by Kim McHugh, IFMA Health Care Institute (L)
To Lyndsay Murray-Mazany, Devenney Group (R)

    California 2017 - Post Summit Recap




Key Takeaway Messages

  Reported by Jeffery Marino, a journalist, editor and real estate analyst based in the Los Angeles area.
Healthcare: A Powerful Economic Engine for Change
Jodie Lesh, SVP, National Delivery System Strategy, Planning, & Design for Kaiser Permanente & President, Los Angeles Economic Development Corporation



  • “Small paradigm shifts matter.” At Kaiser, the paradigm shift we have come to embrace is the understanding that the underlying economic issues of a community are a health issue that must be addressed through the strategic planning and design of our healthcare facilities.

  • “We had to rethink why we exist and update our mission statement to include improving the health and wellbeing of not just our members, but also the communities we serve.” This has been done by leveraging Kaiser’s broad array of assets to enable all business sectors of the organization to focus on accomplishing this mission.

  • “Cultivate is an intentional and integrated community health improvement strategy elevated as a core business imperative.” It is possible to operate a successful business practice while also acting as an environmental steward and community leader. “This is not an initiative, this a movement.”

  • The data speaks volumes. A case study comparing South L.A. and Irvine, an affluent community in Orange County, showed that South L.A. access barriers led to downstream utilization. The most alarming of the statistics showed a vast disparity in the number of provider offices available to the respective communities. In the Irvine area there was one provider for every two members. In South L.A. there was one provider for every 600 members. “We had unintentionally redlined South L.A.”

  • Success stories include the Baldwin Hills-Crenshaw Medical Offices project where 48% of the labor force was hired from within five miles of the work site. This is an excellent example of creating upstream economic development for a community.

  • “What’s next?” The KP Watts Health & Learning Pavilion is an example of RECAF: Real Estate, Construction, and Facilities. The KP Watts Health & Learning Pavilion will maximize the economic impact for community health by creating local jobs, providing a free and open community space and focusing on sustainability, all through thoughtful design and real estate acquisition.

Insider’s View of Facilities Guidelines Institute (FGI) Changes for Hospitals & Outpatient Care Facilities
Doug Erickson, CEO, Facility Guidelines Institute
  • Stay up-to-date on all guideline changes by going to www.fgiguidelines.org and sign up to receive free announcements on new and amended guidelines.

  • All stakeholders ought to participate in the creation of the guidelines. In addition to the consensus-based process for guidelines development, the guidelines go out for public comment before being finalized. Everyone affected by the guidelines should participate in this public comment period in order to take full ownership of the process.

  • Going beyond the "minimum" will be a major focus for the FGI in 2018 and beyond. “I don’t like the word ‘minimum’ for these standards. Instead, we should be talking about fundamentals for the impact of care being provided by a facility.” Once these fundamentals are met and understood, it is possible to improve upon them, such as implementing scalability in fundamentals by having distinct recommendations based on patient capacity.

  • “Movement toward a single-bed environment has been a tremendous boost to maintaining optimal patient care and guideline compliance. No one wants to go back to multi-bed facilities and we are all working very hard to ensure that doesn’t happen.”

  • One hot topic for 2018 is addressing the issue of “patients of size,” which includes accounting for not only a patient’s weight, but also their height and the distribution of weight throughout his or her body.

  • Major topics addressed for 2018 include sterile processing facilities, mobile medical unit revisions, and the design of telemedicine spaces. “There are emerging issues for the design of telemedicine spaces, including concerns about lighting. What if there is a glare coming from a window that affects the clinician’s ability to properly diagnose a patient? These concerns must be addressed.”

OSHPD: Common Compliance Issues
Gary Dunger, Business Process Manager, OSHPD, Facilities Development Division
  • Two tips for saving time and money: “Start your closure process at the beginning of your project.” If you wait until you are nearing the completion of a project you are already way behind. In addition, be realistic about your budget. “Changes are inevitable on every project. Make sure your budget reflects the additional time and cost of potential changes to avoid major setbacks.”

  • The key to success is to be engaged. You must be aware of the motivations and influence of every stakeholder involved. One way to do this is to create a complete functional program. “This is key because it tells everybody what you want to achieve. It’s the key to communicating your vision.”

  • Tips for contractors include walking with the inspector of record (IOR) every time they make a site visit. Any changes to plans that alter the work require OSHPD approval prior to the work being done. “No one wants to shut down your site.” Getting to know the OSHPD requirements by working with your IOR and ensuring you don’t move forward with unapproved changes are keys to success.

  • “Designers! Please don’t approve changes out of convenience.” All changes ought to be communicated to the stakeholders and carefully considered if they are necessary, especially given how rare it is for a proposed to change to actually save time or money.

  • Owners can stay engaged by accessing all change documents through the OSHPD portal. The vast majority of applications are made online and everyone receives a pin to gain access to the records. This is an excellent way to audit the project and ensure everything is being appropriately communicated to you.

  • Project summary reports will be issued for all completed projects next year. “This means you can see how you performed and make better decisions on your next project.

  Ask the Compliance Experts Q&A

Gary Dunger (left), Business Process Manager, OSHPD, Facilities Development Division
Kelly Mason (center), Director of Healthcare Partnerships for Specified Technologies

Doug Erickson (right), CEO, Facility Guidelines Institute



  • IOR report cards are coming! OSHPD has a variety of databases and they are creating an enterprise data warehouse where all the information will be stored in one place. The goal is to get all of the information online so you can easily determine how individual IORs have performed.

  • Changes to wall acoustics regulations are coming. Some of the sound transmission class (ratings will be changed and the primary reason for this is that materials are getting cheaper. In some cases, two pieces of drywall are necessary, where in the past one would do.

  • A leading violation of the Life Safety Code, OSHPD rules, CMS Condition of Participation, and Joint Commission survey requirement is overfilling cable sleeves and improper use of firestop material. In existing medical facilities, installing retrofit devices around cable sleeves restores fire and smoke leakage performance resolving the problem. In new construction or renovation projects, specifying fire-rated cable pathway devices avoids the overfilling problem. Cutting time, cost of installing cables, and avoids future citations and costs.

  • Be prepared for 2030! Although extensions for the enforcement of increased seismic performance ratings have been extended time and time again, the 2030 deadline appears to be firm. This is crucial to understand because the vast majority of hospitals are not in compliance with the mandate.

  • Although the OSHA crystalline silica rule is very important—Erickson called it “the next asbestos”—OSHPD does not enforce OSHA regulations.

  Tips, Tricks and Hidden Traps to Avoid – In-the-field Experts
  Kyle Peterson, Camfil

Tip: Regarding the minimum efficiency reporting value (MERV) of your air filters, insist on using filters with a MERV-A rating value. As air filters load with dirt, their electrostatic charge becomes neutralized and they lose efficiency quickly. Using filters rated under the MERV-A procedure will ensure you have a safe environment.

Trap: The most common trap is that people focus too much on the cost of the air filter rather than its efficiency. In the long run, spending a little extra on your filter will save you thousands in energy costs.

  Jeremy Krug, Cambridge Sound Management

Trick: Before chasing STC ratings, don’t forget about sound masking. The STC rating does not account for background noise and sound masking can boost your STC, significantly improving performance.

Trap: Don’t forget that while we may be able to close our eyes, we can’t close our ears. All too often speech privacy decisions are made with too much reliance on what you can see.

  Danielle Doster, AD Systems

Tip: If you are dealing with a small space you are able to maximize that space by using sliding doors. This is especially valuable if you consider it from the outset of your design since the cumulative effect of saved space may mean you can include additional exam rooms in your facility.

Trap: If you plan to use sliding doors, make sure you have a contractor who understands that the quality and durability of the wall construction is paramount. Sliding doors require walls with much sturdier construction than those equipped for swinging doors.

  Greg Luterman, Tremco

Tip: When assessing the energy component of a new roof, be sure to do an energy assessment of the entire facility. Even if the roof is installed perfectly and highly efficient in its own right, if the windows or walls aren’t up to par, you could have a brand new roof and still lose energy efficiency.

Trap: Be sure to find a seasoned healthcare contractor when installing or repairing your roof. As we all know, healthcare contracting is it’s own animal, and hiring a contractor without experience in this industry is a serious pitfall.

  Monica Sams, DuPont Surfaces

Tip: Consider the benefits of installing an interior wall pad. They are durable, stain and chemical resistant, and have a long life span.

Trick: Not all solid surface materials are created equal; solid acrylic surfaces have the best long-term performance and are the most versatile to fabricate. Additionally, when choosing veined aesthetics be sure that your selection is from a manufacturer that provides veining all the way through the surface, not just surface effects that are only skin-deep and will disappear as they wear.

  Where Oh Where is Healthcare Going?
  Alan Whitson, President of Corporate Realty, Design & Management Institute


  • The shift toward outpatient visits is accelerating.

  • Physician visits are on track to increase 217.6 percent faster than the population in the five-county Southern California region.

  • One in eight patient visits in the U.S. occur in California. Half of all patient visits in California occur in the five-county So Cal region. The amount of demand for healthcare services in this region is staggering.

  • An aging population will have a dramatic effect on healthcare economics as more Baby Boomers move from private insurers to Medicare. As our population ages, there will be more demand for healthcare services.

  • The average medical visit takes about two hours, and yet patients only spend about 20 minutes with a physician.

  • We need to look at patient throughput as a manufacturing process. Too much time and money is being wasted on inefficiencies that can be improved with technology.

  Trends in California Healthcare Real Estate & Acquisitions
  David Chung (left), Executive Vice President, Western US, Anchor Health Properties
Jeff West (right), Senior Regional Director Real Estate & Construction, Providence Health


  • Flexibility is the future for healthcare facility construction. Especially in Los Angeles, where the demographics are so diverse, the front-of-the-house design needs to be flexible enough to accommodate the many needs of its patients: primary care one week, specialty the next, and so forth.

  • There is a heavy appetite for investment in the MOB space since many investors see these facilities as relatively low-risk, high-return investments.

  • Developers and investors are looking to build long-term relationships with new clients. The emphasis, especially when it comes to smaller MOBs, is on growth opportunity. It’s about helping the healthcare facility achieve their goals and then maximizing their bottom line through the use of capital.

  •  We need to take the magic out of healthcare construction. The next generation of patients is less concerned with opulent, sprawling campuses and more interested in efficiency and utility.

  Energy Technologies Reshaping Healthcare Facilities: Microgrids
  Jay Bileti, Schneider Electric


  • The number one trend to consider in electric energy technology is that it is becoming more decentralized. The old way of producing and distributing electric energy through a massive plant and then funneling it out to customers is highly inefficient, mostly due to wasted heat energy.

  • Three major benefits of microgrid technology are the reliability of the energy supply; extraordinary efficiency due to the reuse of heat to create steam and hot water; and availability of stable green energy through advances in battery power and smart algorithms that optimize energy storage and utilization automatically.

  • Microgrids can be thought of as an additive to a facilities’ current system. A microgrid can complement and extend the capabilities of an existing EPSS while also providing the opportunity to take advantage of self-generation incentive programs. In some cases, energy companies will pay campuses for minimizing the load on their grid.

  • A key factor why microgrids are beginning to pencil-out is the declining cost of renewables and storage. Solar cost has decreased by 80 percent in the past seven years.

  Critical Cornerstones for Successful Healthcare Projects

Tim Cole, Vice President of Global Sustainability, nora systems, Inc. and member of Health Product Declaration® (HPD) Collaborative board of directors



  • Flooring is almost always the last interior finish that goes into a project. For this reason, it is highly susceptible to deferred changes and is an excellent example of why all stakeholders need to be in communication throughout the project. Just because flooring goes in last, doesn’t mean that it should be thought of last.

  • The paradigm shift that must take place is transparency on all levels. While product manufactures strive to be as transparent as possible, you can’t always ensure that your pain points will be addressed unless you also take ownership by asking the right questions about the product. Ask a complex question to get a complete answer.

  • Two ways to eliminate pain points with products installed in your project are to ensure that you have a certified installer on the job and to anticipate pain points (such as moisture testing the concrete) and write them into your contract.

  • There is no manual for the “right” interior finishes. Owners, contractors and designers are the ones who will ultimately determine what the “industry standard” is by asking the right questions and sharing their experience and recommendations with one another.

  Case Study: Just Opened Shriners for Children Medical Center Pasadena

Ron Rendina (left), Southern California Healthcare Leader, DPR Construction
Fabian Kremkus (center), Design Principal, CO Architects

Lou Lazatin (right), CEO, Shriners Hospitals for Children



  • The success of the Shriners Pasadena project can be attributed in large part to the early planning process that laid out their goals for a patient and family-centered environment and also supported the needs of physicians and staff.

  • An essential best practice in building a new facility is for the owners to be involved and take responsibility for creating a collaborative team and staying engaged. One way Lazatin accomplished this was through monthly meetings with all stakeholders to go over construction updates to ensure everyone was on the same page and working toward the same goal.

  • Plan, design, and build with the greater community in mind. The design of the facility was integrated into the neighborhood, creating a seamless fit with the surrounding architecture and feel of the community. The facility was also designed to be a space, not just for the patients, but also for community members to gather.

  • A major lesson learned with this project was that they did not anticipate the need to build with growth in mind. Many other business and medical office owners have expressed interest in being located at the facility, which unfortunately is not a demand the facility can fulfill at this time.

  Connecting the Dots between Owner, Design, and Construction in Next Generation Medical Buildings

(left to right)

Moderated by Bill Foulkes, National Vice President/Healthcare, Cumming

Kimberly McHugh, Vice President, Projects and Director of Project Operations for Adventist Health, JLL

Joe Amaral, Construction Manager, Layton Construction
Chai Jayachandran, Healthcare Studio Leader/Associate, SmithGroupJJR



  • From the construction perspective, the market is so hot right now that it is difficult to gain the resources one needs in a timely manner, which can lead to delays, especially since everyone wants top talent on the job. It is essential for the contractor to practice Early Design Involvement. Clear communication between construction and design from the outset is vital to a project’s success.

  • From an owner’s perspective, it’s clear that collaboration and communication between the stakeholders are the most daunting challenges we face in the industry. There are two emerging trends that are helping to address this: one is high tech and the other old school. The use of virtual reality in the presentation of planning and design has been a huge step forward in helping owners get a better grasp of a space. The other is the step back from digital communications such as texting and email, where things can get lost in translation, to actually speaking with one another over the phone or in person.

  • From a designer’s perspective, the future will bring a massive transformation in the design of healthcare facilities. We are now looking to retail and commercial spaces for inspiration in design and operational efficiency. Hospitals will begin to mirror hospitality spaces. The healthcare industry will not be able to solve its own problems. We expect to see someone from outside the industry to come in and truly disrupt the status quo.