The Great CHES Golf Game

Glen Abbey Golf Club

Student Roundtable

featuring key design engineers, CHES leadership, facility managers

Student Reception

Field Trip

Brampton Civic Hospital, William Osler Health Centre
sponsored by Austco

Opening Reception

Intercontinental Hotel
sponsored by Class 1 Inc.

Delegate Breakfast
sponsored by Siemens Building Technologies

Opening Ceremonies

• Presentation of 2008 Hans Burgers Award for Outstanding Contribution to Healthcare Engineering
• Presentation of 2008 Award of Excellence in Healthcare Facilities Management

Keynote Address
with Mike Holmes

"If you're going to do something, do it right the first time".

These words resonated time and again in the young ears of Mike Holmes as he watched his father at work. From plumbing to electrical to carpentry, Mike learned all aspects of renovation and construction under the watchful eye of his dad. He was individually tutored in the right way and the wrong way to tackle any home improvement task. Capitalizing on this valuable apprenticeship, Mike founded his own renovation company and to date has completed hundreds of bathrooms, kitchens, additions, decks, as well as many major commercial office spaces.

During Mike’s 20 years of professional experience, he has encountered countless horror stories from clients and friends who have been taken for a ride by unscrupulous contractors and builders. Mike understands the practices of the building trade and has a unique perspective to share his knowledge with the public. Like his late father before him, Mike is a craftsman. Unfortunately, he is also a rarity – a knowledgeable, hard working contractor who truly cares about his work.

0945-1045
Track 1

Plenary

Sustainable Healthcare Architecture

Robin Guenther, FAIA, Principal, Perkins + Will (founding principal, Guenther 5 Architects), New York NY.

What is the state of sustainable design initiatives in the healthcare sector?  What influences the decision to "go green"?  What strategies are hospitals using - what are they achieving?  This engaging lecture draws upon the extensive research and case study database profiled in the 2008 book, Sustainable Healthcare Architecture, demonstrating how hospitals in North America and beyond are connecting a mission to "first do no harm" with sustainable design strategies, and how they are building the value proposition using the triple bottom line construct of economy, equity, and ecology.  This talk draws upon the cumulative experiences of 50 or more hospitals, interviews with executives and designers, and weaves together a range of research sources and building examples that will elevate participants' knowledge and understanding of this emerging field, its opportunities and challenges.

Refreshment Break in Trade Show
sponsored by Precise Parklink

Track 2A

Facilities Track

Healthcare Project Budgets
Kenneth A. Monroe, PE, Algonquin IL USA
Scott Hansche, A/A, Vice President, Heery-HLM Design, Iowa City, IA USA

View Presentation **
Project Budgeting Worksheet **

sponsored by Eastern Construction Company Ltd.

This presentation will discuss how to establish a realistic project budget from initial concept through the finished project. Detailed procedures for establishing and monitoring budgets, and for creating a checklist of items to include in your project budget will be highlighted. The importance of teamwork and open communication to create a reliable project budget will be emphasized.

Track 2B

Designer Track

New Lighting Design Methods for Healing Environments
Maninder Dhaliwal, PEng, LEED AP, LC, Lighting Engineer, Stantec Consulting Ltd., Vancouver BC
Glenn Stowkowy, PEng, Senior Principal, Stantec Consulting Ltd., Edmonton AB
View Presentation **

This presentation will discuss the role of lighting design in emerging healthcare practice of evidence-based design. Advances in clinical processes, new technology, awareness of sustainability and therapeutic benefits of the environment are challenging traditional design methodologies. A senior electrical engineer and lighting researcher will discuss their experiences in how the new research on lighting in healthcare environment has affected their design processes.

Track 2C

Contractor Track

Two Minds, One Vision ... Owners' Side vs. Proponent's Side of P3's
John Maccarrone, ASCT, Senior Associate, Stantec Consulting Ltd., Vancouver BC
Dean Kaardal, PEng, Healthcare Market Sector Leader, Stantec Consulting Ltd., Vancouver BC
View Presentation **

Stantec experienced the unique position of serving as the Mechanical Consulting Engineers to both the Owner and the Proponent teams as well as the Electrical Consulting Engineers to the Owner’s team. As a result, we were able to participate under a unique set of circumstances that likely will not happen again. From our unique perspective, we will offer our experience; from the Owner’s perspective, what was expected and from the Proponent’s perspective, the challenges associated with the deliverable.

Lunch in Trade Show with Fergie Jenkins

sponsored by Klenzoid

Three Concurrent Sessions

Track 3A

Facilities Track

Getting the “Go Ahead”: Top Ten Ways to Gain Board Support
Luis Rodrigues, Vice President, Energy Systems, Honeywell, Toronto ON
Cameron Love, Vice President, Facilities, Planning & Support Services, The Ottawa Hospital, Ottawa ON

This presentation is aimed at helping facility managers understand both the energy opportunities and the infrastructure renewal risks that are associated with their ongoing facilities operations. It will identify the key actions that are required to gain a board’s understanding and approval for much needed facility upgrades that are often found to compete with other funding priorities such as medical equipment or other healthcare needs. Various tools and methodologies will be discussed so that participants will have a better understanding of how facility improvements can be recognized as a priority within their organization.

Track 3B

Designer Track

LEED Sustainability Effects on Central Plant Construction

James Edward, P.E. LEED AP, Associate Principal/Healthcare Segment Leader, KJWW Engineering Consultants, Rock Islang IL USA

View Presentation **

This session will discuss facility central plant and infrastructure planning and the relationship between facility needs and sustainable design. A case study will be presented demonstrating accomplishments in sustainable and efficient facility central plant and infrastructure designs that meet hospital needs for go-everywhere, do-anything systems.

Track 3C

Contractor Track

Innovation in Gypsum Wallboard Technology: A Paperless Revolution

Kimberly J. Tompkins, CTR, Architectural Sales Manager, Western Canada, Georgia-Pacific Canada Inc., Surrey BC

This session will review paperless gypsum wall board products that will assist the owner, designer and contractor in minimizing risk with respect to damage and potential mould issues that can result when traditional paper faced gypsum wall board is exposed to moisture both during the construction phase and the ongoing operation of the facility. Examples of projects throughout Canada where the materials have been used successfully in new construction as well as how the materials were used to solve problems relating to mould that resulted during the day to day operations of the facility.

Refreshment Break in Trade Show

sponsored by Thomson Technologies

1600-1700

Track 4

Plenary

What are the Right Construction Materials to Include in a Healthcare Construction Project?

Dr. Ted Kesik, PEng, Faculty of Architecture, Landscape, and Design, University of Toronto, Toronto ON

Healthcare facilities require healthy materials but how do designers and specifiers define healthy materials?  From a functional perspective, materials that absorb moisture and are susceptible to decay and the retention of bacteria have traditionally been avoided.  But budget realities often result i material substitutions that are less durable than time tested precedents.  Materials that are not durable and result in excessive maintenance, repair and replacement divert money from primary healthcare activities to a costly cycle of facility management.  How do we get healthcare facilities off life support and restore healthy choices environmentally sustainable?  This presentation focuses on fundamental principles of material selection that are aimed at producing durable facilities that are affordable in the log term and promote healthier environments.  Using a building-as-a-system approach, the selection of exterior and interior building fabric is examined from the perspective of life cycle performance.  Material characteristics that reinforce healthy and durable facilities are identified and presented as a framework for planning, design and construction.

Buses begin to depart for Cruise  & Banquet

Cruise sponsored by Enbridge Gas Distribution

President's Reception

sponsored by Tremco

Banquet

sponsored by Union Gas Limited

Delegate Breakfast

sponsored by Canadian Standards Association

0830-0930

Track 5

Plenary

P3's: The British Experience

Peter Holden, General Manager, HCP-Project Leed Whole Life Costing/Asset Management Team, Kent UK

sponsored by Trane

The presentation will discuss the reasons behind P3 being adopted as the prime method of providing new healthcare facilities in the UK - the process, its early problems, concerns, and public perceptions.  Discussion will follow on how the process has developed over the past 16 years, with the resulting changes regarding service delivery, cost control and the commercial atitude toward estate management, property/plan maintenance, and forward planning.  In conclusion, a short list of present day issues and perceived benefits that have resulted from the process will be considered.

CHES National Annual General Meeting

Posterboard Review and Trade Show

Refreshment Break in Trade Show

sponsored by Reliable Controls

Three Concurrent Sessions

Track 6A

Facilities Track

Improving Indoor Environmental Quality through Integrated HVAC Design
John Murphy, Application Engineer LEED AP, Trane Commercial Systems, Ingersoll Rand, La Crosse WI USA

View Presentation **

This presentation will discuss several IEQ trends and their impact on the design of HVAC systems for healthcare facilities. The trends to be addressed include 1) interest in increasing ventilation (including the consideration of 100% outdoor air), 2) desire for improved filtration, and 3) greater awareness of the importance of temperature and humidity control for surgery rooms. Various HVAC design approaches to address these trends will be described, along with their impact on equipment capacity and system energy use.

Track 6B

Designer Track

Standards: The Compass that Guides the Ship

Gordon Burrill, PEng, SASHE, President, Teegor Consulting Inc., Fredericton NB

Whether designing, constructing or operating a health care facility, there are hundreds of standards that influence your daily work. This session will explore some of the significant standards that impact on the health care built environment. It will look at current requirements that are commonly overlooked, recent changes in the standards and where the standards in the health care physical plant and engineering areas are headed. Whether you are a designer, builder or facility manager, there will be topics covered in this session that you simply must know to do your job effectively.

Track 6C

Contractor Track

Construction Liens and Trusts

Jeff Armel, Goldman Sloan Nash & Haber LLP, Toronto ON

Jeff's presentation will cover the following points - what is a lien? an overview of the Construction Lien Act; who is entitled to lien?; what can you lien?; what gives rise to a lien?; what constitutes an improvement?; preserving and perfecting the lien; definition of substatial performance; statutory and notice holdback; vacating the lien.  He will also discuss priorites of claimants; section 39 demands under the Construction Lien Act; liening the leasehold interest; and provide a brief overview of the trust provisions contained within the Construction Lien Act.

Lunch in Trade Show

Three Concurrent Sessions

Track 7A

Facilities Track

Black Thursday

Michael Hickey, Regional Director, Plant, Property & Energy, Northern Health Authority, Prince George Regional Hospital, Prince George BC

On June 7, 2007, Prince George Regional Hospital, a 50,000 square meter multi-level tertiary care facility in Prince George, British Columbia, lost its only transfer switch, leaving the building without most of its emergency and/or normal power.  The switch was damaged so badly it had to be replaced.  Mike will share with you how they lived on that site for two and a half weeks while a new switch was built and shipped to Prince George for installation.  He will share with you the value of teamwork and emergency planning in healthcare in dealing with a critical situation, and how all staff pulled together to come to "Let there be light".

Track 7B

Designer Track

Thoughtful Design: The Future of Healthcare Planning

Lynne Wilson-Orr, Principal, Parkin Architects Limited, Toronto ON
View Presentation **

Therapeutic Interior Design, Evidence Based Design, and Healing Environments: these are all phrases that are popular in the healthcare planning field.  But what do they really mean and how is healthcare planning and design changing as a result?  This presentation will focus on the factors affecting the provision of healthcare: changing technology, the aging healthcare workforce, diverse patient populations and increasing acuity of patients - and how these are influencing the design of healthcare facilities.  Can we afford evidence based design?  Or more importantly, can we afford not to incorporate it into Canadian healthcare design?

Track 7C

Contractor Track

I Can't Believe How Much We Learned During Commissioning

John Wood, CHFM, SASHE, Administrative Director, Facilities, Mercy Medical Center, Roseburg OR
View Presentation **
Herb Hunter, President & CEO, HFM, a division of Hunter Facilities Management Inc., Whitby ON

Commissioning is a word that seems to have a different meaning for different folks.  This session will explore commissioning from two perspectives.  John Wood is a facility manager and Herb Hunter is a commissioning authority and they have seen commissioning from many points of view.  The session will explore the differences between commissioning, recommissioning, retrocommissioning and the emerging field of continuous commissioning.  In addition, the session will explore LEED requirements for commissioning as well as the requirements of various Ministries or Departments of Health in the area of commissioning.  The session will explore the value of the commissioning process to the hospital, hospital staff, contractors and the design team.  With their extensive experience, John and Herb will share some challenges they have witnessed as well as some successes in the field.

Refreshment Break

sponsored by N-Two Cryogenics Inc.

1530-1630

Track 8

Plenary

All Delivery Systems Work: It's the team that makes it work well!

Nick Stark, H.H. Angus & Associates Limited

Ain Allis, Director, Parkin Architects Limited, Toronto ON

Allan Roles, Engineering & Maintenance, Support Services, Calgary Health Region, Calgary AB

Tim Smith, Vice President, Infrastructure Development, Ellis Don, Mississauga ON

Why are some projects successful, while others end up late, over budget or both, followed by the inevitable legal action?  Even worseis the potential legacy of a building that cannot fulfil its operational purpose.  Is the critical factor the method that is used to deliver the project, or are there other issues that have a greater influence on success?

The panel will explore the premise that any delivery model will work, it's the team that really counts.  Whether the project is delivered through the traditional process of design first followed by construction, or overlaps the two under Construction Management, or is a full-fledged Design Build Finance and Maintain P3; multi-disciplinary teams are necessary involving a wide range of skills.  Similarities and differences will be explored for the different situations.  Issues of team selection and operation will be explored with an emphasis on the factors that are common to successful projects. 

Learn from experienced perspectives of an Owner, Architect, Design Engineer and Builder involved in healthcare construction across Canada.

Closing Remarks

Presentation of CHES 2009

Greening Anesthesia: A Canadian Solution

View Presentation **

95% of anesthetics consumed in Operating Rooms around the world are exhausted into the atmosphere. These toxic gases are up to 3766 times more damaging than carbon dioxide and have been routinely discharged for years. One average-sized medical centre, for example, vents the equivalent of 400 annual car emissions of anesthetic gas every year, a practice to date overlooked. Enter Blue-Zone Technologies Ltd, a pre-commerical, proudly Canadian firm offering a unique solution to combat this longstanding, destructive custom. The company's technology is now being successfully trialed in 15 Ontario Hospitals to raise awareness in the community. Blue-Zone's system is convenient, simple and rewarding, and requires now only a small amount of attention to make a notable, albeit long overdue, Canadian-led contribution to the field of Anesthesia.