Webinar Series

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Abstract
Design-Build and Integrated Project Delivery are growing delivery systems for major new construction projects. However, similar and additional benefits can be gained in using an integrated Design-Build approach for both small and larger repair projects where there is a need to identify the degree of the problem and the root cause before developing the proper repair design. For these types of problems, a team IDB (Investigate-Design-Build) approach extends the advantages of Design-Build to the investigative stage and also enhances the results during the design and construction phases.

This presentation outlines:
  • Key elements of the IDB approach
  • Advantages in each stage of the process
  • Particular types of projects where it is most appropriate
  • Ideas on how to determine if IDB is right for you
  • Case study of IDB in action with a public / private owner<

Learning Objectives:
  1. How to apply an investigative front-end step to create a design-build procurement approach for major repair and renovation projects.
  2. Step-by-step description of investigate-design-build (IDB) approach for structural repair, retrofit and upgrade projects.
  3. Analysis of each stage of the IDB process and pros and cons for several typical project scenarios.
  4. How an IDB approach can create the lowest total cost for major repair or renovation projects.
John Mulcahy photo
Presented by

John Mulcahy - Business Development Manager, STRUCTURAL, A Structural Technologies Company
John has worked closely with facility and property managers on projects focused on the maintenance and repair of critical infrastructure. His experience spans over several industries, including healthcare, higher education, and commercial properties.

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Dennis Sanschagrin - Business Development Manager, Vice President for Corporate Sales, Structural Technologies
Dennis Sanschagrin is the Vice President, Corporate Sales for Structural Technologies. He has over 27 years of experience in the repair and restoration of existing healthcare structures, including corrosion mitigation, structural strengthening, post tension repair and façade restoration. Dennis assists all types of commercial owners with their design-build projects around the country. He has experience teaching about integrated product delivery systems and how to procure them to small groups of owners at their facilities as well as presentations for larger groups at association meetings. He is active in several AEC organizations, including national and local chapters of ASHE, APPA, BOMA, Building Congress, NPA, and COAA. Dennis has a BS in Civil Engineering from the University of Maryland and an MBA from George Mason University.

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Abstract
More than 20 hospitals have filed for bankruptcy since 2016 and predictions indicate that we can expect more hospitals to close in the coming years. Increased competition, poorly planned mergers and acquisitions, along with lower reimbursement rates contribute to financial distress in many healthcare organizations. Chapter 11 reorganization, while protecting the organization and providing a legal opportunity for financial relief, imposes a significant restriction on finances and creates additional barriers to improving and even maintaining existing facilities. Capital projects, improvement plans, as well as any vendor-performed maintenance can come to a screeching halt in a Chapter 11 situation. Longstanding relationships with vendors, suppliers, and contractors become strained and retaining and/or recruiting skilled tradespeople becomes problematic.

While the C-Suite works to negotiate a better financial position for the organization, the facilities department must scramble to ensure that compliance requirements are met and that the facilities, systems, and equipment are maintained to ensure continued operation and safety of all involved. Healthcare facilities professionals should be aware of the barriers and challenges created by a Chapter 11 filing. The purpose of this presentation will be to provide insight, experience, and lessons learned from a small healthcare network including a critical access hospital undergoing a Chapter 11 reorganization. By reviewing some of the events leading up and existing facility conditions at Springfield Medical Care Systems (SMCS)/Springfield Hospital (Springfield, VT) in 2019, this presentation will examine the ramifications of a Chapter 11 filing on facilities management.

The session will conclude with a discussion of lessons learned regarding:
  • The value of appreciating committed, experienced facilities staff.
  • The value of well-organized and documented maintenance records and maintenance processes.
  • The value of good relationships with vendors/contractors/suppliers in the aftermath of a Chapter 11 filing, including a discussion of how Chapter 11 affects small, local vendors vs large commercial vendors.
  • How Chapter 11 restrictions in finances can limit the ability to perform maintenance and limit support from vendors.
  • Factors to consider when faced with needing to scaling back maintenance programs/services due to limited resources. While there is some commonality in facilities management from organization to organization, how each organization deals with the aftermath of a Chapter 11 filing may be very different; the lessons learned through the experience of SMCS is intended to be educational and thought-provoking for other facility professionals who may face a similar situation in the future. The presentation will conclude with a high-level overview of the Chapter 11 exit strategies for SMCS and Springfield Hospital.

Learning Objectives:
  1. Define Chapter 11 (reorganization) and describe how it differs from Chapter 7 (liquidation).
  2. Examine the Chapter 11 status at SMCS and its effect on facilities operation and maintenance.
  3. Understand the challenges that Chapter 11 protection creates for continue operation and maintenance of healthcare facilities.
  4. Describe and discuss how unpaid balances with vendors/contractors/suppliers can interfere with continued operation and maintenance.
  5. Assess the situation at SMCS and consider changes that may need to be made at you organization to prepare for the possibility of financial restrictions up to and including Chapter 11 bankruptcy.
Jim Smith photo
Presented by

Jim Smith, MBA, CHFM - Director of Engineering, Springfield Medical Care Systems
Jim has been in healthcare facilities management since 2013. His experience includes plant operations, chemistry, maintenance, and performance improvement in the both the Navy nuclear and commercial nuclear fields.

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This webinar will provide an overview of UVC Germicidal Systems and how they work, including applications for UVC Systems and their ability to kill 99.99% of bacteria, molds and viruses that accumulate in the coils of HVAC Systems and recirculate through the ventilation system. The bacteria, molds and viruses proliferate in the biofilm that grows on the cooling coils (air handlers, fan coils, heat pumps and PTAC units). Periodic treatment of the coils with chemicals can't keep up when you consider viruses and bacteria populations may double every 20 minutes resulting in as much as 70 trillion organisms/day. Mold/fungi populations can double every 6 hours resulting in 70 trillion organisms in just 18 hours. Eliminating the recirculation of these microorganisms reduces Hospital Acquired Infections (HAIs), which is especially important during the COVID-19 pandemic. Effective Portable UVC Systems.

The presentation will also discuss opportunities to take quick action in using portable UVC systems to control COVID-19 in rooms as well as on tabletop, walls, equipment and other surfaces to reduce contamination adding another tool to the arsenal of decontamination tools in light of other product shortages.

Energy Savings The biofilm on the coils insulates heat transfer surfaces and restricts air flow. The Steril-Aire Systems are properly sized to ensure coils are clean and the biofilm is eliminated 24/7 resulting in energy savings as much as 10% - 25%.

Presented by

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Karl Oelker - Director of Worldwide Sales, Steril-Aire UVC Systems

Karl Oelker currently is the Director of Worldwide Sales and Marketing for Steril-Aire. Steril-Aire is a US manufacturer and global provider of high powered UVC emitters used for enhanced indoor air quality, microorganism control and inactivation green building (LEED) and (WELL) credits and energy savings.

Current customer base includes HVAC distributors, healthcare facilities, food processing plants, clean environments and manufacturers of commercial and residential air handling systems. Karl’s background includes over thirteen years of presentations to district ASHRAE and ASHE meetings providing UV technology case studies and UV application information for engineering firms. He was previously certified to present ASHRAE Session 6 for PIE and Engineering Credit.

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Dan Cook - Steril-Aire Representative, Conservation Solutions Corporation

Dan Cook is President of Conservation Solutions Corporation. Conservation Solutions works with healthcare, commercial, industrial, multifamily and institutional building owners to help reduce energy, water and chemical use and costs with innovative technologies, expertise and services.

Mr. Cook works with Steril-Aire UVC Systems in New England to help hospitals and healthcare facilities with microorganism control and inactivation while also reducing energy costs.

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