pcra facilities perspective handout versionsafely managing construction/renovation and maintenance...
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![Page 1: PCRA Facilities Perspective handout versionSafely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective February 10, 2009 Environmental](https://reader035.vdocuments.us/reader035/viewer/2022071016/5fcf4c4b38854e359665a446/html5/thumbnails/1.jpg)
Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
Page 1
Safely Managing Construction/Renovation and
Maintenance in Healthcare
A Facilities Management Perspective
Bryan Connors, MS, CIH, HEMHealthcare Practice Leader, EH&EFebruary 10, 2009
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Agenda Agenda
• The Joint Commission Requirements • Case Studies (What Can Go Wrong)• Management of Data and Program
Documents • Proven Management Techniques
![Page 2: PCRA Facilities Perspective handout versionSafely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective February 10, 2009 Environmental](https://reader035.vdocuments.us/reader035/viewer/2022071016/5fcf4c4b38854e359665a446/html5/thumbnails/2.jpg)
Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
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Why Do We Care About PCRA?Why Do We Care About PCRA?
• Outbreaks of hospital-acquired mold infections
• Minimizing liability• Compliance • Improving flow of work
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Proven Success Strategies Proven Success Strategies
• Clear Responsibilities• Central Coordination • Consistent Review Process
Committee, Inspections, Permits
• Competencies/Skills• Metrics, Follow-up• Contactor Training
![Page 3: PCRA Facilities Perspective handout versionSafely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective February 10, 2009 Environmental](https://reader035.vdocuments.us/reader035/viewer/2022071016/5fcf4c4b38854e359665a446/html5/thumbnails/3.jpg)
Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
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Construction in Healthcare Construction in Healthcare
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Examples of the Risks Examples of the Risks
![Page 4: PCRA Facilities Perspective handout versionSafely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective February 10, 2009 Environmental](https://reader035.vdocuments.us/reader035/viewer/2022071016/5fcf4c4b38854e359665a446/html5/thumbnails/4.jpg)
Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
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PCRA Components PCRA Components
PCRA Risk Mitigation Program
ILSM
Utility Impacts, Noise, Vibration, IAQ
ICRA
![Page 5: PCRA Facilities Perspective handout versionSafely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective February 10, 2009 Environmental](https://reader035.vdocuments.us/reader035/viewer/2022071016/5fcf4c4b38854e359665a446/html5/thumbnails/5.jpg)
Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
Page 5
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Joint Commission RequirementsJoint Commission Requirements
The PCRA process should identify:1) Potential impacts on air quality
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Joint Commission RequirementsJoint Commission Requirements
2) Potential impacts on fire and life safety
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Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
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Interim Life Safety MeasuresInterim Life Safety Measures
• Major deficiencies in the life safety code • May be due to construction or other
causes of deficiencies
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Life Safety Case StudyLife Safety Case Study
• Hot work + sprinkler impairment = ?
![Page 7: PCRA Facilities Perspective handout versionSafely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective February 10, 2009 Environmental](https://reader035.vdocuments.us/reader035/viewer/2022071016/5fcf4c4b38854e359665a446/html5/thumbnails/7.jpg)
Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
Page 7
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Joint Commission RequirementsJoint Commission Requirements
3) Effects of noise and vibration4) Utilities and medical equipment
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Joint Commission RequirementsJoint Commission Requirements
5) Potential impacts on Infection Control
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Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
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Infection Control Risk MitigationInfection Control Risk Mitigation
• Construction = Dust• Dust = Mold• Mold + High Risk Patients = Elevated Risk
Construction Project Type
IVIII/IVIIIIHighest risk groupIVIII/IVIIIHigh risk group
IVIIIIIIMedium risk groupIII/IVIIIIILow risk group
Type DType CType BType APatient risk group
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ICRA Case Study ICRA Case Study
![Page 9: PCRA Facilities Perspective handout versionSafely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective February 10, 2009 Environmental](https://reader035.vdocuments.us/reader035/viewer/2022071016/5fcf4c4b38854e359665a446/html5/thumbnails/9.jpg)
Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
Page 9
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Good Bad
View from inside site
Examples: Containment Practices Examples: Containment Practices
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Example: Life Safety Risks Example: Life Safety Risks
![Page 10: PCRA Facilities Perspective handout versionSafely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective February 10, 2009 Environmental](https://reader035.vdocuments.us/reader035/viewer/2022071016/5fcf4c4b38854e359665a446/html5/thumbnails/10.jpg)
Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
Page 10
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What Can Go Wrong What Can Go Wrong
• Nosocomial fungal infections • Staff injury and illness• OSHA inspections• Joint Commission Accreditation • Insurance premiums and liability • Staff complaints and dissatisfaction
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Root Causes of FailureRoot Causes of Failure
• Interdepartmental responsibilities = ambiguity, lack of “ownership”
• Construction contractors focused on job completion & schedule
Subcontractor management • Limited hospital resources/resource
allocation • Contractor orientation & unfamiliarity with
healthcare environment
![Page 11: PCRA Facilities Perspective handout versionSafely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective February 10, 2009 Environmental](https://reader035.vdocuments.us/reader035/viewer/2022071016/5fcf4c4b38854e359665a446/html5/thumbnails/11.jpg)
Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
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Consistent PCRA ProcessConsistent PCRA Process
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Permits for Each ProjectPermits for Each Project
![Page 12: PCRA Facilities Perspective handout versionSafely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective February 10, 2009 Environmental](https://reader035.vdocuments.us/reader035/viewer/2022071016/5fcf4c4b38854e359665a446/html5/thumbnails/12.jpg)
Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
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Inspection Data and Program Inspection Data and Program MetricsMetrics
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Other Issues to Consider Other Issues to Consider
• Site inspections, deficiency resolution • Contractor vetting and selection
Management of sub-contractors • Include PCRA and safety performance
requirements in contract documents• OSHA compliance issues
Asbestos, LO/TO, confined space• Above the ceiling permit,
fire stopping, hot work permit
![Page 13: PCRA Facilities Perspective handout versionSafely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective February 10, 2009 Environmental](https://reader035.vdocuments.us/reader035/viewer/2022071016/5fcf4c4b38854e359665a446/html5/thumbnails/13.jpg)
Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
Page 13
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Proven Success Strategies Proven Success Strategies
• Define the management process
• Clearly define roles• Assure accountability
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Proven Success Strategies Proven Success Strategies
• Vet/select contactors and subcontractors
Train contactors
• Determine vulnerabilities
Act to address the vulnerabilities
![Page 14: PCRA Facilities Perspective handout versionSafely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective February 10, 2009 Environmental](https://reader035.vdocuments.us/reader035/viewer/2022071016/5fcf4c4b38854e359665a446/html5/thumbnails/14.jpg)
Safely Managing Construction/Renovation and Maintenance in Healthcare: A Facilities Management Perspective
February 10, 2009
Environmental Health & Engineering, Inc.800-825-5343 • www.eheinc.com
Page 14
Safely Managing Construction/Renovation and
Maintenance in Healthcare
A Facilities Management Perspective
Bryan Connors, MS, CIH, HEMHealthcare Practice Leader