2021 Annual Conference Speakers and Sessions


Crunch Time!

The Leader’s Guide to Producing Under Pressure

How To Be Your Best — When It Matters Most!

Why do some people choke in high-pressure situations, while others excel? And, more importantly, how can you become the one who excels?

- Discover the crucial mindset shift that determines whether you will choke or thrive under pressure.

- Learn 3 key things to do before, and 3 things to do during a pressure situation to produce peak results.

- Apply—in real time—a vital high-pressure prep technique to your specific challenges.

- Examine the myth that some people “rise to the occasion” and do their best work under pressure—and why this myth is good news for you.

Douglas S. Erickson, FASHE, CHFM, HFDP, CHC

FGI’s Emergency Conditions and 2022 Guidelines – What’s New

The Facility Guidelines Institute, using a volunteer committee of over 120 professionals in practicing in health care, has developed a White Paper on Emergency Conditions in Health and Residential Care Facilities which includes recommended additional requirements to the 2022 series of Guidelines. This session explores the key factors that influenced the new recommendations along with an overview of what new standards are  being recommended for the new Guidelines on Emergency Conditions.

This effort addressed the need—permanent, semi-permanent, and temporary—to expand patient and resident capacity during pandemics and other manmade disasters and look at facility resiliency to withstand high winds, floods, wildfires, and other weather-related disasters. While many excellent solutions have been deployed over the years for resiliency and the past many months for COVID-19, thousands of hours have gone into coalescing lessons learned into a white paper and recommendations for a new Guidelines document that will support the treatment and care of patients, residents, visitors, and staff

members during emergency conditions. A risk assessment process and emergency condition zone maps have been added to the compliance formula of determining when elements of the recommendations need to be applied.

With the release of the 2022 edition, the Guidelines for Design and of Hospitals; Outpatient Facilities; and Residential Health, Care, and Support Facilities. This session will highlight the key factors that influenced changes across the 2022 documents. The presenter will address new sections of text, including airborne infection isolation rooms, seclusion rooms, telemedicine, outside windows, lighting, elevators, metal health, NICU, etc. and provide an overview of changes to requirements for recovery spaces, imaging, examination, procedure, and satellite sterile processing spaces.

James Kendig, MS, CHSP, HEM

Field Director, Surveyor Management and Development Accreditation and Certification Operations

James Kendig is the Field Director for the Life Safety Code Surveyors/Engineers at The Joint Commission. In this role, he oversees half (approximately 40) of the surveyor cadre who specialize in surveying The Joint Commission’s life safety, environment of care, and emergency management standards.

Previously, Mr. Kendig also served as a Joint Commission Life Safety Code Surveyor. Prior to joining The Joint Commission, he was a Vice President and Safety Officer for a four-hospital system in Florida on the “Space Coast”.

Mr. Kendig maintains certifications as a Certified Healthcare Safety Professional, Certified Hazard Control Manager, Certified Healthcare Environmental Manager, and is a licensed Healthcare Risk Manager. He serves on the faculty of the University of Central Florida’s Licensed Risk Management Program.

Mr. Kendig holds a Bachelor’s and Master’s degree from West Chester University, West Chester, Pennsylvania. He is currently a resident of Florida.

R. Emmett Willis, PE  |  Senior Project Manager, Mechanical Engineer  |  Dewberry


Geared for the facility manager, this session will cover the basics of hospital plumbing systems, best practices for operation, strategies on upgrading aging plumbing systems, and the impact upgrades have on continual patient care. Specific focal points will include backflow preventers, water heater and boiler replacement strategies, dealing with aged cast iron piping, and the relationships between fixtures and infection control.

The course overview will cover the primary areas of concern and confusion I’ve seen facilities managers have in the healthcare environment. Items covered will included.

- Domestic hot water system basics for the facility manager: Successfully navigating system replacement decisions. Relationships between water heater types, recirculation systems and overall performance. Practical domestic water system approaches to reduce patient infections.

- Understanding backflow preventers: Types of BFP’s and their respective applications. Root cause analysis basics for backflow preventer issues.

- Waste Piping: Cast Iron waste piping and why it fails. Failures due to age versus failures due to system operation. Explanation of alternate materials and their respective benefits and detractors.

- Plumbing Fixtures in the healthcare environment. Types of fixtures and their roles in infection prevention.

Ken Gregory, CHSP CHOP  | Vice President, Accreditation, KGC Services

Ken Gregory possesses over 30 combined years of consulting, management, construction management/ safety, regulatory compliance, communications, environmental services, biomedical services, emergency management, hazmat, fire safety, utilities, safety and security in healthcare facilities.

His consulting role has included assisting healthcare entities throughout the country, and internationally, with regulatory compliance (TJC, AOA, DNV-GL, OSHA, CMS, CARF, DOD, etc.) preparation including performing mock surveys, documentation review, continued readiness programs, life safety assessments, CARF external surveys, etc. He provides in-depth education to civilian and military hospital staff, contractors, engineers, and architects around the globe as related to hospital physical operations, fire safety/life safety codes, emergency preparedness, and environment of care readiness.

Specialties: Ken also serves as an instructor in numerous subjects including fire codes, building codes, CMS, DNV-GL, TJC, and all Physical Environment/Environment of Care subject matter, as well as, serving as member of multiple NFPA technical committees including “The Technical Committee on Safety to Life in Healthcare Occupancies” for the 2009 Life Safety Code. Presently Ken serves as a principal on the "Healthcare Facilities Code" (NFPA 99) correlating committee, as well as a new NFPA comittee creating an entirely new guideline for Hazardous Waste. Ken also serves as member of the ASHE "Editorial Advisory Group".

Prior to the consulting role Ken spent 14 years working at hospitals in Maintenance/Engineering and Safety/Fire Safety roles in the physical environment. Roles ranged from an electrician to Director of all Support Services.

Chris Dierks
East Coast Leader of Lean & Integrated Project
DPR Construction

Melanie Moreschi AIA, LEED AP BD+C, CHC  |  Preconstruction Leader 
DPR Construction

Chris Dierks  |  East Coast Leader of Lean & Integrated Project  |  DPR Construction

Maintaining Collaborative Behaviors in Healthcare Project Virtual Big Rooms

After the COVID-19 pandemic forced the co-located Atrium Health Carolinas Medical Center (CMC) Main Expansion project team to reconsider how they operate, the team transitioned to a Virtual Big Room, effectively moving the project's preconstruction efforts forward. In the Virtual Big Room, the CMC team proved that a team could come together in the best interest of a project by implementing Big Room behaviors remotely. Join our panel of Owners, Design Partners, and Builders to learn more about how the team went virtual and what it looks like on the other side as some in-person meetings have returned, now that incorporating remote collaboration has become the norm on this megaproject.

Learning Outcomes:

1. Obtain the means to build a disciplined approach for a Virtual Big Room team and set measurable goals which facilitates a healthy team culture.

2. Analyze virtual collaboration technologies and tools that facilitate TVD Cluster group communication and decision-making processes.

3. Examine the behaviors and best practices that make a Virtual Big Room sustainable through sharing lessons learned on a mega-project.

4. Identify processes used to track Virtual Big Room Team Health and examine how team leaders responded to the metrics and trends from those assessments and dashboards.

Melanie Moreschi
Preconstruction Leader
DPR Construction
Melanie is a licensed architect and Certified Healthcare Constructor currently leading
preconstruction efforts for the Atrium Health Carolinas Medical Center (CMC) Main
Expansion. Melanie enjoys bringing her architectural design expertise and experience as a
highly collaborative technical builder to the preconstruction process with a focused passion
for healthcare projects. Her 20+ years of experience in the healthcare industry includes well
over one-billion dollars of healthcare projects in the Carolinas and Virginia.
Melanie is committed to connecting with her team and open-mindedness to new ideas for
continuously improving the design and construction process. She works to enable informed
timely decisions to achieve project goals in a diverse team environment.

Deon Lewis, CaroMont Regional Medical Center

Jeff Plemmons, RN&M Engineers

Lisa Yagla, McMillan Pazdan Smith

Critical Care Tower Vertical Expansion and High Rise

CaroMont Regional Medical Center, located in Gastonia, NC, is currently constructing a new 160,000 sf four-story critical care tower vertical expansion above the existing surgical suite. The top three floors will each have 26 patient rooms, separated into two smoke compartments. Each smoke compartment is fed independently, via two shafts in the new vertical circulation towers, from the subbasement of the existing building. The third floor is a shell space for a future 26 bed patient unit.

During the design process, a key project constraint was to align the new fourth floor with the fourth floor of the existing 1973 tower and connect by bridge. The bridge between buildings will allow for both ease of patient discharge and additional logistical support. The existing 1973 tower only has a floor to floor height of 12' - 6" and the new tower has floor to floor height of 15' - 6". This combination of factors led to the highest occupied floor to be located more than 75 feet above the lowest level of fire department vehicle access, therefore triggering high-rise classification.

The high-rise classification required additional design features and systems for both the new tower and the existing floors below. The existing building required a 2 hour separation to be reestablished between the existing hospital and the new high-rise. In addition, the existing mechanical and fire protection systems required an update for compliance. Design assist with the general contractor and subcontractors has facilitated the phasing of this work, therefore maintaining key hospital functions at all times, including all operating rooms.

During the session we will review the building section to discuss the types of hospital spaces impacted by the build, the existing and new structural systems, and the implications of high-rise design. We will also review the typical patient unit along with other impacts to the main hospital to achieve the building separations required. For example, the fire command room location and elevator lobby designs.

Despite the design challenges and additional cost of the high-rise construction, CRMC retained the original project scope. The project is slated to open in March of 2023.

Measurable Learning Outcomes:

1. Clear definition of high-rise designation per NCBC 2018.

2. Key design constraints of NCBC 2018, section 403.

3. Existing major systems directly impacted by high-rise requirements.

4. How high-rise impacted the overall architecture of the new building from the exterior design to the typical patient unit.

Kenneth A Frazier, PE, LEED AP - Vice President/Senior Technical Principal, Leach Wallace Associates, Inc Member of WSP

James P. Gleba, PE, LEED AP Vice President, Leach Wallace Associates, Inc. Member of WSP

Ken Frazier, WSP | Jim Gleba, WSP

Critical Space Planning and Why it's Important

The healthcare design and construction is a complex field and has become more so over the past 30 years. Various design/construction methodologies are used to build healthcare projects. Consideraton of numerous types of MEP system designs, the cost of healthcare construction and the number of codes and regulations that govern the design and construction process can lead to variable results. Once a healthcare project is constructed, it is expected to perform as designed for many years if not decades. But how can we donfirm the spaces built for very specific design conditions will be maintained years in the future.

Critical space testing (CST) is defined as the documentation of airflow quantities and temperature and humidity levels in spaces where those enfironmental values are vital to the ability of that space to provide its intended use. This testing ie extremely important as it provides verification that the HVAC system is providing the required environmental conditions as defined in AHSRAE Standard 170 and the associate FGI Guidelines.

Kenneth A Frazier, PE, LEED AP - Vice President/Senior Technical Principal, Leach Wallace Associates, Inc Member of WSP

Mr. Frazier holds a Bachelor of Architectural Engineering degree, mechanical emphasis, from Pennsylvania State University and has over 35 years of experience in consulting engineering. Mr. Frazier has successfully completed hundreds of new construction, renovation and infrastructure replacement projects, almost exclusively for healthcare clients. He has extensive experience in conceptual and master planning exercises, in the review of technical content for healthcare MEP system designs and in the analysis of energy and utility distribution systems for large institutional healthcare and industrial campuses. As Director of Quality Control and Chief Mechanical Engineer, Mr. Frazier leads the Quality Management efforts from the initial project concepts into design and through construction.

James P. Gleba, PE, LEED AP Vice President, Leach Wallace Associates, Inc. Member of WSP

Mr. Gleba holds a Bachelor of Architectural Engineering degree, mechanical emphasis, from Pennsylvania State University and has over 25 years of experience in consulting engineering. He is a licensed professional engineer and LEED accredited professional. His experience as an engineer, as well as his experience with leading engineering teams, provides Mr. Gleba with a distinctive knowledge of the industry and insight on new and existing projects. Jim provides Business Development leadership for multiple offices by building relationships with new clients and fostering relationships with existing clients.  He supports the overall Business Development plans by providing practical and innovative engineering solutions, developing technical proposals for new and existing clients, leading the pursuit of new clients, and communicating winning strategies for project pursuits to other senior leadership

Amanda Lautermilch
Manager, Corporate Design Services
Novant Health


Glenn Davis
Senior Experiential Designer
Gresham Smith

Why Bother with Wayfinding?

The only constant in healthcare is change. From minor upgrades to capital improvement projects, seem to experience a perpetual state of construction, as well as departmental changes and operational issues. These changes often have unintended impacts on how patients, visitors and staff members navigate and experience the facility, which is why strong signage and wayfinding system is crucial for a hospital’s success.

Novant Health's Forsyth Medical Center’s 921-bed hospital located in Winston-Salem, North Carolina, opened its doors in 1964 to serve the healthcare needs of Forsyth County. The facility has seen numerous upgrades over its lifespan, which has ultimately created a mall-like public boulevard that runs the entire front of the hospital’s first floor. Understanding that clear wayfinding is a win-win for a healthcare campus, as it improves the patient experience and operational efficiencies while adding future flexibility, Novant tasked Gresham Smith with developing a cohesive wayfinding approach for the facility that united the first-floor destinations and emphasized elevator core landings.

Amanda Lautermilch
Manager, Corporate Design Services
Novant Health

Amanda joined Novant Health in 2013 after twelve years of experience as an interior designer, working with multiple healthcare clients. At Novant Health, her focus has been on developing, maintaining, and implementing design standards for planning, architecture, and interior design, while working with multi-disciplinary teams to reach a consensus on major renovation and new acute care buildings. Over the past few years, wayfinding and signage have come to the forefront of concerns as the system upgrades and expands existing buildings.   

Glenn Davis
Senior Experiential Designer
Gresham Smith

As a Senior Experiential Graphic Designer at Gresham Smith, Glenn explores visual, verbal, and virtual solutions for communicating information so patients, family members, and staff can navigate healthcare facilities with ease. Throughout his 20-year career, he’s worked on many large-scale projects with healthcare clients like BayCare, HCA, Novant Health, and Tampa General Hospital to design highly functional wayfinding solutions that create a unique sense of place while keeping end users feeling informed and empowered. 

Michael D. Roberts, PE, SASHE, CHFM,  CHE

ASHE REGION 3 Board Member
Director – Energy Services and Central Energy Plants |  ATRIUM HEALTH
Facilities Management Group, Corporate



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