This document summarizes a panel discussion on preparing leaders for healthcare facilities in the 21st century. The panel discusses how the healthcare model has changed with fewer hospitals but more outpatient facilities. This has resulted in expanded building regulations and more complex facility management needs. The panel addresses the skills and training needed to become a competent healthcare facilities manager, including degrees, certifications and on-the-job experience. They also discuss challenges in finding and hiring qualified facility managers and the need for continued professional development.

1. HEALTHCARE FACILITIES
LEADERSHIP FOR THE 21ST
CENTURY
Preparing Leaders to Take the helm of a very
different Healthcare Universe.
2016 KSHE Conference – Lexington, KY

2. PANEL
 Michael Canales - Program Director, Owensboro Community &
Technical College
 Joe Taylor - Executive Facilities Director, Owensboro Health
 Randy French - Facilities Supervisor, Saint Joseph East
 Chris Buford - Maintenance Technician Supervisor, University of
Kentucky Chandler Medical Center
 Ed McClure - Director, University of Kentucky Med Center Physical
Plant

3. SESSION OBJECTIVES
 Gain insight on industry trends regarding the development and hiring
of healthcare facility managers(HFM).
 Challenges finding and hiring HFM’s
 Discuss the value and growing expectations for HFM professional
development.
 Share observations from managers and students of the HFL program.
 Understand industry trends and impact regarding the expansion of
regulation and growing outpatient built environment.
 Discuss the profound demand on the healthcare facilities profession.
 Present the first time ever Academic Career Ladder from the
Healthcare Facilities Leadership program at OCTC.

4. HEALTHCARE AND WONKA!

5. SO WHAT HAS CHANGED?

6. HEALTHCARE MODEL HAS CHANGED?
 500 Fewer Hospitals
 1000’s more Healthcare facilities
 Dramatic Outpatient Delivery Shift
 More “For Profits”.
 Universal Healthcare?
 Expanded CMMS Building Regulatory Requirement

7. LOOKS A BIT DIFFERENT!

8. NOT YOUR GRANDPARENTS NURSING
HOME!

9. SOME THINGS WE RARELY USE TO
DO/THINK OF IN OUTPATIENT?
 ICRA/PCRA
 Above Ceiling Permitting
 ASHRAE 170- Air Ventilation
 ASHRAE 188- Water pathogens
 HIPPA
 HCAHPS
 Disaster Planning
 Environmental Rounds
 Active Shooter

10. THE CMMS CONNECTION- FROM AHA
LETTER TO CMS –JUNE 2014
 ……Application of 2012 LSC to Health Care Facilities Regardless
of Number of Patients Served. CMS proposes to apply the LSC
requirements to health care facilities, regardless of the number of
patients served………The LSC generally applies health care and
ambulatory care occupancy requirements to facilities serving
four or more patients who are incapable of self-preservation on
some level.

11. NFPA SELF PRESERVATION REFERENCE
FOR HEALTH CARE OCCUPANCY
3.3.188.7- 2012 NFPA 101
 An occupancy used to provide medical or other treatment or
care simultaneously to four or more patients on an inpatient
basis, where such patients are mostly incapable of self-
preservation due to age, physical, or mental disability, or
because of security measures not under the occupants control.

12. NFPA SELF PRESERVATION REFERENCE
FOR AMBULATORY HEALTH CARE
3.3.188.1- 2012 NFPA 101
 An occupancy used to provide services or treatment simultaneously
to four or more patients that provides, on an outpatient basis, one or
more of the following (1) treatment for patients that renders the
patients incapable of taking action for self-preservation under
emergency conditions without the assistance of others, (2)
anesthesia that renders the patients incapable of taking action for
self-preservation under emergency conditions without the assistance
of others; (3) emergency or urgent care for patients who due to the
nature of their injury or illness, are incapable of taking action for self-
preservation under emergency conditions without the assistance of
others.

13. GROWING COMPLEXITY AND DEMANDS
ComputerTechnology
•BAS
•CMMS
•Fire
•Nurse call
•Phone
•CAD
•BIM
•Elevators
•Generators
•Chillers
Codes&Standards
•NFPA
•CMS
•ASHRAE
•FGI
•TJC
•DNV
•OSHA
•FCC
•FAA
•State
Operations&Maintenance
•Risk Assessments
•Projects
•Moves
•Work Orders
•Preventive
Maintenance
•ICRA
•Life Safety
•Sprinkler/Fire

14. HEALTHCARE FACILITIES LEADER
SKILL SETS
 Technology- CMMS, Microsoft, Project Management, BAS,
CAD, BIM etc….CONVERGENCE!
 Reporting- Analysis rolled up to Dashboards.
 Speaking- Front line to board level
 Writing- Articulate and well summarized
 Codes, Standards, & Compliance
 Financial Management- Run it like a business.
 Customer Service-
 Critical Thinkers- Risk Assessments, ILSM, ICRA
 Energy Management

15. HOW DOES ONE BECOME A
HEALTHCARE FACILITY MANAGER?
 Work your way up over x number of years
 Enter from another industry with management experience
 Transfer from another healthcare management position
 Have a graduate level degree in management
 Take management position at another healthcare facility.
 Other ways………..

16. NURSES SELLING CIGARETTES. ASH
TRAYS IN MANY ROOMS IN THE 1980’S

17. HOW LONG DOES IT TAKE TO BECOME
A COMPETENT HEALTHCARE FM?
 IMHO – 6-9 years. This is based on having gone through 2-3
Accreditation surveys(based on TJC tri-annual survey process).

18. IS THERE ANOTHER WAY?
 Graduate from related degree programs with internships
 Enroll in healthcare facilities academic program while working in
facilities or related department.
 Hire into Healthcare facilities position with little to no experience
while also attending healthcare facilities specific academic
program.
 Have trade experience and take healthcare facilities specific
academic program.

20. CERTIFIED HEALTHCARE TECHNICIAN
 Certified Healthcare Technician(CHT)- This online training program is targeted for contractors and
employees providing construction, equipment, and/or maintenance and operations. The HCT is an
in depth orientation to the healthcare facilities environment that includes:
 Infection Prevention
 Interim Life Safety
 Blood Borne Pathogens
 Healthcare specific OSHA awareness
 Patient Awareness
 And other healthcare specific training.

 While the HCT is not an accredited course, it does provide critical information and is validated
through testing. A three(3) year certificate is issued after successfully completing. Most if not all
healthcare facilities require some type of healthcare orientation prior to allowing individuals to work
at the facility. This is a fee based program.

21. HEALTHCARE FACILITIES FOUNDATION
 Healthcare Facilities Foundation(HFF)- Online
 The primary benefit of the HFL Certificate would be for those with
some trade or general maintenance background who desire to
enter or advance positions in the healthcare facilities services
profession. These positions would include healthcare technicians
& supervisors. The Certificate program would require students
take all 100 level series HFL courses (16 credit hours). All classes
are stackable/transferrable to the HFL Degree or Diploma
credentials. Enrollment in the HFF certificate DOES NOT require
college entrance assessment for English, Reading, or Math.

22. HEALTHCARE FACILITIES LEADERSHIP
ASSOCIATES DEGREE
 Healthcare Facilities Leadership AAS Degree - Online
 Currently the most advance academic credential offered
specifically tailored to the Healthcare Facilities Management
profession. Comprises of 11 Core Courses and other related
professional development courses.

23. HEALTHCARE FACILITIES LEADERSHIP
BACHELORS
 Healthcare Facilities Leadership BAS Degree – (Plan to be Online)
 The HFL Bachelors is currently not offered, however with a
growing enrollment and graduation of the HFL AAS program, it is
only a matter of time before an HFL Bachelors will be offered.
Stay tuned.

24. SUBTLE, HOWEVER, BIG NEWS……
 QUALIFICATIONS
 A Bachelor's Degree in Engineering or equivalent experience in a
health care facility accredited by The Joint Commission is
required. As an alternative to a Bachelor's Degree, individuals
may comply with the requirement either with an Associate's
Degree and three years of qualifying engineering experience; or
with at least five years of qualifying engineering experience.
Certified Health Facility Manager (CHFM) is preferred.

25. QUESTIONS & ANSWERS?

26. HOW DO FIND OUT MORE INFORMATION?
Katie Vincent, HFL Enrollment Concierge
Katie.Vincent@kctcs.edu
Call (866) 755-6282(OCTC)
OR
You may also contact the Program Director, Mike Canales at
mike.canales@kctcs.edu or call (270) 852-8142