Download Health Facility Institute 26th Annual Symposium Infectious Disease

Health Facility Institute 26th Annual Symposium
Infectious Disease: A Health Facility
Perspective to a Global Crisis
April 26 – 29, 2015
Emory Conference Center Hotel, Atlanta, GA
AGENDA
Sunday, April 26, 2015
9:00 a.m. Shotgun Start
Golf Outing – The Heritage Golf Links
Sponsored by:
Supporting Veterans’ Charities & HFI Scholarship Fund
Buffet after golf
Golf Lunch – The Heritage Golf Links
Sponsored by:
4:30 p.m. – 7:00 p.m.
Registration – Wisteria Lanes Pub
5:00 p.m. – 7 :00 p.m.
Welcome Reception – Wisteria Lanes Pub Sponsored by:
7:00 p.m. – 9:00 p.m.
HFI Board Meeting (HFI Board Members and Officers Only) – Trillium Boardroom
Monday, April 27, 2015 – General Session: Emory Amphitheatre
7:00 a.m. – 8:00 a.m.
Breakfast & Registration – Emory Break
8:00 a.m. – 8:30 a.m.
Symposium Welcome & Introductions
Sponsored by:
Health Facility Institute
Area/Exhibit Area
Bob Farrow, FHFI, FAIA
President; Health Facility Institute; Atlanta, GA
8:30 a.m. – 9:30 a.m.
John Baldwin, EFHFI
Vice President for Educational Programs; Health Facility Institute; Atlanta, GA
Keynote Address: Emerging Infectious Diseases in U.S. Healthcare
Michael Bell, MD
Deputy Director of Division of Healthcare Quality Promotion; Centers for Disease
Control and Prevention; Atlanta, GA
Dr. Bell will discuss emerging threats in U.S. healthcare facilities and hospitals, such as
healthcare-associated infections (HAIs) and antibiotic resistance. Innovative ways to
improve infection control through healthcare facility design will be reviewed along with
recent reaction to environmental infection control. CDC’s role in infection prevention in
U.S. healthcare facilities will also be discussed. AIA-CU = 1
HFI Area of Expertise: Strategic Planning
9:30 a.m. – 9:45 a.m.
Refreshment Break
Sponsored by:
Health Facility Institute
Program Changes: The Health Facility Institute reserves the right to change, substitute faculty, cancel, or reschedule programs. In the unlikely event of program
cancellation, we advise against purchasing non-refundable airline tickets. Room Changes: Locations are subject to change, so check the hotel TV monitors.
Agenda
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Health Facility Institute
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April 26 – 29 , 2015
9:45 a.m. – 10:45 a.m.
26th Annual Symposium
Emory Conference Center Hotel, Atlanta, GA
Law Enforcement Response to an Infectious Disease Incident
David Collins
Sargent; Marietta Police Department; Marietta, GA
David Baldwin
Public Information Officer; Marietta Police Department; Marietta, GA
Law enforcement response to an infectious disease incident with a focus on early
identification and the early notification to hospital and public health personnel. This
presentation will include a discussion of current policy and procedures regarding
infectious disease incidents and cover the law enforcement use of Personal Protection
Equipment (PPE). AIA-CEU = 1
HFI Area of Expertise: Strategic Planning; Space Planning
10:45 a.m. – 11:00 a.m.
11:00 a.m. – 12:00 p.m.
Health Facility Institute
Refreshment Break
Sponsored by:
Facility Considerations for Managing Infectious Disease Outbreaks
Amy Riley, RN, BSN
Service Line Administrator, Emergency Services; Memorial Hospital Jacksonville;
Jacksonville, FL
Gregory Miller
EMS Coordinator; Memorial Hospital Jacksonville; Jacksonville, FL
Urban community hospital and freestanding emergency department considerations for
infectious disease outbreaks. A review of inter-facility transport needs, containment
preparation, triage considerations, storage implications, and intra-facility transfers of
infected patients will be presented. AIA-CEU = 1
HFI Area of Expertise: Strategic Planning; Space Planning and Programming; Design;
Equipment Planning
12:00 p.m. – 1:00 p.m.
Lunch – The Dining Room
Sponsored by:
1:00 p.m. – 1:30 p.m.
1:30 p.m. – 2:30 p.m.
Health Facility Institute Advancement of Members
Isolation of Highly Infectious Diseases in the Emergency Setting
Michael Pietrzak, MD
Strategic Initiatives; HKS, Inc.; Vail, CO
David R. Vincent, AIA
Associate Principal; HKS Inc.; Dallas, TX
The recent outbreak of Ebola virus in Africa also leading to deaths in US and European
hospitals has highlighted the need for a better understanding of design strategies and
technology applications to handle cases of highly infectious diseases. This presentation
will focus on the advantages of the exit room strategy versus an anteroom strategy in the
containment of highly infectious diseases. AIA-CEU = 1
HFI Area of Expertise: Strategic Planning; A-E Selection Process; Space Planning and
Programming; Equipment Planning; Computer Principles and Applications
2:30 p.m. – 2:45 p.m.
Refreshment Break
Sponsored by:
Health Facility Institute
Program Changes: The Health Facility Institute reserves the right to change, substitute faculty, cancel, or reschedule programs. In the unlikely event of program
cancellation, we advise against purchasing non-refundable airline tickets. Room Changes: Locations are subject to change, so check the hotel TV monitors.
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Agenda
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Health Facility Institute
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April 26 – 29 , 2015
2:45 p.m. – 3:45 p.m.
26th Annual Symposium
Emory Conference Center Hotel, Atlanta, GA
Infectious Disease Modeling for Healthcare Capacity Planning
Sean Michael Carr, PhD
Simulation and Operational Modeling Specialist; Page/; Dallas, TX
Healthcare planning at the systems level is often just as important as how each facility
cares for its patients. The simulation of infectious diseases is one way healthcare
decision makers can perform capacity planning at the system level and evaluate
interventions for infectious diseases before they happen. In this presentation, we will
demonstrate how simulation models help us understand the timing and magnitude of
patient demand during outbreaks and help decision makers put the right resources in
place at the right time. AIA-CEU = 1
HFI Area of Expertise: Strategic Planning; Computer Principles and Applications; Space
Planning and Programming; Design
3:45 p.m. – 4:00 p.m.
4:00 p.m. – 5:00 p.m.
Health Facility Institute
Refreshment Break
Sponsored by:
Healthcare Concept of Operations for Emerging and Novel Infectious Diseases
Michael Steinle
Senior Resiliency Consultant; Ross & Baruzzini; Lawrence, KS
This presentation will discuss healthcare roles, recommended objectives, and lessons
learned from infectious disease response to support development of an Infectious
Disease Concept of Operations Plan. AIA-CEU = 1
HFI Area of Expertise: Strategic Planning; Transition Planning; Space Planning and
Programming; Design
5:30 p.m. – 7:00 p.m.
Social Hour – Exhibit Area
Sponsored by:
Program Changes: The Health Facility Institute reserves the right to change, substitute faculty, cancel, or reschedule programs. In the unlikely event of program
cancellation, we advise against purchasing non-refundable airline tickets. Room Changes: Locations are subject to change, so check the hotel TV monitors.
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Agenda
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Health Facility Institute
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April 26 – 29 , 2015
26th Annual Symposium
Emory Conference Center Hotel, Atlanta, GA
Tuesday, April 28, 2015 – General Session: Emory Amphitheatre
7:00 a.m. – 8:00 a.m.
8:00 a.m. – 9:00 a.m.
Breakfast – Emory Break Area/Exhibit Area
Sponsored by:
Health Facility Institute
Design of a Specialized Isolation Unit – Lessons Learned From Emory Hospital
Lynda Herrig, PE
Associate Partner; Newcomb & Boyd; Atlanta, GA
Bill Alexander, AIA
Vice President; HKS, Inc.; Atlanta, GA
Jerry Lewis
Director of Facilities; Emory University Hospital; Atlanta, GA
The specialized isolation unit in Emory’s Clinical Research Center was used to house Ebola
patients. This presentation will show the original design and how the space was adapted to
accommodate operations. AIA-CEU = 1
HFI Area of Expertise: Strategic Planning; Space Planning and Programming; Design;
Equipment Planning
9:00 a.m. – 9:15 a.m.
9:15 a.m. – 10:15 a.m.
Health Facility Institute
Refreshment Break
Sponsored by:
Preparing for Ebola and the Next Potential Pandemic: Experience from Emory and
Johns Hopkins
Patty Olinger, RPB
Office of Research Administration; Environmental Health & Safety Office; Emory
University; Atlanta, GA
Bruce Ribner, MD, MPH
Emory University School of Medicine; Division of Infectious Diseases; Atlanta, GA
Brian Garibaldi, MD
Assistant Professor of Medicine; Division of Pulmonary & Critical Care; The Johns
Hopkins Hospital; Baltimore, MD
Megan Denham, MAEd
SimTigrate Design Lab, College of Architecture; Georgia Institute of Technology;
Atlanta, GA
Craig Zimring, PhD
SimTigrate Design Lab, College of Architecture; Georgia Institute of Technology;
Atlanta, GA
Experts in infection control and critical care from Emory University and Johns Hopkins and in
evidence-based design from the Georgia Tech SimTigrate Design Lab will address topics
related to healthcare environments in which care for serious communicable diseases is
provided. They will discuss lessons learned from preparing for and treating Ebola patients in
the U.S., and how the built environment, policy and guidelines might be optimized to care in
the next potential pandemic. AIA-CEU = 1
HFI Area of Expertise: Strategic Planning; Space Planning and Programming; Design;
Equipment Planning; Equipment Acquisition; Construction Management
10:15 a.m. – 10:30 a.m.
Refreshment Break
Sponsored by:
Health Facility Institute
Program Changes: The Health Facility Institute reserves the right to change, substitute faculty, cancel, or reschedule programs. In the unlikely event of program
cancellation, we advise against purchasing non-refundable airline tickets. Room Changes: Locations are subject to change, so check the hotel TV monitors.
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Agenda
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Health Facility Institute
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April 26 – 29 , 2015
10:30 a.m. – 11:30 a.m.
26th Annual Symposium
Emory Conference Center Hotel, Atlanta, GA
Building Infection Control into Healthcare Facility Design
Gary Urbanowicz
General Manager; Paladin Bio-Defense, LLC; Oakland, FL
As technologies evolve to decrease the incidence of hospital-acquired infections (HAIs),
decontamination systems are now available that can be engineered directly into a healthcare
facility’s infrastructure. As such, healthcare facility professionals must familiarize themselves
with these technologies and should consider including them in new building, upgrade, or
renovation projects. Not only are such systems highly effective, they remove the “human
element” thereby improving occupational safety while removing the potential for human
error in the disinfection process. This session will offer a view of a unique and novel system
that has been deployed to mitigate potential contamination from such insidious diseases as
the Ebola virus and MRSA. Examples of whole-facility, single area, modular and low-cost,
flexible installations will be presented. AIA-CEU = 1
HFI Area of Expertise: Strategic Planning; Design; Equipment Planning; Equipment
Acquisition; Strategic Planning; Construction Management
11:30 a.m. – 12:30 p.m.
11:50 a.m. – 12:20 p.m.
Lunch – Lullwater Ballroom
Sponsored by:
Lunch and Learn:
Avoiding Infectious Disease Scenarios in a Disastrous Environment
P.K. (Ken) Keen, Lt. General, US Army Retired
Associate Dean of Leadership Development; Emory University Goizueta Business
School; Atlanta, GA
This Lunch & Learn will focus on the importance of leadership and decision making by all
involved to keep a risky health situation from turning into a health crisis. Despite the
devastation in Haiti after the catastrophic 7.0 earthquake in 2010, efforts were successful in
fighting the spread of serious disease among the population, thus balancing the use of
limited healthcare resources in the area.
12:30 p.m. – 1:30 p.m.
Designing the Special Isolation Unit at Texas Children’s Hospital
Kurt Neubek, FHFI, FAIA, LEED, EDAC
Principal; Page/; Houston, TX
After a visit by the CDC, Texas Children’s Hospital is now a designated Ebola Treatment
Center. This presentation will explain the design of its new Special Isolation Unit, with
emphasis on the unique protocols, CDC guidelines, and design features for treating – and
designing for – highly contagious infectious diseases. AIA-CEU = 1
HFI Area of Expertise: Space Planning and Programming; Design; Equipment Planning
1:30 p.m. – 1:45 p.m.
1:45 p.m. – 2:45 p.m.
Health Facility Institute
Refreshment Break
Sponsored by:
All Hazards Hospital Preparedness: The Multi-Purpose Utility Room
James J Augustine, MD, FACEP
Director of Clinical Operations; EMP; Canton, OH
This session will feature a presentation of the concepts of All Hazards Preparedness for the
Emergency Department. This requires facility design that is capable of receiving and treating
patients that are dirty, and possibly hazardous to themselves and to hospital personnel. The
design layout and necessary elements will be presented in detail for implementation in all
types of hospitals and emergency departments. AIA-CEU = 1
HFI Area of Expertise: Space Planning and Programming; Design; Equipment Planning;
Computer Principles and Applications; Transition Planning
Program Changes: The Health Facility Institute reserves the right to change, substitute faculty, cancel, or reschedule programs. In the unlikely event of program
cancellation, we advise against purchasing non-refundable airline tickets. Room Changes: Locations are subject to change, so check the hotel TV monitors.
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Agenda
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Health Facility Institute
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April 26 – 29 , 2015
2:45 p.m. – 3:00 p.m.
3:00 p.m. – 5:00 p.m.
26th Annual Symposium
Emory Conference Center Hotel, Atlanta, GA
Refreshment Break
Sponsored by:
Lean Clinic Simulation (Location: Lullwater Ballroom)
Health Facility Institute
Roger Call, AIA, ACHA, LEED AP, EDAC
Director, Healthcare Kaizen Architecture; Herman Miller Healthcare; Zeeland, MI
In order to gain insight into the Toyota Production System (TPS), commonly referred to as
Lean methodology; the process needs to be experiential, not didactic training in order to be
effective. This session is a hands‐on, interactive role-play exercise where the patient flow
through a clinic is simulated for several work shifts during a high-risk flu season. After each
abbreviated shift, the participants reflect on their outcomes and implement a change to try
and improve using the philosophies of TPS. At the end, the focus makes the connection
between the impact of continuous improvement and facility design. This hands-on
interactive session is set up with tables of 8, each running a clinic with financial
measurements taken after each round of work to measure improvements. AIA-CEU = 1
HFI Area of Expertise: Strategic Planning; Design; Space Planning and Programming;
Transition Planning
Health Facility Institute
Social Hour/Dinner – Social Hour: Garden Sponsored by:
6:00 p.m. – 9:00 p.m.
Overlook/Balcony and Dinner: Lullwater
Ballroom, Salons II thru V
Program Changes: The Health Facility Institute reserves the right to change, substitute faculty, cancel, or reschedule programs. In the unlikely event of program
cancellation, we advise against purchasing non-refundable airline tickets. Room Changes: Locations are subject to change, so check the hotel TV monitors.
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Agenda
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Health Facility Institute
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April 26 – 29 , 2015
26th Annual Symposium
Emory Conference Center Hotel, Atlanta, GA
Wednesday, April 29, 2015 – General Session: Emory Amphitheatre
7:00 a.m. – 8:00 a.m.
8:00 a.m. – 9:00 a.m.
Breakfast – Emory Break Area/Exhibit Area
Sponsored by:
Health Facility Institute
Rapidly Deployable Modular Units for Ebola and Other Contagious Disease and
SURGE Hospitals: Two Research and Design Projects Undertaken at Texas A&M
University
P.K. Carlton, MD, FACS, Lt. General, USAF (Ret) Former Surgeon General, USAF;
Managing Member; PKConcepts, LLC; College Station, TX
George Mann, AIA
The Ronald L. Skaggs Endowed Professor of Health Facilities Design, College of
Architecture; Texas A&M University; College Station, TX
Two Research and Design Projects will be presented: Rapidly Deployable Modular Units for
Ebola and Other Contagious Diseases (undertaken in 2014) and SURGE Hospitals
(undertaken in 2005). Case studies of projects that were developed in a variety of
geographic locations, cultures and climates will be highlighted. AIA-CEU = 1
HFI Area of Expertise: Strategic Planning; Space Planning and Programming; Design;
Equipment Acquisition; Equipment Planning; Transition Planning; Construction
Management; A-E Selection Process
9:00 a.m. – 9:15 a.m.
9:15 a.m. – 10:15 a.m.
Refreshment Break
Sponsored by:
Off The Grid: Healthcare for Stabilizing Regions in Crisis
Health Facility Institute
C. Carson Shearon, LEED AP, EDAC
Principal; International Health Practice Leader, CannonDesign; Chicago, IL
Through insight in review of the development of prototype hospitals for USAID, gain
understanding of the relationships and conflicts between security, health and education
when building in high-risk communities. Learn how these developments identified the gap
between rural clinics and urban hospitals in developing societies, and created strategies to
bridge this chasm, with buildings that are scalable, transferable, flexible and sustainable. In
this session, the exploration and research of multi-patient accommodations and other
flexible planning concepts that maximize staff utilization, patient security and safety will be
shared. AIA-CEU = 1
HFI Area of Expertise: Strategic Planning, Space Planning & Programming, Design,
Equipment Planning, Construction Management; Transition Planning
10:15 a.m. – 10:30 a.m.
Refreshment Break
Sponsored by:
Health Facility Institute
Program Changes: The Health Facility Institute reserves the right to change, substitute faculty, cancel, or reschedule programs. In the unlikely event of program
cancellation, we advise against purchasing non-refundable airline tickets. Room Changes: Locations are subject to change, so check the hotel TV monitors.
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Agenda
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Health Facility Institute
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April 26 – 29 , 2015
10:30 a.m. – 11:30 a.m.
26th Annual Symposium
Emory Conference Center Hotel, Atlanta, GA
Applying Principles and Lessons Learned in Biosafety and Biocontainment Facility
Design to the Challenges of Handling Patients with Highly-Pathogenic Diseases
Jon Crane, FAIA, LEED AP BD+C
Senior Vice President, Director of Translational Health; HDR; Atlanta, GA
Cyndi McCullough, MSN
Director of Evidence-Based Design; HDR; Omaha, NB
The way facilities are designed to contain hazardous pathogens and ensure biosafety for
staff, patient and the community is based largely on risks inherent in the pathogen,
transmission mode and procedures being performed. While risks of handling the same
pathogen in a laboratory can be well-characterized, controlled and mitigated through
primary containment, using personal protective equipment and incorporating design and
engineering barriers; the risks in a healthcare setting are much more difficult to control,
particularly when handling high-risk pathogens. We will identify the risks in healthcare
settings and how to reduce them – beyond what’s currently seen in ER intake and
biocontainment patient suites, by applying fundamental facility design principles relate to
biocontainment. The presentation will evaluate facilities where Ebola patients have been
safely handled, the lessons learned and how modifications can improve safety. We’ll
illustrate critical design criteria for all healthcare facilities that plan to care for patients with
these infectious diseases. AIA-CEU = 1
HFI Area of Expertise: Strategic Planning; Space Planning and Programming; Design;
Equipment Planning
11:30 a.m. – 12:30 p.m.
12:30 p.m. – 1:30 p.m.
Health Facility Institute
Lunch – The Dining Room
Sponsored by:
Pros and Joes: How to Prepare, Train and Manage Volunteer and Professional
Healthcare First Responders
David Gillespie, AIA, FHFI, ALEM, LEED AP
Architect, Volunteer; CallidusCloud; Leeds, AL
JVann Martin, MBA
Director Facilities, Director Emergency Management; UAB Health Systems;
Chelsea, AL
For First Responders, proper training and preparation pays incredible dividends in the
critical early minutes and hours of a medium to large-scale medical emergency. Every
healthcare facility has an opportunity to build and support a focused medical response
team comprised of credentialed volunteers and professionals that is well organized,
educated and trained to deal with mass casualty events. Working within the community
of First Responders, a healthcare facility can provide the necessary expertise that Fire,
Police and EMS often lack. This team will extend a healthcare facility’s reach beyond the
walls of the hospital. A rapid response team can reduce the impact on a healthcare
facility versus those who are less prepared. AIA-CEU = 1
HFI Areas of Expertise: Strategic Planning; Equipment Planning; Equipment Acquisition;
Transition Planning
1:30 p.m. – 1:45 p.m.
Refreshment Break
Sponsored by:
Health Facility Institute
Program Changes: The Health Facility Institute reserves the right to change, substitute faculty, cancel, or reschedule programs. In the unlikely event of program
cancellation, we advise against purchasing non-refundable airline tickets. Room Changes: Locations are subject to change, so check the hotel TV monitors.
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Agenda
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Health Facility Institute
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April 26 – 29 , 2015
1:45 p.m. – 2:45 p.m.
26th Annual Symposium
Emory Conference Center Hotel, Atlanta, GA
Application and Development of Evidence-Based Design Intervention in Army
Medical Construction
LTC Glenn Marsh, FHFI, EDAC
Director, Programming, Planning & Support Division; US Army Health Facility
Planning Agency; Falls Church, VA
LTC Melissa R. Stanfa-Brew
Chief Information Officer/Information Technology Planner; US Army Health
Facility Planning Agency; Falls Church, VA
CW3(R) Michael Marrone
Equipment Planner; US Army Health Facility Planning Agency; Falls Church, VA
The US Army has implemented Evidence-Based Design (EBD) health facility interventions
within a global area of responsibility consisting of 8 medical centers, 14 hospitals, 6 health
centers, 81 health clinics, 124 dental clinics, 96 veterinary clinics and 14 biomedical
research activities valued in excel of $9B. This presentation provides a high-level overview
of EBD used in Army medical facilities to date, a summary sample of intervention impacts,
and the development of future EBD interventions/policies in the areas of infection control.
AIA-CEU = 1
HFI Area of Expertise: Space Planning and Programming; Design; Equipment Planning;
Transition Planning; Strategic Planning; Equipment Acquisition; Construction Management;
A-E Selection Process
2:45 p.m. – 3:00 p.m.
3:00 p.m. – 4:00 p.m.
Refreshment Break
Sponsored by:
Health Facility Institute
MAP International: 60 Years of Delivering Medicines, Hope and Lasting Change
Worldwide
Steve Stirling
President & CEO; MAP International; Atlanta, GA
Phil Mazzilli
Chair of the Board; MAP International; Atlanta, GA
The presentation will focus on MAP International’s relief response to the Ebola crisis in
West Africa. Provision of medical resources for healthcare worker protection will be
highlighted as well as healthcare worker training, provision of safe water for communities,
and household level prevention efforts. Disaster response strategic planning at national
levels will also be outlined. AIA-CEU = 1
HFI Area of Expertise: Strategic Planning; Equipment Planning; Equipment Acquisition
4:00 p.m. – 4:15 p.m.
Closing Remarks: Bob Farrow, President, HFI
4:15 p.m.
General Session Adjournment
4:30 p.m. – 6:00 p.m.
HFI Corporate Member Advisory Council (CMAC) Meeting – Azalea
6:00 p.m. – 9:00 p.m.
HFI CMAC Social Hour & Dinner – Houston Mill House
Program Changes: The Health Facility Institute reserves the right to change, substitute faculty, cancel, or reschedule programs. In the unlikely event of program
cancellation, we advise against purchasing non-refundable airline tickets. Room Changes: Locations are subject to change, so check the hotel TV monitors.
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Agenda
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Health Facility Institute
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April 26 – 29 , 2015
26th Annual Symposium
Emory Conference Center Hotel, Atlanta, GA
Tuesday
Social Hr./Dinner
Exhibitor Storage
Wednesday
CMAC
Meeting
HFI Board
Meeting
Exhibit Area
Lunch Buffet
HFI Registration
General Session
Sunday Reception and Registration
Program Changes: The Health Facility Institute reserves the right to change, substitute faculty, cancel, or reschedule programs. In the unlikely event of program
cancellation, we advise against purchasing non-refundable airline tickets. Room Changes: Locations are subject to change, so check the hotel TV monitors.
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