4/24/2012
Excellence in Healthcare
Facility Management: Defining
World Class Care
Michael Hatton
System Executive
Memorial Hermann Healthcare System
May 1, 2012
Excellence in Healthcare Facility Management
Memorial Hermann’s Submission
Introduction:
Memorial Hermann was the 2011 Recipient of
ASHE’s “Excellence in Healthcare Facility
Management” Award Presented at the Annual
Meeting in Seattle, Washington
Challenge: Your Facility Can Also Achieve this Award
Here Is How We Did It
Texas Association of Healthcare Facilities Management
2
Excellence in Healthcare Facility Management
Memorial Hermann’s Submission
Process/Timeline:
• December/January – Focus Efforts on Project
Outcomes and Draft the Award Submission
(Pre-Formatted ASHE Award Application)
• Ensure Your Graphics/Visual Images Have the
“Wow” Factor to Complement the Award
Narrative.
• Clearly Demonstrate Your Achievement and
Outcomes; Brag Without Bragging
• February – Deadline Approaches (March 1);
Ensure You “Peer Review” the Application Via a
Worthy “Critic” of Your Efforts
Texas Association of Healthcare Facilities Management
3
1
4/24/2012
Excellence in Healthcare Facility Management
Memorial Hermann’s Submission
Award Submission “Tips”
• Excellent, Clearly Understood
Graphs/Attachments
• Fonts/Layout/Exhibits Should be Similar
and “Complement” Your Narrative
• Follow the ASHE Award Guidelines –
Always!
• You Should be Submitting Initiatives That
Are Worthy of “Best Practice”
• “Team” Does Not Include the Letter “I”
(Share the Glory)
Texas Association of Healthcare Facilities Management
4
Excellence in Healthcare Facility Management
Memorial Hermann’s Submission
What Memorial Hermann Did…
Shared Our Energy Benchmarking Journey
– Key Milestones
– Success/Failures
– Incremental Achievements (Our First
ENERGY STAR©)
– ASHE E2C Recognition
– Team Recognition by C-Suite
– The Dashboards We Created
Texas Association of Healthcare Facilities Management
5
Excellence in Healthcare Facility Management
Memorial Hermann’s Submission
Displayed Outcomes (As Attachments)
• Monthly Dashboard Rankings
• ENERGY STAR© Rankings/Improvements
• Quality Score Improvements (Press Ganey)
• Monthly/Annual BTU/SF Comparisons by Facility
• HVAC Hot/Cold Call Trend Graph
• Natural Gas (Heating Systems) Trend Graphs
• Environmental Stewardship and ENERGY STAR©
Review Attachments (“Section 4 – Supporting Visual Documentation”)
Texas Association of Healthcare Facilities Management
6
2
4/24/2012
Hospital Portfolio - ENERGY STAR© Rankings and Baseline Δ
My Portfolio: Memorial Hermann
16-Apr-12
Total Buildings: 14
Current Rating
(1-100)
Facility Name
Memorial Hermann Westside Hospital
Memorial Hermann Prevention and
Recov ery Center
Change from Baseline:
Adjusted Energy Use (%)
Total Floor Space
(Sq. Ft.)
Current Energy Period
Ending Date
N/A
-41
129,650
2/29/2012
N/A
-39
144,000
2/29/2012
Memorial Hermann Katy Hospital
93
-39
312,189
2/29/2012
Memorial Hermann Southwest Heart and
Vascular Institute
37
-30
165,383
2/29/2012
Memorial Hermann Northeast Hospital
94
-29
397,201
Memorial Hermann Tex as Medical Center
Heart and Vascular Institute
26
-26
243,653
2/29/2012
Memorial Hermann The Woodlands
85
-25
475,700
2/29/2012
N/A
-25
208,045
2/29/2012
87
-25
241,914
2/29/2012
Memorial Hermann TIRR
Memorial Hermann Sugar Land Hospital
Eligibility for the
©
ENERGY STAR
244
99
ENERGY STAR©
136
215
©
2/29/2012
ENERGY STAR
131
332
©
ENERGY STAR
169
202
©
ENERGY STAR
142
©
Memorial Hermann Southeast Hospital
75
-23
520,885
2/29/2012
ENERGY STAR
Memorial Hermann Northwest Hospital
87
-22
442,392
2/29/2012
ENERGY STAR
Memorial Hermann Southwest Hospital
68
-17
878,764
2/29/2012
Memorial Hermann Tex as Medical Center
43
-13
2,047,406
2/29/2012
Memorial Hermann Memorial City Medical
Center
78
-12
784,976
2/29/2012
Group Total
EIU Rating
197
©
159
266
300
©
ENERGY STAR
204
6,992,158
©
Source: EPA ENERGY S TAR Data Base
Texas Association of Healthcare Facilities Management
7
2
ASHE C Qualifying
Yea r Bui l t
Ye ar
Qu al i fyi ng
ASHE 2C
ASHE 2C
App li catio n Status
Faci li ty type
Name o f Fa ci l ity
Cha ng e fr om
Ba sel i ne:
Adj usted Ener gy
Use (%)”
App lyi ng for : ____%
I mpr oveme nt
Recogn iti on L evel
Energy S tar
2005
2010
Submit 2011 3/15
Hos pital
Mem or ial Herm ann Katy
Hos pital
-33.9%
20%
80
Juan Hurtado
En erg y S tar
1986
2010
Submit 2011 3/15
Hos pital
Mem orial Herm ann Northwes t
Hos pital
-18.1%
5%
76
Benny Stansbur y
>75 %;
En er gy Star
L ab el ed
Hos pital
Mem orial Herm ann Southeas t
Hos pital
63
Wesley Weaver
1990
Submit 3/15
Hos pital
Mem or ial Herm ann Mem orial
City Hospital
-11.7%
10%
71
Tom as DeOc am po
1984
Submit 3/15
Hos pital
Memorial Her mann The
Woodlands Hospital
-10.8%
10%
59
Patrick Shay
2007
Submit 3/15
HVI Hospital
Mem or ial Herm ann Texas
Medical C enter Heart and
Vascular Institute
-16.3%
15%
39
Kent Tram m el
1977
Submit 3/15
Hos pital
Mem orial Her m ann Nor theast
Hos pital
-22.6%
20%
77
Deric Hebert
2007
Submit 3/15
HVI Hospital
Mem orial Her m ann Southwest
Heart and Vascular Ins titute
-19.7%
15%
34
2005
Submit 3/15
Hos pital
Mem orial Herm ann Sugar
Land Hospital
-14.8%
10%
76
Todd Harvey
2005
Submit 3/15
LTAC
Mem orial Her m ann Westside
Hos pital
-35.1%
35%
N/A
Larr y Newlands
1986
Submit 3/15
LTAC
Mem orial Her m ann Prevention
and R ecoverery C enter
-19.1%
15%
1937
Not ye t
Hos pital
M em orial Hermann Texas M edic al
Center
-8. 7%
Needs t o Qualify
1986
En erg y S tar
En erg y S tar
Ene rgy Star
Cu rre nt
ra ti ng (1-100) Fa ci l i ty Man ag er
2010
Submit 2011 3/15
1965
1985
2010
-17.7%
5%
1.3%
Terry Sc ott
N/A
Dayton C ox
46
Kent Tramm el
Not ye t
Hos pital
M em orial Herm ann Southwes t
Hos pital
-5. 0%
Needs t o Qualify
5.0%
63
Terry Sc ot t
Not ye t
Hos pital
TIRR Memorial Hermann Hospit al
-9. 1%
Needs t o Qualify
6.0%
70
R ufus Jac ks on
2/ 26/ 2011
Texas Association of Healthcare Facilities Management
8
Memorial Hermann Texas Medical Center
Customer Satisfaction: Room Temperature Complaints
Fiscal Year 2009 vs. Fiscal Year 2010
25,000
22 % Improvement;
T otal Hot/Cold, FY 09; 22,653
20,000
FY 2009 to FY 2010
Total Hot/Cold, FY 10; 17,683
"Hot", FY 09; 14,128
15,000
Hot and Cold Call V olum e
"Hot", FY 10; 11,172
"Cold", FY 09; 8,525
10,000
"Cold", FY 10; 6,511
5,000
0
Cold calls FY 2009
Cold calls FY 2010
Hot calls FY 2009
Hot calls FY 2010
Total calls FY 2009
Total calls FY 2010
Texas Association of Healthcare Facilities Management
9
3
4/24/2012
Current Month's
Ranking
Previous Month' s
Ranking
1
2
3
4
5
6
7
8
9
10
11
12
13
14
1
3
2
4
8
7
5
6
11
9
10
14
12
13
Energy Star
Energy Star
Energy Star
Energy Star
Energy Star
Energy Star
Energy Star
Energy Star
MH
MH
MH
MH
MH
MH
MH
MH
MH
MH
MH
MH
MH
MH
SLTH
NECA
KTHJU
NWBS
TWPS
TRRJ
MCDH
MHTDH
SWTSHV
SEDR
WSFM
SWTS
HHHV
HHMG
PaRC
Feb-12
Feb-11
Feb-10
(Feb. 12 to
Feb. 11)
% Variance
2012 to 2011
(Feb. 12 to
Feb. 11)
% V ariance
2012 to 2010
10,431
11,112
11,177
12,368
14,043
14,213
14,477
14,650
15,939
16,037
16,335
18,436
19,164
20,776
11,947
11,621
11,411
14,204
14,715
14,740
17,633
16,967
17,665
15,485
17,415
20,913
18,173
19,848
13,640
13,993
16,580
13,914
18,851
17,371
22,211
17,370
19,570
16,961
20,964
20,618
19,550
18,401
(1,517)
(509)
(234)
(1,836)
(672)
(527)
(3,157)
(2,317)
(1,725)
552
(1,080)
(2,478)
991
929
-12.69%
-4.38%
-2.05%
-12.92%
-4.57%
-3.58%
-17.90%
-13.66%
-9.77%
3.57%
-6.20%
-11.85%
5.45%
4.68%
(3,209)
(2,881)
(5,403)
(1,545)
(4,808)
(3,157)
(7,734)
(2,720)
(3,631)
(924)
(4,629)
(2,183)
(386)
2,376
-23.53%
-20.59%
-32.59%
-11.11%
-25.51%
-18.18%
-34.82%
-15.66%
-18.55%
-5.45%
-22.08%
-10.59%
-1.98%
12.91%
8,513
8,347
14,774
166
1.99%
(6,262)
-42.38%
Hospital Group Energy Cost
July thru February
You are the Most Efficient!!!
Great Job! Still Room to Improve
Opportunities Exist to Reduce Energy
Must Improve
$35,000,000
$30,000,000
$25,000,000
$20,000,000
$15,000,000
$10,000,000
Hospital Bottom Line
Improve me nt (12%);
FY 12 vs FY 11
$5, 000,000
$0
F YR 08
F YR 09
F YR 10
F YR 11
F YR 12
Texas Association of Healthcare Facilities Management
10
Memorial Hermann
System Total Natural Gas Consumption
70000
60000
FY 08
MMBtu's
50000
FY 09
40000
FY 10
30000
FY 11
39% Reduction FY
08 to FY 12;
(230,000
mmBtu/Yr)
20000
10000
FY 12
0
July
Au g.
Sept.
Oct.
Nov.
Dec.
Jan.
Feb.
Mar.
Apr.
May
June
Month
Texas Association of Healthcare Facilities Management
11
BT U's per SQ. FT.
July thru March
350,000
300,000
250,000
BTU's
200,000
150,000
100,000
50,000
0
So uthwest
Southwest
HVI
The
Memo rial City Memorial City
Wo od lands
Tower
F YR 2008
Sug arl and
F YR 2009
Hermann
F YR 2010
Hermann HV I
MH TIRR
F YR 2011
MH Westside
Northwest
S outheast
Katy
MH Northeast
F YR 2012
Texas Association of Healthcare Facilities Management
12
4
4/24/2012
Total System Energy Use
BTU per SQ. FT.
July thru March
250,000
223,164
218,377
199,537
BTU's per sq.ft.
200,000
179,831
169,872
150,000
100,000
BTu's/Squ are
Foot (23%)
versus FY 08
50,000
0
F YR 08
F YR 09
F YR 10
F YR 11
F YR 12
Texas Association of Healthcare Facilities Management
13
Memorial Hermann
Patient Satisfaction Trends
Room Temperature Survey Question
100
+5
+10
90
+15
+ 11
+3
80
Percentile Ranking
70
60
50
+20
40
30
20
10
0
Northe ast
Southeast
Southwest
MHTMC (Hermann)
2009
Me morial City
2010
System (A ll)
Source: Press Ganey
Texas Association of Healthcare Facilities Management
14
My Portfolio: Memorial Hermann E PA E NE RGY STAR© Data Base
17-Apr-12
Total Buildings: 14
Facility Name
MH Katy Hospital
Baseline Direct
GHG Emissions
(MtCO2e)
Baseline Indirect
GHG Emissions
(MtCO2e)
Baseline Total
GHG Emissions
(MtCO2e)
**Curr ent
*Ch ange from
Total GHG
Baseline: GHG
Emissio ns
Emissions
(MtCO2e)
(MtCO2e)
6,533
(3,974)
2,336
8,172
MH Memorial City Medical Center
3,444
16,177
19,621
2,613
14,388
17,002
MH Northeast Hospital
2,771
8,953
11,724
666
7,591
8,256
(3,468)
MH Northwest Hospital
2,632
9,016
11,648
1,316
8,243
9,559
(2,089)
687
2,517
3,203
165
1,854
2,019
(1,185)
4,386
10,435
14,821
2,472
9,387
11,859
(2,962)
19
6,010
6,029
6
4,371
4,378
(1,651)
MH Southwest Hospital
3,227
18,076
21,303
2,058
MH Sugar Land Hospital
MH PaRC
MH Southeast Hospital
MH SW HVI
10,507
Curr ent
Current Direct
Ind irect GHG
GHG Emissions
Emissions
(MtCO2e)
(MtCO2e)
271
6,262
15,983
18,041
(2,620)
(3,262)
1,012
3,590
4,603
375
3,210
3,584
(1,018)
MH TMC
N/A
56,284
56,284
N/A
49,467
49,467
(6,817)
MH TMC HVI
N/A
8,851
8,851
N/A
6,617
6,617
(2,235)
2,711
10,749
13,460
1,830
8,634
10,464
(2,996)
MH T he Woodla nds
MH T IRR
MH Westside Hospita l
Group Total
N/A
4,940
4,940
N/A
3,606
3,606
(1,335)
1,254
4,773
6,028
711
3,044
3,755
(2,273)
24,479
168,544
193,023
12,483
142,654
155,138
(37,885)
* Metric Tons of CO2 Emissions
** Through 29 Feb 2012
N/A: Hospitals served va a district energy thermal plant (no direct emissions)
GHG E mission s R eduction From Baseline:
`
-20%
Texas Association of Healthcare Facilities Management
15
5
4/24/2012
Excellence in Healthcare Facility Management
Memorial Hermann’s Submission
The Team (Important to ASHE; and Your Success)
•
•
•
•
•
A Team is More Than You!
Bottom Up and Top Down Mentoring
Reward Success (Publicly)
Private Coaching/Counseling
Share the Glory/Success (And Celebrate
Milestones)
• Goal Setting Works
Texas Association of Healthcare Facilities Management
16
Excellence in Healthcare Facility Management
Memorial Hermann’s Submission
Continuous Improvement
• Energy Benchmarking
– Internal Comparisons (You; Year/Year)
– Regional Comparisons (Your Neighbors vs. You)
– National Comparisons (ENERGY STAR© Database)
• Research of Best Practices
–
–
–
–
ASHRAE
Private Universities
EPA/ENERGY STAR©
EIA/DOE
• How Bad (Good) Am I?
Texas Association of Healthcare Facilities Management
17
Excellence in Healthcare Facility Management
Memorial Hermann’s Submission
Team Education
• Success Will Slip Away…
–
–
–
–
–
Staff Turnover
“Hogging” the Knowledge
Basic Education (HVAC and Building Science)
W hat is Not Working
Recognize Failures as a Learning Tool on the Path
for Improvement
– Old Habits/Training Impossible to Break; Continuous
Process Monitoring
– Expect What You Inspect
Texas Association of Healthcare Facilities Management
18
6
4/24/2012
Excellence in Healthcare Facility Management
Memorial Hermann’s Submission
Summary (How You Can Win ASHE’s Award)
• Your Story is Worthy of Sharing with ASHE
Peers
• Excellence in Outline, Discussion Points,
Grammar, Graphics
• Clearly Demonstrate; Clear, Concise
Outcomes
• Will Your Outcomes Become Best Practice?
• If So, Submit the Award Application on Time!
Texas Association of Healthcare Facilities Management
19
Excellence in Healthcare Facility Management
Memorial Hermann’s Outcomes
Michael Hatton
Memorial Hermann
michael.hatton@memorialhermann.org
Texas Association of Healthcare Facilities Management
20
7