APPA

12 MAY/JUNE 2019 FACILITIES MANAGER on the different pillars of the medical, research, and university enterprise. "ese dotted-line responsibilities are critical and typically have a more timely impact on the ultimate customer," says Becker. "Planning, design, and construction supports the medical, research, and university pillars, also reporting to the senior vice president, but may have staff on full-time assignment within remote Jefferson campuses and medical sites." In addition, dual reporting is not exclusive to facilities. Medical faculty work as practicing physicians with reporting relationships aligned with their specialties, and then may report academically to a different administration. REGULATORY COMPLIANCE e biggest difference between med-ed and traditional ed is found in the regulatory oversight. Med-ed facilities undergo regular surveys by e Joint Commission and the Center for Medicare & Medicaid Services (CMS), which can be a shock to any facilities manager moving from an educational university to a med-ed university. "e requirement to com- ply with these regulations, plus a host of others, exceeds anything I ever encountered during my previous experiences with universities," says William Elvey, APPA Fellow, past APPA President, and senior vice president of facilities and real estate for Children's Health, the pediatric teaching hospital affiliated with the UTexas Southwestern Medical Center in Dallas. For example, at Jefferson, regulatory compliance responsibili- ties include ensuring facilities comply with the requirements, standards, regulations, and laws of the local city/township/bor- ough, the Pennsylvania Department of Health, the Association for Assessment and Accreditation of Laboratory Animal Care, the CMS, and e Joint Commission, as well as federal regula- tions including the Americans with Disabilities Act (ADA). When requirements overlap, facilities managers try to comply with the most stringent one. For example, when considering the Life Safety Code, depending on the age of the facility, timing of the project, and the authority having jurisdiction (AHJ), "It is often difficult to determine which requirement we have to comply with," says Elvey. "For example, the American Society for Healthcare Engineering [ASHE] has even published a 43-page document that provides healthcare facility managers with a side- by-side comparison of the 2015 IBC, 2018 IBC, NFPA 101-2000, NFPA 101-2012, NFPA 101-2015, and NFPA 101-2018. In other areas, e Joint Commission enforces some codes that the CMS folks do not recognize, and so on." FM software tools can be beneficial for keeping track of regulatory requirements and testing. "For our inspections, we utilize a product called AkitaBox, a facility management tool that allows us to report on everything from annual fire door inspection to monthly generator test and monthly fire extin- guisher tests," says Harrod. "is includes weekly UW Health–Main Campus (University of Wisconsin Madison). William Elvey Courtesy of UW Health Marketing & Communications

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