A Perspective on Healthcare

Facilities Management from Two Old

WSSHE Geezers

Phil Kercher, CHFM, CEM, FASHE - 33 years in healthcare facility management

Geoffrey W. Glass, PE, CEM – 30 years in health care facility management

The Rise of the Lumber Industry

1848 - 1882

The First Hospitals“Era of the Sisters”

1868 St. Joseph Hospital - Fort Vancouver, Washington Territory

1871 Western State Hospital for the Insane -Steilacoom, Washington Territory

1877 King County Poor House –

Georgetown, Washington Territory

1879 Providence Hospital – Seattle, Washington Territory

1880 St. Mary Hospital – Walla Walla, Washington Territory

1882 Fannie C. Paddock Hospital (later Tacoma General) - Tacoma, Washington Territory

1886 Sacred Heart Hospital - Spokane, Washington Territory

1887 St. Peter Hospital - Olympia, Washington Territory

1890 St. John’s Hospital – Port Townsend, Washington State

1891 St. Elizabeth Hospital - Yakima, Washington State

1891 St. Joseph Hospital – Tacoma, Washington State

The Railroads Transform Washington State1883 - 1940

The Beginnings of Modern Medicine

1873 Washington Territorial Medical Association

is formed

1897 First nurse graduates from Fannie C. Paddock Nursing School

1910Medical Technology Innovation The First X-Ray System in Use

Health Insurance is Born

Washington State Workman’s Compensation Act of 1911

1933Blue Cross Baby is Born

Late 1930’sAnti – Bacterial Drugs Come into Use

Health Insurance Creates a Market for Healthcare

1900 – 1945 Hospitals“Era of Government and Business”

1907 Children’s Orthopedic Hospital - Seattle1908 The Swedish Hospital - Seattle1910 Naval Hospital - Bremerton1911 - 15 Tuberculosis Sanitariums – Seattle, Spokane & Tacoma1915 Central Washington Deaconess Hospital - Wenatchee1918 Harrison Hospital - Bremerton1920 Shelton General (for loggers) - Shelton1920 Virginia Mason Hospital - Seattle1922 Puyallup General Hospital (later Good Samaritan) - Puyallup1926 Lewis County Hospital, Centralia1931 New King County Hospital (later Harborview) - Seattle1943 Franklin D. Roosevelt (later merger with Harrison Hospital)1944 Kadlec Hospital (for Hanford federal workers) - Richland1944 Madigan Army Medical Center – Fort Lewis1945 Renton Hospital (for Boeing and Pacific Car workers) - Renton

Post World War II Healthcare Boom

1952Joint Commission on Accreditation of Hospitals is Created

1965Medicare & Medicaid is passed

1946Hospital Survey & Construction Act (Hill Burton) Act

1945 – Present Hospitals“Era of Post War Rural Hospitals”

1945 Grays Harbor Community Hospital - Aberdeen1946 Valley Memorial Hospital - Sunnyside1947 Group Health Hospital - Seattle1948 Lake Chelan Community Hospital - Chelan1948 Pinal Psychiatric Hospital - Seattle1949 Eight community hospitals built -most in eastern Washington1950 Valley Memorial Hospital - Yakima1951 Five more community hospitals built - Port Angeles to Pullman1952 Five more community hospitals built - White Salmon to Kennewick1955 Mary Bridge Children’s Hospital - Tacoma1985 Capital Medical Center - Olympia1987 St. Francis Hospital – Federal Way2005 Legacy Salmon Creek Hospital - Vancouver2009 St. Anthony Hospital – Gig Harbor

2018 and Beyond

What is our Destiny?

The Old Geezers – School of Hard Knocksfrom 63 Years of Facility Management

or,

How You Can Energize Yourself and Your Team

Find Joy in Your Work

Seek out opportunities to be involved in that which inspires you. Have fun………laugh often.

Strategy: Always relate your work back to its impact on your patients (or customers).

Cultivate Positive Work Relationships

Build long term, supportive partnerships among everyone with whom you work…….seek “win – win” results. Treat everyone with as much respect as you are able.

Strategy: Work together in person (face – to –face) as much as possible.

Be Aware

People are more motivated by encouragement than by punishment. Never miss an opportunity to “catch” someone doing good work. Manage up.

Strategy: Mechanical room quality assurance tours.

Build and Develop Teams

Hire and develop good people – honest; smart; with strong values; effective communicators who are committed to the mission of the organization.

Strategy: Empower these people and recognize them in a way that is meaningful for them.

Provide Excellent Service

Never forget, our jobs exist to serve a customer and to solve problems.

Strategy: Treat every customer request like it is “from the CEO”. People remember how you make them feel.

Communicate

Effective communication is respectful knowledge sharing. Strive to over -communicate.

Strategy: Respond to people’s requests promptly (even if only to say that you will get back in touch).

Think Strategically

Plan all projects for the appropriate term from the lens of safety / regulatory compliance, customer service and life cycle cost savings.

Strategy: Routinely calibrate your work with the organizations goals to insure alignment.

Continuous Improvement

Seek to improve everything that you do (regardless of size or importance).

Strategy: Solve problems at the “root cause” (even at additional first expense) and for the appropriate term.

Look Forward

Create a vision and direction for the future. Be a leader for positive change.

Strategy: Try not to dwell on past failures except to learn from them.

Persevere & Be Resilient

Challenges, setbacks and obstacles are a given in today’s world. Perseverance and resilience are often keys to success and character.

Strategy: Thicken your skin.

Be Involved With WSSHE

Reach out to your WSSHE peers for support, affirmation and friendship. Who can better relate? Be active in your local or State Chapter.

Strategy: Ask your Chapter President how you can get more involved with WSSHE.

Moments from WSSHE History

February 1972: The beginnings of WSSHE (group of 10 in Seattle)

April 1973: First Annual Conference

1983: WSSHE is formally established (SW & Eastern Chapters are recognized)

1990: Semi Annual Symposium moved to Campbell’s Inn, Chelan

1993: Mac McKenzie Scholarship Program is established

2007: Association Management, Inc hired to provide Society administrative services

Key Dates

Pete Peterson scholarship fund - 2005

Jim Kannitzer -founder of Southwest

Washington Chapter and

first President of WSSHE

Larry Smith – founder of Eastern Washington Chapter

Jim Hamilton

Keith Deline

Steve Groce

ASHE Region 10

Representatives

The Many Faces (and shoes) of

Phil Kercher

Best Line –Steve Groce

“Do you find me

attractive?”

Best Dressed # 1 – The WSSHE Warriors

Best Dressed # 2 – Sister “Paula” and her Friends

Best Dressed # 3 –Scotish DOH – CRS

Leadership

Best Dressed # 4 – The Horan House (utterly fantastic)

Advocacy

Governor Booth Gardner signing proclamation of Hospital Engineering Week - 1989

Governor Gary Locke signing bill on hospital construction codes - 2004

Mount WSSH-more

WSSHE President’s

1973 Leo Schwabe 1989 Jim Hamilton 2005 Mike Chitwood

1974 Eldon Wilkins 1990 Bud Brierley 2006Mike Kelly (for Sandy

Buchanan)

1975 Dave Cole 1991 Linda Groce 2007 Stephen Grose

1976 Jim Kannitzer 1992Charles Riffel

2008Tom Pitts

1977 Darryl Stickney 1993Geoff Glass

2009 Brad Jones

1978 Dave Scott 1994 Rick Siebel 2010 Russell Kent

1979Pete Shawyer for Virgil

Varden) 1995 Sandy Martin 2011 Keith Deline

1980Bob Buss

1996 Chuck Cole 2012 Ben Myers

1981Vince Fay

1997 Mike Kelly 2013 Robert Blakey

1982 John Sullivan 1998Geoff Glass (for Lou

Johnen)2014 David Devous

1983 Paul Beauchene 1999 Rick Fleming 2015 Eric Rodgers

1984 Jim Kannitzer 2000 Phil Kercher 2016 Rob Pewitt

1985 Larry Smith 2001 Mike Robertson 2017 Keith Geary

1986 Joe Renn 2002 Ray Tiedemann 2018Eric Rodgers (for Curtis

McNeally)

1987 Phil Kercher 2003Jim Mead

2019Kevin Kajita (elected)

1988 Dan Swanson 2004 Tim Heidlebaugh 2020Clay Ciolek (elected)

The Legacy of WSSHE

Education

Advocacy

Networking & Building Relationships