Our Practice

Response & Recovery

We help our clients respond quickly and decisively to facility-associated waterborne infections, such as those caused by Legionella, nontuberculous mycobacteria (NTM) and Pseudomonas. We start by establishing an Incident Command Systems (ICS) to manage all aspects of the response. We make on-site measurements of physical and chemical parameters and screen water samples from throughout the water system using qPCR to create a microbial “heat map”. Informed by this data, we can design and implement short-term, site-specific remediation protocols. We also perform a root-cause analysis that informs our recommendations for a long-term water management program. We work closely with clients’ legal counsel, and often take the lead in discussions with authorities having jurisdiction (AHJ). Our objectives are to protect people, control loss and move quickly to a sustainable recovery.

Water Management

We help our clients develop and implement sustainable, long-term water management plans, consistent with ANSI/ASHRAE Standard 188, Legionellosis: Risk Management for Building Water Systems, ANSI/ASHRAE Standard 514, Risk Management for Building Water Systems: Physical, Chemical and Microbial Hazards, and considers guidance published by the US Centers for Disease Control & Prevention (CDC). Our water management plans for healthcare facilities comply with the requirements and multi-pathogen scope of the US Centers for Medicare and Medicaid Services (CMS) and the Joint Commission (TJC), and with ANSI/AAMI Standard St108 - Water for Processing Medical Devices.

Multi-Pathogen Testing

We help our clients develop and implement multi-pathogen testing programs. Our multi-pathogen testing programs employ negative screening with quantitative polymerase chain reaction (qPCR) and follow-on testing for qPCR-positive samples with culture methods, consistent with the ANSI/ASHRAE Standard 514, Risk Management for Building Water Systems: Physical, Chemical and Microbial Hazards and the multi-pathogen scope of water management program requirements of the US Centers for Medicare and Medicaid Services (CMS) and the Joint Commission (TJC).

Planning, Design & Construction

We help our clients prevent plumbing-associated waterborne disease by identifying and addressing hazardous conditions associated with building water systems during the planning, design and construction (PD&C) phases of projects. And we oversee water management on an interim basis, from the time the building water systems are first charged with water until turnover of the property to the owner.