energy savings in health care
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Energy Savings in Health Care. 2012 ASHE Conference Recap of the following sessions VA Medical Center Low Cost / High Impact Energy Program Successes How Public Competition Spur Energy Savings in Health Care Excellence in Healthcare Facility Management: Defining World Class Care. - PowerPoint PPT PresentationTRANSCRIPT
Energy Savings in Health Care
2012 ASHE Conference
Recap of the following sessionsVA Medical Center Low Cost / High Impact
Energy Program SuccessesHow Public Competition Spur Energy
Savings in Health CareExcellence in Healthcare Facility
Management: Defining World Class Care
VA Medical Center Low Cost / High Impact Energy Program Successes
John Stenger (Director of Healthcare Engineering, U.S. Department of Veterans Affairs)
Robert Anselmi (Network Energy Manager, U.S. Department of Veterans Affairs)
William Hudson (Manager, U.S. Department of Veterans Affairs)
Janes Larson (Network Energy Manager, U.S. Department of Veterans Affairs)
How Public Competition Spur Energy Savings in Health Care
Clark Reed (Director of Healthcare Facilities Division for ENERGY STAR, U.S. Environmental Protection Agency)
Gary Byrum (Director Project Management, HCP Inc.)
John D`Angelo (Senior Director, Cleveland Clinic)
Jeffrey Hunt (Senior energy Consultant, Ridgecrest Energy Advisors St. Mark’s Medical Center
Excellence in Healthcare Facility Management: Defining World Class Care
Michael Hatton (System Executive, Memorial Hermann Hospital)
Lona Canada (Corporate Manager of Healthcare Business Development, Trane
Getting Started
• Know where your at1. EPA Energy Star Energy Performance
Rating (Priority focus on use over Award)a) Building #1 – 76
b) Building #2 – 50
c) Building #3 – 73
d) Building #4 – 46
e) Building #5 – 26
f) Building #6 – 21
g) Building #7 – 69
Getting Started
Hospital Natural Gas Consumption
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FY-08 FY-09 FY-10 FY-11 FY-12 FY-13 FY-14 FY-15 FY-16 FY-17 FY-18 FY-19
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•Know where your at
Getting Started
Hospitals Electricity Consumption
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FY-08 FY-09 FY-10 FY-11 FY-12 FY-13 FY-14 FY-15 FY-16 FY-17 FY-18 FY-19
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•Know where your at
Getting Started
Hospital Energy Consumption
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•Know where your at
Getting Started
• Tap the power of people1. Engage Senior Leaders
a) Energy use as part of the decision making for new and renovation projects
b) Support for conservation projects
c) Support best practices
d) Support operational changes
e) Support commissioning
f) Support retro-commissioning
Getting Started
• Tap the power of people2. Energy Team
a) Engage EmployeesI. Nurse – to – Nurse
II. Doctor – to – Doctor
III. Ect
b) What does energy do for patient outcome
c) Employee day – to – day actionI. Use steps – vice – elevators (energy + health)
II. Turn off lights in bathrooms, storerooms ect when departing
Getting Started
• Tap the power of people2. Energy Team
d) Bench mark
e) Collect data
f) Set goalsI. IAW the V.A. Medical Center’s low cost / high impact
program they determined the following break down of BTU’s
i. Facility – 28%
ii. Boilers, Chillers, Pumps & Air Handlers – 72%
g) Keep an eye out for innovation
Getting Started
• Tap the power of people2. Energy Team
h) Award Submission “Tips”
i) Share energy benchmarking journeyi. Key milestones
ii. Success / Failures
iii. ENERGY STAR Ranking / Improvements
iv. Monthly / Annual BTU / SF Comparisons by Facility
v. HVAC Hot / Cold Trend Graph
Getting Started
• Tap the power of people2. Energy Team
j) Team Education (Success will slip away)i. Staff Turnover
ii. “Hogging” the Knowledge
iii. Basic education (HVAC & Building Science)
iv. What is Not working
v. Recognize failures as a learning tool on the path for improvement
vi. Continuous process monitoring
vii. Expect What You Inspect
Facility Management
• Experiences and Recommendations
Not in any order of priority1.Reporting to Administration use $$$ not BTU’s
2.Real time tracking of power use
3.How to quantify the cost of your utilitiesa) Cost of steam – Fuel, Water, Chemicals, power
(pumps) & maintenance.
b) Cost of chilled water – Power (chillers & pumps), water, Chemicals & maintenance
Facility Management
• Experiences and Recommendations
Not in any order of priority
4. Where are your utilities going?
a. What can you control?
b. What can't you control?
5.Sufficient dead ban between heat & cooling to prevent system cycling
6. Prevent heating & cooling at the same time
7.Replace T-12 bulbs
Facility Management
• Experiences and Recommendations
Not in any order of priority8 Replace incadesant fixtures
9 Replace EXIT signs with LEC’s (.2 watts)
10. Chillers with VFD’s
11. Boiler Plant Automation
12. Steam Pressure – What pressure is required?
13. Test and Balance air & water flow
Facility Management
• Experiences and Recommendations
Not in any order of priority14. Test and correct Building efficiency
a. Make up air
b. Set Backs
c. Minimize re-heat
d. Employee / Tenant behavior
e. Operating Room Temperatures
Facility Management
• Experiences and Recommendations
Not in any order of priority15.Look at system / process changes IE; Radiology
went from film processing to large heat generating computers to process films. Did the A/C get up graded with this change?
16.Facilities tends to fix the problem rather then finding the problem. IE; Cracked Duct – Fix duct but why did it fail? System controls not working because …
Facility Management
• Experiences and Recommendations
Not in any order of priority
17. Be proactive
18.Be Positively Criticala) Ask Why not
b) Ask Who
c) Investigate – Dig deep
d) Look at the whole picture
e) Think in system terms
Facility Management
• Experiences and Recommendations
Not in any order of priority19. Be Patient
a) Don’t react
b) Plan ahead
c) Review
d) Work the problem
e) Know your budget
Facility Management
Make a Difference
Make it Better