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Implementing Smart Hospital Systems
Adam R. Bare, PE, LEED APBD+CStanton Stafford, PE, LEED APBD+C
Donald L. Walker, PE, RCDD
September 23, 2014
Implementing Smart Hospital SystemsSeptember 23, 2014
Topics
I. Planning & StrategyPresented by: Donny Walker
II. ImplementationPresented by: Adam Bare
III. Smart Operations Presented by: Stanton Stafford
Implementing Smart Hospital SystemsSeptember 23, 2014
Planning and Strategy
DEFINITIONS
SMART BUILDING• Use of technology and process to create a building that is safer and more productive for its occupants and more operationally efficient for its owners.
SMART OPERATIONS• Use of technology and process to create an operational environment that utilizes the smart systems for a continuous improvement strategy that effects capital planning, facility operations and staff training to meet the facility objectives.
Implementing Smart Hospital SystemsSeptember 23, 2014
Planning and Strategy
NEW FACILITY VS. EXISTING FACILITY
NEW FACILITY• Use of intelligent building systems is common place although intelligent operations may not always be adequately planned.
EXISTING FACILITY• A plan needs to be developed to:
• Evaluate current conditions (both systems and operations), • Identify a roadmap for system upgrades, integrations and replacements,• Execute an implementation plan for meeting the objectives,• Prepare an operational continuous improvement process
Implementing Smart Hospital SystemsSeptember 23, 2014
SMARTSYSTEMS
Planning and Strategy
POWER SYSTEMS
LIGHTING SYSTEMS
WATER + IRRIGATION SYSTEMS
SECURITY SYSTEMS
INTELLIGENT BUILDING INTEGRATION AND RETROCOMMISSIONING
INTELLIGENT BUILDING SYSTEM DESIGN
HVAC SYSTEMS
INTELLIGENT BUILDING PLATFORM
BUILDING AUTOMATION
SYSTEMS
Implementing Smart Hospital SystemsSeptember 23, 2014
Planning and Strategy
ReportingINFORMATION
SERVICESCIO
MARKETINGCMO
OPERATIONSCOO
FINANCECFO
BOARD OF DIRECTORS
CEO
HUMAN RESOURCES
ENERGY MANAGERENERGY STAR
INTERNET
FACILITY MANAGEMENT WORKSTATIONS
ONGOING MONITORING, MAINTENANCE AND OPTIMIZATION
FACILITIES MANAGEMENT
INTELLIGENT BUILDING PLATFORM
REPORTING ANDUSER DASHBOARDS
PUBLIC DASHBOARDS
l
MOBILE DEVICES
BUILDING AUTOMATION
SYSTEMS
INFORMEDOPERATIONS
Implementing Smart Hospital SystemsSeptember 23, 2014
• Visionary
• System Architect
• Optimization Engineer
• Internal• Champion (PM)• Facilities • IT• Maintenance
SMART BUILDING TEAM
Planning and Strategy
Implementing Smart Hospital SystemsSeptember 23, 2014
• Evaluate processes for improved efficiency opportunities.
• Evaluate systems for automation and integration capabilities.
• Determine operation strategy for optimization.
• Determine energy improvement opportunities (large and small)
• Master plan for system implementation & optimization
SMART HOSPITAL VISIONING
Planning and Strategy
Implementing Smart Hospital SystemsSeptember 23, 2014
• Capital Expenses
• Operational Expenses
• Training Expenses
• ROI strategy
• Long term planning
SMART HOSPITAL BUDGETING
Planning and Strategy
Implementing Smart Hospital SystemsSeptember 23, 2014
Implementation
• Evaluation of Facility O&M Changes
• HVAC Systems Assessment
• Controls Scope Definition & RFP Development
• Contractor Selection
• System Implementation & Retro‐commissioning
STEPS
Implementing Smart Hospital SystemsSeptember 23, 2014
Implementation
• O&M Process Evaluation
• Training
EVALUATION OF FACILITY O&M CHANGES
Implementing Smart Hospital SystemsSeptember 23, 2014
Implementation
• Controls Sequence Review & Optimization• Air handling units / exhaust fans
• Duct static pressure reset• Outside air control
• Terminal unit controls
• Air Distribution Assessment• Current facility requirements• Airflows and setbacks
HVAC SYSTEMS ASSESSMENT
Implementing Smart Hospital SystemsSeptember 23, 2014
Implementation
AIR DISTRIBUTION ASSESSMENT
• Variable volume vs constant volume, or CV/2‐position
• Air change rates & pressurization requirements• FGI• Other codes/standards
• Unoccupied setbacks• Airflow and/or temperature• Assign setback schedules
Implementing Smart Hospital SystemsSeptember 23, 2014
Implementation
• Existing conditions:• Procedure rooms & prep/holding areas• Air change rate ~ 20• Constant volume• No automatic control of room return airflow• Occupied Mon‐Fri 9am‐5pm
• Assessment:• Perform cooling load Reduce ACH to 15 per FGI• Change to CV/2‐position terminal unit control• Implement occupied/unoccupied schedule• Requires minimum airflow balance / pressure map
AIR DISTRIBUTION ASSESSMENT ‐ EXAMPLE
Implementing Smart Hospital SystemsSeptember 23, 2014
Implementation
• General system architecture
• Scope definition• As‐builts• Additions/changes• Pneumatic‐to‐digital conversions
• Measurement & Monitoring Plan
RFP DEVELOPMENT
Implementing Smart Hospital SystemsSeptember 23, 2014
Implementation
• Qualifications• Manpower – regional & local• Products and graphics• First cost• Service costs
• Labor• Fixed unit pricing
• Migration plan• Owner training assistance
CONTRACTOR SELECTION
Implementing Smart Hospital SystemsSeptember 23, 2014
Implementation
• Implement controls installation & new sequences
• Pressure mapping Before & After
• Validate proper functionality of AHUs and terminal units
• Identify issues Repair or Replace
• Validate balancing & pressure relationships
• Validate controls graphics
SYSTEM IMPLEMENTATION & RETROCOMMISSIONING
Implementing Smart Hospital SystemsSeptember 23, 2014
Implementation
• Integrated approach
• Constant, open communication
• Detailed scheduling / phasing
• Proper budgeting plan for fixing issues
• Develop standards for future work
• Owner training is key
SUMMARY
Implementing Smart Hospital SystemsSeptember 23, 2014
Smart Operations
• Benchmarking
• Lean Operations
• Energy Footprint
• Metrics
• Big Data / Analytics
HEALTHCARE OPERATIONS “ HOT TOPICS ”
http://energytocare.com/ http://www.gsa.gov/portal/content/182743 http://fcbr.org/footprint-and-energy-usage
Implementing Smart Hospital SystemsSeptember 23, 2014
Smart Operations
PROGRAM GOALS
Implement an operations and energy management program geared towards:
1. Minimizing building system energy and water waste2. Delivering measurable results in a cost‐effective manner3. Improving indoor environmental performance4. Realizing long‐term operations and maintenance cost
reductions
Implementing Smart Hospital SystemsSeptember 23, 2014
Smart Operations
SMART OPERATIONS PROGRAM
Step 1: Measurement & Monitoring
Step 2: Operations Dashboard
Step 3: Building Analytics
Step 4: Predictive Maintenance
Step 5: Ongoing Commissioning
Step 6: Reporting
http://www.energystar.gov/buildings/about-us/how-can-we-help-you/build-energy-program/guidelines
Implementing Smart Hospital SystemsSeptember 23, 2014
Smart Operations
• Define System Inventory
• Define Measurements for Trending
• Define Metrics, Tolerances, and Trend Intervals
• Select, Install & Integrate Measurement Devices
• Data Tagging / Project Haystack
MEASUREMENT & MONITORING
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10
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24‐Jun
25‐Jun
26‐Jun
27‐Jun
28‐Jun
29‐Jun
30‐Jun
Room Temp
Grains (gpp)
Room Humidity
Implementing Smart Hospital SystemsSeptember 23, 2014
Smart Operations
• Data Visualization
• Customizable
• Real‐Time
• Trending
• Web Accessible
OPERATIONS DASHBOARD
http://www.periscopedashboard.com/overview/what-is-periscope
Implementing Smart Hospital SystemsSeptember 23, 2014
Smart Operations
• Smart Devices
• Database Overlay
• Real‐Time
• Automated Fault Detection& Diagnosis
• Performance Degradation• Operational Faults • Component Failure
BUILDING ANALYTICS
http://allterrain.net/blog/how-we-use-big-data-to-create-customer-experiences/
Implementing Smart Hospital SystemsSeptember 23, 2014
Smart Operations
• Data‐Driven
• Proactive
• Reduce • FTEs • Downtime• Energy Cost• Material Cost
• Link to Facilities Management Software
PREDICTIVE MAINTENANCE
http://www.dglogik.com/products/dglux/editions/skyspark
Implementing Smart Hospital SystemsSeptember 23, 2014
Smart Operations
• Data‐Driven Optimization
• Device Calibration
• Technical Retrocommissioning
• Sustained Performance
• Systems Training
ONGOING COMMISSIONING
http://automatedbuildings.com/news/jan12/articles/skyfoundry/111219111808skyfoundry.html
Implementing Smart Hospital SystemsSeptember 23, 2014
Smart Operations
ReportingINFORMATION
SERVICESCIO
MARKETINGCMO
OPERATIONSCOO
FINANCECFO
BOARD OF DIRECTORS
CEO
HUMAN RESOURCES
ENERGY MANAGERENERGY STAR
INTERNET
FACILITY MANAGEMENT WORKSTATIONS
ONGOING MONITORING, MAINTENANCE AND OPTIMIZATION
FACILITIES MANAGEMENT
INTELLIGENT BUILDING PLATFORM
REPORTING ANDUSER DASHBOARDS
PUBLIC DASHBOARDS
l
MOBILE DEVICES
BUILDING AUTOMATION
SYSTEMS
REPORTING
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