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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Getting Started

Hospitals Electricity Consumption

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Getting Started

Hospital Energy Consumption

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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