fortis hospital, mulund 18th cii national award for...

18TH CII NATIONAL AWARD FOR EXCELLENCE IN ENERGY MANAGEMENT, 2017

Fortis Hospital, Mulund

Fort

is H

osp

ital

, Mu

lun

dFortis Hospital, Mulund started in July 2002 as a multispecialty hospital

Situated in Mulund over 8 acres with a total built up area of ~3,70,000 sq ft

The facility is spread across two structures – one G+6 and other B+G+9

It is a 288 bedded facility with 103 critical care beds. Major infra constitutes ten OTs, Two Cath Labs, LinAc, and diagnostic modalities such as MRI, PET/CT, CT, etc

The hospital has a comprehensive medical programmewith tertiary care being offered including transplants across all specialties. It is the leading centre for heart transplant in western India

It is first hospital to be JCI accredited in India. Other accreditations being NABH, NABH – Nursing Excellence, NABH – ER Services, NABL, Green OT, etc.

• Four times JCI accreditation

• NABH Accreditation (quality standards specified across India)

• 1st NABH accredited Blood Bank in India

• NABL accredited Pathology Lab

• Amongst the first facilities to be accredited for ER and Nursing excellence Qu

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• British Medical Journal (BMJ) Awards India 2014 - Medical Team of the Year

• Asian Hospital Management Awards (2014) Hat trick - Patient Safety & HRD

• Asian Patient Safety Award (2014) - Innovation in Staff Education

• Healthcare Leadership Awards 2014 - Best Patient Safety

• FICCI Healthcare award for Operational Excellence (consecutively in 2012 & 2013)

• National Energy Conservation Award 2012 bestowed by Honourable President of India

• Indian Healthcare Awards 2011 - Best Orthopedic Hospital

Aw

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cies

• Asian Hospital Management Awards (AHMA) 2015 - Five Awards (Clinical Service Improvement, Bio-medical Facilities Improvement, HRD, Internal Service Improvement & Innovations in Healthcare IT)

• Dr Narayani won the “Women Leadership in Healthcare” Award @ the Asian Healthcare Leadership2015, Taj Dubai

• Asian Patient Safety Award 2015 for “Anesthesia & Surgical Safety”

• “Best Quality Initiative” for Pharmacy Indents through LEAN process @ ABP Healthcare LeadershipAwards 2015

Aw

ard

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om

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ern

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cies

• Asian Hospital Management Awards (AHMA) 2016 – Hattrick (Nursing Excellence, HRD & Grand Excellence Award)

• Business World Healthcare Awards 2016 - Best CSR in Healthcare (Save Water)

• Asia Healthcare Excellence Awards 2016 - Patient Safety (Insulin Super League) & Social Cause (Organ Donation)

• CIMS Healthcare Excellence Award 2016 - Best Unit in Cardiac Care & Best Medical Tourism Facilities

• Asian Patient Safety Award 2016 - Hattrick (Medication Safety, Innovation in Safe Communication, Patient & Family Education)

• Asian Hospital Management Awards (AHMA) 2017 - Talent Development

Aw

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ext

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cies

Ener

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emen

t st

ruct

ure Zonal Director

Dr S Narayani

Head Administration

Anand Vivek

Head Engineering

Ganesh Waghmare

Civil, Medical Gases & Water Treatment

Sandeep More

Electrical & Plumbing

Sagar Dohiphode

HVAC & Carpentary

Roopesh Sakpal

Statutory Compliances, Testing

& CalibrationUmesh Desai

Ener

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t fr

amew

ork

Ener

gy C

on

sum

pti

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Pat

tern

Medical Equipment12-18%

HVAC50-60%

Utility Systems12-18%

Lighting6-10%

IT Systems1-3%

FY151.5 lakh

units

REN

EWA

BLE

EN

ERG

Y

92%

21%

8%

79%

0%10%20%30%40%50%60%70%80%90%

100%

FY16 FY17

MSEB

Wind

752.55

638.02

66.18

62.44

60

61

62

63

64

65

66

67

580600620640660680700720740760780

FY16 FY17

X 1

00

00

0

X 1

00

00

0

AmountUnits

562540

660080

605180

492380

578760572280

592613

531005505898

487632485122

544750

558094

626893

571509

536619 537978

514983522768

472840483475

4658196

438539

521179

425000

475000

525000

575000

625000

675000

apr may jun jul aug sep oct nov dec jan feb mar

FY16

FY17

Ren

ewab

le e

ner

gy

Energy Comparison 2015 - 16, 2016 - 17, 2017 - 18

2015 - 16 Total

April May June July Aug Sept Oct Nov Dec Jan Feb Mar

Units consumed 562,540 660,080 605,180 492,380 578,760 572,280 592,613 531,005 505,898 487,632 485,122 544,750 6,618,240

Wind Mill Unit NA NA NA NA NA NA 8,962 138,545 125,125 54,574 71,654 130,736 529,596

Rs. Save due to wind mill NA NA NA NA NA NA 8,747 135,552 123,823 46,889 60,533 112,328 487,872

unit save due to wind mill NA NA NA NA NA NA 717 11,084 10,010 4,366 5,732 10,459 42,367

TOTAL SAVING IN RS. 4,87,872/-

2016 -17 Total

April May June July Aug Sept Oct Nov Dec Jan Feb Mar

Units consumed 558,094 626,893 571,509 536,619 537,978 514,983 522,768 472,840 483,475 458,196 438,539 521,179 6,243,073

Wind Mill Unit 246,224 579,417 571,508 536,619 537,976 514,983 132,934 119,655 483,475 452,767 392,999 436,633 5,005,190

Rs. Save due to wind mill 499,933 1,377,737 1,148,043 1,044,152 1,058,412 964,048 68,181 128,552 879,369 815,732 707,186 762,853 9,454,198

unit save due to wind mill 44,320 104,295 102,871 96,591 96,835 92,697 6,469 11,386 77,889 72,253 62,638 69,413 837,659

2016 - 17 April May June July August Sep Oct Nov Dec Jan Feb Mar

KWH Saving Due to eng saving projects

4,446 33,187 33,671 -44,239 40,782 57,297 69,845 58,165 22,423 29,436 46,583 23,571 375,167

TOTAL SAVING IN RS. @ 9454198 + (375167 X 11) 4126837 = 1,35,81,035/-

Ren

ewab

le a

nd

Sav

ing

ener

gy c

har

70%

73%

67%

71% 71%

75%

70%

59%

51%

60%

48%

41%

33% 34%33% 32% 32%

40%

4%

0% 0%

0%

10%

20%

30%

40%

50%

60%

70%

80%

0

20

40

60

80

100

120

140

160

180

sep 15 oct 15 nov 15 dec 15 jan 16 feb 16 mar 16 apr 16 may 16 jun 16 jul 16 aug 16 sep 16 oct 16 nov 16 dec 16 jan 17 feb 17 mar 17 apr 17 may 17

X 1

00

00

0

Total Tanker ProportionW

ater

sav

ing

grap

hs

Sr. No Details FY 2014 - 15 FY 2015 - 16 FY 2016 - 17

1Annual Electricity Consumption,purchased from utilities (kwh)

6,287,854 6,618,240 6,243,073

2Annual Electricity Generation (in-situ) through diesel gen(DG)/ Gas gen (GG) kwh

10,983 13,545 17,693

3Total Annual Electricity consu, utilities + Dg/GG sets (kwh)

6,298,837 6,662,262 6,260,766

4 Built Up Area ( sq.m.) 35,000 35,000 35,000

6

Specific energy consumption(Annuval electricityunits Kwh consumed/ Built Up Area( sq.m.))

180 190 179

1,00,000

11,00,000

21,00,000

31,00,000

41,00,000

51,00,000

61,00,000

FY 2014 -15

FY 2015 -16

FY 2016 -17

Annual Electricity Consumption,purchased from

utilities (kwh)62,87,854 66,18,240 62,43,073

Total Annual Electricity consu, utilities + Dg/GG sets (kwh)

62,98,837 66,62,262 62,60,766

Specific energy consumption(Annuval

electricityunits Kwh consumed/ Built Up

Area( sq.m.))

180 190 179

Axi

s Ti

tle

SEC FOR 3 YRSE

C R

edu

ctio

n in

last

3 y

r

Sr. No Details FY 2013 - 14 FY 2014 - 15 FY 2015 - 16 FY 2016 - 17

1Annual Electricity Consumption,purchased from utilities (kwh)

6,355,696 6,515,101 6,618,240 6,243,073

2Annual Electricity Generation (in-situ) through diesel gen(DG)/ Gas gen (GG) kwh

16,000 15,000 13,545 17,693

3Total Annual Electricity consu, utilities + Dg/GG sets (kwh)

6,371,696 6,530,101 6,662,262 6,260,766

4 Wind mill genration 2,044,661 137,246 529,596 5,005,190

5 saving units comp to last yrs -6,355,695 -159,405 -103,139 375,167

6 Carbon Emission Reductions 1,730 116 448 4,552

1,000

10,01,000

20,01,000

30,01,000

40,01,000

50,01,000

60,01,000

70,01,000

FY 2013 - 14 FY 2014 - 15 FY 2015 - 16 FY 2016 - 17

Chart Title

1 Annual Electricity Consumption,purchased from utilities (kwh)

3 Total Annual Electricity consu, utilities + Dg/GG sets (kwh)

6 Carbon Emission Reductions

CER

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LED Installation – We almost change the all corridors, street lights around the periphery and coming to all new projects with led only. (with set timer)

Energy Saving Highlights of FY15-16

ABT meter installed to verifying the wind mill consumptions as per a requirement of MSEB


New capacitor bank installed to maintain the pf, getting good return from MSEB


New liquid oxygen tank replaced from 2.2 kl to 6.5 kl,



New inverter ductable type unit installed with timer commanding

Aerator installed at all areas basin

Regular maintenance as a part of energy saving


Installed the almost 40 vfds to all ahupanels

Installed the D.P.T system to secondary system


Installed the UV light in ot ahu area

Chilled water line insulation


Heat pump installed

120 kva energy efficiency ups installed

S.no. Initiatives Impact

1. Power Saving

Saving kwh units @ just start the impact

wind mill kwh units @ 529596

i. LED Installation – street lights around the periphery, inside corridors (with set timer)

ii. ABT meter installation done for wind mill project

iii. Capacitor bank installed to maintain the power factor ( M.S.E.B)

iv. Periodic brought down service initiated for AHUs & FCUs (resulting minimal load on the secondary pump & on chiller)

v. Replaced the old Liquid oxygen tank with new size (2.5 to 6.5)as un impact the vehicle transport delivery less

vi. Replacement of old HVAC units with new energy efficient ones with time base on / off mode( inverter type ductable units)

vii.

viii.

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1. Power Saving

Saving kwh units @ 375167

wind mill kwh units @ 5005190

i. VFD Installation across AHUs with actuators and thermostat (almost 50 nos vfd installed to ahu )

ii. D.P. T installation for secondary pump resulting in power consumption & less break down in pumps and motors

iii. LED Installation 2nd phase to corridors, icus, new projects locations (with set timer)

iv. Periodic brought down service initiated for AHUs & FCUs (resulting minimal load on the secondary pump & on chiller)

v. UV lights for AHU coils, to prevent the coil chokes

vi. Hydro pneumatic system for water supply with instaling prv on floor wise

vii. Chiller water line insulation

viii. VFD installation for temperature regulation of cooling tower fan

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-17


1. Power Saving

ix. Heat pump for generating Hot water for patients and chilled water for HVAC

x. Switching to UPS based on newer technology to increase efficiency by 8%

xi. Timers for services based on operating hours of various departments

xii. New municipal water line

v. Install the aerator in all areas to save the water

vi.

vii.

viii.

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15

-16


1. Power Saving

Saving kwh units @ 2,00,000

i. Replacement of existing condenser pumps with new vfd operating (armstrong make)

ii. Second phase of insulation work (hot and cold)

iii. Vfds installation to air compressor and cooling towers

iv. Water plant for cooling towers circulation water

v. LED’S at all areas, in phase manner

vi. Online condenser tube cleaning

vii. Replacement of existing ahu with heat recovery base units

viii. Rain water harvesting

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• As per the guidelines of MPCB we following environmental monitoring every six months

DG Sets Stack monitoring.

DG Sets Noise monitoring.

Monthly drinking water analysis

STP inlet & outlet water analysis

Patient area air monitoring

Environmental air monitoring at 4 locations

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Doing the statutory monitoring, to help the energy savings

Calibration

Pressure gauge

Pressure transmitter

Pressure switch

Thermo hygrometer

Megnehelic gauge

Maintenance instruments (PH meter, Multimeter, Meager etc)

Pressurization tanks (air comp tanks, hydro pneumatics)

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The air validation test on six monthly with third party vendor.

Validation of OT HEPA Filters is done as per ISO 14664 Standard

Parameters checked: -

#Temperature & Humidity

#Air Particulate count.

# Air changes per Hour

# Air Velocity at Grill/ Filter level.

# Positive pressure

Val

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Val

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• 100% Compliance of the BMW Management and Handling Rules

Valid Authorization from MPCB for generation of Bio Medical Waste

Tie-up with M/S SMS ENVOCLEAN Pvt Ltd for disposal of waste.

Nursing staff are continuously trained by dedicated Infection Control Nurse on segregation of waste atsource.

All Housekeeping staff deputed for BMW Handling are adequately trained for proper storage,handling, transportation and disposal of waste, including usage of PPE during the process.

Surprise rounds by Infection Control Nurse to monitor the compliance to waste segregation anddisposal steps.

Regular Visit to SMS ENVOCLEAN site for checking their compliances.

Annual Returns for BMW submitted in prescribed forms as per deadline

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Thank you

fortis hospital, mulund 18th cii national award for...

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