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Implementing Smart Hospital Systems Adam R. Bare, PE, LEED APBD+C Stanton Stafford, PE, LEED APBD+C Donald L. Walker, PE, RCDD September 23, 2014

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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 & STRATEGY

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

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(SUSTAINABLE) OPERATIONS

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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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

303 Peachtree Center Avenue, NESuite 525

Atlanta, Georgia 30303