“finding the ‘right fit’; sustainable healthcare facility design, … · 2017-11-20 · •...
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–Ted W. Mallin AIA, ASHE, FHEA; Managing Principal, ENVISION Architects PA
–Damon Greeley PE, CEM, HFDP, CBCP; Principal, Director Engineering, FreemanWhite
October 29, 2008
“Finding the ‘Right Fit’; Sustainable Healthcare Facility
Design, given competing initiatives;
Fiscal Viability and Emergency Preparedness”
“Finding the ‘Right Fit’; Sustainable Healthcare Facility
Design, given competing initiatives;
Fiscal Viability and Emergency Preparedness”
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Important Note
• This presentation contains confidential information intended for a specific individual and purpose, and is protected by law. Any disclosure, copying, or distribution of this presentation, or the taking of any action based on it, is strictly prohibited without the expressed written consent of ENVISION Architects PA or FreemanWhite, Inc.
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Eureka!A major determining factor for success is whether or not the solution is applied or integrated.
We need an integrated solution for “Green” Healthcare!
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Design and construction practices that significantly reduce or eDesign and construction practices that significantly reduce or eliminate negative liminate negative impact of buildings on the environment and occupants in five broimpact of buildings on the environment and occupants in five broad areas:ad areas:
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Benefits of Sustainable DesignBenefits of Sustainable DesignEnvironmental BenefitsEnvironmental Benefits
•• Reduce the impacts of natural resource Reduce the impacts of natural resource consumptionconsumption
Economic BenefitsEconomic Benefits•• Improve the bottom lineImprove the bottom line
Health and Safety Benefits Health and Safety Benefits •• Enhance occupant comfort and healthEnhance occupant comfort and health
Community BenefitsCommunity BenefitsMinimize strain on Campus and local Minimize strain on Campus and local infrastructuresinfrastructures
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LEED Planning Checklist SummaryLEED Planning Checklist Summary
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LEED Planning Checklist SampleLEED Planning Checklist Sample
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Hospital Sustainability WorkshopHospital Sustainability Workshop
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Hospital Sustainability WorkshopHospital Sustainability Workshop
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Hospital Sustainability WorkshopHospital Sustainability Workshop
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Hospital Sustainability WorkshopHospital Sustainability Workshop
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LEED/Sustainable SurveySource:
“Greening Up Hospitals getting savvier on sustainability”by Dave Carpenter
Health Facilities Management Magazine
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Survey: Hospital reports specifying green/environmentally friendly
construction materials in current construction and renovation projects.
Some55%
All15%
Didn't know7%
None23%
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Survey: Hospital use of energy efficiency, green or sustainable, programs/services
italics underline [Envision/FreemanWhite]
H2E11%
ARI22%
Energy Star32%
Green Guide
9%
USGBC12%
ASHRAE
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The Best Intentions:
“Everyone has good intentions, but in
the healthcare area, cost containment
is a [particularly] huge issue.”
- Dawn LeBaron, CHFMMember of ASHE’s Sustainability Task Force
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Cost Containment:
Engineering infrastructure costs,
especially central plants, have
become the biggest challenges for our
hospitals to ‘fit’ within their budgets.
- James R. (Skip) Gregory. NCARBACHA Bureau Chief
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The Challenge:
We need an integrated approach
to deliver “Green” projects within a
budget and without compromise
of other key components.
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NimbleOptimal
ViableEnvironmental
FreemanWhite Survey (5% of US Hospitals):
Keys to a Successful Project
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“Value Engineering”
has become a method
of removing the “value”
from a project.
- Doug Erickson, FASHE, CHFM, HFDPDeputy Director of ASHE
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Considerations for Emergencies
• “Critical Axis” utilities– Defined by your HVA
• Mass contagion• Loss of communications• Loss of water or electrical
utility• Flood or surge• Emergency power;
“Fragile Grid”– 100% operations & cooling
Source: Inside ASHE, Sep/Oct 2008, Volume 16, No. 5
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Considerations for Safety
• Mitigate airborne contagion– Florida; nearly 7M
undiagnosed enter your ED’s annually
– Filtration, UVGI– Venting location
• Redundant Systems• “Big Plugs”• Hierarchal pressurization
– Clean to dirty movement• Minimal complexity
– Controls
Source: Health Facilities Management, Oct. 2006, Volume 16, No. 5
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Emergency Responsive, Scalable, Component Constructed Utilities
Courtesy of Stellar Energy, Jacksonville, FL
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“Evidence-Based”Operations Planning“Evidence-Based”
Operations Planning• Self-Assessment• Needs Scorecard
– Equipment & Systems• Risk Analysis• “Smart Growth” Tools• Focused Condition
Assessments– Building Envelope Study– Seismic Evaluation– Energy Optimization– SOC & Life Safety
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“Re-Engineering” for Optimization
• “Smart Growth” Tools identified chilled water optimization opportunity
• Campus Growth of 200,000 SF could still be served by current plant with optimization vs. plant expansion
• 1 year payback through energy savings
• Look for opportunities for efficiency improvements that have immediate ROI
• Featured in March 2008, Health Facilities Management Magazine, titled, “Chilled Out.”
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• Integrated with Strategic Plan– Including strategy for growth, e.g. phasing– Protect profitable service lines, e.g. continuity of service
• Surgery, Radiology, Oncology, OB, etc…
• Reduce energy costs– Top 5 budget line item
• Capital outlay schedule– 30% +/- of annual depreciation
• Review FASB 13– Other factors that affect bond rating, e.g. “off balance”
sheet projects• Reduce O&M budget initiatives• Vector analysis of FCI & AAP
Financial “Checks & Balances”Financial “Checks & Balances”
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Sustainable/Renewable Innovation & Factory-Built Standardization
• Cost savings• Single source
– Standardized Equip• Expedited construction
– Controlled environment
• LEED & commissioned• On going Process
Improvement • Scalable to the
immediate/future needs• Integrated BIM
Courtesy of Stellar Energy Jacksonville, FL
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Your future SUCCESS
is only limited
by your VISION.- Lt. Colonel Richard Cutts
CEO & FounderFoundation Pegasus
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Sustainability should no longer be a buzz word.
It should be a process of optimizing outcomes in
planning and design.
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Thank YouQuestions?