1. How an intelligent infrastructurereduces operating costs andimproves patient careGraeme RobertsonGlobal Business Development Director,Healthcare Solutions, Schneider Electric

2. Key Elements of an IntelligentInfrastructureHVAC Controls/BMS ICT/Data CentreOperating TheatreOT Power InfrastructureMedical Wards Life Safety SystemsIntegrated SecurityEnterprise ManagementLighting ControlSchneider Electric - Division - Name Date2 3. Key TechnologiesNoise Monitoring Systems Infection Control Systems Staff Support SystemsVisitor ManagementPatient Healing EnvironmentSchneider Electric - Division - Name Date 3 4. Intelligent Interoperation Lighting Control Integrated Security Integrated Building Data Centre Operating Theatre SystemSystemsAutomation InfrastructureDimmer unitsIP CCTVHVAC controlsPower distribution Electrical distribution Lighting controllersAccess control Utilities metering UPS Room switch unitsIPS Staff attackPred maintenanceIn-row cooling unitsMulti sensorsUPS Infant taggingSCADAIntegrated securitySurgeons panelScene settingRFID LOCATIONVideo intercom M&T Room coolingRFID LOCATIONEnvironmentalExternal lightingSYSTEM Intruder detection Energy reclaimSYSTEMHospital Intelligent Technology InfrastructureRFID LOCATIONServersRFID LOCATIONHV/ MV / LV switchgear 24/ 7 remote services SYSTEM SYSTEM Fire alarm Nurse call Video recording Energy modeling Emergency lightingBedhead servicesTransformers POE switchesEntertainmentBill validation Public address Generator integration Firewalls RFID systemsEnergy pricingVoice evacuationBusbar trunkingQuality of service Load shedding Fire dampersEnvironment Distribution Digital signageMaximum demand Fire Safety ElectricalEnergyMedical AreasICTSystems Distribution ManagementSchneider Electric - Division - Name Date4 5. Integration Infant Abduction HVAC Controls/BMSPower Infrastructure Integrated Security Lighting ControlBedElevatorsServicesCar Park Management 24/7 Remote Management Nurse Call & RTLSSchneider Electric - Division - Name Date5 6. Integration Life Safety HVAC Controls/BMSPower Infrastructure Integrated Security Lighting ControlBedElevatorsServicesCar Park Management 24/7 Remote Management Nurse Call & RTLSSchneider Electric - Division - Name Date6 7. Integration Patient Room HVAC Controls/BMSPower Infrastructure Integrated Security Lighting ControlBedElevatorsServicesCar Park Management 24/7 Remote Management Nurse Call & RTLSSchneider Electric - Division - Name Date7 8. Integration Operating Room HVAC Controls/BMSPower Infrastructure Integrated Security Lighting ControlBedElevatorsServicesCar Park Management 24/7 Remote Management Nurse Call & RTLSSchneider Electric - Division - Name Date8 9. Integration Asset Management HVAC Controls/BMSPower Infrastructure Integrated Security Lighting ControlBedElevatorsServicesCar Park Management 24/7 Remote Management Nurse Call & RTLSSchneider Electric - Division - Name Date9 10. Human InteractionExecutive Executive ViewDashboards ReportingHospital Intelligent Technology Infrastructure KPI reports Energy efficiency environmentEnergy efficiencyStaff efficiency Security overview Operational ViewOperatingFire Panel Nurse StationPatient Panel Theatre Environment EnvironmentLighting controlLighting controlUPS statusFire alarms Nurse callNurse callEnvironmentalFiremans overrideSecurity RFID InternetAlarm status Intercomentertainment Hospital Intelligent Technology Infrastructure Expert MonitoringEnergyBuilding Security Data CentreManagement Management Management and Control24/7 remoteMaintenance SecurityOperations services SCADAVideo analytics managementEnergy modeling EnvironmentalAccess controlEnergy efficiencyBill validation Lighting control Safety control Network Load sheddingM&T M&T Remote accessMaximum demandRemote accessBuildingLighting Integrated Operating Automation Control Security Theatre Dimmer units IP CCTV Electrical HVAC controlsControllersAccess controldistribution Integrated SystemsUtilities metering Room switch units Staff attackIPSRoom controllers Multi sensors Infant tagging UPS Control panelsScene setting Video intercomSurgeons panelExternal lightingIntruderElectricalData CentreLife Safety ICTMedical Areas DistributionInfrastructure SystemsPower distribution Servers Nurse call SwitchgearFire alarm UPS Digital videoBedhead servicesTransformers Emergency lightingIn-row coolingPOE switches Entertainment GeneratorsPublic address Integrated security FirewallsRFID location Busbar trunkingVoice evacuationRoom cooling Quality of service systems Plug & play Fire dampers Energy reclaim Digital signage EnvironmentSchneider Electric - Division - Name Date 10 11. Healing EnvironmentPatient EnvironmentStaff EnvironmentReduce Patient FallsFacilitate Hand CleaningProvide Access to Daylight & ViewsIncrease Patient VisibilityImprove Indoor Air QualityReduce Travel DistancesConsider Ergonomics/ AccessibilityProvide Appropriate LightingReduce Infection Risk Provide Easy Access toReduce NoiseInformation Create Restorative Spaces Schneider Electric - Division - Name Date 11 12. Reduce Airborne Infections - UVCSchneider Electric - Division - Name Date 12 13. Efficient Fluid PowerDamper Filter Cooling coilUVCOutside aircontainsviruses,bacteria, moldspores, andVOCs SporesUVC EmittersTM destroyClean Air reproduce inmold, bacteria, viruses, supplied to filter, coolingand VOCs preventingbuilding coil and drip panthem from the airflow reducing coiland increases coilefficiencyefficiency 99% Kill rate of77% Increase inairborne pathogensCooling Coil EfficiencySchneider Electric - Division - Name Date 13 14. Case StudyUltra Violet Air TreatmentBefore and after study for theinstallation of UVC emitters inall hospital air systemsconducted in October 2010.Cooling CoilEfficiencyImprovement 77% Bacteria Reduction 99%Return on Investment 15 monthsSchneider Electric - Division - Name Date14 15. UVC Study ResultsBEFORE AFTER BOTTOM OF COOLING COIL AFTERBEFORE DAMPER BLADESSchneider Electric - Division - Name Date15 16. Automatic Hand Hygiene Monitoring67% reduction in hospital- acquired infectionsSchneider Electric - Division - Name Date16 17. Case Studies Automatic Hand Hygiene Compliance Monitoring 1000% increase in hand hygiene observationsCompliance levels maintained above 90% for allworking shiftsHAIs (Healthcare Associated Infections) reduced by67% in following 3 years after installationSchneider Electric - Division - Name Date17 18. Case Studies Automatic Hand Hygiene Compliance MonitoringThe Hawthorne Effect:The tendency to perform orperceive differently when oneknows they are being observedSchneider Electric - Division - Name Date 18 19. Infection control auto flushing Hygienic flushing unit links to the Schneider Electric intelligent hospital infrastructure:Hospital intelligentinfrastructure H.F.U H.F.U Each hygienic flushing unit incorporates intelligent valve technology with temperature and volume control.Schneider Electric - Division - Name Date 19 20. Case StudyAutomatic Hygienic FlushingCold water supply acts as heatsink for building40% reduction in legionellabacteria in existing hospital Liverpool Broadgreen Study.100% elimination of legionellabacteria in Manchester Hospital 2 year studyWater Savings due to eliminationof unnecessary flushingSchneider Electric - Division - Name Date20 21. Integrated Infection Control UVC anti-bacterialAutomatic hand air treatment hygiene monitoring Wireless monitored hand sanitizer AutomaticAnti-bacterialFlushing UnitStaff base humanmachine interfaceSchneider Electric - Division - Name Date 21 22. Patient Micro Climate Contamination Air quality Smoke detection Temperature Humidity Lighting controlAutoblindsDaylight controlTouchpad interfaceInternet Nurse callTelephoneTV/RadioRoom controls Staff base human Ambient noise machine interface Schneider Electric - Division - Name Date22 23. Case StudyPatient Micro Climate Control270 bed hospital installedeffective control and monitoringof patient room environmentincluding lighting and solar blindconfiguration to increase amountof natural light received bypatients.Patients with increased naturallight:1. Reported less perceivedstress, resulting in 20% lesspain medication costs.2. Had a reduced AverageLength of Stay (ALOS)Schneider Electric - Division - Name Date 23 24. Hospital Noise and Sleep FragmentationJohn Hopkins Hospital USA 50% increaseNight60SoundLevel40dB(A) 1960 2010Noise Effects:Lower oxygen saturationHigher respiratory rateHigher blood pressureFaster heart rateSlower weight gainImpaired sleepSchneider Electric - Division - Name Date24 25. Noise Monitoring Display Unit Control UnitExternal MicrophoneHospital Intelligent Technology InfrastructureSchneider Electric - Division - Name Date 25 26. Case StudyNoise MonitoringStudy of noise monitoring and1.5 hours per day mandatoryquiet time: TVs & music only via noisecancelling headphones Limited staff movement Visitor restrictionsResults:1. 50% reduction in noise levels2.Patients twice as likely togain undisturbed sleep3. Positive effect on patient bloodpressure, pain experience andemotional wellbeing.Schneider Electric - Division - Name Date 26 27. Case Study - Quiron Hospital, Madrid HVAC Controls/BMSPower Infrastructure Integrated Security Lighting Control24/7 Remote ManagementSchneider Electric - Division - Name Date 27 28. Case Study - Quiron Hospital, Madrid HVAC Controls/BMSPower Infrastructure Integrated Security Lighting ControlEnergy Efficient Installation &Intelligent Functionality for lighting Reduced power losses and improved power quality Efficiency based HVAC control for central plant and ventilation Extensive sub metering and 24/7 enterprise energy management24/7 Remote ManagementSchneider Electric - Division - Name Date 28 29. Case Study - Quiron Hospital, Madrid HVAC Controls/BMSPower Infrastructure Integrated Security Lighting Control ENERGY SAVING CAPEX SAVING24/7 Remote ManagementSchneider Electric - Division - Name Date 29 30. Case Study Skane Hospitals Sweden HVAC Controls/BMSPower InfrastructureIntegrated Security Lighting ControlStaff Training Water Management KristianstadLund Helsingborg120,479 m2191,296 m2131,970 m2 Performance Assurance24/7 Remote ManagementSchneider Electric - Division - Name Date30 31. Case Study Skane Hospitals Sweden HVAC Controls/BMSPower Infrastructure Integrated Security Lighting ControlEnergy Efficient Installation &Intelligent Functionality for lightingReduced power losses andimproved power qualityEfficiency based HVAC control forcentral plant and ventilationStaff TrainingExtensive sub metering and 24/7 Waterenterprise energy managementManagementIntelligent integrated water savingtechnology installed throughoutPerformance assurance servicewith predictive maintenance Performance Assurance 24/7 Remote ManagementSchneider Electric - Division - Name Date 31 32. Case Study Skane Hospitals Sweden HVAC Controls/BMSPower Infrastructure Integrated Security Lighting ControlSavings District HeatingDist Dist Elec Elec %& Electricity Htg Htg %MWh/yr MWh/yrLund7,86027%207 13%Helsingborg 4,98426%1,343 8%Kristianstad6,29830%116 8%Overall19,142 28%1,6669%Staff TrainingWaterManagementOverall Water Savings 56,000m/yr Performance Assurance 24/7 Remote ManagementSchneider Electric - Division - Name Date 32 33. Efficient Data Centre/Server Rooms Heat recovery In row coolingReduced Floor Area Schneider Electric - Division - Name Date33 34. Dynamic Simulation Pilot StudyA pilot study was conducted using a standard building design model andapplying Schneider Electrics EcoStruxure for energy efficiency designmeasures at neutral capital cost impact. Standard DesignSchneider Electric - Division - Name Date34 35. Pilot Study Building Data Building Type & Location Acute Hospital, London, UK Number of Beds 400 Number of Floors 7 Building Floor Area36,384m Building Conditioned Volume145,536m ConfigurationEnergy & Ventilation Plant Roof MountedFloors mix single, 4bed & 6 bed wardsOperating Theatres & departments Design ParametersCompliant to current building regulationsSchneider Electric - Division - Name Date 35 36. Energy Saving Design Features ADVANCED METERING ANDENERGY MANAGEMENTHIGH EFFICIENCYSMART ELECTRICAL EFFICIENCY BASEDPOWERBUILDING SERVICES INFRASTRUCTURECONTROL Power Quality Main Energy Plant Reduced Losses Ventilation Plant Power Management DDC Terminal Control Energy Alarms HVAC Set Back Advanced Analysis Power De-energisation Corrective Actions Lighting switch off 24/7 REMOTE OCCUPANCY BASEDSPECIALIST ENERGY INTEROPERATIONANALYSIS INTELLIGENT LOW ENERGY LIGHTING CONTROL Schneider Electric - Division - Name Date 36 37. Dynamic Simulation ResultsTotal Energy: Typical v. ProposedTotal Energy (MWh)Hospital Typical7000.006000.00 Total Energy (MWh)5000.00 Hospital ProposedMWh4000.003000.002000.001000.00 0.001 2 3 4 56 7 8910 11 12 Months Typical 43,607 MWh/year Proposed 29,552 MWh/yearSchneider Electric - Division - Name Date37 38. Dynamic Simulation Results Lighting Energy200.00Hospital Typical180.00160.00140.00120.00Hospital ProposedMWh100.00 80.00 60.00 40.00 20.000.00 1 2 34 5 6789 10 11 12MonthsSchneider Electric - Division - Name Date 38 39. Dynamic Simulation ResultsTotal Gas: Typical v. Proposed 6,000.00 5,000.00Hospital Typical 4,000.00 MWh Hospital Proposed 3,000.00 2,000.00 1,000.000.001 234 5 6 7 8 91011 12 MonthsSchneider Electric - Division - Name Date39 40. Dynamic Simulation ResultsTotal Electricity: Typical v. Proposed1,600.001,400.001,200.001,000.00MWh 800.00 Hospital Typical 600.00 Hospital Proposed 400.00 200.000.00 1 23 4 5 6 7 8 9101112MonthsSchneider Electric - Division - Name Date 40 41. Holistic Infrastructure Model DepartmentKPIs Process Patient KPIs Building + Data centreefficiency Hospital KPI Process environment + Electronic data sheets dashboardanalysis tools asset dashboardsInfrastructure Management health records X-ray Diagnostic datalevellevel Intelligent Technology Infrastructure Facility levelAdmissions Procedures Recovery Discharge Home Doctors surgery Wireless Data input Environment Data input Telecaredevices Tracking Measurement Patient satisfaction Data input Measurement Patient control Measurements of Infection control performanceSchneider Electric - Division - Name Date 41 42. Design Considerations - Delivery Ability to impact cost and functional capabilitiesDesign Effort / Effect Cost of design changesIPD processTraditional processPre-design Schematic Design ConstructionAgency permit/ Constructiondesign development documents bidding ConceptualizationCriteria DetailedImplementationAgencyConstructiondesigndesign documents coordination/final buyout IPD Integrated Project Delivery Schneider Electric - Division - Name Date42 43. SummaryFive main reasons why an intelligent infrastructureshould be installed in hospitals: -1. Improve Patient Care2. Improve Staff Prodcutivity3. Improve Adaptability & Future Proofing of the Facility4. Reduce Life Cycle Costs5. Reduce WasteSchneider Electric - Division - Name Date 43