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Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning Process Ed Tinsley: PE, CEM, CHFM, HFDP, CHC, LEED® AP Mark Kenneday: MBA, CHFM, FASHE April 7-10, 2013

Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

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Page 1: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Show Me the Beef – Proving the Value of the ASHE Health Facility

Commissioning Process

Ed Tinsley: PE, CEM, CHFM, HFDP, CHC, LEED® AP

Mark Kenneday: MBA, CHFM, FASHE

April 7-10, 2013

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Show Me the Beef – Proving the Value of the HFCx Process

• ASHE Process for HFCx and HFRCx is Significantly Different than Conventional Practices

• ASHE Process for HFCx and HFRCx May Cost More

• Is the ASHE Process Worth the Additional Effort?

• 4 Case Studies • Clay County Hospital, Jacksonville, FL • UAB Women and Infants Center, Birmingham, AL • Baptist Hospital, Nashville, TN • Sacred Heart, Port St. Joe, FL

• Scope, Costs, and Benefits for Each Case Study

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Learning Objectives • Understand the Basic Components of the

HFCx Process

• Learn How the HFCx Process Yielded an ENERGY STAR-Rated Hospital After Its First 12 Months in Operation

• Understand the Basic Components of the HFRCx Process

• Learn How the HFRCx Process Implemented by Hospital Maintenance Staff Increased its ENERGY STAR Rating from 13 to 72

• Learn How the HFRCx Process Reduced the Energy Costs of a Critical Access Hospital by more than 40 Percent

• Learn Why a Large Health Organization has Standardized the Use of the ASHE Commissioning Process

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Agenda • Significant Elements of the ASHE HFCx Process

• Clay County Hospital Case Study

• UAB Women and Infants Center Case Study

• Significant Elements of the ASHE HFRCx Process

• Baptist Hospital Case Study

• Sacred Heart Hospital Case Study

• Summary

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

ASHE Definition of Commissioning

“Commissioning is a process intended to ensure that building systems are installed

and perform in accordance with the design intent, that the design intent is consistent with the Owner’s Project Requirements,

and that operations and maintenance staff are adequately prepared to operate and

maintain the completed facility.”

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Evolution of Commissioning

• Start-Up of Discrete Pieces of Equipment

• Enhanced Start-Up of System Operations

Page 7: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Old Definition of Commissioning

“The advancement of an installation from static completion to full-working

order to specified requirements.”

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Evolution of Commissioning

• Start-Up of Discrete Pieces of Equipment

• Enhanced Start-Up of System Operations

• Continuous Process with Involvement in Every Phase of Design, Construction, and On-Going Operations

Page 9: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Significant Elements of the ASHE HFCx Process

Significant HFCx Elements

• HFCx has Prior Health Facility Experience

• Broader Commissioning Scope

• HFCx is Involved in the Design Process

• OPR Establishes a Project Energy Goal

• Entire Project Team is Accountable for Actual Project Performance

• Hospital O&M Staff Participate in Design Reviews

Page 10: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

• Unrestricted HFCx Design Review

• HFCx Reviews Control Diagrams and Sequences of Operation

• HFCx Reviews Actual Control System Programming

• Hospital O&M Staff Tour Construction Site with HFCx

• Hospital O&M Staff Add Items to Issues Log

• Hospital O&M Staff Participate in Functional Performance Tests

Significant HFCx Elements

Significant Elements of the ASHE HFCx Process

00130 LOOP(128, "SRY.HHWS.TMP", "SRY.BHSTLOOP", "SRY.HHWS.TMP.SET", 1200, 10, 0, 1, 65, 0, 130, 0)¶ 00140 LOOP(128, "SRY.CONV1S.TMP", "SRY.MAXCONV1WTLOOP", "SRY.MAXCONVLWTSP", 1200, 10, 0, 1, 50, 0, 100, 0)¶ 00150 LOOP(128, "SRY.CONV2S.TMP", "SRY.MAXCONV2WTLOOP", "SRY.MAXCONVLWTSP", 1200, 10, 0, 1, 50, 0, 100, 0)¶ 00160 LOOP(128, "SRY.HHW.DP", "SRY.BHWDPLOOP", "SRY.HHW.DP.SET", 1200, 20, 0, 1, 50, 0, 100, 0)¶

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Significant HFCx Elements

Significant Elements of the ASHE HFCx Process

• May Require a More Robust Automatic Temperature Control System

• O&M Staff Training with Pre-Testing and Post-Testing

• HFCx Facilitates Development of eSOC

• HFCx Facilitates Development of UMP

• HFCx Facilitates Implementation of CMMS

• Regular Measurement and Verification of Actual Performance

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Clay County Hospital, Jacksonville, Florida

• New Hospital on Greenfield Site

• 147,000 SF

• 64 Inpatient Beds

• 6 Operating Rooms

• Construction will be Complete in Fall 2013

Clay County Hospital

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Clay County Commissioning Process

• Energy Goal is a 75 Energy Star Rating

• Unrestricted (but Collaborative) HFCx Design Reviews

• HFCx Review Equipment Submittals and Shop Drawings

• HFCx Develops Sequences of Operation

• HFCx Establishes Control System Parameters

• HFCx Provides Daily Measurement and Verification of Energy Performance

Clay County Hospital

Page 14: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Collaborative Design Review Process

• Use Variable Air Volume Where Allowed by AHJ

• Unoccupied/Occupied Air Flow Setpoints for Operating Rooms

• Building Electricity and Natural Gas Meters Connected to EMS

• 100% Outside Air with Enthalpy Wheels for Patient Rooms

• No Air-Side Economizer Cycles

Clay County Hospital

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

HFCx Submittal and Shop Drawing Review

• Lower Ventilation Air Dewpoint Required to Achieve Design OR Conditions

• Missing Control Diagrams and Sequences of Operation

• Chilled Water Bypass Valve Size

• Equalizer Piping between Cooling Tower Basins

• Air Handling Unit 3 Shop Drawing Issue

Clay County Hospital

Page 16: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

HFCx Sequences of Operation • Chilled Water DP Setpoint Reset

Based on CHW Valve Positions

• Chilled Water Pump Speeds Controlled to Maintain Target Flow Rates (Not DP)

• Chilled Target Flow Rates Reset to Maintain DP

• Minimum Refrigerant Lift Override of Condenser Water Flow Setpoints

• Maximum Capacity Chiller Sequencing

Clay County Hospital

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

• Condenser Water Temperature Setpoint Reset

• Chilled Water Temperature Setpoint Reset

• Chiller Surge Detection and Avoidance

• Heating Water DP Setpoint Reset Based on HW Valve Positions

• Air Terminal VAV Heating

HFCx Sequences of Operation

Clay County Hospital

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

• AHU Freeze Warning Mode

• AHU Supply Air Temperature Setpoint Reset Based on Highest Terminal Cooling Loopout

• AHU Static Pressure Setpoint Reset Based on Most Open Terminal Damper

• Single Loop Control (All Parameters)

• Maximum Capacity Boiler Sequencing

HFCx Sequences of Operation

Clay County Hospital

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Control Systems Parameters

Clay County Hospital

• Continuous Data Archival

• O&M Dashboards

• Unique Passwords for Each Operator

• Appropriate Access Level for Each Operator

• Weekly Schedules for Air Terminals

• Unoccupied Heating and Cooling Setpoints

• Limited Thermostat Range

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

O&M Dashboards

Clay County Hospital

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Recommended EMS Access Levels • Level 1 – Read Only: Cannot Modify Setpoints, Override

Outputs, Modify Programming, or Acknowledge Alarms

• Level 2 – Operator: Cannot Modify Setpoints, Override Outputs or Modify Programming, but Can Acknowledge Alarms

• Level 3 – Advanced Operator: Can Modify Setpoints, Override Outputs and Acknowledge Alarms, but Cannot Modify Programming

• Level 4 – Programmer: Can Execute All Tasks Except Change Passwords or Password Access Level

• Level 5 – System Operator: Can Execute All Tasks Including Changing Passwords and Password Access Level

Clay County Hospital

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Daily Measurement and Verification of Performance

• Weather Adjusted Natural Gas and Electricity Consumption

– Energy Star Target Finder (75 Energy Star Rating)

– Linear Regression Against Average Daily Temperature and Dewpoint

• Natural Gas and Electricity Demands Archived by EMS at 15 Minute Intervals

• Interval Data is Totalized to Determine Daily Natural Gas and Electricity Consumption

Clay County Hospital

Page 23: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Daily Measurement and Verification of Performance

• Daily Scorecard Compares Actual Daily Consumption to Weather Adjusted Baseline Consumption

• Monthly Report Based on Actual Metered Consumption and Unit Costs

• Daily Scorecard Provides Feedback to HFCxA, Design Team, Contractor and O&M Staff Needed to Identify Problems and Continuously Optimize Performance

Clay County Hospital

Page 24: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

UAB Women and Infants Center

• New Hospital on Greenfield Site

• 613,488 SF

• 175 Inpatient Beds

• 4 C-Section Rooms

• Opened on February 21, 2010

UAB Women and Infants

Center

Page 25: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

• Energy Goal is a 75 Energy Star Rating

• Unrestricted (but Collaborative) HFCx Design Reviews

• HFCx Develops Sequence of Operation

• HFCx Provides Measurement and Verification of Energy Performance

UAB Women and Infants

Center

UAB Women and Infants Center Commissioning Process

Page 26: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Collaborative Design Review

Process

• Delete North Pavilion CHW Plate and Frame Heat Exchangers

• Delete WIC CHW Plate and Frame Heat Exchangers

• Building CHW Pumps Used to “Boost” Central Plant Differential Pressure

• Add Unoccupied/Occupied Air Flow Controls for C-Section Rooms

• Add Secondary Heating Water Pumps for Water Heaters

UAB Women and Infants

Center

Page 27: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

North Pavilion Chilled Water System

UAB Women and Infants

Center

Page 28: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Delete North Pavilion CHW Plate and Frame Heat Exchangers

• North Pavilion CHW Service Piping was Designed to Serve Women and Infants Center

• Design North Pavilion CHW Flow at 6,138 GPM at 12 deg. F Temperature Difference

• Actual North Pavilion Peak CHW Flow at 8,537 GPM with 8.5 deg. F Temperature Difference

UAB Women and Infants

Center

Page 29: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Delete North Pavilion CHW Plate and Frame Heat Exchangers

• No CHW Capacity Available for WIC

• WIC Budget Included $1.0 Million for CHW Piping from WIC to Plant

• HFCxA Recommendations – Remove North Pavilion PHX and Primary Pumps

– Install Bypass Around Building Pumps

– Delete WIC PHX and Primary Pumps

UAB Women and Infants

Center

Page 30: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

North Pavilion CHW Modifications

• $250,000 for North Pavilion Heat Exchanger Modifications

• Reduced North Pavilion CHW Flow to 3,800 GPM with 19 deg. F Temperature Difference

• Created Spare CHW Capacity for WIC

• Reduced North Pavilion Annual Energy Costs by $85,000

• Net Capital Cost Savings of $750,000

UAB Women and Infants

Center

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

HFCx Sequences of Operation • Disable Economizer Cycles as the First Stage of Humidification

• Single Loop Control

• Chilled Water DP Setpoint Reset Based on Valve Positions

• Optimum Supply and Return Fan Speed Sequencing

• Supply Air Temperature Setpoint Reset Based on Highest Terminal Cooling Loopout (with High RH Override)

• Supply Air Static Pressure Setpoint Reset Based on Most Open Terminal Damper

UAB Women and Infants

Center

Page 32: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Simultaneous Economizer Cycle and Humidifier Operation is not Cost-Effective

UAB Women and Infants

Center

• Efficient CHW System

• 35% Minimum Relative Humidity

• Relatively Low Electricity Rate

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Single Loop Control

UAB Women and Infants

Center

• Eliminates Multiple Setpoints

• Reduces Loop Tuning Requirements

• Reduces Simultaneous Heating and Cooling

Page 34: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Actual WIC Results

• Energy Star Rating after First Year - 79

• Current Energy Star Rating – 86

• Site Annual Energy Consumption – 209 kBTU/SF

• Annual Energy Cost - $2.91/SF

UAB Women and Infants

Center

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Significant Elements of the ASHE HFRCx Process

• Majority of Work by Hospital O&M Staff

• 3rd Party Retrocommissioning Team Leader

• Energy Efficiency is Benchmarked using EPA Energy Star

• Supply-Side Energy Audit

• Demand Side-Energy Audit

• Set Goals

Significant HFRCx Elements

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Significant Elements of the ASHE HFRCx Process

• Water Chiller Testing

• Repair or Replace Failed Components

• Room Ventilation Schedule

• Weekly Schedules - Setbacks

• BAS Continuous Data Archival and Trends Significant

HFRCx Elements

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Significant Elements of the ASHE HFRCx Process

Significant HFRCx Elements

• Revise Air Handling Unit Programming

• Rebalance Outside Air and Exhaust Systems

• Revise CHW and HW System Programming

• Revise Air Terminal Programming

• Measure and Verify Results

Page 38: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Baptist Hospital, Nashville, Tennessee

Baptist Hospital

• 1,565,184 SF

• 661 Inpatient Beds

• 30 Operating Rooms

• 1950 - Original Construction

• Numerous Expansions and Renovation

• 13 Baseline Energy Star Rating

Page 39: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Baptist Hospital Retrocommissioning Process

• Majority of Work Accomplished by Hospital O&M Staff

• Majority of Work Accomplished without Capital

• Essential Capital Provided by Ascension Health FIP Program

• Accumulated Energy Cost Savings are Reinvested in New Projects

• Energy Conservation Program Started in 2008

• Energy Efficient Control Strategies Provided by 3rd Party Retrocommissioning Team Leader

Baptist Hospital

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Energy Awareness Newsletter

Baptist Hospital

me (MyEnergy) is the campus wide Energy Conservation Program at Baptist Hospital.

Did you know: The average monthly electric bill for the main hospital building is

$215,855.00 and we use 2,743,578 kilowatts. Compare that to your electric bill at home.

My Energy at work: WOW! Think of the above statement. What do you use in your area

that uses electricity? What you turn on does matter. What you turn off also matters.

My Energy at home: It’s winter! Do you use all electric heating at home or natural gas?

Do you have a predictable schedule that would benefit from having a programmable

thermostat when no one is home? If you manually set the thermostat back before you leave

home, consider how many times you have forgotten. Programmable thermostats don’t get

busy and forget. If you don’t have one, go to Home Depot, Lowes or any other hardware

stores and purchase one that matches your system requirements. If you aren’t sure what to

purchase, the sales associates can help you. After one is installed and set for your daily

schedule, you can relax knowing you are saving energy automatically.

Associates and My Energy

If you would like to participate with suggestions or examples of what your department has

done to reduce energy, email [email protected]

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Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Chilled Water System Retrofit

Baptist Hospital

• Existing System – Primary/Secondary/Tertiary

– 34 Constant Speed Pumps

– 750 Total Pump HP

– 3 Decouplers

– Independent Low Temperature System

– 3-way and 2-way Valves

• Modified System – Variable Primary

– 6 Variable Speed Pumps

– Low Temperature System Connected to Main System

– 2-way Valves

Page 42: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Chilled Water Systems Optimization

• Maximum Capacity Chilled Water Sequencing

• Automatic CHW Differential Pressure Setpoint Reset

• Chilled Water Supply Temperature Setpoint Reset

• Condenser Water Supply Temperature Setpoint Reset

• Chiller Flow Target Control of CHW Differential Pressure

Baptist Hospital

Page 43: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Controlling CHW

Differential Pressure

• Conventional Method

– Pump Speeds Modulated to Maintain Differential Pressure at Setpoint

– Bypass Valve Modulates to Maintain Minimum Chiller Flow

• Recommended Method

– Pump Speeds Modulated to Maintain Chiller Flow at Setpoint

– Chiller Flow Setpoints Reset to Maintain Differential Pressure Setpoint

– Bypass Valve Modulates to Maintain Differential Pressure

Baptist Hospital

Page 44: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

• Benefits

– Avoids Nuisance Flow Safety Shutdowns

– Allows Preferential Loading of Individual Water Chillers

– Keeps the Bypass Valve Closed

Controlling CHW Differential Pressure

Baptist Hospital

Page 45: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Unoccupied/Occupied Controls in Operating Rooms

Baptist Hospital

Page 46: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Revised Air Handling Unit Programming

• Disable Economizer Cycles as the First Stage of Humidification

• Single Loop Control of Heating Water and Chilled Water Control Valves

• Supply Air Temperature Setpoint Reset

• Supply Air Static Pressure Setpoint Reset

• Proper Sequencing of Outside Air and Return Air Dampers

• Replaced Inlet Vanes with Variable Frequency Drives

Baptist Hospital

Page 47: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Daily Log of System Changes

Baptist Hospital

Page 48: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Daily M&V Report

Baptist Hospital

Page 49: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Monthly Electricity Report

Baptist Hospital

Page 50: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Monthly Natural Gas Report

Baptist Hospital

Page 51: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Baptist Hospital Energy Star Rating

Baptist Hospital

Page 52: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Actual Baptist Hospital Results • Energy Star Rating Increased from 13 to 72

• Proven Annual Energy Cost Savings Exceed $1.5 Million

• Cumulative Program Savings Exceed $5 Million

• Trained O&M Staff

• Daily Scorecard Ensures Sustainable Results

Baptist Hospital

Page 53: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Sacred Heart Hospital, Port St. Joe, Florida

• Floor Area – 64,323 SF

• Energy Star Rating – 1

• Site Energy Use Index – 401 kBTU/SF

• Source Energy Use Index – 843 kBTU/SF

• Energy Cost Index - $6.99/SF

• Annual Energy Cost - $449,654

• Opened on March 15, 2010

• Water-Cooled Chillers

• Robust Building Automation System

Sacred Heart Hospital

Page 54: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Preliminary Sacred Heart Review

Sacred Heart Hospital

• No Weekly Schedules

• No Energy Efficient Control Strategies

• Constant Air Volume

• Numerous Temperature and Humidity Control Problems

• BAS Graphic Snapshots Indicated Significant Problems

Page 55: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Failed CHW Pump Check Valve

Sacred Heart Hospital

107 GPM

553 GPM

92%

18.5 PSI

45.7 Deg. F

Page 56: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

With Isolation Valve Closed

Sacred Heart Hospital

610 GPM

81%

18.5 PSI

43.7 Deg. F

Page 57: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Make-Up Air Unit Heating Water Valve

Sacred Heart Hospital 0 % 100 %

124.9 deg. F 71.4 deg. F 88 deg. F

Page 58: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Air Flow Tracking Fighting Mixed Air Damper Sequencing

Sacred Heart Hospital

100 % Speed

1900 CFM 4,000 CFM SPT

70 % Open

100 %

Gravity Backdraft Damper

Page 59: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Sacred Heart Retrocommissioning

Process

• Room Ventilation Schedule

• Unoccupied/Occupied Air Flow Rates for Operating Rooms

• Air Terminal Programming Revisions

• Surgery AHU Programming Revisions

• Supply Air Setpoint Reset

• Supply Air Static Pressure Setpoint Reset

• AHU Ventilation Air Flow Programming Reset

• Kitchen Hood Exhaust Fan Make-Up Air Unit Programming Revisions

• Miscellaneous Repairs

Sacred Heart Hospital

Page 60: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Air Terminal Programming Revisions

Sacred Heart Hospital

• Weekly Schedule

• Changed Air Flow Setpoints to Match RVS

• Adjusted Occupied Minimum and Maximum Thermostat Setpoints

• Adjusted Heating and Cooling Deadbands

• Adjusted Unoccupied Heating and Cooling Setpoints

• Adjusted Cooling Request and Pressure Request Parameters

Page 61: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Cooling Setpoint

Relative Humidity Setpoint

Highest OR Cooling Loopout

Highest OR RH

49.67

Supply Air Temperature Setpoint Reset

Sacred Heart Hospital

• Minimum and Maximum Supply Air Temperature Setpoints

• Based on Highest OR Air Terminal Cooling Loopout

• Overridden as Required to Limit Highest OR Relative Humidity to 55%

Page 62: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Single Loop Supply Air Temperature Control

• Stage 1: Close Heating Water Valve

• Stage 2: Open Chilled Water Valve

• Stage 3: Enable Low Temperature Chiller

• Stage 4: Open Low Temperature Chilled Water Valve

Sacred Heart Hospital

Main Chilled Water Valve

Low Temperature Chilled Water Valve

Low Temperature Chiller Enable/Disable

PID Loop

Main Chilled Water Valve

Page 63: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

AHU Ventilation Air Flow Programming

Sacred Heart Hospital

• Stage 1 – Open Return Air Damper

• Stage 2 – Start Return Air Fan

• Stage 3 – Increase Return Air Fan Speed from Minimum Setpoint to Maximum Setpoint

• Stage 4 – Close Outside Air Damper

Return Air Damper

Return Fan Start/Stop

Outside Air Damper

OSA Setpoint

Min MAT Override

Max MAT Override

1,000 CFM

PID

PID

PID

Return Fan Speed

Page 64: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Central Plant Programming Revisions

• Chilled Water Supply Temperature Setpoint Reset Based on OSA Temperature

• Condenser Water Supply Temperature Setpoint Reset Based on OSA Wet Bulb Temperature

• Maximum Capacity Chiller Sequencing

Sacred Heart Hospital

70 Tons

ON

OFF

OFF

55.0

38% 5 PSID

ON

OFF

ON

CHS

CHR

40.7

550 GPM

Page 65: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Central Plant Programming Revisions

Sacred Heart Hospital

ON

141.2

Condensate

Steam

HWS

41% 6 PSID

HWR

OFF

42%

0%

• Chilled Water Differential Pressure Setpoint Reset Based on Most Open CHW Valve

• Heating Water Supply Temperature Setpoint Reset Based on OSA Temperature

• Heating Water Differential Pressure Setpoint Reset Based on Most Open HW Valve

Page 66: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Kitchen Hood Exhaust Fan and Make-Up Air Unit Programming

Sacred Heart Hospital

Cool SP - 75.0 Heat SP - 55.0 66.4

ON

ON

0% 0%

• Heating Water Valve Modulated to Maintain Minimum Make-Up Air Temperature of 55 deg. F

• Chilled Water Valve Modulated to Maintain Maximum Make-Up Air Temperature of 75 deg. F

• Kitchen Hood Exhaust Fan and Make-Up Air Unit are Operated Between 5A and 9P

• Minimum Heating Water Valve and Chilled Water Valve Positions of 15% of MUA of OFF and OSA Temperature is Less than 40 deg. F

Page 67: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Miscellaneous Repairs

• Replaced Outside Air Temperature Sensor

• Replaced Kitchen Hood Make-Up Air Unit Heating Water Valve

• Repaired AHU Variable Frequency Drives

• Repaired Air Terminal Air Flow Measuring Stations

• Calibrated Air Flow Measuring Stations

• Calibrated Relative Humidity Transmitters

• Added Temperature Sensors for Diagnostic Purposes

Sacred Heart Hospital

Page 68: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

BAS Remote Monitoring

• Security Clearance Requirements

• Tuned PI Loops

• Optimized Programming and Setpoints

• Troubleshoot Problems

• Identify Additional Cost Reduction Opportunities

Sacred Heart Hospital

Page 69: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Monthly M&V Report

Sacred Heart Hospital

Page 70: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Monthly Electricity Report

Sacred Heart Hospital

Page 71: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Monthly Natural Gas Report

Sacred Heart Hospital

Page 72: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

December 2012 Electric Bill

Sacred Heart Hospital

Date Mailed

Total Current Bill

Kilowatt Hour Usage

Average Daily High Temperature

1/10/2013 1/11/2012

$9,939.08 $26,855.18

129,600 292,400

66 68

Page 73: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

January 2013 Electric Bill

Sacred Heart Hospital

Date Mailed

Total Current Bill

Kilowatt Hour Usage

Average Daily High Temperature

2/8/2013 2/09/13

$13,667.88 $23,287.90

168,200 244,000

71 70

Page 74: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Actual Sacred Heart Results

• Total RetroCx Cost - $61,000

• Projected Annual Savings - $150,000

• Actual Energy Cost Savings in December 2012 - $18,013

• Actual Energy Savings in December 2012 – 44%

• Projected Energy Star Rating – 59

Sacred Heart Hospital

Page 75: Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning … · 2018. 4. 16. · Show Me the Beef – Proving the Value of the ASHE Health Facility Commissioning

Agenda

Significant HFCx Elements

Clay County

Hospital

UAB Women and Infants

Center

Significant HFRCx Elements

Baptist Hospital

Sacred Heart

Hospital

Summary

Why did UAB and Ascension Adopt the ASHE Process?

Summary

• Current Healthcare Business Environment Demands High Performance Buildings

• Reduces Energy Costs

• Promotes Fiscal and Environmental Stewardship

• Ensure Reliability and Safety of Key Systems in the Hospital

• Reduces Capital Costs

• Proven and Sustainable Results

• Increases Patient and Visitor Satisfaction

• Supports the Hospital Mission