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 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
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
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
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.”
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
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.”
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
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
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)¶
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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]
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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%
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
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
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
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
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
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
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
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
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
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
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
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
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
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