ADVANCIN G - Health Facilities Management Magazine
COVER STORYADVANCINGEFFICIENCY2011 Hospital Energy Management SurveyARTICLE BY DAVE CARPENTER DATA BY SUZANNA HOPPSZALLERNSurvey finds facilities making progress,but still missing some opportunitieswo years removed from the Great Recession,hospitals and health systems are putting theoomph back into energy-efficiency efforts.The hold-downs that squeezed facilities budgets areeasing and organizations are devoting more attentionand resources to energy-conservation initiatives.T»ABOUT THIS SURVEY REPORTHealth Facilities Management (HFM) and the American Societyfor Healthcare Engineering of the American Hospital Associationsurveyed a random sample of 4,865 hospital executives to learnabout trends in hospital energy management. The response ratewas 14 percent, or 691 completed surveys.GETTY IMAGESHFM thanks thesponsors of thissurvey — Amerinet, Gardner Denver, Schneider Electric and SkanskaUSA Building.W W W. H F M M A G A Z I N E . C O M J U LY 2 0 1 1 15
» ADVANCING EFFICIENCYThat’s welcome news forhospital facilities managerswho have tried to do morewith less during this economiccrisis. Renovation is pickingup, more money is becomingavailable for projects andthere’s a sense of renewedoptimism about the level ofactivity, says Dale Woodin,CHFM, FASHE, executivedirector of the American Society for Healthcare Engineering(ASHE).Management Survey conducted by Health Facilities Management (HFM) and ASHEshowed that a majority oforganizations still are not taking such basic recommendedsteps as performing regularenergy audits, creating astrategic master energy plan,using commissioning of existing buildings or following theGreen Guide for Health Care tomonitor baseline energy performance. Those that do con-HFM/ASHE conducted the lastsurvey five years ago. And thepercentage of facilities to haveupgraded central heating andcooling systems in the pasttwo years (40 percent) hasrisen sharply from the 2006survey.Numerous responses to thesurvey suggest that funding forinitiatives remains tight inmany places. But a lack ofresources shouldn’t stop facility managers from findingEnergy costsACUTE CARE HOSPITALS’ ANNUAL ENERGY COSTS* PER SQUARE FOOT(ESTIMATED)12% 2.51 to 3.00 . . . . . . . . 17% 3.01 to 4.00 . . . . . . . . 28% 4.01 to 5.00 . . . . . . . . 21% 5.01 to 6.00 . . . . . . . . 11% 6.01 to 7.00 . . . . . . . . . . 5% 7.01 to 8.00 . . . . . . . . . . 3%More than 8.00 . . . . . . . . . 3%Less than 2.50 . . . . . . .*Energy costs include electrical, natural gas, steam, oil, cogeneration, solar, etc., except waterSOURCE: HEALTH FACILITIES MANAGEMENT/ASHE 2011 HOSPITAL ENERGY MANAGEMENT SURVEY“It’s not back to where itwas three or four years ago,”Woodin says, “but people arerealizing we’re coming out ofthis thing and it’s time to getback to business.”Progress and shortcomingsA review this spring of energymanagement initiatives underway around the country foundsigns of progress as thoseefforts regain momentum, butalso testified to the manyshortcomings and missedopportunities.While awareness of variousenergy-saving options is up,the 2011 Hospital Energy16 J U LY 2 0 1 1 duct audits frequently fail tofollow up to make sure thatdeficiencies are fixed.On the positive side, largepercentages of respondentscited plans to implementthose or other initiatives inthe next 24 months and mostalready have pursued whatWoodin calls the low-hangingfruit of energy conservationmeasures, such as preventivemaintenance and more energy-efficient lighting.The percentage of thosewho say they participate inthe Environmental ProtectionAgency’s (EPA’s) Energy Starprogram has doubled sinceW W W. H F M M A G A Z I N E . C O Mways to boost energy efficiency and savings, says DelbertReed, CHFM, SASHE, directorof facilities engineering at BenTaub General Hospital inHouston.“There’s a tremendousamount of savings that can beachieved beyond what we’resaving now,” says Reed, who’son an energy-managementtask force at ASHE that’s compiling energy-managementstrategies to share with members. “You don’t understandhow many millions of dollars’worth of opportunities you’rewalking past every day. Peoplethink, ‘Oh, that’s not going tosave me very much.’ But itcan be something as simple asturning off a light.”Ben Taub saved more than 800,000 a year in avoidedenergy costs, he says, byreducing the pressure level onits boilers to 65 psi from 110,ending the practice of alwayskeeping a backup boileridling, and adjusting air andwater temperature settings tothe original design specifications. Energy costs per squarefoot dropped from 4.61 in2008 to 3.85 in 2010.Moreover, many energy-saving operations built into facility designs are overlooked ornot being taken full advantageof, according to Jamie Qualk,vice president and teamleader of the sustainable solutions group at Nashville,Tenn.-based SSRCx, a divisionof the Smith Seckman Reidconsulting firm. In the thermaldistribution system, for example, oversights such asdampers that aren’t linked oroperating properly and valvesthat weren’t installed correctlyor don’t open or close rightcan have a huge impact onenergy consumption whenadded together, he says.Overall, however, industrywatchers say facility managersand energy-related efforts ingeneral are moving in theright direction. “While we stillhave many more things wecan do, we’re on the righttrack,” Qualk says.Major trendsOther issues raised by respondents to the HFM/ASHE Hospital Energy Management Survey include the following:Aging energy hogs. Awide diversity of facility typeswas represented among the691 organizations respondingto the HFM/ASHE survey,which was conducted onlinein March and April by Perception Solutions Inc., Aurora, Ill.Acute care hospitals almostcertainly are the biggest energy users among them, result-
according to Dan ChisholmSr., emergency power systemexpert for MGI ConsultingInc., Winter Park, Fla.Stable costs. Energy costshave not changed dramatically in five years. More pollrespondents (29 percent) citedannual costs of 3.01 to 4per square foot at their acutecare hospital than any otherprice range, the same as inthe 2006 survey.Just as five years ago, however, more than 40 percentpaid more than that, with climate and location obviouslykey factors (hospitals in Alaska, Florida, California, thearid Southwest and the GulfCoast tended to report thehighest costs).About 43 percent of surveyed organizations saw annual energy costs rise from theprevious year, with the mostcommon response (30 percent)being an increase of between1 and 5 percent. But nearly asmany — 40 percent — reported lower costs. Those declineslikely derive from a combination of the added attentionbeing paid to energy efficiency and a reduction in rates insome areas.The EPA’s Reed wasn’t surprised to see so many experience a drop in costs. A 1 to 5percent decrease in energyuse is very feasible within ayear’s time by adapting lowcost strategies, he says.Popular measures. Conducting energy audits remainsthe most common energymonitoring measure, cited by40 percent, even if many perform them infrequently.Other strategies used by atleast a fourth of respondentsinclude setting energy budgetand performance targets andmonitoring them annually (38percent), and participating inEnergy Star (29 percent, upfrom 14 percent in 2006).When it comes to reducingenergy costs, strategies varied.Preventive maintenance, lightemitting diode exit signs, andEnergy-managementstrategiesTOP 10ENERGY-PERFORMANCE MONITORINGAND MANAGEMENT ACTIVITIES40%Conduct energy audits38%Set energy budget and performancetargets and monitor annually29%Participate in the EPA’sENERGY STAR program22%Create a long-term, strategic energymaster plan (e.g., 5-10 years or more)21%Designate an internal energy manager16%Perform retrocommissioningof existing buildings13%Perform daily follow-up on energy alarms(controls and setpoints in nonenergyconservative status)12%Use an energy account-management firm10%Perform continuous commissioning9%Use energy-savingsperformance contractTOP 10BUILDING AUTOMATION SYSTEMCONTROLS IN USE74%Air handlers67%Variable-frequency driveson pumps/fans60%Chiller plant optimization58%Fan/pump speed51%Boilers46%Hot water systems43%Humidity43%Night/unoccupiedsetback for HVAC40%Occupancy sensors33%Exterior lightingSOURCE: HEALTH FACILITIES MANAGEMENT/ASHE 2011HOSPITAL ENERGY MANAGEMENT SURVEYCOVER STORYing in health care ranking second behind the food-serviceindustry in total energy consumed per square foot amongcommercial buildings, according to the Department of Energy. It doesn’t help the energyconservation cause that despitethe building boom of the pastdecade, most main hospitalbuildings — including those of69 percent of the surveyrespondents — still are morethan 20 years old. The performance of energy-consumingsystems degrades by as muchas 30 percent in the first fewyears of operation, accordingto the American Society ofHeating, Refrigerating and AirConditioning Engineers.Yet age isn’t always the bestindicator of energy performance, since older buildingscan benefit from equipmentupgrades and renovations. Forexample, a 191-year-old bankin Cambridge, Mass., is Energy Star-certified, notes ClarkReed, director of the healthcare facilities division for theEnergy Star program.Insufficient audits. There’sno consensus on how often orthoroughly to conduct energyaudits, which can range fromsimple walk-throughs aimedat identifying low- or no-costmeasures to more sophisticated, expensive reviews. About28 percent of poll respondentssaid they perform an energyaudit in their acute care hospital at least annually, whileanother 25 percent said theydo theirs every two to threeyears — results that were littlechanged from the 2006 survey.Experts say the exact timebetween audits isn’t as important as doing them regularlyand following up on the recommendations.Facility managers need totake charge until they can relyon fully automated systemsthat will control temperature,humidity and air-flow levelsprecisely, plus engage emergency generators to preventfailure of electrical grids,
» ADVANCING EFFICIENCYEnergy-management strategiesINITIATIVES BEING IMPLEMENTED TO REDUCE ENERGY COSTSIMPLEMENTEDIN THE LAST 24 MONTHSStrategic energy master plan (e.g., 5-10 years or more) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25%Air handling unit: unoccupied control strategies and variable volume operation . . . . . . . . 47%Unoccupied period control (e.g., occupancy sensors) for lighting systems . . . . . . . . . . . . . . . 51%Use of chiller/heater water source heat pumps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21%Commission or retro-commission buildings (audit to review performanceof building energy systems) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29%Energy conservation program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49%Preventive maintenance program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88%Select energy-efficient or ENERGY STAR-certified products during equipmentor appliance replacement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55%Upgrade building control and automation systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53%Upgrade central heating/cooling systems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40%Upgrade distributed heating/cooling systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35%Upgrade/replace conventional systems with cogeneration, fuel cells,photovoltaic systems, and/or solar thermal systems . . . . . . . . . . . . . . . . . . . . . . . . . 7%Photovoltaic harvesting system for such low power, indoor devices as remote sensors,alarm systems and distributed controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4%Increase efficiencies in building envelope (air sealing, insulation, cool roofs,window upgrades) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32%Transition to electronic ballast and energy-efficient lamps (T8 or T5) . . . . . . . . . . . . . . . . . . . 76%Install LED exit signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75%Install other LED lighting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40%PLAN TO IMPLEMENTIN THE NEXT 24 MONTHS.35%27%26%11%. . . . . . . . . . . . . . . . . 33%. . . . . . . . . . . . . . . 30%. . . . . . . . . . . . . . . . . . . 7%.21%32%32%30%. . . . . . . . . . . . . . . 14%. . . . . . . . . . . . . . . . . 11%.29%14%12%35%SOURCE: HEALTH FACILITIES MANAGEMENT/ASHE 2011 HOSPITAL ENERGY MANAGEMENT SURVEYelectronic ballast and energyefficient lamps are used by atleast three-quarters of therespondents. Beyond those,roughly half the organizationsalso are buying Energy Starcertified products (55 percent),upgrading building control systems (53 percent) or implementing energy conservationprograms (49 percent).“Most people are doing thecommonsense stuff now, someof the easy things that consultants were trying to sell us on15 years ago,” says Reed.About 29 percent are usingcommissioning or retrocommissioning of buildings andanother 33 percent plan to doso within the next two years,figures that Woodin says show18 J U LY 2 0 1 1 that ASHE’s efforts to promoteit are starting to pay off.Ongoing commissioning isfar more effective than anaudit because it is not just aone-time event and addressesthe performance decay inevitable over time in engineered building systems,according to Qualk, whose firmconducts such commissioning.Also telling were the initiatives that the overwhelmingmajority of organizations surveyed said they had no plansto implement. Those werephotovoltaic harvesting systems; replacing conventionalpower systems with cogeneration, fuel cells, photovoltaic orsolar thermal systems; anduse of chiller/heater waterW W W. H F M M A G A Z I N E . C O Msource heat pumps. The reasons behind the resistance toall three are the cost and thefact that return on investmentwouldn’t necessarily be immediate, according to Chisholm.“Those things are not goingto happen as quickly as people would like because of themoney involved,” he says.“Most CFOs don’t get excitedabout spending money unlessthey can see a return oninvestment in less than threeyears. The money is just notthere to do it.”Each of five buildingautomation system controlsare in use among more thanhalf of respondents: air handlers, variable-frequencydrives on pumps/fans, chillerplant optimization, fan/pumpspeed and boilers. Theamount of automation clearlyis rising — all have increasedsince the 2006 survey. ButQualk says the ones that havecome into use generally stillare underutilized. Steps suchas static-pressure reset andtemperature resets can go along way toward saving energy, he says, “because the mostefficient system is one thatyou can turn off.”Other strategies. Threeenergy-saving design strategies are proving particularlypopular in new constructionprojects: commissioning ofbuilding energy systems; integration of low-energy strategies such as building massing
» ADVANCING EFFICIENCYand orientation; and “daylighting.” Those won’t provide anything but a peek at the futurefor the vast majority of facilitymanagers, however, since newconstruction has tapered offand just 6 percent of respondents have main hospitalbuildings that are less thanfive years old.Fewer than one in five surveyed organizations (19 percent) is using LEED certifications in new construction.Woodin says many more thanthat have voiced interest inusing LEED requirementswithout going to the extra costof getting certified. Thatshows, he says, that “they’remore interested in the outputthan they are in getting theplaque to put on the wall.”Some slightly differentstrategies are being incorporated into health care renovationprojects to save energy. Morethan half (51 percent) are usinghigher-efficiency HVAC equipment, while slightly more than30 percent are using retrocommissioning and/or reducedlighting power density andoccupancy controls.Organizations clearly haveput more effort into emergency planning in recent yearsto address energy needs incrises. Asked how energyplanning is being incorporatedinto facilities design to addressdisasters, 38 percent cite anemergency power system, thesame percentage say additional generator capacity and 31percent mention additionalfuel-storage capacity. Theimpact of Hurricane Katrinaand the East Coast powerblackout may have turnedorganizations’ emphasis moretoward natural disasters.Fully two-thirds of surveyrespondents say they participate in a demand-responseprogram, committing to runtheir emergency generators toalleviate load/stress on thegrid. That’s an impressivenumber considering that thoseprograms are available only inareas where utilities have aproblem meeting maximumdemand.Another way for hospitals tosave on power is to renegotiatetheir electrical contracts in theretail market to take advantage of excess generationcapacity, says MichaelKuechenmeister, FASHE,CHFM, director of plant operations for West Chester (Ohio)Hospital.That’s only possible instates where electricity hasbeen deregulated — much ofthe Northeast plus a handful ofother states such as Illinois,Michigan, Ohio, Oregon andLeading design strategies boost efficiencyTOP 10ENERGY-SAVING DESIGN STRATEGIESIN NEW CONSTRUCTION PROJECTS38%34%32%Commissioning of buildingenergy systemsIntegration of low-energy strategiesinto buildling design (e.g., buildingmassing and orientation, passiveheating/cooling, etc.)TOP 10ENERGY-SAVING DESIGN STRATEGIESIN RENOVATION PROJECTS51%Higher-efficiency HVAC equipment31%Audit to review performanceof existing building energy systems(retro-commissioning)Load-reduction strategies24%Low-energy design consultingservices21%Energy modeling programs19%Use of LEED certifications17%Spectrally selective glazing7%Renewable energy sources (e.g.,wind, solar electric or solarthermal, geothermal, biomass)5%Use of EPA’s Target Finderto assess the energy performanceof the construction process38%Emergency power system38%Additional generator capacity31%Additional fuel-storage capacity30%Reduced-lighting power density andoccupancy controls26%Additional UPS capacity20%Use of energy-management analyst24%Additional cooling capacity19%Daylighting23%15%Lower-pressure ductwork designand higher-efficiency fansLocation or relocation of criticalsystems above flood levels22%Paralleling generators with utilityservices to pick up entire buildings20%Energy plant vulnerability analyses20%Flexible fuel capacity17%Improved air pressure controland isolation capabilitiesDaylighting24%TOP 10ENERGY INITIATIVES IN FACILITIESDESIGN TO ADDRESS DISASTERS,TERRORISM AND MASS CASUALTIES14%Energy-modeling programs14%High-performance window glazingwith overhangs8%Enhanced building opaque envelopeinsulation3%Use of EPA’s Target Finderto assess the energy performanceof the renovation projectSOURCE: HEALTH FACILITIES MANAGEMENT/ASHE 2011 HOSPITAL ENERGY MANAGEMENT SURVEY20 J U LY 2 0 1 1 W W W. H F M M A G A Z I N E . C O M
with an eye on the bottom lineTrue innovation in energy management comes at aprice. Cutting-edge ideas typically don’t have thequick payoff that organizations like to see in atight economy.The hesitance to embrace new energy systems meansthat older innovations such as microturbines, solar cellsand wood-chip incinerators only now are being adopted byhealth care organizations in any number. Meanwhile, concerns about cost-effectiveness have stalled the acceptanceof some new solar applications such as thin film and building-integrated photovoltaic.“We as an industry have a hard time getting our administrations to support energy innovationsover capital projects and medical equipment acquisitions, things that will generaterevenue,” says Delbert Reed, CHFM,SASHE, director of facilities engineering at Ben Taub General Hospital in Houston. “People areunder a lot of pressure toreduce costs.”Some organizations are pushing ahead as energy innovators,however, even as they keep aclose eye on the bottom line. Theyinclude the following:WIND TURBINE. Kadlec RegionalMedical Center in Richland, Wash.,installed a 5-kilowatt, multidirectionalwind turbine that’s designed to workat lower wind speeds. After rebateincentives from the Bonneville PowerAdministration and American Recovery and Reinvestment Act, the costwas 80,000.Kadlec isn’t counting on the small turbine for big savings, though. The hospital wanted to showcase a new technology as part of a broad energy-saving plan. “It’s not perfected, but it’ll take off at some point,” says Don Thornton,director of facilities.The demonstration project is one of 10 facility measuresthat collectively save the organization 30 percent on itselectricity, or 250,000. The others include high-pressuresteam plant staging and crossover, putting a variablefrequency drive on an existing chiller, a solar photovoltaicarray and a lighting retrofit, which provides the greatestsingle savings at 51,000 a year.FAN-WALL TECHNOLOGY. Kaiser Permanente is amongthose to have invested in this concept in air handling,which consists of a multiple-fan array to move air ratherthan traditional single- or dual-fan HVAC equipment.Daniel Green, project director for MEP and commissioningfor Kaiser in Portland, Ore., says the technology wasinstalled there in 2006 and has performed as promised,providing many advantages and advances. The fan wall actually was cheaper than a single-fan unit, he says.The fan-wall technology since has become the standardfor HVAC systems for Kaiser programwide.SOLAR. Sutter Auburn (Calif.) Faith Hospital last yearbecame one of the first acute care facilities in California tohave a large portion of its energy demands met by two solararray systems. The two arrays consist of nearly 3,000 solarpanels and have a combined capacity of 700 kilowatts, generating more than 1 million kilowatt-hours of electricity peryear. The hospital expects to save 2.5 million over the 25year duration of the project’s power purchase agreement withSunEdison, a solar-energy services provider. It remains connected to the traditional electrical grid and has backup generators available in the event of problems with the solar arrays.WOOD CHIPS. Cooley Dickinson Hospital inNorthampton, Mass., which had operateda wood-chip plant since 1984, upgradedthe facility awhile ago.It installed a second wood-chip boilerin 2006 that produces higher-pressuresteam, allowing the hospital to installtwo electric turbines that generate350 kilowatts of electricity. It alsoput in a new 680-ton absorptionchiller. The net savings achievedby using wood instead of oil area whopping 2 million a year,according to John Lombardi,director of facilities.SHUTTERSTOCK.COM“There’s a lot of operatingcosts, a lot of overhead,” Lombardi says. “But it’s worthdoing because of the bottom line and the environment.”CHP FROM BREWERY WASTE. Combined heat and power, or cogeneration projects, are increasingly common. Butthe one used by Gundersen Lutheran Health System in LaCrosse, Wis., is unique. Powered up in 2009, it uses biogas discharged from the nearby City Brewing Co.’s wastetreatment process and turns it into electricity.The project enables the waste biogas to be captured,cleaned and sent through an engine that GundersenLutheran installed at the brewery site. The engine generates electricity that is then transferred to the power grid.And heat generated from the engine is recycled back to thebrewery’s wastewater-treatment process.Total electricity generated is about 2 million kilowatthours a year, about 5 percent of the amount used by thesystem. COVER STORYENERGY INNOVATIONS
» ADVANCING EFFICIENCYTexas. But Kuechenmeister,whose hospital achieved significant savings by doing so,says many in those statesaren’t aware that the price ofelectricity goes up anddown just like gasolinedoes. Due to the economy, he notes, a lot ofexcess generation isavailable and that hasdriven the cost of electricity down.Proactive steps.Asked to describe innovative energy-management strategies used intheir hospitals, organizations indicated theyare seeking savingsthrough tried-and-truemethods. About 37 percent cited HVAC/air handlingimprovements, 24 percent saidlighting system improvementsand 13 percent reported waterheater, steam or heat recovery.ASHE recently recognized13 health care facilities thatreduced energy consumptionby 10 percent or more in avariety of ways, but generallyTenn.; St. Francis Eastside inGreenville, S.C.; and 11 Memorial Hermann hospitals in theHouston area — saved almost 13 million in energy costsFacility managers andothers are starting to realizehow greater energyefficiency may help advancepatient care goals.by closely adhering to EnergyStar guidelines. The winnersof the Energy Efficiency Commitment (E2C) awards — Baptist Hospital in Nashville,Subscribe Today for FREEVisit www.hfmmagazine.com/subscribecompared with that of theirbaseline years, and achievedenergy savings of 449 millionkBtus, reducing greenhousegas emissions equivalent tothe amount from 17,800 cars.Leadership is at least as important as expensive new technology in the effort to achievesavings, Woodin says. “No matter what equipment you have,you have to have a doggedperson in charge who says‘We’re going to save energy.’”Compiling and coordinating energy-usage informationis key, too. Catholic HealthInitiatives (CHI) achievedmajor utility savings from its72 hospitals spread over 19states by engaging a bill-paying service — the NationalInformation Solutions Cooperative (NISC) — says DennisSmith, CHFM, assistant director of facilities services forCHI in Manhattan, Kan.Relying on NISC and EnergyStar Portfolio Manager enablesit to identify savings opportunities at hospitals with the highest energy costs, he says. NISCis one of several utility-bill payservices available.stated goals are all about providing exemplary patient care,promoting wellness and serving community needs.Yet, increasingly, facilitymanagers and others arestarting to realize howgreater energy efficiencymay help hospitals gather the resources toachieve their patientcare goals. “For a hospital with a 3 percentoperating margin,” Reedsays, “saving a dollar inenergy is equivalent togenerating 33 in newrevenues.”And it’s not just aboutreturn on investment.Paul Lipke, senior adviser for energy and buildings for Reston, Va.-basedHealth Care Without Harm,says more organizations areusing many energy tools —available at sites like www.practicegreenhealth.org. Theyare even estimating their energy-related pollutants’ contributions to such illnesses as asthma and chronic bronchitis andeven to premature death.In his group’s past dealingswith hospitals and health systems, he says, they wouldrarely mention that energyefficiency was part of meetingtheir mission to communities.Now, organizations like Cleveland Clinic have embeddedenergy efficiency and cleanenergy into their commitmentto patient care.“More people are connecting the dots — from energyefficiency to patient care,health prevention and community well-being,” he says. HFMDave Carpenter is a Chicago-basedfreelance writer whofrequently covershealth care industrytopics. Suzanna Hoppszallern is senior editorof data and research22 J U LY 2 0 1 1 W W W. H F M M A G A Z I N E . C O MHelping hospitals’ missionsfor Health FacilitiesThe quest for greater energyefficiency is invisible in hospital mission statements. ThoseManagement’s sisterpublication, Hospitals& Health Networks.
Health Facilities Management (HFM) and the American Society for Healthcare Engineering of the American Hospital Association surveyed a random sample of 4,865 hospital executives to learn about trends in hospital energy management. The response rate was 14 percent, or 691 completed surveys. HFM thanks the sponsors of this survey — Amer-inet .
Under the terms of the Specialized Mental Health Rehabilitation Act of 2013, a number of facilities previously categorized as General Long-Term Care facilities were re-classified as Specialized Mental Health Rehabilitation Facilities (SMHRF). These facilities are: Health Service Area 2 Sharon Health Care Woods, Peoria Health Service Area 4
The common thread among these studies is a powerful one: choosing the right leadership culture is the di erence between success and failure. Di erent leadership cultures serve di erent purposes. A hierarchy of culture exists—and each advancin
UCONN and Cooperative Extension, Holstein Assn., CT Sheep breeders.Members’ resources and outreach have been utilized for mailing lists and support throughout ADT process. Contact has primarily been via phone and Email as needed, 23 times - annually.
Manager, Facilities Asset Management, NWM. Facilities Asset Management Plan . FY2009 – FY2018. Prepared for the Integrated Program Review . July 3, 2008. 2. Goal and Strategy. Goals of Facilities Asset Management. . HVAC Upgrades. Recommended Improvements. Neccessary - NotFile Size: 713KB
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Click on directors to see expanded organizational chart. Director Facilities Operations Doug Bynum Utilities Operations Facilities, Planning, Design and Construction Facilities Management and Custodial Services Grounds and Waste Mgmt. Operations Associate VP Facilities Operations. Pag
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