A Strategic Case Study of Hospital Administration: hospital consolidation
Clare Hospital Case Study
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Transcript of Clare Hospital Case Study
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7/29/2019 Clare Hospital Case Study
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SITE
First built in between 1970 and 1971, Clare
Hospital (CH) is a 25-acute-bed sub-regional
hospital situated in the hills and outskirts of
Clare. CH is located at 41-45 North Road,
Clare, South Australia.
BACKGROUND
In year 2000, Clare hospital underwent an
extension and refurbishment of the Theatre,
Delivery, Recovery CSSD and Support Areas.
Since that time the air conditioning systems in
these areas have proved to be problematic
and a number of alterations and additions
have been made in an effort to overcome
the deficiencies.
System Solutions Engineering (SSE) was
commissioned to investigate the mechanical
system and provide engineering options.SSE was briefed by Mr Rick Jarvis who has
been involved with the operation of the plant
since inception and taken complaints from
staff and he has also been involved with the
rectification of defects and the additions to
the systems since commissioning.
There were many complaints regarding the
system;
Temperature fluctuations in the Theatre
(mainly cold air falling from the diffusers to
work area).
Temperature fluctuations have been
ongoing in the areas other than theTheatre.
The heater bank installed during the period
2001 2003 has been problematic and
the safety controls had failed, resulting in
a dangerous overheating issue. (New flow
switch fitted)
Complaints about the energy consumption
in this area due to the use of the heater
bank.
The HEPA filters require constant
adjustment and the indication is located
in the ceiling space.
Concerns have been raised about the
pressure exerted on the flexible ductworkto the HEPA filter modules.
Type of pre-filter used upstream of the
HEPA filters.
The doors between the Theatre Area and
the main Hospital need to remain open
to allow return air to get back to ACU-5
and this area is a transfer area from the
change rooms to the Theatre area and
the Hospital would rather have the doors
closed.
The supply air fan is continually breaking
causing the unit to fail.
The wiring within the air conditioning unit
and the heater bank is poorly installed
and difficult to fault find. The wiring has
not been numbered, tidied up and
proper wiring diagrams provided for the
manuals.
CASE STUDY:
Clare Hospital - Riverland Regional Services
SSE INVESTIGATIONS
The Subject Area (Theatre, Delivery,
Recovery CSSD and Support Areas) was
designed as one functional/thermal
zone. The air conditioner is an AirChange manufacture 100% outside air
unit incorporating a heat exchanger with
evaporative assistance, and two stages of
heating and cooling.
The operation of the system as designed,
was for the control of the environment
within all zones at 220C with the location
of the controlling sensor from the 1st
Stage Recovery (Predominantly) and from
Theatre (On Demand) when in use.
During the first months of operation the
use of the Theatre at (180C) below the
designed set point of 220C and this resulted
in complaints of too cold in all other areas.The reality was found that the Theatre
should infact be a separate thermal zone
to ensure that its operation at a differing
setpoint so that it does not affect the other
adjacent spaces.
In order to provide a separate thermal
zone within the original design, a heater
bank of approximately 12 kW (4 stages)
was installed with the conditioner being
controlled by the Theatre sensor at 180C
and the heater controlled by the sensor in
the 1st stage recovery. This theoretically
allows the Theatre to control the air
conditioning for cooling and heating tosatisfy the thermal zone of the Theatre and
the remaining areas to be zoned by the 4-
stage re-heater.
Whilst this approach does provide zoning
with the Theatre as the driver of the air
conditioning demand and the heater
bank, will in most cases be fully utilised to
offset the lower supply air to achieve a 40C
rise to satisfy the remaining air conditioned
space. If the load within the remaining
area is lower than design and the theatre
is at designed temperature, the 12 kW
heater may not be large enough and
this may be the reason why there are stillcondition complaints from the Delivery,
Recovery CSSD and Support Areas.
KEY INITIATIVESMechanical system upgrade
New BMS
Human Comfort
Energy Efficiency
KEY OUTCOMESElectrical Energy Savings:
30,318kWh pa or 109,146 MJ pa
(4% site reduction)
9 kWh/m2 pa or 32 MJ/m2 pa
Cost Savings:
$4780.00 pa
$1.40 per m2 pa
Payback Period:
Just above 10 years
Greenhouse Gas Savings:30 Tonnes of CO
2
(4% site reduction)
Equivalent to taking 7 average
passenger vehicles off the road
9.15 kg CO2
per m2 pa
Internal Rate of Return:
7.3%
KEY CONTACTSDepartment of Health
Mr John Diplock
Project Manager
Tel: (08) 8226 6354
Email: [email protected]
System Solutions Engineering
Mr Brad Maynard
Managing Director
Tel: (08) 8333 1855
Email: [email protected]
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PROJECT IMPLEMENTATION
SSE designed two main projects; project 1
addressing the complaints and problematic
mechanical system; Project 2 aiming
energy efficiency of the mechanical
system through the Building Management
System (BMS).
PROJECT 1
Mechanical system upgrade mainly at
operating theatres and area serve by
ACU-5, was scoped under the project.
Installed new hard supply air duct
between four (4) HEPA filters and existing
supply air duct.
Installed new portion of supply air duct,
including the existing in-line supply air fan
with upgraded motor and new variable
speed drive, water cooling coil, air filters
and balancing dampers.
Extended the two return air ducts and
connect to the new supply air duct at
the fan suction side.
Installed new air-cooled chiller, to serve
the single cooling coil only, inclusive
of circulating pump, valves, piping
electrical and controls.
Installed new D.D.C. control system
to control the operation of the chiller-
circulating pump-cooling coil and
HEPA filters-supply air fan arrangements,
suitable for connection to future BMS
system and inclusive of one variable
speed drive to the supply air fan.
Associated electrical work.
Removed the existing heater bank
serving the non theatre areas served by
ACU 7.
Replaced the evaporative assistance
pump with an AIRAH type for ACU 7.
Replaced the dump valve with a
motorised ball valve type for ACU-7.
Replaced fan belts and pullies on the
supply and exhaust air paths of ACU-7
A filter plenum for ACU-7 to house new
filters of either four peak or V Form type
to replace the existing air filtration.
Reconnected the outdoor air flexible
connection to the wall of the filter
plenum.
Installed fire/smoke damper in the new
return air duct and interlock with the
existing fire/smoke damper, so the two
operate simultaneously and in the same
direction.
PROJECT 2
This project involves mainly the BMS aiming
for energy efficiency. The entire system was
designed to incorporate the latest software
revisions inclusive of the Automated Logic
Systems including the ultimate facility toWEB enable the system and connection to
the intranet.
For each of the air conditioners the
following control elements were provided;
New temperature sensors complete with
after hours push buttons where the plant
is scheduled to run rather than run 24
hours per day.
Logical and user friendly active
graphics using CAD plans for setpoint
manipulation via graphical hot spots.
Expand the current systems as they arecurrently set up.
WEB Enabled the existing dedicated BAS
PC located in the Hospitals Computer
Room and arrange for a PSTN line, an
ADSL connection and router for the BAS
System. Set up VPN access via the WEB
and provide a notebook computer with
all required software to allow remote
access via either a dial up connection
or alternative ADSL connection.
STRATEGIES IMPLEMENTED
Fire shutdown of all air conditioning in fire
mode.
Run status for all plant.
Fault status for all plant based on
scheduled to run and not running logic.
An architectural graphic (active) for the
entire site and further graphics for each
specific area to assist with interrogation.
Thermal controls to allow staging of
capacity to meet demand.
Time schedules independent to each
unit to allow tailoring of operational
parameters to meet specific usage
patterns.
After hours override and green LED runindication.
BENEFITS
Monthly cumulative electricity
consumption graph compares electrical
energy consumption between 2003-04
against 2006-07 financial year. This is an
annual electricity reduction of 30,319 kWh
which is equivalent to annual reduction of
30 Tonnes of CO2
emissions.
The Clare Hospital Mechanical Project is
another environmentally responsible site
that System Solutions Engineering is proud
to showcase our clients.
CONTACT USEmail: [email protected]
Street Address
Level 1, 75 Fullarton Road
Kent Town
South Australia 5067
Telephone: +61 08 8333 1855
Facsimile: +61 08 8333 1866
CASE STUDY: Clare Hospital - Riverland Regional Services
0
100,000
200,000
300,000
400,000
500,000
600,000
700,000
800,000
Jul A ug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
MonthlyElectricityConsumption
(kWh)
2003/04 2005/06