Climate Smart Healthcare: LowCarbon and Green Strategy for

Health Sector

Ir. NOOR MUHAMMAD BIN ABD. RAHMAN

Engineering Services Division

Ministry of Health Malaysia

Environmental Issue

Malaysian Commitment

Reference: YAB PM at COP 15, Copenhagen on 17th December 2009

Economic Transformation Program

Rancangan Malaysia Ke-11

Rancangan Malaysia Ke-11

Low Carbon Cities

Low Carbon Cities

Low Carbon Cities

Low Carbon Cities

Towards Green Hospital

Sustainability

Sustainable Development Goals

Sustainable Framework for MOH

Acts/Regulations National Policies Standards

5 YearsMalaysia Plan

Safe Environment

Sustainable Development Goals

Economic Transformation

Program

Global

MOH

National

WHO, UNEP, UNDP, IFHE

EPU, MOF, MOH, JKR KETTHA, DOE, KPKT, MOSTI, CIDB, SIRIM, MGTC, SEDA, DOSH, IEM, BEAM

PartnershipGoals 6: Clean Water and SanitationGoals 7: Affordable and Clean EnergyGoals 13: Climate Change

Engineering Service Division, MDA, JKN, Hospitals, Institutions, Clinics

Sustainable Healthcare Facilities

Green Building&

National Commitment

Sustainable Healthcare Facility

Malaysia Commitment (COP21)

- 45% carbon reduction by 2030

Transformasi Nasional 2050

11th Malaysia Plan (Thrust 4)

- Pursuing green growth for

sustainability and resilience

Efficient Management of Electrical

Energy Regulations 2008

Renewable Energy Act 2011

Economic Transformation Programme (ETP)

- Oil, Gas and Energy

Government Transformation Programme (GTP)

National Energy Efficiency Master PlanNational Green Technology Policy

National Energy PolicyGovernment Green Procurement

Green Technology Master Plan

HSS Concession Agreement MOH Energy Policy

Green Healthcare Facility for a Better Tomorrow

PSK, MEET

Key Milestone

Sustainability Programme(HSS Concession Agreement)• Energy Management

• Indoor Air Quality

• Reduce, Reuse,

Recycle (3R)

• Technology Transfer

Sustainable Projects• Renewable Energy

Projects

• Energy Efficiency

Projects

• 3R Projects

• IAQ Projects

• Green Procurements

Green Healthcare Facilities• Energy Efficient

• Waste Reduction

GTP Achievement• 45% Carbon Reduction

• Environmentally Friendly

Buildings

• Sustainable Environment

2015 2016 20252018 2020

Green Building Pilot Projects• 5 Hospitals

• 2 Clinics

Sustainability Programme & Engineering Technology• Flood Safe Environment

• Fire & Electrical Safety

• Indoor Environmental Quality

• Utility Supply

• Hospital Sanitation

• Landscape Management

• Water & Waste Management

• Green Maintenance

• Health Engineering Technology

Assessment (HETA)

Sustainable Healthcare Facilities• Green Building

• Safe Environment

2030

Reliable and safe healthcare facility

SAFE ENVIRONMENT

Strategic Thrust Towards Sustainable Healthcare Facility

GREEN BUILDING

ENGINEERING TECHNOLOGY

HEALTHCARE ENGINEERING

EXPERTS

Sustainable asset and system across life cycle

Technology Assessment

Competency Training

Conserve environment and natural resources

Energy EfficiencyGB1SE1 ET1 HE1

Technical expert in sustainable management

Key Strategy

Waste ManagementGB3

Renewable EnergyGB2

Water ManagementGB4

Green ProjectGB5

Green ProductGB7

Flood Safe Environment

SE2 Fire and electrical safety

SE3 Utility Supply

SE4Indoor Environmental Quality

SE5 Hospital Sanitation

SE6 Landscape Management

Approval of Technology Application

ET2 Technology TransferHE2

Smart Partnership with Agencies

HE3

Green MaintenanceGB6

Green ProcurementGB8

Sustainable Projects

Rain Water

Harvesting

IAQ Remedial

Works

Green Building

Energy Efficiency

Renewable Energy

Recycling and

Composting

Financing

Sustainability Programme

HSS

Others i.e. KeTTHA,

CSR, NBOS

Management Tools

ASIS

BIM

BMS/BASEMSVirtual Library

Command Centre

Water Management

System

RFID, Remote

Sensing

CASIS

Green Healthcare Facilities

Energy Management- Energy Efficiency- Renewable Energy

Indoor Environmental Quality- Indoor Air Quality- Thermal Comfort- Lighting, Visual & Acoustic Comfort

Material & Resources- Waste Management- Reuse & Recycle Materials- Green Products

Water Management- Rain Water Harvesting - Water Efficiency

Site Management- Facility Management- Operation & Maintenance- Transportation

Innovation- Certified Qualified

Professional- Innovation & Sustainable

Project Initiatives

Elements of Green Building

LEED CERTIFICATION

LEED (Leadership in Energy and Environmental Design)

LEED is the most widely used green building rating

system in the world. The rating system is developed by

US Green Building Council (USGBC) that provides a

framework that can be applied to create healthy, highly

efficient, and cost-saving green buildings. LEED

certification is a globally recognized symbol of

sustainability achievement.

Green Building Projects

Target: >50 points

Implementation

LEED Certified

Green Building Projects

9. Documents Review

10. Final Review by GBCI

11. Credit Points Achieve Target

8. Preliminary Review by GBCI

12. LEED Green Building Certified

7. Submit Documents

4. Credit Points Implementation

3. Monthly Meeting

2. Detail Assessment

5. Prepare Reports

1. Establish Project Team

6. LEED Application

ACTION PLAN

Code Section Credit

LT Location and Transportation 8

SS Sustainable Sites 4

WE Water Efficiency 4

EA Energy and Atmosphere 28

MR Materials and Resources 1

EQ Indoor Environmental Quality 10

IN Innovation 4

RP Regional Priority 3

TOTAL 62

Currently, Hospital Langkawi is planning to achieve LEED v4 O+M

certification for Existing Buildings: Operations & Maintenance and

targeted to achieve LEED certification.

LEED CERTIFICATION

Success Story

RE Projects

1. Hospital Sungai Buloh (Solar Thermal Hot Water System) - 2016

2. Hospital Langkawi (Solar PV) - 2017

Solar Thermal Hot Water System

Hospital Sungai Buloh

Building Integrated Solar Photovoltaic

Building Integrated Solar Photovoltaic

Solar Module InverterCombiner

Box

Hospital Langkawi’s

Consumption with

expected generation

of 124,200.00 kWh or

reduction of carbon

emission by 92

tonnes per year

The plant operates by converting sunlight that hits the solar

module, into DC power. The inverter of the PV plant converts this

DC power into AC power and supply the AC power to the

hospital through the combiner box to match the hospital’s

incoming supply size.

EE Projects (NBOS -KeTTHA)

1. Hospital Kulai (2016)2. Hospital Sg. Siput (2016-2017)3. Hospital Sandakan (2017)4. Hospital Segamat (2017-2018)5. Hospital Miri (2018)6. Hospital Batu Pahat (2018) 7. Hospital Sabak Bernam (2018)8. Hospital Tawau (2019)9. Hospital Kuala Pilah (2019)

RM49mil –RMK11

Energy Efficiency Project

9nos

Government HospitalsEnergy Audit + Retrofit

5years

Implementation11th Malaysia Plan

(2016-2020)

Electricity Consumption51 mil kWh/year

RM18 mil/year

Project Information Outcome

Expected Energy Saving10 mil kWh/year

RM3.7 mil/year

Expected CO2 Reduction7,410 tCO2

Efficient ChillerNew Technology + Energy Saving

EE Projects (NBOS -KeTTHA)

1. Hospital Melaka

2. Hospital Ipoh

3. Hospital Kota Bharu

4. Hospital Temerloh

5. Hospital QE, Kota Kinabalu

RM4.4mil (2017) – RMK11

Estimated saving:

1.216 mil kWh @

RM492,050.00 per year

EE Projects (EPC)

1. Hospital Teluk Intan (2017)

2. Hospital Ipoh (2018)

3. Hospital Putrajaya (2018)

HOSPITAL TELUK INTAN ENERGY PERFORMANCE

CONTRACT (EPC)

ENERGY PERFORMANCE CONTRACT

EPC is a turnkey service, which provides customers with a

comprehensive set of energy efficiency, renewable energy and

distributed generation measures and often is accompanied with

guarantees that the savings produced by a project will be sufficient

to finance the full cost of the project.

A typical EPC project is delivered by an Energy Service Company

(ESCO).

ENERGY PERFORMANCE CONTRACT

An EPC project consists of the following elements:

• Turnkey Service – The ESCO provides all of the services

required to design and implement a comprehensive project at

the customer facility, from the initial energy audit through long-term

Monitoring and Verification (M&V) of project savings.

• Comprehensive Measures – The ESCO tailors a

comprehensive set of measures to fit the needs of a particular

facility, and may include energy efficiency, renewables, distributed

generation, water conservation and sustainable materials and

operations.

EPC TELUK INTANNo Item Description

1 Premises Teluk Intan Hospital

2 Commencement Date 01 February 2017

3 Contract Period for the Premises 8 years 2 months

4 Construction Period 1 February 2017 to 31 July 2017 (6 months)

5 Energy Performance Period 1 August 2017 to 31 March 2025 (7 years 8 months)

6 Monthly Saving RM 113,596.11

Truwater TXS600-2L

COOLING TOWER INS

TA

LLE

D

EQ

UIP

ME

NT

MultistackMTW450FC

CHILLER

INS

TA

LLE

D

EQ

UIP

ME

NT

Ebara 150 X125 FS4KA 5 30

CHILLED WATER PUMP &

Ebara 200 X150 FS4JA 5 15

CONDENSER WATER PUMP

INS

TA

LLE

D

EQ

UIP

ME

NT

EMGS CERTIFICATION

Energy Management Gold Standard (EMGS)

System of certification based

on excellence in energy

management. The

certification is issued by

Asean Centre for Energy

(ACE) through GreenTech

Malaysia.

EMGS CERTIFICATION

Status of EMGS Certification 2017

1-Star – 89 Hospitals

2-Star – 1 Hospital

3-Star – All hospitals to obtain the certification by

year 2020.

3R Projects

ANAEROBIC FOOD DIGESTOR

COMPOSTING MACHINE

RAINWATER HARVESTING

CERTIFICATION FOR 3R

IAQ Projects

IAQ Monitoring Projects

• Carbon Dioxide Monitoring

• Outdoor Air Monitoring

Rectification Works

• To comply ICOP Parameters

IAQ Improvement Projects

• UVGI

• Air Purifier

Energy Saving 2017

Energy Saving 2017

Carbon Reduction 2017

17,259,643.96

7,612,256.35

2,110,568.60

5,834,062.57

10,263,711.69

Edgenta

Sedafiat

One Medicare

Medivest

Radicare

Carbon Reduction (Tonne)

Overall Saving 2017

0.00

10,000,000.00

20,000,000.00

30,000,000.00

40,000,000.00

50,000,000.00

60,000,000.00

54,692,650.25

21,800,536.38

43,080,243.17

Overall Savings in kWh & RM, Carbon Reduction (Tonne)

Saving (kWh) Saving (RM) Carbon Reduction (Tonne)

Conclusion

Green practice is a continuous efforts

Thank You