Sustainability 101 - HESNI · Meet the Presenters u Ryan Ollie, CEM, CMVP, EIT u Manager of Energy...
Transcript of Sustainability 101 - HESNI · Meet the Presenters u Ryan Ollie, CEM, CMVP, EIT u Manager of Energy...
Sustainability 101
HESNI Quarter 1 Meeting
March 9th, 2017
Meet the Presenters
u Ryan Ollie, CEM, CMVP, EIT
u Manager of Energy Solutions, Advocate Health Care
u HESNI Energy & Sustainability Liaison
u Katie Wickman, MS, RN, CIC
u Manager of Sustainability, Advocate Health Care
u Michael Smucker
u General Manager of Environmental Services, Aramark/Advocate Health Care
Agenda
u Introduction u What is Sustainability?
u Main Areas of Sustainability in Healthcare u Green Buildings
u Waste Reduction Strategies
u Green Purchasing
u Green Cleaning
u What is Energy Management? u Growing Popularity in Healthcare u Energy Utilization u Benchmarking
u Operational/Capital Examples u Utility Incentives/Rebates
u Questions/Comments
What is Sustainability?
u “Sustainability is based on a simple principle: Everything that we need for our survival and well-being depends, either directly or indirectly, on our natural environment.”
u “To pursue sustainability is to create and maintain the conditions under which humans and nature can exist in productive harmony to support present and future generations.”
- US Environmental Protection Agency
Sustainability in Health Care
Images from Practice Greenhealth (practicegreenhealth.org)
Green Buildings
u Energy & water efficiency
u Sustainable building materials
u Low/no hazardous materials (lead, mercury, VOCs, others)
u Local or sustainable products (sustainably-harvested wood, etc)
u Designing for health
u Maximizing daylighting, connecting to nature, spaces for respite
u Designing for sustainable operations
u Utility rooms, collection areas for recycle streams, cafeteria design, food waste prevention & management, etc
u LEED (Leadership in Energy & Environmental Design)
Building sustainable spaces – and building for sustainable operations.
u Greening existing buildings…
It’s complicated.
Green Operations - Waste Reduction Strategies
REDUCE
Green Operations - Waste Reduction Strategies
u Regulated medical waste
u Fluid management systems
u Proper segregation
u Reformulating OR packs
u Materials management
u Reusable service ware
u Cafeteria
u Break rooms
u Food waste prevention
u Going “paperless”
u Using only what you need
REUSE
Green Operations - Waste Reduction Strategies
u Reprocessing
u Surgical devices
u Medical devices
u Furniture/equipment management
u Redeployment
u Donation
u Donation
u Food
u Supplies (expired, etc)
u Decommissioned equipment
RECYCLE
Green Operations - Waste Reduction Strategies
u Co-mingled
u Confidential paper
u Batteries
u Blue wrap
u Electronics
u Scrap metal
u Construction debris
u Bulbs & ballasts
u Toner / cartridges
u Composting
Green Purchasing What we buy matters – our purchasing dollars make a difference in our facilities and can help transform the market.
u Considerations
u Product content (recycled content, sustainably-sourced materials)
u Chemicals (mercury, fire retardants, PVC, DEHP, etc)
u Packaging
u End of life (take back, reuse, reprocess, recycle)
u Local/regional products
Green Purchasing What we buy matters – our purchasing dollars make a difference in our facilities and can help transform the market.
u Key products & services
u Furniture/interiors/flooring (flame retardants, PVC, environmental certification)
u Medical products (PVC/DEHP, recyclability, reprocessing)
u Environmental services (green cleaners, recycling services)
u Food (meat raised without antibiotics, local/certified sustainable, recyclable/compostable service ware, healthy beverages)
u Electronics (EPEAT certified, recycling)
Healthier Hospitals
u Free program of Practice Greenhealth
u Challenges & resources u 6 challenge areas:
u Engaged Leadership u Healthier Food u Leaner Energy u Less Waste u Safer Chemicals u Smarter Purchasing
u 1800+ hospitals enrolled (HH/PGH)
Green Cleaning
Green Cleaning Products u HH Standard- Inventory cleaning
products and purchase 90% Green Seal or UL ECOLOGO certified cleaning products in the following categories:
u Carpet
u Window
u All purpose
u Bathroom
u General floor care*
*Does not include strippers or finishes
78.00%
80.00%
82.00%
84.00%
86.00%
88.00%
90.00%
92.00%
94.00%
System Average
Green Cleaning Compliance
2014 2015 2016
Business Case for Green Cleaning
u Chemical selection to HH criteria with cost impact
u Overall cost reduction as compliance increased
$0
$20,000
$40,000
$60,000
$80,000
$100,000
$120,000
Chemical Costs per Year
Chemical Costs
2014 2015 2016
Microfiber
u Effective at capturing microbes
u Prevents cross-contamination
u Reduces chemical and water use more effectively
Interiors
u Special selection of interior surfaces
u Upholstery selection of furniture
u Paint
u No finish flooring
u Labor saving
Health Impacts of Green Cleaning
u By switching to safe and effective alternatives, hospitals can create a
u healthier environment for patients, staff members and communities.
u Lower disposal costs and limits liability.
u Industry is driving a marketplace shift by creating the demand, and suppliers are responding.
What is Energy Management?
“Energy management is the process of monitoring, controlling, and conserving energy in a building or organization.”
- BizEE Software Ltd
Growing Popularity in Healthcare
u Healthcare providers are being asked to do more with less
u Hospitals consume an enormous amount of energy
u Managing energy consumption with efficiency in mind is becoming more of a focus in healthcare facility operations
Energy Utilization Index (EUI)
u A popular way of analyzing energy consumption is by calculating the EUI
u EUI [kBTU/SF] = (Total BTU’s of Electricity & Natural Gas)/(Total SF x 1000)
u 1 kWh = 3,412 BTU’s
u 1 Therm = 100,000 BTU’s
Continued
u This method allows facilities staff to compare energy usage across different buildings of various size on per unit basis
u Normalize for weather and occupancy
Versus
Energy Benchmarking
u “A mechanism to measure energy performance of a single building over time, relative to other similar buildings, or to modeled simulations of a reference building built to a specific standard (such as an energy code).”
- US Department of Energy
ENERGY STAR Portfolio Manager
u Free web-based tool created by the Environmental Protection Agency
u Helps facility management staff and partners track and compare energy usage across a portfolio of properties
u Specific building categories for general medical/surgical and medical office properties
Continued
u Various high-level and detailed reports in the tool helps users showcase performance
u Uses a proprietary scoring method to rank buildings from 1 to 100
Continued
u Score of ≥ 75 allows building to receive nationally recognized ENERGY STAR certification
u Only 58 hospitals nationwide received the certification in 2016
Energy to Care
u ASHE’s Energy to Care (E2C) program is a free benchmarking and awards program for health care facilities
Continued
u If you are already utilizing ENERGY STAR Portfolio Manager, it allows you to easily import all of your energy data into the tool
u You can also manually enter data into the tool
u Many powerful features to help track and analyze energy usage behavior
Continued u Various awards and challenges are offered to participating members
u HESNI is currently competing in the E2C Chapter Challenge against other chapters across the country
Operational Energy Efficiency
u Preventative maintenance is the first line of defense for energy efficiency improvements.
u Often requires little to no investment
u Preserves the life of existing equipment
u Examples:
u Ensure heating/cooling coils are cleaned and maintained to reduce the fan HP needed to overcome resistance caused by plugged coils
u Regularly replace dirty air filters for the same reason
Energy Efficiency Checklist
u Advocate created an energy efficiency operational checklist
u Helps standardize proven procedures
u Proactive approach (preventative maintenance)
Energy Efficiency Capital Project Example
u Where to use recovered heat?
u Boiler feed water
u Boiler make-up water
u Domestic hot water
34
Boiler Flue Stack Economizers
35
De-aeratorVentHeatRecovery
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Utility Incentives (Rebates)
• ComEd, Nicor, North Shore/Peoples Gas, and Ameren have state requirements for energy efficiency incentive/rebate programs
• Prescriptive
• Custom
• New Construction
• Retro-Commissioning (Cx)
• Monitor-Based Cx
• Data Centers
• This is money that everyone pays on their utility bill
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Questions/Comments
Sources
u http://greenpsf.com/pub/pages/benchmark
u http://www.scoop.co.nz/stories/GE0909/S00010/biggest-hospital-building-just-what-the-dr-ordered.htm
u https://chemical-materials.elsevier.com/chemical-manufacturing-excellence/sustainability-instrumentation-process-control/
u https://mcdmag.com/2013/11/efficiency-radar-todays-trends-what-the-future-holds-for-healthcare-energy-management/#.WHehOVXR-M-
u http://www.insidegreenecounty.com/Being-Healthy-in-Greene-County-34
u http://www.energytocare.com/
u https://www.energystar.gov/buildings/facility-owners-and-managers/existing-buildings/use-portfolio-manager
u http://cmsmechanical.com/recent-news/energy-management-gains-ground-globally/
u http://www.metropolitanind.com/blog/category/green_solutions/