April 1, 2014 Sean Goings, CEM, CHSP, SASHE Manager, US Healthcare Solutions, Schneider Electric TAHFM Interlink

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1 Building Efficiency April 1, 2014 Sean Goings, CEM, CHSP, SASHE Manager, US Healthcare Solutions, Schneider Electric TAHFM Interlink

2 The world is getting smarter. The advancement of communication technology enables a smarter city grid for our future.

3 Advances in technology are bringing g us closer together. The global community is collaborating like never before. In 2012, over 9.8 billion devices connected to the internet and more than 1.2 billion people engaged in social networking sights.

4 Renewable technology is more affordable than ever.

5 80% of carbon emissions 75% of the Earth s Energy consumption Our cities are growing. 50% of the Earth s population 2% of the Earth s surface

6 The growing cost of energy The surge in demand The world will spend more money on energy in the next 40 years than it has in the previous 400. The higher capital and system cost of renewable energy The increasing prices of primary energy

7 +10% Average global increase in energy prices predicted in the next 5 years Global trends in energy management As energy prices increase and margins erode, organizations need a partner to help them reduce and optimize energy consumption through energy management services. 41% 100% Building energy savings potential 51% Organizations have dedicated budgets for energy efficiency programs 35% Global energy demand growth by 100% 2040 By 2050, the worlds population over 60 will double

8 Healthcare buildings account for less than 1% of all commercial buildings, yet account for 5.5% of commercial building energy consumption. The operation and construction of hospitals uses 5% of all energy consumed in the United States; including buildings, transport and industry.

9 Healthcare energy consumption continues to grow with no signs of slowing down. What drives this demand? Codes, standards and regulations 24/7 operations Clinical technology advancement Digitization

10 Infrastructure and building technologies have a year life cycle. 25% of building s life cycle cost is financing and construction 75% of building s life cycle cost is operational

11 88% Of a hospital s energy is consumed by building infrastructure.

12 How can we ensure we are building efficiency?

13 Indentify the stakeholders Indentify the needs What are the services provided by the systems to its environment? Mission of the system Operational level (WHY) What are the functions that the systems shall perform? Function 1 Function 2 Function Function 3 4 Functional level (WHAT) What are the resources that form the systems? People Technical components Construction level Software Hardware (HOW)

14 Financiali health Health system priorities and needs. What are health systems most concerned about? Safety and security Regulatory compliance Patient satisfaction Staff productivity

15 Patient Simple workflow Visitor experience satisfaction Flexible configuration Staff productivity Reduces human error Simple patient interface Quiet environment Modern GUI Energy efficiency i Indoor environmental quality Light level control Entertainment options ALOS Automated compliance reporting Reduced liability Patient security risk Creates positive PR

16 The Energy Management Lifecycle is a collective strategy to address sustainability, energy procurement, power reliability and metering, infrastructure optimization, and measurement and verification.

17 Intelligent infrastructures

18 Functional areas impacted

19 Energy management lifecycle

20 Impact on business priorities

21 Traditional facilities design Multiple networks from different vendors Too many systems to learn Complex troubleshooting Higher Capex and Opex Obstacles to energy performance Biometrics Clinical & Elevator Intercom RTLS Patient Regulatory Critical Power Visitor Administrative Infant Staff Compliance Management Management Fire Safety Video Lighting Access Control Energy Management Intrusion Detection Building White Space Management Management

22 Simplify operations with an Integrated Control Platform that links and manages all functional data from building infrastructure systems, delivering the right information at the right time.

23 Health system enterprise

24 What do we do with Big Data. What if digitization no longer focuses on optimizing business communications but aims to maximize capacity and minimize energy consumption? Facility Benchmarking Standardized Compliance Reporting Proactive Fault Detection ti Predictive Modeling Behavior Empowering Dashboards Informed Energy Procurement Incident Forensics Carbon Footprint Analysis

25 The new Energy Efficiency paradigm unites the worlds of IT and energy to link and manage all elements of the smart grid, delivering the greenest energy at the cheapest price and the desired time.

26 Financiali health Safety and security Regulatory compliance Create use cases that make a difference and take advantage of IT and energy system convergence to document processes, drive operational efficiency and simplify interfaces. Patient satisfaction Staff productivity

27 Patient area setback. Establish occupancy by integrating BAS with clinical systems. Initiate setback of ventilation rates and temperature when rooms are not occupied. What to Look For: Census not at full capacity of staffed beds VAV box per patient room Progressive HIT platform that could act as occupancy trigger Reducing Energy Usage: Area with one of the largest conservation potentials in a hospital

28 Traditional project approach

29 Solutions based approach

30 Design and construction methodologies must support integration and foster early involvement, collaboration with technology integration partners, and complete Division 25 specifications. Potential cost savin ngs Planning SD DD CD Construction Occupancy Phases of Construction

31 Integration costs less. Coupling installation synergies with design and construction efficiencies, di drives costs down and delivers better life cycle. 15% in first cost reduction Proven to help achieve performance targets of < 170 kbtu/sf/yr in healthcare buildings

32 The Efficiency Economy is dominated by negawatts, not megawatts, Opex optimization and low Capex investment.

33 We are the architects of efficiency