THE NEW AGE OF ENERGY CONSCIOUSNESS

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1 THE NEW AGE OF ENERGY CONSCIOUSNESS Healthcare Infrastructure Summit April 17-19, 2013 P. Boucher C. Barnett A. Ford

2 Energy in a Healthcare Infrastructure Context Energy is important to Canadian hospitals Second highest energy intensity 2.83 GJ /m 2 (vs GJ/m2 for average ICI) ~43% of plant O&M budget in 2006 Healthcare energy bill exceeds $1b annually Cost conscious operating environment Sponsors respond for new infrastructure Some energy efficiency from sustainability targets (e.g., LEED ) Proposal evaluations now seek to optimize energy decisions (including capital, maintenance, utilities, and technical risk) Optimization can now be backed by long term consumption guarantee (e.g., DBFM s in Ontario, BC, federal) 2 Other Considerations Future energy saving technologies Renewable energy opportunities In other jurisdictions such as UK; application to redevelopment projects and including carbon footprint

3 Optimizing Energy Consumption for New Infrastructure Partnership with appropriate management of energy risks Hospital risks: How clinical and other programs at the hospital are delivered Cost per unit energy purchasing strategies Private partner risks: How the infrastructure is designed and constructed How building systems are operated and maintained to meet comfort standards Requirements for holistic perspective on energy efficiency Energy performance Gain-sharing from new technologies Incentives to collaborate 3

4 Energy Efficiency for New Infrastructure How it s done for DBFM procurement Simultaneous energy, financial modeling Benchmark energy models are used to forecast consumption using Characteristics of the facility Hourly operating analysis Impact of equipment and personnel Financial models used to optimize capital, maintenance, and energy Recognizes benefits of patient control over their environment (e.g., operable windows) Cost commitments for renewable energy production and coordination 4 Benefits to the hospital and other stakeholders Personnel present in the hospital with a strong financial interest in energy consumption Contract flexibility to change hospital services Gain-sharing from new technologies Incentives to collaborate, including response to regulatory changes

5 Total Energy and Sustainability Management (TESM) An Integrated DBFM Service during the Operational Term Resource efficiency is established from project inception in a DBFM contract, but must be maintained and managed through a living Energy and Sustainability Management plan that delivers the set Energy Targets and more TESM is the next evolution of facilities management delivering a faster, smarter and more integrated response to managing resource consumption and sustainability What TESM may mean to your organization Compliance Bottom Line Savings Community Leadership Intelligent Systems and Processes 5

6 Compliance - Reporting in the Public Sector Regulated and voluntary reporting of consumption and/or emissions across Canada Green Energy Act of Ontario, Regulation 397/11 Reporting of annual energy consumption and greenhouse gas emissions beginning July 2013 Energy Management Plans July 2014 Comparable Initiatives Across Canada BC 2007 Greenhouse Gas Reduction Targets Act. Drove a successful carbon reduction program resulting in carbon neutrality for the Public Sector in Annual reporting of GHG emissions, reduction plans and offset investments to maintain neutrality (from 2011) BC, MB, ON, QC - Western Climate Initiative (WCI) Voluntary membership, commitment to reduction targets as members. Anticipates the implementation of a capand-trade policy. Goal 15% reduction on 2005 by 2020 Regular reporting requirements of DBFM contracts include requisite data that can be used to support compliance 6

7 Case Study: Energy Management at Brampton Civic Hospital Acute care community hospital 127,000 emergency visits per year 290,000 ambulatory visits per year 5,000 births per year 608 acute care beds 18 operating rooms 1.3 million ft 2 Relationship with FM Services Provider Full suite of hard FM and soft FM services DBFM program supports the collaboration of the Client and Service provider in maintaining energy targets at full occupancy Carillion Services is a supportive partner in the context of energy management and is working together with Osler to meet our collective energy objectives 7

8 Case Study: Energy Management at Brampton Civic Hospital Establishing a Path to Energy and Sustainability Management Inception of Osler Energy and Sustainability/Environmental Committee (OESEC) Fall 2012 Objectives To establish an approach to energy and sustainability system-wide, including Brampton Civic Hospital and Etobicoke General Hospital Streamline access to information for reporting in preparation for the requirements of the Ontario Green Energy Act new regulation 397/11 Identify opportunities at each site for real cost savings through efficiency projects and demand management All utilities: Electricity, Gas & Water Demonstrate a commitment to Sustainability and a new approach to operations considering the triple bottom line People, Planet, Profit Instill a culture of conservation within support staff, clinical staff and even transient users through education and awareness programming 8

9 Case Study: Energy Management at Brampton Civic Hospital Supporting the OESEC with TESM Module 1 - Profile An Energy Management Information System (EMIS) was installed in late Real-time electricity and natural gas data was both streaming to an online portal by November 2011 and water late 2012 Bill Validation is managed by WOHS utilities procurement agent 9 Facility Profiling was completed in January 2013 in preparation for the Module 2 Prospect Audit and was streamlined with the support of the facilities team and their extensive knowledge of the facility

10 Case Study: Energy Management at Brampton Civic Hospital Supporting the OESEC with TESM Module 2 - Prospect With a baseline established through the monitoring system, savings captured through bill validation and a profile of the facility assembled, the team moved on to Module 2, delivering an on-site Prospect Audit in February 2013 Next step Module 3. Detailed development of prioritized hard and soft measures along with incentive support and lifecycle coordination within the DBFM contract 10

11 Case Study: Energy Management at Brampton Civic Hospital Early Benefits of an EMIS Gas Threshold Management A risk of contract demand charges is recognized at BCH when natural gas consumption values are over 38,000 m 3 in a 24-hr period During January 2013, a very cold period brought the facility close to this threshold, as observed through the EMIS Real-time responsiveness from the Energy Team resulted in mitigation of the risk of crossing the threshold through system alerts and minor facilities temperature control modifications by our FM team 11

12 Case Study: Energy Management at Brampton Civic Hospital Continuous Benefits of an EMIS Real-time EMIS capability is not currently mandated in DBFM contracts, but is considered a first consideration in effective TESM delivery. Supports the development of a reliable baseline; Provides access to real-time consumption behavior Offers many diagnostic tools used for ongoing analysis, monitoring, reporting and targeting 12

13 THANK YOU DISCUSSION