Conservation & Demand Management Plan

Conservation & Demand Management Plan Page 1 of 20

1 Executive Summary Conservation & Demand Management Plan 2014 The following Energy Conservation and Demand Management Plan is written for the Chatham-Kent Health Alliance in accordance with sections 6 and 7 of the Green Energy Act, 2009, O. Reg.397/11. The utility consumption data analyzed in this report is from 2011/2012. The Chatham-Kent Health Alliance (CKHA) encompasses approximately 500,000 square feet across two sites. It is a proud partnership of 3 hospital corporations: Public General (PGH), St. Joseph s Hospital (SJH) and Sydenham District Hospital (SDH). Established in 1998, the Alliance s 1,300 staff, 100 physicians and 600 Volunteers provide quality, compassionate healthcare services for 107,000 residents of Chatham-Kent, South Lambton and Walpole Island First nations. Chatham-Kent Health Alliance is committed to the promotion of a healthy environment by implementing effective environmental management practices. It is intrinsic to our mission, vision and values, as a responsible community partner, to ensure the future environmental health of our global family. Our program, Protecting our Earth, Ensuring our Future has been recognized as leading practice in Green Healthcare. During the utility consumption analysis period, our facilities consumed a combined 235 ekbtu/ft 2, which is about equal to the Ontario hospital industry average of 229 ekbtu/ft 2. All three facilities together emit 5,272 tonnes of CO 2. Goals and Objectives Reduce energy usage and eliminate waste Maximize capital investments in infrastructure and building systems to minimize energy usage Implementation of best practice initiatives and innovative technology Encompassing a complete Green Hospital environmental program Support our commitment of a healthy environment for our patients, staff and the community Learn from our peers and share with our partners on innovative Energy Conservation solutions 2 P a g e

2 Table of Contents 1 Executive Summary... 2 2 Table of Contents... 3 3 Ontario s Green Energy Act Overview... 4 3.1 Promoting Energy Conservation... 4 4 Introduction... 5 5 Our History & Mission... 6 6 Building Survey... 7 7 Energy Use... 8 7.1 7.2 Utility Consumption Analysis... 8 Energy Utilization Index An Industry Comparative... 9 8 Greenhouse Gas Emissions... 10 9 Conservation & Demand Management Plan... 11 9.1 9.2 9.3 9.4 9.5 9.6 9.7 Honeywell ESCO Project... 11 Implemented Conservation Strategies... 12 9.2.1 Sustainable Environmental Stewardship Program... 13 Energy Matters... 14 Current Conservation Strategies... 15 Recent Sustainability Related Awards... 16 Proposed Conservation Measures... 17 Energy Commodities Management... 19 10 Closing Comments... 20 3 P a g e

3 Ontario s Green Energy Act Overview Conservation & Demand Management Plan 2014 Ontario s Green Energy Act (GEA) was created to expand renewable energy generation, encourage energy conservation and promote the creation of clean energy jobs. 3.1 Promoting Energy Conservation Conserving energy not only saves money for families and businesses, but it also lowers demand on the electricity system and helps reduce greenhouse gas emissions. Through conservation, Ontario homeowners, businesses and industry have saved more than 1,900 megawatts of peak demand electricity since 2005 the equivalent of more than 600,000 homes being taken off the grid. The GEA continues to promote conservation by: Making energy efficiency a key element of Ontario s building code Creating new energy efficiency standards for household appliances Working with local utilities to reach assigned conservation targets Protecting low-income Ontarians through targeted conservation program 4 P a g e

Conservation & Demand Management Plan 4 Introduction The intent of our Conservation and Demand Management Plan is to reduce operating costs while enabling us to provide outstanding health care and support to residents, patients, families, and the broader community we serve. The plan will also meet the requirements outlined in sections 6 and 7 of the Green Energy Act, 2009, O. Reg.397/11. To obtain full value from energy management activities, and to strengthen our conservation initiatives, a strategic approach will be taken. Our organization will strive to fully integrate energy management into our practices by considering indoor environmental quality, operational efficiency, and sustainably sourced resources into financial decision-making In order to remain leaders of environmental stewardship, multiple strategies have been put in place. This includes; Waste reduction & recycling programs, innovative energy conservation efforts, staff education, and implementing best practise programs. Although CKHA has been recognized for our efforts, we continue to work to implement new energy conservation initiatives and integrate sustainability into all aspects of our organization. Chatham Kent Health Alliance is committed to the promotion of a healthy environment by implementing effective environmental management practices. It is intrinsic to our mission, vision, and values as a responsible community partner, to ensure the future environmental health of our global family. Page 5 of 20

5 Our History & Mission Conservation & Demand Management Plan 2014 Delivering quality care to residents of Chatham-Kent, South Lambton and Walpole Island, Chatham-Kent Health Alliance is a 200 + bed community hospital system, located on two sites. CKHA is committed to core service excellence, top-flight operational performance and to becoming a hospital of choice in Southwestern Ontario. We are a proud partnership of three hospital corporations, located on campuses in Chatham and Wallaceburg. CKHA's goal was to expand quality care and service, share resources and work together to achieve: strong public and private sector partnerships highly developed integrated delivery system research-based practice integrated community information systems strong community linkages supportive of care continuums accountability for efficiency, quality and access innovation in utilization strategies best practice benchmarks 6 P a g e

6 Building Survey Chatham-Kent Health Alliance is a partnership between the Chatham-Kent Public General Hospital, St. Joseph s Hospital (both facilities have amalgamated into a single campus) and Sydenham District Hospital. Chatham-Kent Health Alliance serves the community of Chatham-Kent in health promotion, disease prevention, diagnosis, treatment, research and patient care. The facility provides a unique component of health care services to the Chatham-Kent community. The chart below provides a brief site description of each facility. Table 6.1: Facility Summary Facility Information Organization Name: Chatham-Kent Health Alliance Type of Facility: Healthcare Services Total Number of Buildings being Audited: 2 Building #1 Facility Name: Chatham Campus Address: 80 Grand Avenue West Chatham, ON N7M 5L9 Gross Floor Area (Sq. Ft): 314,775 Facility Age: 1955 and 2004 Facility Use: The facility provides acute and chronic patient care. Building #2 Facility Name: Sydenham Campus Address: 325 Margaret Ave.Wallaceburg, ON N8A 2A7 Gross Floor Area (Sq. Ft): 90,000 Facility Age: 1955 Facility Use: The facility provides acute and chronic patient care. 7 P a g e

7 Energy Use The following section outlines the energy breakdown of our facilities throughout a 365 day period. This section will examine electricity and natural gas consumption and compare this energy use to the average consumption of Ontario hospitals. 7.1 Utility Consumption Analysis Current utilities supplied for the Chatham Campus consists of natural gas, electricity, and water. Utility consumption for each respective utility has been adjusted to fit a regular calendar year (365 days). Water consumption has been excluded from the analysis. Table 7.1: Utility Consumption Summary for the Chatham Campus Energy/Utility Source Annual Consumption in Units Annual Consumption (ekbtu) Electricity (kwh) 9,108,905.36 31,079,585.09 Natural Gas (m3) 1,363,296.14 49,540,818.43 Total Annual Energy Consumption: 80,620,403.61 Table 7.2: Utility Consumption Summary for the Sydenham Campus Energy/Utility Source Annual Consumption in Units Annual Consumption (ekbtu) Electricity (kwh) 1,474,084 5,717,190.02 Natural Gas (m3) 242,972 8,829,377.31 Total Annual Energy Consumption: 14,546,567.33 % of Total Energy Consumption Chatham Campus % of Total Energy Consumption Sydenham Campus Natural Gas 61.5% Electricity 38.5% Natural Gas 60.7% Electricity 39.3% 8 P a g e

ekbtu/ft² Conservation & Demand Management Plan 2014 7.2 Energy Utilization Index An Industry Comparative Hospital facilities are among the most energy intensive buildings in the public sector. At Chatham-Kent Health Alliance, we are conscious about our energy consumption and we make it a priority to reduce our global impact. Knowing where our facility stands in comparison to others in the healthcare industry can assist us in establishing substantial conservation improvements that will further reduce our global impact. The Energy Utilization Index (EUI) is a measure of the facility s energy performance. The EUI is a statement of the number of GJ of energy used annually per square foot of conditioned space. Based on NRCan s 2007 summary report of commercial and institutional consumption of energy survey, hospitals ranked the highest in energy intensity by sector. Such an amount of energy consumed on site per square foot is the result of specialized and sophisticated equipment, as well long hours of operation. NRCan surveyed the energy intensity of 703 hospitals in Canada and concluded with an average annual EUI of 2.83 GJ/m 2 or 249.3 ekbtu/ft 2. NRCan segregated this by province and in Ontario, the average annual EUI for hospitals is 2.60 GJ/m 2 or 229.0 ekbtu/ft 2. Table 7.3: Energy Use Intensity Comparison to Industry Average Facility EUI (ekbtu/ft 2 ) Energy Use Analysis Chatham Campus Sydenham Campus 256.12 161.62 The Chatham Campus is a full service hospital facility encompassing both inpatient and outpatient services. The long operating hours and extensive equipment use can be attributed to facilities EUI. The Sydenham Campus provide significantly reduced services and only a small portion of the facility is occupied resulting much lower EUI. The facility uses a small portion of the area for an emergency department, Digital Imagery, Lab, outpatient services and 5 medical beds. Annual Energy Consumption Comparison 300 250 200 150 100 50 256 162 229 0 Chatham Campus Sydenham Campus Industry Average 9 P a g e

Tonnes of CO₂ Tonnes of CO₂ 8 Greenhouse Gas Emissions Conservation & Demand Management Plan 2014 The greenhouse gas emissions are calculated based on the 2011/2012 electricity and natural gas consumption data. Table 8.1: Energy Related Greenhouse Gas Emissions for the Chatham Campus Chatham Campus Units/Year Tons of CO 2 Electricity (kwh) 9,108,905.36 1,650.53 Natural Gas (m³) 1,363,296.14 2,933.25 Total CO₂ Emissions 4,583.78 Table 8.2: Energy Related Greenhouse Gas Emissions for the Sydenham Campus Sydenham Campus Units/Year Tons of CO 2 Electricity (kwh) 1,474,084 267.10 Natural Gas (m³) 242,972 421.12 Total CO₂ Emissions 688.22 Chatham Campus CO 2 Emissions Sydenham Campus CO 2 Emissions 5,000 700 4,500 4,000 3,500 3,000 2,500 2,000 1,500 1,000 500 0 2,933 2,493 1,651 1,403 Baseline Target 600 500 400 300 200 100 0 421 267 Baseline 358 227 Target 10 P a g e

9 Conservation & Demand Management Plan Conservation & Demand Management requires adequate planning in order to produce long-term success. This section of the report outlines the following: 1. Honeywell ESCO Project 2. Implemented Conservation Strategies 3. Current Conservation Strategies 4. Proposed Conservation Strategies 9.1 Honeywell ESCO Project CKHA partnered with Honeywell to implement a Facility Renewal and Energy Management Project. With the installation of all the recommendations this $5.7 Million project will save the organization close to $500,000 annually in energy costs. Phase 1 of the project included upgrades to lighting, electrical panels, optimizing of the HVAC systems, building envelope improvements, and upgrades to the Building Automation System. These initiatives along with newly implemented technology will use less electricity, fuel and water and will produce fewer greenhouse gases. Also included in this is a roof top 100,000 KW solar array project providing electricity from a renewable source and providing continued revenue for the organization. Annual ESCO Savings Electricity Savings Natural Gas Savings Operational Savings Annual FIT Revenue Total Annual Savings $149,502 $247,953 $11,912 $84,633 $494,400 11 P a g e

9.2 Implemented Conservation Strategies The existing energy and water saving initiatives that have previously been implemented, as well as the utilities affected by those initiatives, are summarized in Table 8.1 & 8.2. Table 9.1: Previously Implemented Energy Saving Initiatives for the Chatham Campus Item Affected Utility Item Affected Utility Lighting Upgrade & Controls Electricity Thermostatic Valve Installation Natural Gas Transformer Replacement Electricity VFD s on Pump Motors Electricity Air System Optimization Natural Gas High Efficiency Motors Electricity Condensate Pump Replacement Electricity Vending Machine Control Electricity Steam Trap Replacement Natural Gas Computer Power Management Electricity Window & Door Sealing Natural Gas Photovoltaic System Electricity Insulate Hot Water Pipes Natural Gas Measurement & Verification All Utilities Training & Awareness Program All Utilities Water Treatment Optimization Water Power Factor Improvement Electricity Conversion to Variable Chiller Electricity LCD Computer Monitors Electricity VFD on Cooling Tower Fan Motors Electricity Boiler Operation Optimization Natural Gas 3 Large Air handling Unit Replacement Electricity Roofing Replacement Natural Gas Table 9.2: Previously Implemented Energy Saving Initiatives for the Sydenham Campus Item Affected Utility Item Affected Utility Air System Optimization Natural Gas Insulate Hot Water Pipes Natural Gas Linkage-less Burner Control Natural Gas Vending Machine Control Electricity Steam Trap Replacement Natural Gas Computer Power Management Electricity Windows & Doors Sealing Natural Gas LCD Computer Monitors Electricity Measurement & Verification All Utilities Training & Awareness Program All Utilities 12 P a g e

9.2.1 Sustainable Environmental Stewardship Program In addition to the numerous energy conservation measures integrated into each of Chatham-Kent Health Alliance s three facilities, our organization has also been awarded the Wayne McLellan Award of Excellence for our Sustainable Environmental Stewardship Program. This program included multiple strategies to reduce our impact on the natural environment including: Worker awareness, engagement and education initiatives Waste reduction and recycling programs Best practice programs Promoting the ideals of environmental stewardship 9.2.1.1 Waste Reduction and Recycling We have also been recognized for our extensive waste reduction and recycling programs. Our facilities have successfully implemented a variety of initiative including; IV over pouch recycling, reusable pharmaceutical and sharps containers, instrument tray wrap recycling, Operation Green, Return to Vendor program, and Lab Solution Recycling unit. Current initiatives include in-patient room recycling, and expanded recycling in areas of the hospital that never thought their products were recyclable. We are also investigating composting options. 9.2.1.2 Our Housekeeping Team The housekeeping department is a leader in sustainable Green Healthcare practices. As part of our on-going sustainability efforts, we believe that the right combination of housekeeping and infection control practices further support our conservation efforts while improving patient care. As part of our on-going commitment to sustainability, we are currently utilizing green housekeeping strategies such as microfiber cleaning systems, and environmentally friendly cleaning that support our robust recycling program. Along with these achievements, our facility is also involved in the following: We are they trial/ test site for the 3R certification program in partnership with RCO and Ministry of Environment We lead the Erie St. Clair LHIN housekeeping/ engineering/ infection control partnership group to share best practice environmental initiatives 13 P a g e

9.3 Energy Matters CKHA prides itself on educating and motivating our staff, students, and visitors on the importance of Green Healthcare. Our annual Environmental Expo attracts over 500 people, and our Energy Matters web site has regular updates, challenges and prizes to keep staff engaged. We mentor and coach university students each summer, challenging them to drive new initiatives and programs. They in turn have pursued careers in healthcare, including Environmental Engineering, Physician, Teaching and Nursing, sustaining their passion for Green Healthcare. As part of their community outreach and staff education, Chatham-Kent Health Alliance also hosts and Energy Matters website. The site is home to a variety of features that will be updated frequently that will engage you and help you in living and working sustainable way. Monthly tips and news that will hopefully inspire or assist in your daily lives, and even feedback for you to share your tips and thoughts! Below are just some of the features that are available on our site. For more information, visit our site at: www.chatham-kent.myenergymatters.net/ Chatham-Kent Recycle Guide & Collection Calender Calculate your children s school travel footprint Practical Energy Reduction Tips Incentive and Rebates More helpful links! 14 P a g e

9.4 Current Conservation Strategies Since the completion of our initial project we have continued to work with Honeywell to upgrade our facilities building systems, including large air handling units and a major upgrade to our electrical systems. These much needed capital projects not only improve our facilities but reduce our energy usage, resulting in further savings. Energy saving initiatives that are currently being implemented throughout the 2014/2015 year, as well as the utilities affected by those initiatives, are summarized in Table 9.3 & 9.4. Table 9.3: Ongoing Energy Saving Initiatives for the Chatham Campus Item Affected Utility Roofing Upgrade Natural Gas Electrical Systems Panel Upgrades and Replacements Electricity Preventative Maintenance Electricity & Natural Gas 1 Freight Elevator Replacement Electricity Incremental Mechanical Unit Upgrade Electricity & Natural Gas 3 Main Elevator Upgrade/Replacement Electricity Table 9.4: Ongoing Energy Saving Initiatives for the Sydenham Campus Item Steam Boiler Replacement Chiller/Cooling Equip. Upgrades and Replacements Window Replacement Air Handling Unit Replacement Affected Utility Natural Gas Electricity Natural Gas Electricity 15 P a g e

9.5 Recent Sustainability Related Awards The following are awards that we have received as part of our current and ongoing energy efficiency and sustainability initiatives. 2013 Clean Air Award, presented by the National Air Filtration Association Awarded three years in a row 2011,2012, and 2013 Ontario Hospital Association (OHA)/Canadian Coalition for Green Health Care Green Hospital of the Year Finalist Ontario Hospital Association (OHA)/Canadian Coalition for Green Health Care Individual Leader Award Carrie Sophonow Ontario Hospital Association (OHA)/Canadian Coalition for Green Health Care Waste Management Award 2011 Chatham-Kent Chamber of Commerce Enviornmental Leadership Award Clean Air Award, presented by the National Air Filtration Association Canadian Patient Safety Institute 1st Place People Choice Award for Mrs. A Ontario Hospital Association (OHS)/Canadian Coalition for Green Health Care Waste Management Award Canadian Healthcare Engineering Award (CHES) Wayne McLellan Award of Excellence for its Environmental Stewardship Program 16 P a g e

9.6 Proposed Conservation Measures The following tables summarize the conservation strategies that our organization is interested in exploring, and outlines which related utility costs would be avoided. These projects are not committed and are dependent on the availability of capital resources, available incentives, and end of life equipment. Table 9.5: Summary of Proposed Conservation Measures for the Chatham Campus Measure Affected Utility Budget Costs Annual Savings Employ Water Conservation Measures Water $120,000 TBD Wrap Hot Equipment & Piping in Thermal Insulation Natural Gas $15,000 16,056.05 m 3 Perform Roofing Upgrade Electricity & Natural Gas $250,000 269,498.49 kwh 40,140.12 m 3 Install Occupancy Lighting Sensors in Various Locations Electricity $15,000 754,595.78 kwh Upgrade Nurse Desk Lighting to LEDs Electricity $5,000 107,799.40 kwh Re-lamp Exit Lights & Parking Lights to LEDs Electricity $10,000 431,197.59 kwh Install Instantaneous Water Heaters Natural Gas TBD 48,168.14 m 3 Upgrade or Replace Old Elevators Electricity TBD 323,398.19 kwh Table 9.6: Summary of Proposed Conservation Measures for the Sydenham Campus Measure Affected Utility Budget Costs Annual Savings Interior Lighting Upgrade Electricity $70,000 754,595.78 kwh Occupancy Sensors Electricity $10,000 323,398.19 kwh Expand BAS System & Controls All Utilities 107,799.40 kwh $50,000 16,056.05 m 3 Window Replacement Electricity & 161,699.10 kwh $180,000 Natural Gas 24,084.07 m 3 Air System Control with Occupancy Control Natural Gas TBD 80,280.24 m 3 Install Steam to Water Plate Heat Exchangers Natural Gas TBD 8,028.02 m 3 De-aerator Replacement Natural Gas TBD 32,112.10 m 3 Install Instantaneous Water Heater Natural Gas TBD 24,084.07 m 3 Upgrade Boiler Blowdown Natural Gas TBD 112,392.33 m 3 Window Replacement Electricity & 161,699.10 kwh $75,000 Natural Gas 24,084.07 m 3 Upgrade/Replace Stores Elevator Electricity TBD 323,398.19 kwh 17 P a g e

Table 9.7: Summary of Proposed Conservation Measures at Off-Site Administration Buildings Measure Upgrade Lighting System and Controls Upgrade Heating& Cooling Systems and Controls Upgrade Ventilation System and Controls Window Replacement Affected Utility Electricity Natural Gas/ Electricity Electricity & Natural Gas Natural Gas Associated budget costs and annual utility savings for our off-site administrative buildings have yet to be determined, and are in the process of being explored. 18 P a g e

9.7 Energy Commodities Management Energy management refers to how energy is both purchased and used for building operations. An important aspect of energy management is putting in place an adaptable energy commodities procurement strategy to be able to adjust to fluctuating commodity prices. We currently work with Blackstone Energy Management Services Inc. to assist us in our energy commodities procurement. Working with Blackstone allows us to meet or reduce our energy commodity budgets. This process ensures that resources can be properly allocated to energy and water saving programs. 19 P a g e

10 Closing Comments CKHA is committed to Green Health Care and will continue its quest to be a leader in the industry. Organizationally CKHA has saved significant amounts of money through utility costs savings that can be used to support more front line patient care. This program has helped meet the balance budget targets while reducing our environmental foot print on the world. The program has also built a sense of community responsibility within Chatham-Kent, as evidenced by our partnerships, staff awareness and education and our features in Best Practice Case Studies. During these times of limited resources, the Chatham-Kent Health Alliance has proven that a small dedicated team can have a huge impact. Demonstrated through CKHA leadership we are providing a better environment for our patients and staff. By reducing our carbon footprint we have created a healthier community for all of Chatham-Kent. On behalf of the senior management team here at Chatham-Kent Health Alliance, we approve this Conservation & Demand Management Plan. Beth Hall Director of Support Services This report was prepared through collaboration between the Chatham-Kent Health Alliance facilities management, and the Blackstone Energy team. 20 P a g e