April 2015 • Healthcare Radius • 1

Empowering Engineers, for Energy- Efficient hospitals

We say tons about energy-efficiency and the huge savings which come with implement-

ing these processes. We take advice from Project Consultants, but many a times we ignore the core member of the team - "The Engineers". Yes, it is the team of in-house engineers who needs to be regularly trained and upgraded with new technology. The management has to give due importance to these engineer's. This will help in develop-ing a complete Energy-efficient process in a hospital.

Top officials have a myth that once we

have the latest technology in place and we have AMC support them, all is done, but when the actual emergency arises, it's the in-house engineers who have to take a lead in resolving the issue. This edition will be focusing on the Engineer’s insight on roles and their responsibilities and the need of having certifications in Energy system and its benefits.

B. Ramesh, Director and CEO, CBCC India, says, “Energy is critical to organi-zational daily operations and it is one of the major cost to organizations, whatever their activities. An idea can be gained by considering the use of energy through the

supply chain of a business dynamics, from raw materials through to recycling. In addition to the economic costs of energy to an organization, energy has a impose environmental and societal costs by exhausting resources and contributing to problems such as climate change which is one the global issue. Due to environmental consideration and energy balance require-ments, there is a focus on energy efficiency and improvement in energy performance. The focus is on transitioning organizations to long-term energy planning by convinc-ing people to look at energy management differently.

2 • Healthcare Radius • April 2015

Monitoring: Develop practice to monitor and maintain records of Energy sav-ing achieved on a daily basis and take appropriate actions if there is any major deviation. It is required to develop an Energy monitoring system to know the saving achieved by implementation of energy saving measures are in existence or not. It is suggested to install an EMS system, which consists of installing meters and with the help of software the energy consumption will be recorded and displayed on P C at a predetermined time.

5

21 3Energy Management System: Strategy of adjusting and optimizing energy, using system and procedures so as to reduce energy requirement for a unit of Output while holding constant or reducing total cost of producing the output from the system.

Implementation of energy saving measures:

The Energy saving measures imple-mented as per schedule can be veri-

fied after implementationwith the help of various methods

• SOP: Standard operating procedure for achieving energy saving should be developed

and displayed at the proper location for operational information.

• Training: Training for the operation and maintenance of equipments for Energy

saving measures should be given to the operator.

• Calibration of Instruments: Cali-bration of instruments used for

energy consumption measure-ment should be carried vat

regular interval

Tips To develop an

effecienT energy Model for

hosipTals - Jatin Pandya, Chief Engineering Officer,

Apollo Ahmedabad. 4

Planning for Imple-mentation of Energy

Saving Measures: Give priority to implement

energy saving measures in consultation with energy

auditors and top management. Also prepare an implementation

schedule with required budget. The audit report must contain

classification of energy conservation measures into following categories:

• Low Cost - High Returns• Medium Cost - Medium Returns

• High Cost – High Returns The Engineer should discuss with man-

agement and finance manager to give priority for implementing energy saving measures on the base of availability of funds and priorities. On the base of schedule, imple-mentation should be prepared.

normally in any organisation, engineer is directly responsible for receiving, generating and distribution of energy as per user’s requirement. during this process of consumption there are certain losses. Thus, it’s mainly divided in two parts, namely useful energy and wastage/lost energy.

To improve energy efficiency means to reduce wastage/losses and have more percentage of useful energy. reduce wastages/losses of energy will directly reduce total energy requirement and will reduce the energy cost.”

– srikant subudhi, Dy. General Manager, Operations, Apollo Ahmedabad

Energy Audit: Identify areas of improvement in usage of Energy con-

sumption and reduce wastage and losses by develop-ing Energy audit system at regular predetermine

interval. Energy audit manuals, the verifications, monitoring and analysis of Use of Energy

including submission of Technical report, containing Recommendations for im-

proving Energy Efficiency with Cost benefits analysis and action plan

to reduce Energy consump-tion.

April 2015 • Healthcare Radius • 3

Need of INtroducINg certIfIcatIoN by dr. Mahesh Patel, QualIty aNd PatIeNt safety offIcer, aPollo ahMadabad.

beNefIts of IMPleMeNtINg Iso 50001: exPlaINed by r M trIvedI, Md - dev coNsultaNt

Several countries had developed energy management guidelines prior to ISO 50001. Some were more robust than others, and definitions, approaches and measurements differed. EN 16001—a European Union standard for energy management—was one of the standards used to develop ISO 50001. ISO 50001 enables organizations to establish the sys-tems and processes necessary to improve energy performance, including energy efficiency, use and consumption.

The goal of this standard is to create an energy management system (EnMS) within an Organization that will lead to a reduction in greenhouse gas emissions and other harmful environmental im-pacts and controlling energy costs.

ISO 50001 This standard helps organizations develop an energy policy and objec-tives taking into account statutory, legal and other requirements. Energy management functions. Implement-ing ISO 50001 will help organizations understand these complex variables in a systematic way, giving them a greater degree of control.

ISO 50001 can be implemented individually or integrated with other management system standards.

This approach can be briefly described as follows:• Plan: conduct the energy review and

establish the baseline, energy perfor-mance indicators (EnPIs), objectives, targets and action plans necessary to deliver results in accordance with op-portunities to improve energy perfor-mance and the organization’s energy policy.

• Does: implement the energy manage-ment action plans.

• Check: monitor and measure pro-cesses and the key characteristics of its operations that determine energy performance against the energy policy and objectives and report the results.

• Act: take actions to continually improve energy performance and the EnMS.

There are a number of benefits which ac-crue to an organization when ISO 50001 is implemented• Reduction in operating costs by con-

trolling in-house energy costs • Meeting legislation requirements for

Energy efficiency targets• Enhance Company’s reputation and

image by demonstrating that the Company is controlling greenhouse gas emissions

• Improve energy use performance in a systematic way.

• Establish an energy management sys-tem.

• Ensure energy management conforms to stated policy.

• Demonstrate to stakeholders and oth-ers the organization’s commitment to energy use improvement.

• Allow certification of the energy man-agement system by an accredited third party.

• Such a system will ensure efficient management of energy and potentially significant savings in cost and time for the organization. This will be clearly demonstrable to all stakeholders and clients.

• The standard benefit organization of any size and operating in any sector

• Irrespective of geographical location. It is applicable only to those activi-ties under control of the organization

and can either be a stand-alone or integrated into management systems.

• The standard will appeal to energy and facilities managers, environmen-tal managers, finance directors and anyone with a vested interest in controlling energy usage and reducing operational costs.

coNclusIoN

Energy Management System ISO 50001 addresses strategic management of energy to include: energy supply, procurement practices for energy using equipment and

systems, energy use, and any use-related dis-posal issues. It provides a practical approach to improving energy efficiencies, reducing costs and improvements in the environmen-tal footprint of implementing organizations. ISO 50001 is gaining more and more impor-

tance in organizations today and a time may come in the near future when it may become mandatory for certain sectors of industry. We need to start today to be ready for tomorrow is a complex field encompassing technical, behavioral and strategic.

4 • Healthcare Radius • April 2015

ecostruxure solution for healthcare.An integrated healthcare facilities infrastructure

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PATIENT AND STAFF SAFETYREGULATORY SIMPLIFICATION

SIMPLIFICATIONENERGY AND SUSTAINABILITY ENERGY PROCUREMENT

Energy Management LifeCycle

Supporting Sequences, Technologies, and Systems

Building Automation SystemCentral Plant ControlMedical GasBuilding Optimization Setback Sequences Environmental Control Pressure Regimes Control Strategies Air QualityDemand Limit/ResponsePeak Demand/Load ShedUtility MeteringComputerized Maintenance Management System (CMMS)

Mechanical

Lighting ControlElectrical DistributionMeteringRenewablesSelective Coordination Branch Circuit Monitoring Harmonic Monitoring Power Quality Backup Generator TestingEnergy Dashboards Intelligent Trip UnitsLife Safety/Fire Alarm SystemTransient Voltage Surge Suppressor (TVSS)Integrated Power and Control Equipment Computerized Maintenance Management System (CMMS)

Electrical

Card AccessVideo SurveillanceVisitor ManagementBiometricsRTLS — Asset, Infant, PatientIntercomPaging/Mass NotificationCode BluePoint of SalePneumatic TubeDrug Dispensing SystemComputerized Maintenance Management System (CMMS)

Security

ICT BackbonePurpose-Built Data CenterUninterruptible Power Supply/PowerDistribution Unit MonitoringOperating RoomCoolingCard AccessVideo Simple Network Management Protocol (SNMP)Information AssuranceICT Interoperability and MobilityComputerized Maintenance Management System (CMMS)

Information and Communication Technology