Improve Performance with ENERGY STAR Best Practices Lessons

Improve Performance with ENERGY STAR Best Practices Lessons learned from top performing hospitals Clark Reed, US EPA Hospitals for a Healthy Environment Conference December 6, 2007

Goals • Identify low-cost, high-return strategies to reduce energy consumption and save money • Top 10 Best Practices of Energy Star Hospitals

ENERGY STAR is… A voluntary partnership with EPA A strategic approach to energy management Recognized by 65% of Americans

ENERGY STAR is… Products Homes Businesses

ENERGY STAR Partners 14% of Healthcare organizations have partnered with ENERGY STAR Houston

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Number of Buildings U. S. EPA Energy Performance Rating System The rating system overlays a 1 to 100 scale over national data, which gives relative meaning to energy use. 1 Highest Benchmark Score 25 Building Energy Use 50 75 100 Lowest

Number of Buildings U. S. EPA Energy Performance Rating System Sample Acute care 177 bed facility 280, 000 square feet 1 1052 Highest Benchmark Score KBtu/ft 2/year 25 550 50 443 Building Energy Use 75 353 100 183 Lowest

Typical EM Roller Coaster Audit again Audit +5% 0 -5% Costs -10% Easy Actions -15% Undertaken -20% (obvious energy waste) Program Falters Savings lost due to lack of systems -25% 0 5 Years 10

A Systematic EM Process EM Program Initiated Cut energy waste +5% 0 Costs -5% Extra savings from operations and process improvements -10% -15% -20% New Plant Technical Development -25% 0 Years 5 10

Continuous Energy Management Requires… Management Framework (Policies and Procedures) Energy Management Strategy

Management Framework Management infrastructure needed to continuously improve

Assess Your Hospital’s Energy Management Program

ENERGY STAR Labeled Buildings • Rating of 75 or higher on EPA 1 – 100 scale • Over 3, 700 commercial buildings have earned the ENERGY STAR

ENERGY STAR Buildings = Low Carbon Buildings Use 35% less carbon The Trust Mark of a dioxide (and less Low Carbon Building energy) than their peers, on average

10. Commit to Continuous Improvement St. Francis Hospital and Medical Center (CT) • President and VP involved in all energy management issues • Energy Team includes diversity of staff • Follows “Master Plan for Energy”

9. Assess Performance Shriners Hospital for Children – Houston, TX • Cut electricity use 18% • Reduced chilled water consumption 30% • Reduced steam demand 37% 88 42 ’ 96 94 92 75 ’ 03 ’ 04/’ 05 ’ 06 ‘ 07 sts Co n ded illio voi 1 m A r$ ove

9. Assess Performance (cont’d) Shriners’ Improvements • LED lighting • Occupancy Sensors • Balanced air & water systems • Installed energy efficient motors • Installed variable frequency drives • New energy efficient motors and 2 new chilled water pumps in HVAC

8. Set Goals Providence Health & Services Non-profit healthcare system of 26 hospitals in Pacific Northwest • 2 -3% energy savings per year, system wide • 20% rate of return • Long-term goal of achieving Energy Star for all buildings within portfolio Selected Energy Star qualified facilities

Energy Management Strategy • Recommissioning • Lighting • Load Reductions • Fan Systems • Heating & Cooling

7. Upgrade Equipment Sacred Heart Medical Center Spokane, WA • $750, 000 investment in efficient lighting • T-8 lamps with electronic ballasts • LED exit signs • CFLs

6. Address Central Plant New York-Presbyterian Hospital New York, New York • • Delta T differential VFD fans & pumps Upgrade to efficient 4400 -ton chiller 1 st hospital w/ CHP in New York City

5. Recommission St. Francis Hospital & Health Services Marysville, MO • Cut gas bill by 50% • Reduced electricity bill by 17% • Increased rating 40 points in one year 92 91 88 85 51 ’ 02 ’ 03 ’ 04 ’ 05 ‘ 06 sts d Co 00 ide 0, 0 Avo $80 r ove

St Francis’ Improvements • • • Evaluated building equipment Reduced operating time of boilers Water temperature controls Replaced boiler burners Correctly installed heat exchanger Installed T 8 s

4. Purchase ENERGY STAR Qualified Products $50/year Save 75% energy in “off” mode $600/year Calculate Savings $90/year $10/year Life 10 x

3. Train Employees Albuquerque Indian Hospital • Training is a major focus of energy efficiency efforts • Attend 3 training courses each year • Trained to use controls systems • Routine (daily & monthly) preventative maintenance checks

2. Communicate (Internally) • Demonstrate social responsibility • Spread the word • Empower employees • Work with PR department

2. Communicate (Externally) t en r a em nc e Ye u th o nn of A s ice rtner v a er c S ing P li ub iciz P bl pu Money Magazine US News & World Report Forbes Magazine Inside ASHE Shriners Hospital for Children – Houston named Partner of the Year for 2007

1. Make the Business Case Non-profit $1 saved in energy is equivalent to generating new revenues of: $20 in hospitals $10 in medical offices For-profit A 5% reduction in energy costs is equivalent to increasing earnings per share by one cent

Get Started • Register for free online benchmarking training – held monthly, free of charge • All tools and resources in this presentation can be found free-of-charge at www. energystar. gov/healthcare • Join ENERGY STAR www. energystar. gov/join

Questions?

Clark Reed reed. clark@epa. gov Director of Healthcare Facilities Division ENERGY STAR, U. S. EPA www. energystar. gov/healthcare