Professional Documents
Culture Documents
SIMULATION
ENERGY
EFFICIENCY
FOR
HOSPITALS
20/02/2017 1
ENERGY EFFICIENCY FOR ENERGY
SIMULATION
HOSPITALS
AIM:
• To study the need and importance of energy efficiency for the hospitals.
OBJECTIVES:
• To study the energy efficiency and its importance.
• To analyse the need of energy efficient buildings mainly focusing on hospitals now-a-days.
• To study the benefits of energy efficient buildings
• To study and analyse, how to optimize the building load on environment.
• To study the certain measures which can be taken to design energy efficient buildings.
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ENERGY EFFICIENT HOSPITALSENERGY
SIMULATION
• It has been observed in various studies that good indoor conditions help patients to recover faster.
• Certain key features of energy efficient buildings like better day lighting, access of views of good
landscape, good indoor thermal comfort and indoor air quality help in faster recovery of patients.
Therefore it makes great sense to incorporate these features in hospitals for ensuring faster recovery of
patients.
• Additionally environmentally conscious practices in hospitals would ensure that not only is the health of
building occupants a priority but by reducing the pollution from the building, the hospital also contributes
towards improving the environmental conditions of people in its vicinity.
• Therefore a green hospital provides good care for both people living within it as well as outside it.
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WHY HOSPITALS ? ENERGY
SIMULATION
• Hospitals are known to consume vast quantities of energy and resources.
• A well planned hospital building must therefore incorporate careful design that will ensure efficiency in
the heating, ventilation and air conditioning (HVAC) system; use natural light as far as possible without
compromising on illumination; and have energy efficient housekeeping and waste disposal systems.
• The architects must plan the building so that its design and infrastructure have the optimum energy
efficiency. All equipment must be procured only after ascertaining that they consume minimal energy;
retrofitting existing equipment must also be considered in this regard.
Hospitals are like mini industries requiring energy for diverse applications and
based on different energy resources like electricity, fuel and of late renewable
resource like solar.
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APPLICATION ENERGY
• Electricity SIMULATION
Lighting, Medical equipments, HVAC Systems, Water pumping, Hot water generation, Laundry equipment, Lifts,
Kitchen & Canteen equipments, Computers & Printers, Communication facilities
• HVAC
• Medical purpose
• Technical Purpose
The ratio of consumption of different resources for
different applications varies mainly depending upon the
use of medical equipment and the coverage under air-
conditioning system.
Energy consumption in hospitals
Broadly, the ranges are:
Lighting : 30 – 40%
HVAC : 30 – 65%
Water Pumping : 10 – 12%
Others : 05 – 15%
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THE NEED FOR ENERGY EFFICIENT HOSPITALS
ENERGY
SIMULATION
• The need to design a building efficiently from the
start enables more and better efficiency
measures to be used.
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ENERGY CONSUMPTION BY THE BUILDINGS
ENERGY
SIMULATION
Demand for energy is increasing fast day by day and is likely to increase in tune with industrialization/ urbanization.
The building sector being one of the largest consumers of energy, has gained prominence over the past few decades.
• 45% of total global energy is used in heating, cooling and lighting of building.
• Energy used for air conditioning of commercial buildings accounts for 32% of the total energy consumption.
• Energy consumption patterns can be substantially reduced by energy conserving measures, particularly during the
phase of building design.
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ENERGY
SIMULATION
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CLEAN AND GREEN INTERIOR BUILDING MATERIALS ENERGY
• Use of interior paints which do not emit / absorb / re-release indoor pollutants suchSIMULATION
as VOC’s and dust.
• Hospital surfaces should have the property of resisting and repelling the growth of pathogenic germs
and bacteria. Patented interior surfaces are available which resist bacterial and fungal growth.
• Use of indoor flooring which is easily cleanable and does not emit VOC’s(volatile organic compound)
and dust.
• Install permanent entry-way systems to capture dust particles at all primary entrances.
• Use of certain species of indoor plants which not only produce oxygen but also reduce indoor pollutants
like VOC from air.
• Lack of proper insulation in the roofs and walls etc. can lead to patient discomfort through solar heat
conduction, also leads to more energy consumption. Thus high performance insulation such as
Extruded Polystyrene , Polyurethane foam for reducing energy consumption.
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ENERGY
LAUNDRY SIMULATION
Laundry facilities are extremely energy intensive. With an
average of 3 kg of dry laundry per bed per day, these
laundries are big consumer of steam. They may account for
10-15 percent of hospitals total energy consumption. Water
usage is also an important issue.
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ADVANTAGES ENERGY
SIMULATION
Piping medical gas from a central location directly to outlets at the points of patient use provides high level
of safety.
• The direct piping method removes obsolete, bulky and dangerous pressurized cylinders from the patient's
bedside.
• Limited transportation of gas cylinders in the workplace.
• Elimination of noise produced by their movement.
• Protection of sterile areas from contamination caused by use and movement of cylinder.
• Uninterrupted and clean gas supply at desired locations.
• Safe And Relief System.
• Effective use of space. Additionally it is economically advantageous and hygienic.
• Continuous supply of gas to each work station.
• Risk of incidents are reduced because the gas cylinders are no longer handled inside the workplace.
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ENERGY
Establishing a house-keeping schedule SIMULATION
1. Regular check-list of areas where energy is lost for eg. Walls, floors, roofs, skylights, doors and windows
is necessary.
2. Regularly checking of the building for dampness which reduces the insulating properties is required.
3. Ensure that hot water and heating pipes are well insulated and replaced if required, thus we can save
energy by reducing heat loss from the pipe.
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PERFORMANCE, EFFICIENCY, COMFORT (PEC) ENERGY
Three core values applied to lighting in healthcare SIMULATION
PERFORMANCE:
To provide an optimal lighting solution. In hospitals, clinics and care homes, this can lead to less fatigue,
quicker reactions and task completion with fewer mistakes resulting in higher standards of care.
EFFICIENCY:
Efficiency is concerned with the energy consumption, economics and practical aspects of a lighting
installation. Lighting products are carefully engineered and manufactured to produce
practical, easy to maintain solutions that consume the least possible power and provide long-life, trouble-
free solutions.
COMFORT:
The ability to give people satisfaction and stimulation. Lighting influences concentration and mood. Comfort
is concerned with atmosphere, reassurance, and in the healthcare environment, the well-being of the
patient.
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GUIDELINES for ENERGY EFFICIENCY in HOSPITALS
ENERGY
SIMULATION
Energy saving measures can play a significant role for lowering energy consumption and energy costs, as well as for
environmental protection.
Energy consumption is responsible for CO2 emissions to the atmosphere, that contribute to the “greenhouse effect”.
An important parameter for energy saving in the buildings sector is the high efficiency of the energy infrastructures,
which requires excellent quality of the relevant equipment installed, as well as the compliance with all the requirements
set by the legislation.
In order to maximize the energy efficiency of a building -based on the capabilities of the existing shell and
infrastructure, and minimise the need of any reconstruction or energy saving measures should be adopted.
1) 24hour operation (lighting, heating, air condition, electricity consumption)- The non-stop function of the hospitals
is an important factor why there is such a big energy consumption.
2) Lighting- Lighting is a sector with great energy saving potential. These could result in a 50% reduction in energy
consumption.
3) Heating- Consuming gas for heating is a big percentage of the overall energy consumption.
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ENERGY SAVING POTENTIAL IN HOSPITALS
ENERGY
SIMULATION
Gas consumption for heating can be reduced by improving thermal insulation or adding insulation to a non-
insulated building and by maintaining the boiler at an annual basis.
• The greatest savings can be achieved if oil is substituted with natural gas.
• Energy consumption for heating can be reduced up to 15%.
• However, thermal insulation improvement and the adequate maintenance of the system can reduce significantly the
needs for cooling.
Air Condition- Most hospitals have a central cooling system, which helps controlling electricity consumption by
adjusting the desired temperature and the humidity at the central cooling system.
Electricity consumption- is very high in hospitals due to the continuous operation, the large rooms, the medical
equipment and the electric motors.
• Equipment with low energy consumption, replacing old motors with new ones help to the reduction of energy
consumption.
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ENERGY SAVING POTENTIAL IN HOSPITALS
ENERGY
Big surface of the buildings SIMULATION
Rooms with big volume, long corridors and the need for satisfactory ventilation are factors that increase energy
consumption in hospitals.
In many cases, the continuous use of artificial lighting in all these rooms is not necessary, so systems of controlling the
switching of the lamps can be installed.
Some systems of this type are the motion sensors and the time switches which can be applied at rooms which don’t
need to be lightened often, like the toilets.
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MEASURES TO MAKE BUILDING (HOSPITAL) ENERGY ENERGY
EFFICIENT
1- The shell of the building SIMULATION
• Control of the use of the openings
• Sealing of passages of thermic flow in shafts and stairwells
• Systematic use of openings, specifically during the night, for the promotion of the natural ventilation and cooling
during summer
• Placement of coloured and reflective devices for internal shading (louvers, curtains) in openings during the
summer.
• Placement of mechanisms of automatic shut of doors
Adding passive
• Cooling
2- group ofsolar systems of heating and lighting
air conditioning
• Periodic usual maintenance of the system- Cleaning and repair of fulfilment of refrigeration tower, surfaces of heat
exchangers, ventilators etc.
• Reduction of energy needs for pumping
• Control and maintenance of the devices
• Cleanup of condenser pipes in water-cooled systems
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MEASURES TO MAKE BUILDING (HOSPITAL) ENERGY ENERGY
EFFICIENT
3- Installation of artificial lighting SIMULATION
• Switching-off of lamps in non-used areas
• Coordinated periodical cleaning, control and maintenance of lamps
• Re-arranging of spaces for most optimal use of natural lighting
• Replacement of lamps of low luminous efficiency (e.g. glow) with more efficient lamps (e.g. compact electronic
lamps of fluorescence or energy saving lamps)
• Control of lighting with local switches, timers, dimmers and sensors of motion.
4- Installations for hot water
• Reduction of storage and presentation of hot water temperature down to the limit for sufficient use for cleanness
and safety from bacteria and viruses
• Rational use of hot and cold water flow mixers in faucets
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CRITERIA FOR THE OPTIMIZATION OF THE BUILDING TO MAKE IT ENERGYENERGY
EFFICIENT
SIMULATION
Control of heat and cooling distribution for HVAC applications
Efficienct components
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HOSPITAL IN INDIA ENERGY
•
SIMULATION
Estimated Electricity consumption in hospital including health centers and nursing homes in
INDIA = 769 – 1538 Million KWH
Installation of individual treatment facilities by small healthcare units requires comparatively high
capital investment.
In addition, it requires separate manpower and infrastructure development for proper operation and
maintenance of treatment systems.
A Common Bio-medical Waste Treatment Facility (CBWTF) is used for treatment and disposal of BMW.
The concept of CBWTF not only addresses costs related problem but also prevents proliferation of
treatment equipment in a city.
By running the treatment equipment at CBWTF to its full capacity, the cost of treatment of per kilogram
gets significantly reduced.
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Treatment and disposal of the biomedical waste shall be done by the following methods
Incineration.
Autoclaving.
Shredding.
Disposal option.
INCINERATION
85% to 90% of the total BMW is treated by Incineration.
1. Incineration systems uses high temperature combustion under controlled conditions to convert
wastes containing infectious and pathological material to inert mineral residues and gases.
2. Incineration is a process where the combustible waste is reduced to exhaust gaseous products
and the incombustible waste is reduced to ash
3. The key parameter in an incinerator are
• Temperature should be 900-1000*C .
• The waste be exposed for at least two seconds
• Incinerator should have the air pollution control equipment.
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AUTOCLAVING
The autoclave process is technology for the treatment of microbiology laboratory waste, human blood
any body fluid waste, waste sharps and anatomical waste.
Autoclaving is a time-tested process of sterilization of medical waste using high temperature and high
pressure steam.
Typical operating conditions for an autoclave are a temperature of at least 1210C at a pressure of 105
kPa for a period of at least 1hour.
Effective sterilization results in the destruction of bacteria, virus, spores, fungi and other pathogenic
microorganisms.
Shredders are used to destroy plastic and paper waste to prevent their reuse.
After autoclaving the plastic waste is sent to the shredder. The shredded waste is sold out to authorized
plastic molding units.
Only waste that is disinfected should be used in a shredder.
This reduces the bulk of waste making transportation easy.
Shredder have a set of revolving blades/shafts, which cut the waste into small pieces.
Maintainance costs is high.
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CONCLUSIONS
• The Bio-Medical Waste generated from the hospitals and all other source will be treated without
polluting the environment.
• All the above treatment and disposal process is done within the norms of CPCB & guidelines.
• The remaining material after incineration is safely disposed according to the CPCB guidelines.
• Incineration of Bio-Medical Waste is one of the techno- economical viable scheme, which have
many advantages such as significant volume reduction, weight reduction & also ability to manage
most types of wastes with little processing before treatment.
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ENERGY
SIMULATION
CASE
STUDY
INTRODUCTION
ENERGY
Kohinoor Hospital, Mumbai – 1st LEED Platinum rated Project in Asia & 2nd in the world.
Developed for Kohinoor Group at Kohinoor City in Mumbai. SIMULATION
Technology and Equipmets:
• Cath Lab
• Radiology
•. MRI Scan
• CT Scan
• Orthopantomogram (OPG)
• Ultrasonography
• Imaging Solutions
• LED Surgical Lights
• Picture Archiving and
Communication System (PACS)
• Patient Monitoring Systems
• Warmers and Incubators
• Pathology Laboratory
• Central Sterile and Supply Department
(CSSD)
DESIGN FEATURES ENERGY
• Built up area 227,000 Sq.ft.
• 150 bed area SIMULATION
• 2 basements, ground+5 storey structure.
• Fire hydrant system, fire alarm system, smoke detectors, heat detectors and
sprinklers with emergency lighting for all exit signs and on escape routes are
there.
• Energy Use Intensity at 53 KBTU/ Sq. Ft./ Yr.
• Insulated walls with a very low ‘U’ Value.
• High Performance glass, optimal Window to wall ratio, and recessed and
shaded windows.
• Artificial lighting constitutes 20% of the overall energy load which helps in 50%
ENERGY
SIMULATION
• The chillers have a high COP, which along with Heat Recovery (in non –critical areas) VFDs on CT and AHUs
contribute to low energy demand.
• Onsite sewage treatment plant recycles 100% of grey and black wastewater.
• Nine different varieties of vegetation was used in the landscape with all with a water requirement of zero.
• storm water collector has filters with a 90% removal of total suspended solids removed before being discharged.
• 100% of the waste produced was reused, recycled, or given to the local of community to be used.
CERTIFICATIONS AND SPECIAL FEATURES
ENERGY
SIMULATION
Kohinoor Hospital is Asia’s first LEED Platinum Certified hospital and
For a Platinum rating, one has to achieve 52-69 points.
Water Efficiency
It is indeed a commendable achievement that all 6 points were achieved.
Landscaping
In landscaping, the focus has been in using native plants like roheo, chlorophytum, bahunia purpuria, bahunia
blackiana, plumeri alba, pisonia alba, polyathia longifolia etc. that require less water for survival.
Energy and Atmosphere ENERGY
SIMULATION
It with the conservation of energy to ensure that the development is sustainable. More than 30% energy conservation
is achieved as compared to a standard case through the study of the solar path and the climate, the building facade
and orientation is designed to ensure optimization of the energy conserved. The building has façade with double
glazed units with high performance reflective glass of 1.2 "U" value to ensure that solar heat does not enter the
building whilst ensuring that it is well lit by daylight.
Material Resources
Appropriate construction waste management practices are followed during construction, to ensure that is not diverted
to land fills & recyclable waste generated is recycled.
The hospital management has taken a policy decision of maintaining the building as a "NO SMOKING". The use of
MERV 13 filters and CO2 sensors has increased the fresh air delivery by 30%.
ENERGY
SIMULATION
SAVINGS
• 35 % Energy Saving
• Green Power from Wind Mills ACTUAL BENEFITS ENERGY
• Solar hot-water generation
• Better Indoor Air Quality ACHIEVED SIMULATION
• Regular CO2 monitoring
• Increased fresh air ventilation
• No sick building syndrome
• Heat Reclaim System with VAV
• Higher efficiency than conventional systems
• Day Lighting
• Healing benefits for patients
• Patient Recovery Faster Based on research
• 41.3% Reduction In Use Of Water
• Achieved Overall Hvac Load 1tr / 500 Sqft Achieved Overall Lpd Of 0.54 W/Sqft
• 40% Energy Efficiency
• 96.79% Construction Waste Management
• 72.05% Regional Material
• 29.75% Recycled Material
• 80.33% Of High Sri Roof Area Achieved
THANK YOU !