Canadian Healthcare Facilities

Canadian

HealthcareFacilities Journal of Canadian Healthcare Engineering Society

Volume 30 Issue 4

Summer/EtĂŠ 2010

Natural Care

The healing power of natural environments

CHES 2010 Conference: The complete details Adding dashboards: simplifying your systems

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Inside

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Canadian Healthcare Facilities Volume 30

Number 4

Canadian Healthcare facilities IS published BY under the Patronage of the canadian healthcare engineering society

Steve McLinden e-mail: stevem@mediaedge.ca

Interim Editor

Matthew Bradford

Advertising Sales

Mike Blanchard

MediaEdge Communications 416-512-8186 e-mail: info@mediaedge.ca

SENIOR designER

Annette Carlucci

Publisher

contents

Sean Foley

DESIGNER Rob McFadden production Manager

Rachel Selbie

SCIss JOURNAL trimestriel publié PAR MEDIAEDGE COMMUNICATIONS INC. sous le patronage de la société canadienne d’ingénierie DES SERVICES DE SANTÉ Steve McLinden e-mail: stevem@mediaedge.ca

Éditeur

Rédatric intérimaire

John Tenpenny

e-mail: johnt@mediaedge.ca

publicitaire

Sean Foley

MediaEdge Communications 416-512-8186 e-mail: info@mediaedge.ca

Pubicité

Annette Carlucci

COORDINATEUR de production

Rachel Selbie

CHES Canadian Healthcare Engineering Society

departments 4 Message from the Publisher

By Steve McLinden 6 Message from the President

By Michael F. Hickey 8

Chapter Reports

11 Standards Update Articles 12 Natural Care: Creating healing environments with evidence based design 20 Performance-based Conservation: TRCA programs are tapping the potential for greater energy savings

SCISS

Société canadienne d'ingénierie des services de santé

President

Michael Hickey

VICE-PRESIDENT

J.J. Knott

Past President

Stephen Rees

treasurer

Peter Whiteman

Secretary

Philip Langford

EXECUTIVE DIRECTOR Elizabeth Hooper

Maritime: Bill Goobie Alberta: Ken Herbert B.C.: Steve McTaggart Ontario: Ron Durocher

Manitoba: Richard Lacoursière Newfoundland & Labrador: Randy S. Cull

24 Streamlining Systems: How dashboards can simplify information access across the boar 28

CHES Conference Preview

32

CHES Exhibitor Preview

34

CHES National Trade Show and Education Forum

Chapter Chairmen

Founding Members H. Callan, G.S. Corbeil,

J. Cyr, S.T. Morawski

Ches

4 Cataraqui Street, Suite 310

Kingston, Ontario K7K 1Z7 Telephone (613) 531-2661 Fax (613) 531-0626

e-mail: ches@eventsmgt.com

CHES Home Page: www.ches.org

Canada Post Sales Product Agreement No. 40063056 ISSN # 1486-2530

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Message from the Publisher

Looking forward to Whistler!

With CHES' national conference in Whistler just around the corner, I find myself at odds. On one hand, attending the 30th annual conference means the chance to revisit one of the most beautiful and majestic parts of Canada. On the other, by the time I'm there, our already short summer will be behind us.

In this issue you will find the 2010 conference preview: a detailed guide that will provide you with everything you need to know about this year’s “Environmentally Responsible Healthcare” themed event. The program looks packed full of the latest perspectives on sustainability, energy management and the new technologies available to improve building performance.

Also in this issue, Todd Ferguson shares new research in Evidence Based Design (EBD) and its positive impact on patient health and well-being. John Karman, a senior associate at Stantec, leads us through solutions in creating a “dashboard” for systems integration. Also make sure to read Brian Burton and his article on new technologies in “overcladding”, which suggests alternatives to major repairs and replacement of facilities.

As always, a special thanks to delegates, associate members, sponsors and our advertisers for your participation in this year's national conference.

I look forward to seeing you all in Whistler.

Steve McLinden Publisher stevem@mediaedge.ca P.S. If you have any suggestions, comments or contributions for the journal, please forward your comments directly to my email address or, better yet, call me directly at 416-512-8186 x239.

Reproduction or adoption of articles appearing in Canadian Healthcare Facilities is authorized subject to acknowledgement of the source. Opinions expressed in articles are those of the authors and are not necessarily those of the Canadian Healthcare Engineering Society. For information or permission to quote, reprint or translate articles contained in this publication, please write or contact the editor.

Canadian Healthcare Facilities Magazine Rate Extra Copies (members only) $25 per issue Canadian Healthcare Facilities (non members) $30 per issue Canadian Healthcare Facilities (non members) $80 for 4 issues A subscription to Canadian Healthcare Facilities is included in yearly CHES membership fees.

La reproduction ou l’adaptation d’articles parus dans le Journal trimestriel de la Société canadienne d’ingénierie des services de santé est autorisée à la condition que la source soit indiquée. Les opinions exprimées dans les articles sont celles des auteurs, qui ne sont pas nécessairement celles de la Société canadienne d’ingénierie des services de santé. Pour information ou permission de citer, réimprimer ou traduire des articles contenus dans la présente publication, veuillez vous adresser à la rédactrice.

Prix d’achat du Journal trimestriel Exemplaires additionnels (membres seulement) 25 $ par numéro Journal trimestriel (non-membres) 30 $ par numéro Journal trimestriel (non-membres) 80 $ pour quatre numéros L’abonnement au Journal trimestriel est inclus dans la cotisation annuelle de la SCISS.

Message from the President

A Busy Season for CHES It sure has been a busy summer. It is my hope that you’ve had the opportunity to spend some quality time with your family and friends and have enjoyed some great weather. I have chased the sunny weather as I am sitting on the beach in sunny Florida writing this report at 36 degrees C. My wife, daughter and I (all healthcare workers) usually reward ourselves each year with a month in Florida, but part of the reason for me being in Florida this time of year is that I am attending the 47th Annual Conference and Exhibition of the American Society for Healthcare Engineering, held in Tampa July 11-14th, 2010. As an added bonus, I have been invited this year to present as part of their faculty for this conference. As president of CHES I am honored and privileged to be invited to participate in the conference at this level. The ASHE conference is huge at 2700 delegates and close to 300 exhibitor booths.

Many of you also know Gordon Burrill, a long time member and ambassador of CHES. Gordon is highly regarded within ASHE and is a regular presenter with their organization. Gordon will also be presenting this year, and I think this is a testimony to the respectful and productive partnership we have built between CHES and ASHE. As well as participating in the conference, I will have the opportunity to meet with their President Terry Martin and their Executive Director Dale Woodin to discuss opportunities in which CHES and ASHE can continue to build our partnerships over future years. I am really excited to be here.

It has been a busy travel year for me. I have had the opportunity to attend the Manitoba Education day held in Winnipeg in April, as well as the Ontario Chapter's annual conference at Niagara Falls in May. The Maritime Chapter also held their annual conference in May with Peter Whiteman volunteering to attend and represent CHES National on my behalf. Each conference was a huge success. Congratulations to each chapter and their conference planning teams, and a big thank you to each provincial executive teams for treating us so well during our visits.

Our next big conference is the National, to be held September 19-21, 2010 in beautiful Whistler, BC. All the exhibitor booths have long sold out, with delegate registrations building quickly. Be sure to get signed up before it is too late as it promises to be another awesome conference with great education sessions, and lots of attractions for family members who may decide to join you. For regular updates, please read further in this edition, or visit our conference website at www.chesconference.com/2010conference Thank you once again for all you do to make CHES strong. You should be very proud of your hard work in making us the professional society we are today. See you in Whistler!

Michael Hickey, President

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Ontario Chapter Report

Manitoba Chapter

alberta Chapter

Chapter Reports The Alberta Chapter held their Annual General Meeting on June 10th at Sylvan Lake. The following are the new 2010-12 executive two year term positions: Ken Herbert (Chairperson), Preston Kostura (accepting the long vacant Vice-Chairperson position), Henry Doornberg (Treasurer) and Glenn Stowkowy (Secretary).

The appointed committee chairs are as follows: Jeff Smith (Professional Development), John Karman (Communications), Steve Rees (Partnership and Advocacy), Glenn Stowkowy (Membership) and Ken Herbert (Board Governance).

Our new executive member is Preston Kostura, the current President of the Hospital Engineers Association of Alberta (HEAA) which, for the time being, has decided to go into a holding pattern. All of us in Alberta still need to confirm what support our senior administration will give us to become members of CHES and the assumption is that a national organization would be

supported versus a provincial organization. Preston and myself are encouraging all AHS staff in the Facilities Maintenance & Engineering or Project Management departments to request approval to join CHES Alberta and carry on the fine work that HEAA has done in the province since 1971.

The Annual Clarence White Conference and Trade Show, which last year was a joint venture with HEAA, is still going ahead with CHES taking care of the planning. The new date is Nov. 1st - 2nd, 2010 in Red Deer. Check the CHES web page for more information as it becomes available.

Over the next year, we also will be planning two meetings and site tours on new capital projects.

The Manitoba Chapter held their Annual General Meeting and Educational Day on April 28th, 2010 at the Victoria Inn in Winnipeg. The day's main topic was: “Construction Project Delivery from Concept to Opening Day”. Norman Blackie, acting executive director with the Capital Planning Branch of Manitoba health began the day with a discussion on funding the concept. Following this, design implementation was addressed from the perspective of Architectural and Engineering consultants, James Orlikow of LM Architectural Group and Gary Bolton of SMS Engineering. Andrew Konowalchuk, Regional Director Capital Planning also spoke on closing the gap, the owners’ management of design and management of project delivery.

The afternoon's sessions dealt with delivering the project.

This discussion, led by Peter Grose of Westland Construction

Ltd. took us through a review of project delivery methods and the process of developing an estimate from the contractor's perspective. The education session ended with a presentation on commissioning by Bill Algeo, Building Technologist from The Health Sciences center.

During the AGM it was announced that Winnipeg will be the location of the 2011 CHES National conference and that volunteers were needed to work with existing committees in order to ensure a successful conference. If members have ideas for the 2011 CHES Conference, they are asked to please forward them to the MB CHES Executive or their Chapter Executive.

The next educational day is scheduled for April 2012 On behalf of the Manitoba Chapter executives, have a safe and healthy fun filled summer.

Ontario’s conference and trade show was a huge success with hundreds of delegates in attendance and 72 exhibitor booths. Both the venue and program were well received, bringing positive comments from many of those who attended. Profit from the conference will help support our education and student bursary initiatives. CHES Ontario has also donated the proceeds from the golf tournament to the Special Olympics.

CHES Ontario continues to support the Coalition for Green Health Care (CCGHC). Proceeds from the GreenPark exhibits in the trade show were donated to the CCGHC. Activity in the coalition is increasing and it has become an efficient way to get answers to green-related queries. Overall, the membership is varied and experts on any topic seem to reside within the online listserv located at www.greenhealthcare.ca Currently, CHES Ontario is working with CCGHC and the OHA to engage Local Distribution Companies (LDC) and Ontario Power Authority (OPA) with plans to discuss new support programs for energy use reduction at Ontario Hospitals. As they are now, the programs are insufficient to provide the encouragement needed and the distribution of funds has been deemed too onerous to be effective.

CHES Ontario has also been asked to join with the Ontario Hospital Association (OHA) , CCGHC and other green organizations to collaborate on a shared online resource aimed at encouraging open and objective discussion by partners and members with the purpose of advancing green health care. The website is intended as a place to collaborate virtually for the purpose of sharing green health care project success stories and case studies from the sector using tools such as document-sharing, discussion boards, surveys and other resources. The goals are to create objective, interesting and relevant content to fuel discussions in Green Health Care, synergize ideas in Green Health Care to expedite action, and to gather our overlapping audiences in one place.

We look forward to working through this new initiative in the coming months.

I hope everyone is enjoying a great summer and I look forward to seeing many of you at the National conference in September.

8 Canadian Healthcare Facilities

Ken Herbert Alberta Chapter Chair

Ron Durocher, chair, CHES Ontario Chapter Building Member Expertise

Maritime Chapter Report

Chapter Reports Denise AubĂŠ, director of Support Services at Regional Health Authority A in Bathurst, NB was the winner of a free trip for two to the National Convention in Whistler. The draw was held at the CHES Maritimes Spring Convention in Moncton.

CHESNL has met on two occasions over the past quarter. We partially sponsored Brian Kinden and Bill Squires to attend the Ontario Chapter conference with a look toward how to do it right and they were impressed and learned a lot. The Chair emphasized the importance of the committee structure and subsequent committee follow up with respect to the various

issues in the province. On behalf of CHESNL I put some good effort into the feedback on the new long awaited CSA Z8000.

This will improve healthcare in the country and it is good to see Gordon Burrill representing CHES at the table. Watch out for the rumored Newfie invasion in Whistler.

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Summer/EtĂŠ 2010 9

BC Chapter

Chapter Reports BC EXECUTIVE – CHANGING OF THE GUARD It’s with mixed emotions that I write my final Chapter Chair’s message.

Though the time has come for me to pass along the torch, it’s good to know that the BC Chapter remains strong, continues to grow and will be well represented with a solid mix of returning veterans and new players. We’re fortunate to have CHES members here in BC that care about their professions and participate in the goals and objectives our society promotes. I’m also proud to leave knowing that the BC Chapter continually transcends our provincial mandate and has significantly contributed to our National successes and strategic initiatives. So, to all those who have shared with me their support, wisdom, and experiences, and to the one who first introduced me to CHES...

Thank you to all! It’s been a privilege and a pleasure!

Steve McTaggart Chair, CHES BC

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Standards Report

CSA Z8000 Development

By Gordon Burrill The Canadian Standards Association held their annual meeting and conference week from June 20-25, 2010 in St. John’s, Newfoundland. The event saw more than 500 CSA members and staff gather to discuss key issues in the field of standards development.

CSA Group’s new president, Mr. Ash Sahi, and CSA Standards’ new president, Bonnie Rose, addressed the meeting and emphasized the importance of ensuring that sustainability and safety remained paramount in the development of future standards. Although this has long been a focus of the Technical Committee for Health Care Facilities Engineering and Physical Plant (TC Z257), the emphasis of CSA’s leadership in this area shows that the TC has been focused in right direction.

Following the annual meetings, TC Z257 held their meetings. Most notable was the intense, two-day session conducted by the subcommittee responsible for the preparation of CSA Z8000, “Canadian Healthcare Facilities”. This group spent two full days reviewing and processing over 700 comments submitted through the public review process; about one third of which came from

CHES members across the country. CHES members were commended for their active participation in the process and for contributing many wonderful suggestions.

Time did not allow for the TSC to deal with every comment at this meeting. However, all remaining comments will be processed before the end of July. To date, approximately 1000 comments and suggestions have been received, all of which have contributed in some way towards improving the final document. Given the diversity of the committee, the breadth of interest from members, and the scope of the document, not every suggestion can be incorporated. However, each and every comment will be taken into consideration when creating the final draft.

I would like to take this opportunity to personally thank the dozens of CHES members who took the time to review the Z8000 public review draft and submit their comments.

Steve Rees and I are honoured and proud to represent CHES in this very important project. If you should have any questions, comments or concerns about this standard or any other CSA standard, a CHES representative is always available to help. Please feel free to ask.

Summer/Eté 2010 11

Natural Care: Creating healing environments with ev

12 Canadian Healthcare Facilities

vidence based design

By Todd Ferguson

There is a growing body of research that demonstrates that access to a natural indoor environment may improve health and wellbeing, aid in the prevention of disease and help people recover faster from illness.

Patients in healthcare environments are clearly benefiting from environmental enhancements known as Evidence-Based Design (EBD), which involves a holistic review of a building’s physical space including the total sensory environment of sight, sound, touch and smell. EBD is credited with having a healing impact on patient’s well-being, mood and safety as well as providing a restorative benefit for busy medical staffers. As a horticulture Summer/EtÊ 2010 13

professional, I have seen first-hand the healing benefits of employing EBD principles with plants, ambient scenting and art in healthcare environments.

“A pleasing and positive healthcare environment that is presented as a spiritually satisfying sanctuary with natural light, gardens, fountains, art and music is enormously beneficial for a patient’s well-being,” says Dr. Gilda Carle, psychotherapist, author and professor.

“Being able to access and enjoy surroundings that reduce stress and engage the senses is highly therapeutic for patients.”

Healthcare design is increasingly guided by research linking the physical environment of a hospital to patients and staff outcomes and is moving toward EBD. In a report to The Center for Health Design, in a project funded by the Robert Wood Johnson Foundation, researchers from Georgia Tech and Texas A&M analyzed thousands of scientific 14 Canadian Healthcare Facilities

articles and identified more than 700 studies - many in well-respected peerreviewed journals - that establish how hospital design can positively impact clinical outcomes. A variety of factors were analyzed including the type of lighting, ventilation, noise levels and use of ergonomic furniture. The researchers found a strong body of evidence that suggested improved hospital designs which adhered to EBD principles resulted in reduced staff stress and fatigue, improved patient safety, reduced patient stress and outcomes, and improved overall healthcare quality.

Curative power of plants The experience of being near lush greenery, whether indoors or within a patient’s line of vision outside their window, provides many beneficial effects.

Being around plants reduces stress and engenders a feeling of well-being in most people; a benefit that is even more acute

if correct lighting is in place. Because plants have a large surface area and exchange water and gases with their surroundings, they have a unique ability to tackle many environmental problems.

It isn’t necessary to fill every available space with a plant to achieve this; just a few good-quality specimens located in patients’ rooms and where employees work or take their rest breaks can be sufficient.

“The reasons why this has a beneficial effect are a subtle but complex mixture of the physiological - improved humidity, reduced noise, etc. - and psychological,” says Kenneth Freeman, International Technical Director at Ambius who has led many research initiatives on the benefits of plants in the workplace. “The fact that the hospital has been prepared to spend money on something that has no obvious function than to make the environment more attractive may also be a contributing factor, by sending a signal to staff that

“A pleasing and positive healthcare environment that is presented as a spiritually satisfying sanctuary with natural light, gardens, fountains, art and music is enormously beneficial for a patient's well-being.”

Dr. Gilda Carle, psychotherapist, author and professor.

management cares about its employees and its patients.”

“A study carried out in a London hospital in 1995 provided clear evidence that people do react more favorably to a building when it contains plants than when it does not,” says Freeman.

“Hospital visitors were asked to respond to a descriptive choice test using twenty pairs of bipolar adjectives (quiet vs. noisy, cheerful vs. gloomy, etc.). The results showed that when plants were present in the reception area of the hospital, users perceived it to be 17% more ornate, interesting and cheerful, 16% more welcoming, 15% more relaxing, 11% less stressful, 11% tidier and 8% quieter.” There were no negative findings and all the results were indep endently ver ified as being statistically significant. (Ref: “Human Responses to Interior Planting”, J.V. Stiles, PhD, Oxford Brookes University).

“There is now general agreement

within the scientific community that plants improve the indoor environment, and are useful weapons in the fight against the modern phenomenon known as sick building syndrome (SBS),” says Freeman. “No specific cause of SBS has been identified, but poor air quality, excessive backg round noise and inadequate temperature and light control are thought to be important factors. Because plants have a large surface area and exchange water and gases with their surroundings, they have a unique ability to tackle many environmental problems.”

In particular, plants can reduce levels of carbon dioxide, which can accumulate in buildings from the breathing of its occupants and the by-products of heating systems and electrical equipment.

Plants also increase the relative humidity, which should be between 40% and 60% 'relative humidity (RH) for maximum human comfort. Plants reduce levels of

cer tain pollutant gases, such as formaldehyde, benzene and nitrogen dioxide as well as airborne dust levels.

Plants also reduce air temperatures and background noise levels.

Hospitals in large urban markets are often very large and it can be easy to get lost. In many hospitals, there is a need to channel pedestrian traffic towards significant landmarks, such as exits, check-in desks, escalators and common passageways. Plants offer an attractive and practical solution, providing a living barrier that gently guides people to where you want them to go.

Choosing the right plants and containers for this purpose is very important. Spiky plants or those with sharp-edged leaves would clearly be inappropriate in an area designed for heavy pedestrian traffic flow. Containers need to be robust, take up a minimum of floor space and in some situations be linkable to form a clear wall.

Summer/Eté 2010 15

Green 'living' walls A green wall (also referred to as a living wall or vertical garden) is a wall that is free standing or part of a building that is partially or completely covered with a vegetation façade. Unlike green roofs, which are rarely seen and enjoyed by the public, living walls can create instant vibrancy and impact. Exterior green walls also help lower a hospital’s building temperatures in summer and prevent heat loss in winter. Interior green walls can help to clean the air and make the hospital environment more welcoming for patients. “By dressing hard and unforgiving façades of concrete and iron in green soft plants we rejuvenate our minds and physical fatigue is greatly reduced,” says Chad Sichello, President of GSky Plant Systems Inc., a leading provider of green wall systems based in Vancouver, Canada. “There are several studies showing that hospital patients who have been in rooms with a clear sight of fully-blooming trees have required less pain relief drugs and recovered faster than patients who were in direct sight of concrete walls. A green wall can fill the spaces and walls and surround patients with vitality that encourages quick recovery.”

16 Canadian Healthcare Facilities

Ambient scenting and art Ambient scenting is a powerful yet subtle way for a healthcare facility to create a warm and uplifting environment for patients and staff. Of all the five senses, smell is often cited as the one that triggers emotions most powerfully. Further, when it comes to employees, scientific studies have shown that pleasant smells can increase alertness and productivity while also reducing stress. Air treatment practices that improve indoor air quality by adding pleasant scents or removing problem odors have a positive outcome on occupant health.

Art is another way to address the turmoil and change in the environment.

Art can feed your soul by offering some relief from the stress of daily life and evoking emotions. At its best, art inspires and challenges and transforms us. A custom-designed art program that completes the image as envisioned by the client, architect and design team can nourish the soul of all who work, visit or reside in the healthcare facility.

“Health care cannot be separated from the setting in which it’s delivered,” said Jain Malkin, author of the Hospital Interior Architecture textbook. More and more healthcare organizations are

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realizing the value of evidence based design (EBD) programs in facilitating patient healing, reducing patient and staff stress, improving patient and family satisfaction, increasing staff effectiveness, reducing staff turnover, and consequently, reducing costs. That our physical environment affects our emotional and physical well-being is really common sense. After-all, who among us is not moved by the sight and smell of beautiful

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Performance-based Conservation: TRCA programs are tapping the potential for greater energy savings Launched in 2004, the Toronto & Region Conser vation Authority’s (TRCA) ‘Greening Health Care’ program is a model for the success of performancebased conservation strategies. Today, more than 20 Ontar io hospital corporations and over 40 hospital sites are members of Greening Health Care.

Like other TRCA performance-based conservation programs, at the heart of the Greening Health Care program is its web-based building performance management system which was developed in Ontario. The system houses one of the largest performance databases in North America, allowing hospitals to monitor 20 Canadian Healthcare Facilities

their monthly energy and water savings and benchmark their conservation progress in relation to other facilities.

The system allows the hospitals to determine their conservation potential and set targets relative to those in the program with superior performance.

Member hospitals meet quarterly in facilitated workshops and webinars where they receive education in technology and best practices, plan and implement improvements, and network knowledge and experiences with each other. Together, they form a collaborative community working progressively towards continually higher levels of

efficiency and cost savings.

Sick Children’s Hospital in Toronto, for example, is one of the founding members of Greening Health Care. Since 2004 it has implemented a range of operational improvements and retrofit projects across all three of its major downtown sites.

As a result, their savings have grown each year, and in 2009 the Atrium facility was recognized for demonstrating a 45% steam use reduction from its 2004 baseline, making it one of the most efficient hospitals in the Greening Health Care database. Additionally, Sick Children’s total energy and water savings

for all three sites in 2009 amounted to $1.6 million and its current energy target aims to double those annual savings in future years.

Participating Greening Health Care hospitals are increasingly recording double-digit percentage energy savings, worth millions of dollars annually. As new hospitals join the program, they can readily assess their energy performance relative to the Greening Health Care database and top-performing hospitals, set initial targets, and gain immediate access to the accumulated knowledge and experience of the group.

Energy savings notwithstanding, the benchmark chart shows that there is still a wide range of energy use per square foot among the Greening Health Care hospitals. Many of the facilities in the lower section of the chart are newcomers to Greening Health Care and have considerable room to improve. By doing so, they can potentially save hundreds of thousands of dollars per year.

Performance – based conservation Overall, Greening Health Care exemplifies what we have come to refer to as 'performance-based conservation'.

Common characteristics of such programs include: • Voluntary, collaborative and member directed.

• Co n t i nu o u s e n e r g y re p o r t i n g .

Members have been monitoring their energy performance for many years.

• Data-driven. Targets and best practices are developed by benchmarking and validated by actual energy savings.

• Multi-year commitment. It can take 2 years or more for a new member hospital to demonstrate early success with operational improvements and make the business case for greater investment in conservation.

• Continuous improvement. Energy conservation evolves from one-time projects to an ongoing management process of individual initiatives working towards higher and higher performance targets.

In addition, performance-based conservation serves to complement a n d e n h a n c e m o r e p r e s c r i p t i ve demand-side management programs (DSM). It does so by: • Focusing on potential for low cost, high total resource cost (TRC) savings resulting from operational improvements, re-commissioning of building systems, and upgraded controls and automation.

• Co n t i nu o u s l y m o n i to r i n g a n d reporting on actual energy use and savings achieved, by helping to verify that prescr iptive measures are properly installed and operated and do indeed realize the estimated savings upon which prescriptive incentives are calculated.

• F a c i l i t a t i o n o f co l l a b o r a t i o n , competition and accountability among building owners, managers and communities which creates broad market transformation.

Since TRCA introduced this approach seven years ago, performance-based conservation has grown rapidly within Ontario and is being adopted across Canada. Using web-based delivery, the approach is fully scalable and potentially accessible to all sectors and buildings across Ontario.

Performance-based conservation is transforming the market in Ontario and beyond. In September, 2009 Real Proper t y Association of Canada (REALpac ) launched its “20 by ’15” target which aims to lower median energy for office buildings by up to one

half by 2015. “20 by ’15” is derived from the performance metrics developed through the national performance-based GREEN UP program, and is receiving worldwide attention as a model for deep conservation and emissions reductions.

The Government of Canada is considering the results of these performance-based conservation programs in its development of Energy Star for buildings in Canada.

Enbridge experience Enbridge Gas Distribution (EGD) has been supporting Greening Health Care and Sustainable Schools since 2006 through its M&T (Measurement & Targeting) program for commercial buildings. Incentives are paid to program participants based upon reports which document actual energy savings achieved and the actions taken to generate the savings, all of which are certified by the building owner and an engineer.

Any incentives paid under other EGD programs are netted off against the recorded savings so there is no double counting. More importantly, this program encourages and rewards good management and continuous improvement. For example, Sick Children’s Hospital earned incentives for 2006, 2008 and 2009 as it continued with its ongoing energy conservation program, reinforcing the persistence and reliability of performance-based conservation savings.

For 2009, this EGD program support has extended to the Mayors’ Megawatt Challenge program and to office buildings participating in performancebased programs.

Overall, what we have learned is that performance-based conservation delivers far greater energy savings than had been expected, and that the larger part of the savings is found in low or no cost

Performance-based conservation serves to complement and enhance more prescriptive demand-side management programs Summer/Eté 2010 21

“Performance-based conservation is transforming the market in Ontario and beyond.” improvements. Other lessons learned utilizing performancebased conservation strategies include: • Successful and sustainable conservation has more to do with good management than with technology • Conservation programs have to support building managers with information, tools and resources so that they can recognize the unique set of conservation opportunities in their facilities • Benchmarking can identify buildings with high conservation potential, inform target-setting and point to where savings are to be found in each building.

• Monthly savings reporting flags variances in predicted savings, identifies measures which do not perform as intended, verifies savings which have been achieved and guides continuous improvement.

• Such specific, timely and accessible information can align and integrate the efforts of all the players involved in building performance, including managers, operators, contractors and designers, enabling them to work together towards higher and higher standards of energy efficiency.

Performance-based programs address the whole building and all its systems, delivering natural gas, electricity and water savings, thereby providing the opportunity for natural gas and

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22 Canadian Healthcare Facilities

electric utility companies to coordinate their conservation programming for all building sectors.

The Toronto & Region Conservation Authority’s mandate is to support provincial policy objectives and to encourage continual improvement in conserving the province’s water and energy. Through its performance-based conservation programs TRCA’s goal is to harvest the considerable untapped potential for energy savings through operational and low-cost improvements, thereby delivering verified energy savings to Ontario ratepayers and consumers.

To meet these goals on a broader provincial basis, TRCA recommends that future DSM and conservation demand management (CDM) programming in Ontario should include the following elements: • Multi-year term recognizing recruitment and engagement goals in the beginning providing energy reporting, targetsetting and conservation planning • Incentives based on documented energy savings • Coordination between natural gas and electric utilities • Reliable and accessible monthly billing data • Conservation potential estimation based on aggregated results • Advanced metering for mid-sized buildings, including schools • Research into best practices identified through continuous savings reporting • Related education for building owners and managers, and for the buildings industry • Sponsorship for established and proposed programs which provide these elements to the market in Ontario • Measure Life input assumption raised over time as permanence of savings is demonstrated Other TRCA programs Over and above its support in this area, TRCA has contributed to a number of other similar initiatives. In addition to delivering the Mayors’ Megawatt Challenge for municipalities, and helping launch the ongoing Sustainable Schools program, TRCA is also working under an agreement with the Canada Green Building Council (CaGBC) to support its national GREEN UP program which uses a similar approach in the commercial office, government/utility company administration buildings, K-12 schools, municipal arenas, bank and credit union branches, and university sectors. Lastly, TRCA and CaGBC are jointly developing Greening Retail to address the retail sector, and intend to introduce the approach to more building types over time.

For more information about TRCA and its performance-based conservation initiatives, please visit www.trca.on.ca

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Streamlining Systems: How dashboards can simplify information access across the board Today’s modern buildings are rife with microprocessor technology based systems. Such system range from life safety systems to facility user systems such as those used for board room booking.

Many of these systems use Internet Protocol (IP) based communication, but some of the more specialized systems such as Building Automation, Fire Alarm Systems, Security Systems, Elevator Management Systems and similar systems may use proprietary communication protocols. The result is a Facility Control Centre cluttered with PC’s and monitors. Often, those screens display either static information, or information that is 24 Canadian Healthcare Facilities

not vital for a buildings operator to view on a continuous basis.

One simple solution to this dilemma is to load all applications onto a common PC, thereby enabling the operator to move from system to system. However, a more elegant and user friendly approach is to provide a common screen that will enable a building operator to view the entire facility at a glance. This is often referred to as a “dashboard”.

This article focuses on the deployment of a dashboard for the Building Systems. This can range in complexity from simply displaying a s y s te m s t a t u s a n d a n nu n c i a t i n g alarms, to an interactive application

that allows operators to drill down deeper into a system once a condition has been identified that needs attention. In idle state, dashboards can display meters, bars or other information indicating the amount of energy being used in the facility, the occupancy comfort level or other statistical data that can be extrapolated from the various systems.

One of the issues encountered when tr ying to create a dashboard application is system integration. In order to display useful information, one must extract data from the various systems. Contrary to popular belief, many Building Systems do not use a common protocol. Their specialized nature requires them to use a proprietary communication system in order to transfer data internally from field devices to field panels and field panels to main panels. Not only do they transmit digital data, but they often rely on analog data as well. The industry, however, is adopting more and more open protocols such a LonWorks and BacNet. One thing to keep in mind is that the term 'open protocol' does not necessarily mean that all information is freely available to all the different systems for users to to pick and choose f rom a s t h e y w i s h . A pro to co l prescribes how information should be shared, what format a particular data stream should adopt and how this d a t a c a n b e i n t e r p r e t e d . Wh e n requesting BacNet communication between the different systems, it is essential that we define the information to be shared so that the manufacturers can make the necessary arrangements within their systems. We also have to specify in which direction the information flows, understanding that, in some cases, the information is only allowed to flow in one direction.

For instance, fire alarm information can be sent, but in general it is not acceptable for commands to be sent into the systems from other systems due to code restrictions.

Having said that, there is a trend starting within the building automation industry of also using the BacNet protocol for internal

communication. In some cases, the uses standard Data Cabling to transfer system will communicate entirely via the data from the end devices to the BacNet protocol, at which point the head end equipment and therefore systems are referred to as “native lends itself more easily to the transfer BacNet�. of data between systems; particularly Internet Protocol (IP) is a w i t h the advance of communication protocol that is often PowerOverEthernet (POE) technology used in devices which utilitize digital which eliminates the need for separate information. The use of IP is becoming power cabling for devices such as more widespread in systems such as cameras, WiFi antennas etc. This type Thermogenics_CHF_Summer08.pdf 1:04:40 PM Access Control, Camera Surveillance7/11/08 of system deploy ment is rapidly and Asset Tracking. The IP protocol gaining popularity.

Summer/EtĂŠ 2010 25

The cabling aspect of the system integration is another area wherein confusion may arise. Often it is assumed that system integ ration implies a common cabling system where any device inserted on the communication bus will automatically communicate with the correct head end equipment. The closest approximation to this is systems that use data cabling and POE to transport their data. They can use the structured cabling systems, IT routers, hubs and switches to transport the data to the appropriate server. In essence, they will use the IT network for all their data transfers.

While there is a trend amongst the building systems to employ similar methods, in most cases they will still utilize a dedicated cabling system for many of their data transfer needs, particularly from the field panels to the end devices. Even if standard data cabling such as a CAT5E or CAT6 system is employed, the cabling is kept separate from the IT Network systems.

One of the reasons often cited for

maintaining separate cabling systems between indiv idual systems, and between buildings systems and IT systems, is the danger of accidental disconnection of devices by unauthor ized personnel, thereby jeopardizing the operation of Building Automation or Security Systems. Such incidents can be minimized by proper management of the cabling systems.

A critical item to consider when contemplating this type of integration is to not select systems first and foremost for their ease of integration.

The risk is that this will become the focus of the system design, and may result in a loss of functionality and flexibility, ultimately jeopardizing the ability to maximize on future advances in technologies.

The primary consideration should be the functionality of the individual system. Consider, what are the desired results and what is the system used for? Secondly, what flexibility and adaptability does the system offer for the future? When all functional aspects are established, only then

should the integration aspect be introduced.

The dashboard is no more than a display and interface that combines all of the above systems in a simple and effective way. However, since each building is unique in its operations and management philosophy, it is important that the dashboard vendor provides a flexible system that can accommodate those unique r e q u i r e m e n t s . H i s t o r i c a l l y, t h e manufacturers of building automation systems have always been cognitive of the unique challenges that each building has, and have therefore maintained flexibility and adaptability in their dashboard or, as it is called in some circles, their 'Human-MachineInterface (HMI)'. The idea of system integration is not as new as some would think, and our reviews indicate that BAS manufacturers generally have a long history of integrating systems and displaying their data as part of their graphics. In recent years, through the use of BacNet, they have developed the ability to not only display the data, but

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“A more elegant and user friendly approach is to provide a common screen that will enable a building operator to view the entire facility at a glance. This is ofter referred to as a 'dashboard'.” often directly link with the systems to allow the operator to control each system from a common display.

In summary, the following is an effective way to approach the integration aspect: 1. Discovery Phase a. Establish a task force consisting of representatives from Building Management, Building Operators, Information Technology, Security Services, Mechanical Consultants, Electrical Consultants, to define for each Buildings and IT System what the desired functionality, flexibility and capacity of each individual system should be.

b. Define the functionality of the dashboard, data to be displayed, interactive components required, future flexibility and capacity.

2. Design phase a. Design the individual systems as separate entities to maintain maximum flexibility and leverage for project costs. b. Prepare technical specifications for each system individually as performance type specifications, rather than a prescriptive specification. c. Prepare an request for proposal (RFP) package that will combine all the systems in one package. and includes

a detailed description of the integration component and the HMI functionality.

3. Bidding Phase: a. Evaluate the RFP’s using a predetermined weighting scale based on technical performance, company history, references, technical support (local and global), past similar projects, in-house expertise, not just financial considerations.

John Karman, C.Tech., PMP, RSW, LEED® AP, Senior Associate Stantec John is a Senior associate with Stantec Consulting building engineering group, with 20 plus years experience in the design of electrical systems for health care facilities.

Summer/Eté 2010 27

Environmentally Responsible Healthcare 30th Annual Conference of the Canadian Healthcare Engineering Society

Online registration: www.chesconference.com/2010conference

P R O G R A M Monday September 20

08:30-09:00 Opening Ceremonies 09:00-09:45 KEYNOTE ADDRESS Kevin R. Hydes, President & CEO, Integral Group Kevin is President and CEO of the Integral Group, a global engineering organization that is committed to developing DEEP GREEN strategies for our clients. He is building the Integral team to explicitly deliver on the current needs of the profession across the globe. Bringing over 30 years of experience to the engineering industry, Kevin has spent the past 15 years focusing on green design and advancing its cause. Kevin is a long-time leader in the field of sustainability in North America and abroad - widely recognized for his contributions to the building industry. Over the past decade he has gained a reputation as both an innovator as an engineer and also a pioneer as a green business leader, creating transformative strategies as President of Keen Engineering and Vice President of Stantec. Kevin brings this collective experience to the Integral Group, where he will build and shape the future of this unique organization.

10:30-11:30 2 CONCURRENT TRACKS - 1A & 1B Track 1A

How water treatment helps embrace the future by rebuilding the past in healthcare facilities

Subroto Chakravorty, Vice President & Country Manager, Chem-Aqua Canada, Brampton ON Allan Browning, Technical Marketing Manager, Chem-Aqua Inc., Irving TX Terry Runka, Regional Manager, Chem-Aqua Canada, Brampton ON This presentation is designed to help healthcare engineers understand how the water treatment program for building HVAC and potable water systems can help meet key green objectives including:. energy and water conservation, chemical management and minimization, waste reduction, and waterborne pathogen control

Track 1B

Re-commissioning buildings

Bernard (Bernie) W. Nelson, BSc in Electrical Engineering, PEng, PE, LEED AP, CEM, Principal, C.E.S. Analytics Ltd. Re-commissioning a building implies that the building had previously experienced some level of commissioning. As you know, DDC contractors have been claiming to commission their systems since DDC control systems were invented. The problem is, the system reps that typically do the commissioning are usually computer tech types that do not have an in depth understanding of HVAC design and system operation. Many HVAC design engineers typically rely on DDC contractors to write their specs and control sequences and therefore do not have a first-hand understanding of how DDC systems operate when it comes to hands-on involvement in reading control code, trend logging, and tuning control loops.

11:30-12:30 2 CONCURRENT TRACKS - 2A & 2B

in one hospital would use most, and possibly all, of the budgeted amount.

Chris found an off the shelf fume hood that comes with a vapour adsorbent system, fan, air flow monitor and other useful features that made it a possible solution for formalin control. Several of those hoods are now in service.

12:30-15:00 Tradeshow/Lunch 15:00-16:00 2 CONCURRENT TRACKS - 3A & 3B Track 3A

tba

Track 3B

Technology and Sustainability

Today there is a convergence of building systems that employ information technology to communicate and exchange data. These systems utilize optical fibre networks and even wireless communication in many cases. What used to take kilometers of copper wires and steel conduits is now reduced to high speed communication networks which link all systems together. The mountains of paperwork that supported medical procedures and records are rapidly being replaced with electronic records, imaging, and bedside portals.

Attendees of the session will learn to identify the different areas by which technology positively impacts environmental stewardship in Healthcare facilities. A focus will be on quantifying and communicating these benefits to decision makers and the general public.

16:00-17:00 2 CONCURRENT TRACKS - 4A & 4B Track 4A

Sustainable airflow designs for high consequence applications

Richard Stakutis, BSME, MSME, MBA, VP of Marketing, Phoenix Controls, Acton MA Because of the need to condition and extract large volumes of air, HVAC is responsible for a considerable part of a healthcare facilities operational cost.

This presentation describes best practices in airflow control and ventilation design. It is intended to aid the facility managers and engineers in specifying airflow products and control methodology that meet or exceed currently published and accepted industry guidelines.

Track 4B

Calgary’s South Health Campus: Challenges, successes and shortfalls

Milton Gardner, MAIBC, Architect AAA, AIA, FRAIC, Principal, Kasian Architecture Interior Design and Planning Ltd., Vancouver BC Balancing needs of infection prevention and control with indoor air quality and energy efficiency is a challenge. The challenge is exacerbated by stringent functional demands and current best practices such as evidencebased design. Calgary’s South Health Campus is a case study of the journey toward sustainable healthcare. This project is notable because it is the largest social infrastructure project in North America and it is a greenfield site in a community that is not yet built.

Tuesday September 21 08:30-09:30 2 CONCURRENT TRACKS - 5A & 5B Track 5A

A Holistic Approach to Energy Management in Healthcare

Robert Greenwald, Prism Engineering

Paul Leitch, Johnson Controls Ltd.

This presentation will discuss how combining technical, organizational and behavioural programs provides a more sustainable approach to managing utilities. The presentation will include examples of initiatives to reduce waste and improve efficiency in a Health Care setting along with programs that address the importance of organizational support and behavioural change.

Track 2B

Track 5B

Track 2A

Driving healthcare sustainability through renewable technology Ductless Hoods for OR Formalin-Fixing Stations

Comparative healthcare, sustainability - North America, the UK, and Europe

Ed Chessor, CIH, PEng., Specialist in Ventilation for Contaminant Control and Fan System Energy Conservation, Consultant, Vancouver BC

Paul Marmion, PEng. LEED AP, Senior Principal, Healthcare Research & Innovation Buildings Engineering, Stantec, Vancouver

Concern about the health effects of breathing formalin vapour while fixing tissue specimens lead to a requirement for a ventilated hood at the fixing station in each of seven OR suites in British Columbia’s Fraser Health region.

The Health & Safety department asked Facilities to design and install custom built hoods with dedicated exhaust ducts and fans. They got a budget of $500,000 to start this work in 2009. Chris Nicol carried out preliminary investigations of the duct routing and fan location options in two hospitals, and estimated that building a custom fume hood to the suggested design, running a new duct from the OR suite to the roof and installing a new fan

Ray Pradinuk, BA, B.Arch, MSC Arch, MAIBC, LEED AP, GGHC Steering Committee Canada, Principal, Leader Healthcare Research and Innovation, Stantec, Vancouver The acute care hospital has been transformed from lagger to leader in international efforts to reduce greenhouse gas emissions. Having made considerable progress in reducing the energy appetite of this most ravenous building type, North American healthcare designers are dumbfounded by the per square meter energy consumption claimed for hospitals in Europe,

and by the incredulously ambitious deadlines set in Europe and the UK for carbon neutrality of all non-residential buildings. There is an urgent need to confirm that the cross-continental comparisons being made are indeed ‘apples to apples’ and assuming that they are, an equally urgent need to exchange ideas and strategies that will lessen the environmental impact of the type internationally.

09:30-10:30 CHES Annual General Meeting 10:30-13:00 Tradeshow/Lunch 13:00-14:00 2 CONCURRENT TRACKS - 6A & 6B Track 6A

Healthcare fire and life safety: A practical primer

Randall Kovacs, PEng. CP, President, Gage Babcock & Associates Ltd. This presentation will cover basic building code issues (fire compartments) including where you really need fire compartments and why, and where you don’t need them. It will discuss fire alarm systems, sprinkler and standpipe systems, HVAC systems, and fire safety planning, and sustainability issues.

Track 6B

The future of healthcare: How technology paves the way

Dean Kaardal, Peng. Vice president, Healthcare Practice Leader, Stantec Aleks Milojkovic, Peng. RCDD, LEED AP, Communications Engineer, Stantec Vancouver BC This presentation will discuss how to apply technology appropriately to enhance patient experience, lead to an understanding of future technologies and their applications.; See other facilities that are using these technologies; and Understand how the changing landscape of healthcare will be affected by the use of technology.

14:00-15:00 2 CONCURRENT TRACKS - 7A & 7B Track 7A

Integrating sustainability into your capital planning process

Susan Buchanan, LEED AP, Project Director, VFA, Boston MA Susan Anson, MBA, General Manager, VFA Canada Corporation, Burnaby BC Most healthcare organizations have mandates to “green” their buildings and improve the sustainability of their healthcare facilities promote a healthier built environment. Yet many don’t know where to begin. There are so many resources out there, but little specific information on how to create a green baseline and scorecard. This session provides specific information describing how to prioritize sustainability investments based on costs and estimated operational impact and how to effectively integrate sustainability programs into the capital planning process.

Track 7B

Positioning healthcare facilities as central to community energy solutions

John Turner, PEng., MBA, Director, Customer Management & Sales, Terasen Gas, Surrey BC Shantel Fedyna, MBA, Account Manager, Commercial & Industrial Marketing, Terasen Gas, Surrey BC Terasen has a 100 year history of delivering natural gas in BC. More recently, Terasen has become a leader in integrated energy solutions that reduce greenhouse gas emissions, and establish more sustainable communities.

Hospitals are well positioned in communities to become “Energy Centres”, and when partnered with Terasen, can help deliver reliable energy to entire communities, efficiently and effectively, reducing GHG impact. A partnership between hospitals and Terasen can enable the creation of new energy centres in the province, and help reduce Health Authority carbon footprint, and improve overall community energy efficiency further reducing provincial GHG impacts.

15:30-16:30 CLOSING ADDRESS

Greening the Games

Ann English, BC Hydro How BC Hydro powered the 2010 Olympic and Paralympic Games and turned the 2010 Games into the greenest ever held.

SOCIAL EVENTS Sunday September 19, 2010

1100-1700 - The Great CHES Golf Game Once again, delegates and exhibitors are invited to participate in The Great CHES Golf Game which will be held at the Whistler Golf Club. Whistler is Arnold Palmer’s first Canadian design, and home to a truly “Whistler” brand of golf. The hotel is only a five-minute walk away from the course. We have the course booked for the day, and it will be available for a “quick nine” before the event for eager beavers. The golf game will be Texas Scramble with a shotgun start.

Cost: $175/person (plus HST) (included shared cart)

1830-2100 - Opening Reception The Opening Reception will be held in the Exhibit Hall in the Whistler Conference Centre. Enjoy cocktails and dinner while greeting your colleagues and industry partners in a relaxed setting to open the conference.

Monday September 20, 2010 1000-1400

Peak 2 Peak Alpine Experience

The journey between the two Whistler and Blackcomb mountains provides a 360-degree window into Whistler Blackcomb’s alpine environment, its surrounding peaks, changing seasons and wildlife habitat, but sightseeing is just the start of your adventure. With the PEAK 2 PEAK Gondola you can choose among 50+ kilometres of hiking trails spread over 19 trails, including six new options on Blackcomb Mountain. From easy to epic, there’s something for everyone. Enjoy an array of mountain-top dining options or take advantage of a collection of other activities.

Ticket price: $56.00/person (plus HST)

1830-2300

President’s Reception followed by the Gala Banquet

No visit to Whistler is complete without an unforgettable evening at the Whistler Roundhouse Lodge. The lodge is located at a spectacular 6,069 feet – 1,850m above sea level at the top of Whistler Village Gondola on Whistler Mountain. We will board the fully enclosed gondola and experience the spectacular scenery as we are transported over 4,000 feet up to the alpine.

Cocktails will be served on the deck with a 360-degree view of the mountain and we can try to spot bears grazing below. The Gala Banquet will follow and during dinner we will honour our awardees and enjoy special entertainment.

Included as part of the registration fee.

Extra guest tickets: $95/person (plus HST)

Tuesday September 21, 2010 1000-1200 – Squamish Lil’wat Cultural Centre The Squamish Lil’wat Cultural Centre provides an opportunity for local and international visitors to learn about Whistler’s two First Nations history.

View exhibits that explore our relationship to the land and objects that celebrate our traditions of art, music and ceremony, past and present. In the contemporary gallery, view modern Native art from both nations and finish your tour in the Salish Workshop located in the Longhouse, make a cedar bracelet or try one of their custom Salish crafts.

Ticket price: $25/person (plus HST)

On your own There are few places in the world that can match the endless adventure and entertainment that Whistler Blackcomb squeezes into a summer. Go to http://www.whistler.com/activities for details.

Accommodations Conference: Whistler Conference Centre Accommodation: Hilton Whistler Resort & Spa A block of rooms is being held at the Hilton Whistler Hotel for CHES delegates at a rate of $189 single or double plus taxes (10% Provincial Sales Tax, 5% GST). To receive the conference rate, please mention “CHES 2010” when making your reservation. All registrants are required to make their own accommodation arrangements directly with the hotel. Any unbooked rooms will be released for general sale August 18, 2010. For reservations call: 604-932-1982

Online registration: www.chesconference.com/2010conference

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Engineered Air Envirosafety Confined Space Safety Equipment Ltd. ERV Parent Group Fibrwrap Installations Ltd. Finning (Canada) Follett Corporation Forbo Flooring Systems Garland Canada Inc. Gen-eer Construction Ltd. Genesis Restoration Hazmasters Honeywell Limited Houle Electric HSL Automation Ltd. HVAC Systems & Solutions Ltd. Hy-Line Sales Ltd. IEM Industrial Electrical Mfg. (Canada) Inc. Ingersoll Rand Security Technologies Innovative Air Solutions Inc. Johnson Controls Kantech / Tri-ed Kasian Architecture Interior Design and Planning Ltd. Klenzoid Company Ltd. Kone Elevators Kraus / Floors with More Leviton Life Safety Services Logical Solutions Ltd. Lutron Electronics Co., Inc. McQuay International MediaEdge Communications Inc. Medicvent AB nora systems inc.

Notifier Omega Communications Ltd. Pacific Environmental Consulting & Occupational Hygiene Services Peerless Engineering Philips Lighting Phoenix Controls Corp Phoenix Enterprises Ltd. Primex Wireless Pro Air Systems Ltd. Qualitair Inc. Rauland - Borg Canada Inc. Refrigerative Supply Reliable Controls Corporation Select Sound/Jeron Electronics Siemens Building Technologies SimplexGrinnell Steris Canada Inc. Sybertech Waste Reduction Ltd Systemair Tandus Canada Terasen Gas Tero Consulting Ltd. The Stevens Company Limited Thomson Technology Trane Northwest Tremco Canada Tyco Electronics / SimplexGrinnell Vernacare VFA, Inc. Victaulic Viessmann Manufacturing Co. Inc. VitalAire Canada Inc. Watertiger Wesco Distribution Canada LP

CHES ANNUAL 2010 TRADE SHOW & EDUCATION FORUM, Whistler, BC

EXHIBITOR PREVIEW ASCO Power Technologies Canada For more than 40 years ASCO Power Technologies has been the leading Canadian manufacturer of Automatic Transfer switches and Generator Control Switchgear. We are proud of having introduced every major technical innovation in the transfer switch marketplace.

We provide nationwide 24 hour field service and technical support.

Come see us at booth #301.

Holistic approach to building systems commissioning • Project Delivery Quality Control (Total Building Commissioning ) • Existing Systems Re-Commissioning • Energy Systems Performance Measurement and Verification • Energy Management Information Systems • Energy Modeling (Whole Building Computer Simulation) • Energy Systems Retrofit Design, Construction Management, Commissioning For more information visit us at www.cesgroup.ca or come see us at exhibitor’s hall booth #126

Call C/S Construction Specialties to provide your facility with Acrovyn interior wall & door protection products. Come see us at booth #217 and ask us about PVC-Free Acrovyn.

• Corner guards • Accent rails • Wall covering • Handrails • Crash rails • Bumper guards • Door & frame guards • Acrovyn doors Come see us at booth #217

With more than 25 years experience, Dafco Filtration Group has provided the Healthcare Industry with the latest in Filtration Technology. Our complete product offering includes filters for HVAC, Cleanroom, High Efficiency, Bio-Safety, and Gas Phase applications. We are committed to you and to Environmentally Responsible Healthcare.

Come see us at booth #215.

Busch Vacuum Technics Inc. is the Canadian subsidiary of the worldwide Busch Group. Busch is the world leader in the designing, engineering and manufacturing of vacuum pumps and vacuum systems.

Together with Air Liquide Medical, Busch offers state-of-the-art medical air and vacuum systems.

Come see us at booths #306-307.

magnus Chem-Aqua is an international water treatment company that specializes in treating HVAC heating and cooling systems in the commercial and institutional market.

Our Total System Approach provides green water treatment solutions that help minimize energy and water usage while protecting the health and welfare of people and the environment.

Need Material Source

Come see us at booth #313

CuraFlo restores plumbing systems in larger buildings.

We do this using the traditional pipe replacement methods common to the repipe industry. We pioneered the epoxy lining system that we are famous for on smaller diameter pipes (in buildings) and then introduced the Spincast SystemTM for restoring water mains.

For information/contact, come see us at booth # 216.

Forbo Flooring Systems is the world leader in linoleum flooring, as well as a major producer of commercial entry systems, vinyl and flocked resilient flooring. From the indoor environment to the natural environment, Forbo’s products and services combine design and functionality in world-class flooring and entrance system solutions.

Come see us at booth G506!

32 Canadian Healthcare Facilities

Life Safety Services Life Safety Services (LSS) specializes in Fire and Smoke Damper, Fire Stop Flap and Fire Door inspections and repair as required by the National Fire Protection Association (NFPA), the National Building Code and the National Fire Code. LSS performs inspections internationally, including Canada, the United States and the United Kingdom.

Visit us at booth # 223!

Watertiger is introducing a line of German engineered mechanical protection products for your heating, cooling, and domestic mechanical systems. These Green systems will drastically save material, labour, time, and repair costs for all your mechanical systems

Come see how they work at Booth #514!

Environmentally Responsible Healthcare

Visit the Reliable Controls booth G516 at the CHES National Tradeshow to learn about our new healthcare facility automation control products. Use the GrafxSet Graphic Developer’s Library to create appealing 3D Building Automation Systems. Or look to RC-Archive Data Acquisition 30th Annual Conference of the Canadian Software to track critical system Healthcare Engineering Society data in your healthcare facility.

Learn more at Come see us at booth #G516 www.reliablecontrols.com

Online registration: Environmentally www.chesconference.com/2010conference Responsible Healthcare 30th Annual Conference of the Canadian Healthcare Engineering Society

en leat w e e r P N G

Online registration: www.chesconference.com/2010conference

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Summer/Eté 2010 33

CHES National Trade Show and Education Forum September 19-21, 2010 TELUS Conference Centre, Whistler BC

Whistler, BC, CANADA Located in the spectacular Coast Mountains of British Columbia, and just two hours north of Vancouver, Whistler is Canada’s premier, year-round destination.

Consistently ranked as the number one mountain resort in North America, Whistler and Blackcomb are two majestic mountains that offer epic skiing and snowboarding con d i t i on s w i t h a v i l l a ge b e l ow t h a t of fers fo u r championship golf courses, over 200 shops, 90 restaurants and bars, plenty of accommodations, hiking trails, lakes, spas and arguably the best mountain bike park in the world.

In short, Whistler really does have everything. (http:// www.whistler.com) (http://www.whistlerblackcomb.com)

34 Canadian Healthcare Facilities

Environmentally Responsible Healthcare This year’s CHES National Trade Show and Education Forum will continue the tradition of setting the standard.

The conference is designed to expose attendees to everything Whistler has to offer right from day one and all within walking distance. You will also have the opportunity to meet, greet and network with over 300 delegates and exhibitors. Whether you’re in healthcare planning, design, construction or maintenance, this year’s show has something for everyone and is the premier Canadian event to network with peers from across the industry.

Highlights Keynote Address: Kevin R. Hydes, PE, PEng, CEng, LEED®AP. Kevin is President and CEO of the Integral Group, a global engineering organization and a true leader in Green strategies.

Education Sessions: CHES 2010 has 14 education sessions from some of the top experts in Healthcare.

• The Future of Healthcare: How Technology Paves the Way to Renewable Energy • Comparative Healthcare: Sustainability in North America, the U.K and Europe • Healthcare Fire and Life Safety: A Practical Primer • Positioning Healthcare Facilities as Central to Community Energy Solutions • Re - com m i s s i on i n g Bu i l d i n g s for E n er g y a n d Efficiency • Integrating Sustainability into Your Capital Planning Process • A Holistic Approach to Energy

Management in Healthcare Closing Address: Greening the Games: Ann English, BC Hydro. The Story of BC Hydro’s efforts to make the games the most environmentally responsible in history.

Trade Show: “SOLD OUT” Over 115 booths will be featured and plenty of time will be scheduled to ensure that products and services from companies across Canada will be viewed.

Green Park: The CHES ‘Green Park’ returns featuring a dedicated Green Park area to showcase the pinnacle of environmentally responsible exhibitors.

Social Events: Sunday’s opening reception at the TELUS Conference Centre on the Trade Show floor, the popular CHES golf game at the spectacular Whistler Golf Club and an exceptional companion program are but a few of the great social opportunities. Whistler also presents lots of chances to continue networking after hours at the many restaurants and late night establishments.

For further information and registration please visit us at: www.ches.org and click on the 2010 Inukshuk conference logo.

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BETTER BUILDINGS PARTNERSHIP

AN ENERGY EFFICIENT BUILDING PAYS BACK FOR YEARS A CITY OF ENERGY EFFICIENT BUILDINGS PAYS BACK FOR GENERATIONS Incentives doubled for 2010.

Act now.

MASH Program Planning a project to improve energy performance in your institutional buildings?

Better Buildings Partnership can help you reach your energy goals: Attractive energy retrofit incentives Zero interest loans Technical assistance Third party liaison Results validation 416-392-1500 bbp@toronto.ca toronto.ca/bbp Building a better energy future

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Summer/Eté 2010 35 10-07-15 11:53 AM

By Brian Burton

“Overcladding" describes the installation of lightweight rainscreen cladding systems over the existing façades of older buildings and typically involves the revitalization of the entire building enclosure.

Already successfully utilized by hospitals in the U.K and U.S.A, Overcladding technologies are relatively new in North America.

Therefore, it is important to discuss some of the essential elements involved in these projects when applied to our existing healthcare infrastructure, especially when many buildings were constructed in an era when there was little consideration for energy costs and environmental issues in the design, construction and operation of the buildings.

Hospitals in decline A large percentage of hospitals in Canada were built more than 40 years ago, and by the end of this decade most will have been occupied for over 50 years. These structures were built at a time when energy-efficiency and carbon emissions were not prime considerations. As they stand today, most are almost certainly close to the end of their effective service life. For example, when Alberta prepared to announce a list of healthcare priorities last year, it acknowledged that the percentage of their health facilities in need of major repairs was expected to triple within two years.

Modern facilities are seen as critical for ensuring adequate treatment and some experts have suggested that as the physical condition of the structures erodes, so too does the quality and consistency of the healthcare provided.

Clearly, there is a growing need for major retrofits and replacement of facilities in communities across Canada and available data suggests that the need for rural hospital renewal is particularly acute. Additional investment in health facilities will also be needed to offset the growing number of people aged 65 and older who will account for almost 20 percent of our population within a decade.

New hospitals are expensive Combined with rising energy prices and related costs for maintenance and repair we are faced with a tremendous challenge.

Building scientists and engineers know 36 Canadian Healthcare Facilities

from experience that the costs involved in maintaining buildings after their effective service life can be very high.

Based on recent statistics, the average cost for each new hospital bed that is added to the system requires an investment of approximately $1 million and takes about two years to commission.

Facing budgetary pressures and cutbacks, what typically occurs in North America is an accumulation of what is termed “deferred maintenance”.

This tendency to reduce or delay upkeep is influenced by the following factors: • Government cut-backs.

• Inflation and rising energy costs have placed pressure on available resources for upgrading and renewal.

• Operation and maintenance issues receiving little attention in comparison to new building projects.

• The need to comply with new regulations and workplace technology has proven to be costly.

• Long-term planning for renewal of physical assets has not received adequate attention.

Similar Problems in Europe The healthcare infrastructure in Europe and in some parts of the U.S has been facing a very similar situation. In some cases, the issues are compounded by the fact that the buildings are even older. A large percentage of Europe's healthcare building stock is well past the end of its effective service life and engineering studies have confirmed that more than 70% of these buildings require major repairs and upgrades.

As these buildings are considered an extremely valuable resource, several countries have commissioned comprehensive research studies in an effort to determine the most cost-effective means of addressing the situation. In doing so, it was concluded that many of these buildings represented costefficient candidates for overcladding retrofit strategies that involve the application of building science, remediation of the building structure, and implementation of improvements to the indoor environment.

This was deemed possible because the solid exterior masonry walls of these structures offered an excellent substrate to support

Overcladding any building with a good quality rainscreen and high performance windows will extend the useful life of its external fabric by 40 to 50 years. Once the building façade is protected from the weather it will no longer deteriorate and, in some cases, the technologies can double the service life of the building.

overcladding systems. It was also concluded that projects could be completed while the building was still occupied and, when combined with other energy saving measures, it would be possible to substantially reduce the energy consumption.

According to David Burnett, a specialist in overcladding and a partner with Burnett Pollock Associates Architects: “It is relatively easy to substantiate a claim that overcladding any building with a good quality rainscreen and high-performance windows will extend the useful life of its external fabric by 40 to 50 years. Once the fabric is protected from the weather it no longer deteriorates. Calculations by one of our university clients have indicated that the pay back on capital cost from energy savings in the U.K in the order of 15 years.”

Further, Burnett emphasized that overcladding design, installation and commissioning required a tremendous amount of building science expertise and that particular care was required to address health and safety issues.

Lastly, it was noted that feasibility studies were a necessity because no single system or overcladding approach could be applied to all structures.

Advantages of overcladding systems In evaluating the effectiveness of overcladding systems, one must consider the benefits: • Overcladding is substantially more costeffective and ecologically responsible than demolition and reconstruction.

• Remedial work can be carried out with minimal impact on occupancy and also limits disruption to the fabric of the building.

• Improves energy efficiency, thermal performance and air tightness.

• Optimizes the use of thermal mass and

Photographs supplied courtesy of William Conway, Progress Photography. www.progressphotography.com

Overcladding Technologies for Healthcare Facilities

enables transfer of the dew point outside the structural wall element.

• Increases the life expectancy of the building.

• Renews aging facades and improves the appearance of the structure.

• Lowers maintenance costs and allows upgrading of building services.

• Improves air quality, sound insulation and general comfort.

• Helps eliminate internal problems such as condensation and mould.

• Overcladding retrofits eventually pay for themselves as a result of the reduction in over-all energy requirements.

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38 Canadian Healthcare Facilities

In contrast, some limitations of overcladding systems include: • Overcladding process can take a considerable length of time, and can be quite noisy and dusty. (Strategies have been developed to address these issues.)

• Detailing is critical and requires knowledgeable design and care during installation.

• Any elements that are deemed to be structurally unsound must be repaired prior to installation of overcladding. (The existing condition of a candidate building must be established by an initial technical audit to determine feasible strategies and associated costs.)

Key performance issues The key performance issues pertaining the overcladding are safety, occupant comfort, stability, structural performance, acoustics, energy efficiency, control strategies, air quality, ventilation, daylighting and maintenance.

Cost-effectiveness is also a key consideration.

Overcladding designs also consider connection details, thermal and moisture movement, loads on the system, impact resistance, acoustics, air permeability, cavity ventilation, water penetration resistance, condensation, fire performance, maintenance and serviceability. As one might expect additional challenges include issues related to the building permit process, building code and by-law requirements.

The cost of neglect Unfortunately, a building's ability to serve its intended purpose gradually decreases with age, affecting the quality of healthcare services in the process. At the same time, the cost of maintenance and routine repairs begins to rise. In simple terms, if the challenge of extending a structure's 'shelflife' is not addressed, the building eventually become a major expense and the prospect of demolition and replacement becomes the only viable alternative.

Brian Burton is a regular columnist for Glass Canada and was recently appointed to the Personnel Committee for the CSA’s Fenestration Installation Technician Certification Program.

Brian is a Building Science Marketing Consultant for Kleinfeldt Consultants Ltd and can be reached at bburton@kcl.ca or visit www.kcl.ca

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Our Circle of Care Begins with Safety and Security.

Patient Outcomes. Productivity.

Operating costs. Compliance.

These are a facility manager’s biggest challenges.

That’s why your access and egress control systems should be sourced and integrated by a single provider with expertise in healthcare: Ingersoll Rand.

Compliance

Ingersoll Rand and our distribution partners bring you the products and expertise to help you conquer the big picture challenges of constructing and operating today’s healthcare facilities. We will be your partner in creating and sustaining safe, comfortable and efficient environments.

Access and Egress Control

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So when it is time to close the circle on acquiring, integrating and maintaining your building’s access and egress control systems, make the “safe and secure” choice: Ingersoll Rand.

Contact Josh Weidman, our Director of Business Development, to arrange a consultation with an Ingersoll Rand specialist in your area 905-403-1832 V A N C O U V E R

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