Graeme Robertson, Healthcare Solutions Business Development Director, presented on behalf of Schneider Electric at the recent 1st Saudi Forum for the Design and Planning of Hospitals in Riyadh, held March 3-5, 2013. Download his presentation, "How an Intelligent Infrastructure Reduces Hospital Operating Costs and Improve Patient Care."
Note: You must save or download the presentation to view the embedded videos on slides 5,6,7,8,9, and 12.
How intelligent infrastructure reduces operating costs and improves patient care slideshare
1. How an intelligent infrastructure
reduces operating costs and
improves patient care
Graeme Robertson
Global Business Development Director,
Healthcare Solutions, Schneider Electric
2. Key Elements of an Intelligent
Infrastructure
HVAC Controls/BMS ICT/Data Centre
Operating Theatre OT Power Infrastructure
Medical Wards
Life Safety Systems
Integrated Security Enterprise Management
Lighting Control
Schneider Electric - Division - Name – Date 2
3. Key Technologies
Noise Monitoring Systems
Infection Control Systems
Staff Support Systems
Visitor Management
Patient Healing Environment
Schneider Electric - Division - Name – Date 3
4. Intelligent Interoperation
Lighting Control Integrated Security Integrated Building Data Centre
Operating Theatre
System Systems Automation Infrastructure
Dimmer units IP CCTV HVAC controls Power distribution Electrical distribution
Lighting controllers Access control Utilities metering UPS
Room switch units IPS
Staff attack Pred maintenance In-row cooling units
Multi sensors UPS
Infant tagging SCADA Integrated security
Surgeons panel
Scene setting
RFID LOCATION Video intercom M&T Room cooling RFID LOCATION
Environmental
External lighting
SYSTEM Intruder detection Energy reclaim SYSTEM
Hospital Intelligent Technology Infrastructure
RFID LOCATION Servers
RFID LOCATION
HV/ MV / LV switchgear
24/ 7 remote services SYSTEM
SYSTEM
Fire alarm Nurse call Video recording
Energy modeling
Emergency lighting Bedhead services Transformers POE switches
Entertainment Bill validation
Public address Generator integration Firewalls
RFID systems Energy pricing
Voice evacuation Busbar trunking Quality of service
Load shedding
Fire dampers Environment Distribution Digital signage
Maximum demand
Fire Safety Electrical Energy
Medical Areas ICT
Systems Distribution Management
Schneider Electric - Division - Name – Date 4
5. Integration – Infant Abduction
HVAC Controls/BMS Power Infrastructure Integrated Security Lighting Control
Bed
Elevators
Services
Car Park Management 24/7 Remote Management Nurse Call & RTLS
Schneider Electric - Division - Name – Date 5
6. Integration – Life Safety
HVAC Controls/BMS Power Infrastructure Integrated Security Lighting Control
Bed
Elevators
Services
Car Park Management 24/7 Remote Management Nurse Call & RTLS
Schneider Electric - Division - Name – Date 6
7. Integration – Patient Room
HVAC Controls/BMS Power Infrastructure Integrated Security Lighting Control
Bed
Elevators
Services
Car Park Management 24/7 Remote Management Nurse Call & RTLS
Schneider Electric - Division - Name – Date 7
8. Integration – Operating Room
HVAC Controls/BMS Power Infrastructure Integrated Security Lighting Control
Bed
Elevators
Services
Car Park Management 24/7 Remote Management Nurse Call & RTLS
Schneider Electric - Division - Name – Date 8
9. Integration – Asset Management
HVAC Controls/BMS Power Infrastructure Integrated Security Lighting Control
Bed
Elevators
Services
Car Park Management 24/7 Remote Management Nurse Call & RTLS
Schneider Electric - Division - Name – Date 9
10. Human Interaction Executive
Executive View
Dashboards
Reporting
Hospital Intelligent Technology Infrastructure
KPI reports
Energy efficiency
environment Energy efficiency
Staff efficiency
Security overview
Operational View
Operating
Fire Panel Nurse Station Patient Panel
Theatre
Environment Environment
Lighting control Lighting control UPS status
Fire alarms
Nurse call Nurse call Environmental
Fireman's override
Security RFID Internet Alarm status
Intercom entertainment
Hospital Intelligent Technology Infrastructure
Expert Monitoring
Energy Building Security
Data Centre
Management Management Management
and Control
24/7 remote Maintenance
Security Operations
services SCADA
Video analytics management
Energy modeling Environmental
Access control Energy efficiency
Bill validation Lighting control
Safety control Network
Load shedding M&T
M&T Remote access
Maximum demand Remote access
Building Lighting Integrated Operating
Automation Control Security Theatre
Dimmer units IP CCTV
Electrical
HVAC controls Controllers Access control
distribution
Integrated Systems
Utilities metering Room switch units Staff attack
IPS
Room controllers Multi sensors Infant tagging
UPS
Control panels Scene setting Video intercom
Surgeon’s panel
External lighting Intruder
Electrical Data Centre Life Safety
ICT Medical Areas
Distribution Infrastructure Systems
Power distribution Servers Nurse call
Switchgear Fire alarm
UPS Digital video Bedhead services
Transformers Emergency lighting
In-row cooling POE switches Entertainment
Generators Public address
Integrated security Firewalls RFID location
Busbar trunking Voice evacuation
Room cooling Quality of service systems
Plug & play Fire dampers
Energy reclaim Digital signage Environment
Schneider Electric - Division - Name – Date 10
11. Healing Environment
Patient Environment Staff Environment
•Reduce Patient Falls •Facilitate Hand Cleaning
•Provide Access to Daylight & Views •Increase Patient Visibility
•Improve Indoor Air Quality •Reduce Travel Distances
•Consider Ergonomics/ Accessibility •Provide Appropriate Lighting
•Reduce Infection Risk •Provide Easy Access to
•Reduce Noise Information
•Create Restorative Spaces
Schneider Electric - Division - Name – Date 11
13. Efficient Fluid Power
Damper
Filter Cooling coil UVC
Outside air
contains
viruses,
bacteria, mold
spores, and
VOCs
Spores UVC EmittersTM destroy Clean Air
reproduce in mold, bacteria, viruses, supplied to
filter, cooling and VOCs preventing building
coil and drip pan them from the airflow
reducing coil and increases coil
efficiency efficiency
99% Kill rate of 77% Increase in
airborne pathogens Cooling Coil
Efficiency
Schneider Electric - Division - Name – Date 13
14. Case Study
Ultra Violet Air Treatment
Before and after study for the
installation of UVC emitters in
all hospital air systems
conducted in October 2010.
Cooling Coil
Efficiency
Improvement 77%
Bacteria Reduction 99%
Return on Investment 15 months
Schneider Electric - Division - Name – Date 14
15. UVC Study Results
BEFORE AFTER
BOTTOM OF COOLING COIL
AFTER
BEFORE
DAMPER BLADES
Schneider Electric - Division - Name – Date 15
16. Automatic Hand Hygiene Monitoring
67% reduction in hospital-
acquired infections
Schneider Electric - Division - Name – Date 16
17. Case Studies
Automatic Hand Hygiene Compliance Monitoring
1000% increase in hand hygiene
observations
Compliance levels maintained above 90% for all
working shifts
HAI’s (Healthcare Associated Infections) reduced by
67% in following 3 years after installation
Schneider Electric - Division - Name – Date 17
18. Case Studies
Automatic Hand Hygiene Compliance Monitoring
The Hawthorne Effect:
“The tendency to perform or
perceive differently when one
knows they are being observed”
Schneider Electric - Division - Name – Date 18
19. Infection control – auto flushing
Hygienic flushing unit links to the Schneider Electric intelligent hospital
infrastructure:
Hospital intelligent
infrastructure
H.F.U
H.F.U
Each hygienic flushing unit
incorporates intelligent valve
technology with temperature
and volume control.
Schneider Electric - Division - Name – Date 19
20. Case Study
Automatic Hygienic Flushing
Cold water supply acts as heat
sink for building
40% reduction in legionella
bacteria in existing hospital –
Liverpool Broadgreen Study.
100% elimination of legionella
bacteria in Manchester Hospital –
2 year study
Water Savings due to elimination
of unnecessary flushing
Schneider Electric - Division - Name – Date 20
21. Integrated Infection Control
UVC anti-bacterial Automatic hand
air treatment hygiene monitoring
Wireless monitored
hand sanitizer
Automatic
Anti-bacterial
Flushing Unit
Staff base human
machine interface
Schneider Electric - Division - Name – Date 21
22. Patient Micro Climate
•Contamination
•Air quality
•Smoke detection
•Temperature
•Humidity
Lighting control
•Autoblinds
•Daylight control
•Touchpad interface
•Internet
Nurse call
•Telephone
•TV/Radio
•Room controls
Staff base human
Ambient noise machine interface
Schneider Electric - Division - Name – Date 22
23. Case Study
Patient Micro Climate Control
270 bed hospital installed
effective control and monitoring
of patient room environment
including lighting and solar blind
configuration to increase amount
of natural light received by
patients.
Patients with increased natural
light:
1. Reported less perceived
stress, resulting in 20% less
pain medication costs.
2. Had a reduced Average
Length of Stay (ALOS)
Schneider Electric - Division - Name – Date 23
24. Hospital Noise and Sleep Fragmentation
John Hopkins Hospital USA
•
50%
increase
Night 60
Sound
Level 40
dB(A)
1960 2010
Noise Effects:
•Lower oxygen saturation
•Higher respiratory rate
•Higher blood pressure
•Faster heart rate
•Slower weight gain
•Impaired sleep
Schneider Electric - Division - Name – Date 24
25. Noise Monitoring
Display Unit
Control Unit
External
Microphone
Hospital Intelligent Technology Infrastructure
Schneider Electric - Division - Name – Date 25
26. Case Study
Noise Monitoring
Study of noise monitoring and
1.5 hours per day mandatory
quiet time:
• TV’s & music only via noise
cancelling headphones
• Limited staff movement
• Visitor restrictions
Results:
1. 50% reduction in noise levels
2.Patients twice as likely to
gain undisturbed sleep
3. Positive effect on patient blood
pressure, pain experience and
emotional wellbeing.
Schneider Electric - Division - Name – Date 26
27. Case Study - Quiron Hospital, Madrid
HVAC Controls/BMS Power Infrastructure Integrated Security Lighting Control
24/7 Remote Management
Schneider Electric - Division - Name – Date 27
28. Case Study - Quiron Hospital, Madrid
HVAC Controls/BMS Power Infrastructure Integrated Security Lighting Control
Energy Efficient Installation &
Intelligent Functionality for lighting
Reduced power losses and
improved power quality
Efficiency based HVAC control for
central plant and ventilation
Extensive sub metering and 24/7
enterprise energy management
24/7 Remote Management
Schneider Electric - Division - Name – Date 28
29. Case Study - Quiron Hospital, Madrid
HVAC Controls/BMS Power Infrastructure Integrated Security Lighting Control
ENERGY
SAVING
CAPEX
SAVING
24/7 Remote Management
Schneider Electric - Division - Name – Date 29
30. Case Study – Skane Hospitals Sweden
HVAC Controls/BMS Power Infrastructure Integrated Security Lighting Control
Staff Training Water
Management
Kristianstad Lund Helsingborg
120,479 m2 191,296 m2 131,970 m2
Performance Assurance 24/7 Remote Management
Schneider Electric - Division - Name – Date 30
31. Case Study – Skane Hospitals Sweden
HVAC Controls/BMS Power Infrastructure Integrated Security Lighting Control
Energy Efficient Installation &
Intelligent Functionality for lighting
Reduced power losses and
improved power quality
Efficiency based HVAC control for
central plant and ventilation
Staff Training Extensive sub metering and 24/7 Water
enterprise energy management Management
Intelligent integrated water saving
technology installed throughout
Performance assurance service
with predictive maintenance
Performance Assurance 24/7 Remote Management
Schneider Electric - Division - Name – Date 31
32. Case Study – Skane Hospitals Sweden
HVAC Controls/BMS Power Infrastructure Integrated Security Lighting Control
Savings District Heating Dist Dist Elec Elec %
& Electricity Htg Htg % MWh/yr
MWh/yr
Lund 7,860 27% 207 13%
Helsingborg 4,984 26% 1,343 8%
Kristianstad 6,298 30% 116 8%
Overall 19,142 28% 1,666 9%
Staff Training Water
Management
Overall Water Savings 56,000m³/yr
Performance Assurance 24/7 Remote Management
Schneider Electric - Division - Name – Date 32
33. Efficient Data Centre/Server Rooms
Heat recovery In row cooling
Reduced Floor Area
Schneider Electric - Division - Name – Date 33
34. Dynamic Simulation – Pilot Study
A pilot study was conducted using a standard building design model and
applying Schneider Electric’s EcoStruxure for energy efficiency design
measures at neutral capital cost impact.
Standard Design
Schneider Electric - Division - Name – Date 34
35. Pilot Study Building Data
Building Type & Location Acute Hospital, London, UK
Number of Beds 400
Number of Floors 7
Building Floor Area 36,384m²
Building Conditioned Volume 145,536m³
Configuration Energy & Ventilation Plant Roof Mounted
Floors – mix single, 4bed & 6 bed wards
Operating Theatres & departments
Design Parameters Compliant to current building regulations
Schneider Electric - Division - Name – Date 35
36. Energy Saving Design Features
ADVANCED METERING AND
ENERGY MANAGEMENT
HIGH EFFICIENCY
SMART ELECTRICAL EFFICIENCY BASED
POWER BUILDING SERVICES
INFRASTRUCTURE CONTROL
• Power Quality • Main Energy Plant
• Reduced Losses • Ventilation Plant
• Power Management • DDC Terminal Control
• Energy Alarms • HVAC Set Back
• Advanced Analysis • Power De-energisation
• Corrective Actions • Lighting switch off
24/7 REMOTE OCCUPANCY BASED
SPECIALIST ENERGY INTEROPERATION
ANALYSIS
INTELLIGENT LOW
ENERGY LIGHTING
CONTROL
Schneider Electric - Division - Name – Date 36
37. Dynamic Simulation Results
Total Energy: Typical v. Proposed
Total Energy (MWh)
Hospital Typical
7000.00
6000.00 Total Energy (MWh)
5000.00 Hospital Proposed
MWh
4000.00
3000.00
2000.00
1000.00
0.00
1 2 3 4 5 6 7 8 9 10 11 12
Months
Typical – 43,607 MWh/year
Proposed – 29,552 MWh/year
Schneider Electric - Division - Name – Date 37
39. Dynamic Simulation Results
Total Gas: Typical v. Proposed
6,000.00
5,000.00 Hospital Typical
4,000.00
MWh
Hospital Proposed
3,000.00
2,000.00
1,000.00
0.00
1 2 3 4 5 6 7 8 9 10 11 12
Months
Schneider Electric - Division - Name – Date 39
40. Dynamic Simulation Results
Total Electricity: Typical v. Proposed
1,600.00
1,400.00
1,200.00
1,000.00
MWh
800.00 Hospital Typical
600.00 Hospital Proposed
400.00
200.00
0.00
1 2 3 4 5 6 7 8 9 10 11 12
Months
Schneider Electric - Division - Name – Date 40
41. Holistic Infrastructure Model
• Department
KPI’s
• Process • Patient KPI’s • Building +
Data centre efficiency • Hospital KPI • Process environment +
• Electronic data sheets dashboard analysis tools asset dashboards
Infrastructure Management
health records
• X-ray
• Diagnostic data
level level
Intelligent Technology Infrastructure
Facility level
Admissions Procedures Recovery Discharge Home
Doctor’s surgery
• Wireless • Data input • Environment • Data input • Telecare
devices • Tracking • Measurement • Patient satisfaction
• Data input • Measurement • Patient control • Measurements of
• Infection control performance
Schneider Electric - Division - Name – Date 41
42. Design Considerations - Delivery
Ability to impact cost and functional capabilities
Design Effort / Effect
Cost of design
changes
IPD process
Traditional process
Pre-design Schematic Design Construction Agency permit/ Construction
design development documents bidding
Conceptualization Criteria Detailed Implementation Agency Construction
design design documents coordination/
final buyout
IPD – Integrated Project Delivery
Schneider Electric - Division - Name – Date 42
43. Summary
Five main reasons why an intelligent infrastructure
should be installed in hospitals: -
1. Improve Patient Care
2. Improve Staff Prodcutivity
3. Improve Adaptability & Future Proofing of the
Facility
4. Reduce Life Cycle Costs
5. Reduce Waste
Schneider Electric - Division - Name – Date 43