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How intelligent infrastructure reduces operating costs and improves patient care slideshare

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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 …

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.


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  • 1. How an intelligent infrastructurereduces operating costs andimproves patient careGraeme RobertsonGlobal Business Development Director,Healthcare Solutions, Schneider Electric
  • 2. Key Elements of an IntelligentInfrastructure HVAC Controls/BMS ICT/Data Centre Operating Theatre OT Power Infrastructure Medical Wards Life Safety Systems Integrated Security Enterprise Management Lighting ControlSchneider Electric - Division - Name – Date 2
  • 3. Key Technologies Noise Monitoring Systems Infection Control Systems Staff Support Systems Visitor Management Patient Healing EnvironmentSchneider 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 ManagementSchneider Electric - Division - Name – Date 4
  • 5. Integration – Infant Abduction HVAC Controls/BMS Power Infrastructure Integrated Security Lighting Control BedElevators 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 BedElevators 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 BedElevators 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 BedElevators 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 BedElevators 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 Firemans 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 EnvironmentSchneider Electric - Division - Name – Date 10
  • 11. Healing EnvironmentPatient 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
  • 12. Reduce Airborne Infections - UVCSchneider Electric - Division - Name – Date 12
  • 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 EfficiencySchneider Electric - Division - Name – Date 13
  • 14. Case StudyUltra Violet Air TreatmentBefore and after study for theinstallation of UVC emitters inall hospital air systemsconducted in October 2010. Cooling Coil Efficiency Improvement 77% Bacteria Reduction 99% Return on Investment 15 monthsSchneider Electric - Division - Name – Date 14
  • 15. UVC Study ResultsBEFORE AFTER BOTTOM OF COOLING COIL AFTERBEFORE DAMPER BLADESSchneider Electric - Division - Name – Date 15
  • 16. Automatic Hand Hygiene Monitoring 67% reduction in hospital- acquired infectionsSchneider 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 installationSchneider 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 StudyAutomatic Hygienic FlushingCold water supply acts as heatsink for building40% reduction in legionellabacteria in existing hospital –Liverpool Broadgreen Study.100% elimination of legionellabacteria in Manchester Hospital –2 year study Water Savings due to elimination of unnecessary flushingSchneider 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 interfaceSchneider 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 StudyPatient Micro Climate Control270 bed hospital installedeffective control and monitoringof patient room environmentincluding lighting and solar blindconfiguration to increase amountof natural light received bypatients.Patients with increased naturallight:1. Reported less perceivedstress, resulting in 20% lesspain medication costs.2. Had a reduced AverageLength 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 InfrastructureSchneider Electric - Division - Name – Date 25
  • 26. Case StudyNoise MonitoringStudy of noise monitoring and1.5 hours per day mandatoryquiet time:• TV’s & music only via noisecancelling headphones• Limited staff movement• Visitor restrictionsResults:1. 50% reduction in noise levels2.Patients twice as likely togain undisturbed sleep3. Positive effect on patient bloodpressure, pain experience andemotional 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 ManagementSchneider 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 ManagementSchneider 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 ManagementSchneider 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 ManagementSchneider 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 ManagementSchneider 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 ManagementSchneider Electric - Division - Name – Date 32
  • 33. Efficient Data Centre/Server Rooms Heat recovery In row coolingReduced Floor Area Schneider Electric - Division - Name – Date 33
  • 34. Dynamic Simulation – Pilot StudyA pilot study was conducted using a standard building design model andapplying Schneider Electric’s EcoStruxure for energy efficiency designmeasures at neutral capital cost impact. Standard DesignSchneider 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 regulationsSchneider 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/yearSchneider Electric - Division - Name – Date 37
  • 38. Dynamic Simulation Results Lighting Energy 200.00 Hospital Typical 180.00 160.00 140.00 120.00 Hospital ProposedMWh 100.00 80.00 60.00 40.00 20.00 0.00 1 2 3 4 5 6 7 8 9 10 11 12 MonthsSchneider Electric - Division - Name – Date 38
  • 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 MonthsSchneider 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 MonthsSchneider 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 performanceSchneider 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. SummaryFive 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 WasteSchneider Electric - Division - Name – Date 43