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SmartBuilding Advantage®
| Healthcare
Becoming energy efficient is good.
Using efficiency to improve your
income statement’s vitals is better.
energy
to improve
income
Mission critical assets.
Whether it’s a new wide-bore MRI to ease patients’ anxiety or
expanding a PACS to improve collaboration, investing in the best
technology and equipment are critical to fulfilling your healthcare
facility’s mission. Such investments increase productivity and
efficiency, and add quality—everything you need to compete for
patients’ trust while at the same time favoring net profit margin.
Or is it everything?
The very systems that keep all that important equipment up and
running—power, HVAC and other asset-enabling systems—have
lacked planning and investment in many healthcare organizations.
Even though these assets might not seem as urgent as acquiring
the latest in radiology equipment, they are just as important
because they directly impact patient satisfaction, efficiency and
costs—even patient safety.
SmartBuilding Advantage®
:
holistic thinking makes for a
sound investment decision.
By exploring your facility with a whole-building approach to
monitoring and managing your power use, SmartBuilding
Advantage will change your outlook on investing in the energy
efficiency of your healthcare facility. We leverage our popular
customer assessment and Smart $aver®
incentive programs in
order to help you cut costs and maximize your net profit margin.
As an energy conservation program, the whole-building approach
is key to successful investment and project completion. We have
compiled a team of experienced vendors that bring a technology-
and brand- neutral perspective to the analysis, planning,
engineering and economic modeling of your project. This is sound
DNA for your decision making process, ensuring your energy plan
is as comprehensive as possible.
Better still, the opportunity to defray the cost of implementing
energy conservation measures by using our Smart $aver efficiency
incentives makes for an attractive ROI in the short term and positive
contributions to the bottom line in the long term.
52%
18%
Where does
the energy go?
HVAC and Lighting account for
an average of 70% of energy
consumption in healthcare facilities.
(2003 EIA Commercial Building
Energy Consumption Survey)
HVAC
Lighting
Water Heating
Cooking &
Refrigeration
Computers &
Office Equipment
Other
52%
=
18%
=
16%
=
3%
=
2%
=
9%
=
Energy powers business.
Energy efficiency powers profitable business.
We are helping our customers leverage energy efficiency and realize the enormous benefits it
promises. So important is efficiency, in fact, that we now call it the “Fifth Fuel,” joining coal, gas, nuclear
and renewables as vital components of the United States’ energy infrastructure. Energy efficiency
has long been important for controlling costs. Now, energy efficiency, once associated primarily with
emissions, has emerged as a strong factor for financial health as well. We recognize this and are
helping our healthcare customers fine-tune their energy management plan to maximize the benefits
that energy efficiency can provide.
Why would an energy supplier be advocating efficiency?
Fair question, and the simple answer is that we must. The increasing cost of energy production,
combined with shrinking resources, has compelled us to look to the Fifth Fuel for our own long-term
viability. Rather than face the extraordinary cost of building a nuclear power plant to create more
supply, it is more responsible for our customers and shareholders to invest in ways to optimize the
energy supply already within our production scope. Like all businesses, an energy company has to be
on a sustainable path.
We’re in the business of energy optimization, not just energy supply.
Many of our customers recognize that we are now as much an energy optimizer as we are a provider.
This is good news as we are able to utilize valuable and proprietary assets and information to show
that energy efficiency is truly an asset in our customers’ balance sheets.
Generating renewable energy is
a great idea. But for ROI, energy
efficiency comes first.
In recent years, much attention has been given to renewable forms of power such as solar, wind and
geothermal. A cost/benefit analysis, however, reveals a significant financial advantage in implementing
energy conservation measures over renewable power-producing assets. To sum up, your payback period
is far shorter. Below is a simple comparison, based on a goal of a 75 percent reduction in energy spend:
Replacing a 100-watt incandescent
light bulb with a 25-watt compact
fluorescent can yield a payback
as quickly as 13 days. Because the
upfront cost of an investment in wind
power is much more significant, the
same reduction in energy spend would
take approximately 9 years to achieve.
Wind also costs about $38 per ton of
CO2
offset, whereas the bulb swap
saves about $159 per ton of CO2
offset.
Wind power generation
Delamp overlit areas
Swap incandescent w/CFL
Seal building envelope
Occupancy sensors
Swap T12 fluorescent w/T8
ENERGY STAR™
refrigerator
Daylight harvesting controls
0	 1	 2	 3	 4	 5	 6	7	 8	 9
Estimated payback (years)
(Tom Marsik, Assistant Professor of Sustainable Energy,
University of Alaska Fairbanks, Economics of Energy
Efficiency vs. Renewable Energy, 2010.)
As long as the roof’s not leaking and windows aren’t broken, no one tends to think about inefficient
systems infrastructure. Sporadic planning and weak investment have led to systems which are a tangled
patchwork of brands and technologies never designed to work together. While everyone can agree that
holistic planning is theoretically smart, there are usually too many data sources, opinions, technologies,
stakeholder objectives and budget challenges to arrive at a cohesive, clear energy management plan.
Enter SmartBuilding Advantage. Finally there is a planning process that makes sense of everything.
By leveraging our experience, data, expertise and strong vendor network, an institution can make
efficiency a reality through proper planning: holistically, accurately, unbiased and with a clear
financial benefit. And in today’s budget climate, it’s the plans with financial clarity that get traction.
Ad hoc systems versus SmartBuilding Advantage®
.
Duke Energy focused on our
needs, our operations and
made the engineering fit our
systems. They kept our people
happy with the energy results
and we save money.”
—	Matthew Sonoski
	 Engineering and Maintenance Supervisor,
	 Presbyterian Hospital Matthews
“
Stage 1 Stage 2 Stage 3
Stage 1: Assess
•	 Gather data on facility, equipment and energy usage
•	 Establish baseline metrics
•	 Conduct an initial on-site assessment
•	 Examine obtained data
•	 Define potential measures and estimate cost
•	 Move into an investment-grade assessment, if warranted
•	 Further test existing systems
•	 Conduct interviews to build a deep understanding of operations
•	 Off-site data modeling
•	 Explore overall project economics
Stage 2: Evaluate
•	 Present findings, opportunities and potential costs
•	 Build the business case for implementation
•	 Review optional future services
•	 Discuss potential funding such as Smart $aver®
incentives
•	 Assist you with the Smart $aver application
Stage 3: Implement
•	 Provide oversight of implementation
•	 Confirm implementation is completed
•	 Issue payment of Smart $aver incentive
•	 Additional performance verification and maintenance of 	 	
	 efficiency measures may be provided as a separate service
SmartBuilding Advantage®
gives a strategic energy
management plan traction.
It’s amazing how projects can actually get moving and get done
when there is a clear blueprint and financial picture, one based
on sound data and solid planning. Here’s the process our vendors
follow to make your goals a reality:
Long-term benefit to net profit margin.
As energy needs grow over time, the greater the potential
cost of maintaining your current system. And the greater
the present value of SmartBuilding Advantage.Assess Evaluate Implement
Our vendors will conduct a
series of ASHRAE-certified
inspections and disclose all
findings in a detailed report
and discussion of potential
energy conservation
measures.
While energy conservation
measures are implemented,
they will help you prepare
your Smart $aver application
to help offset the cost of
improvements.
Once our vendor confirms
that all efficiency measures
are completed we will
issue payment of your
Smart $aver incentive.
Prescriptive Incentives
We want saving energy to be financially and environmentally rewarding.
Smart $aver Prescriptive Incentives help offset upfront costs of
qualifying high-efficiency equipment, shortening payback time and
increasing energy savings. The categories for incentives include:
Lighting
Lighting creates a pleasant, productive work environment—and is a
big part of a power bill. That’s why high-efficiency lighting systems are
worth every penny. You’ll lower your operating costs while maintaining
adequate lighting levels. New efficient technologies provide direct or
indirect lighting and use up to 30 percent less energy than fluorescent
equipment, meaning energy savings and significantly lower costs.
HVAC
Temperature plays an important role in providing a comfortable
environment for employees and customers. High-efficiency HVAC
equipment not only creates a pleasant and productive atmosphere,
but can also provide energy savings of up to 15 to 20 percent.
Chiller/Thermal Storage
Cooling your facility can have a serious impact on the bottom line. By
installing or retrofitting with high-efficiency chillers and thermal storage
technologies, you can significantly reduce your summer energy costs.
Variable Frequency Drive
A variable frequency drive is one of the most effective ways for
businesses to reduce energy consumption. With our incentives the
return on investment is even more appealing.
Pump
Pumps can account for 75 percent or more of energy use, so investing
in high-efficiency pumps can significantly lower your energy costs.
Incentives are available for both process pumping and HVAC.
Food Service
Investing in high-efficiency food service equipment can also help cut
energy costs by 10 to 30 percent, as well as improve food quality, boost
productivity and be environmentally-friendly—all worthwhile goals.
You may already be familiar with Smart $aver Prescriptive Incentives, which apply to standard
efficiency upgrades such as replacing incandescent bulbs with CFLs (see summary opposite
page). Custom Incentives build on those by rewarding large facilities for conservation measures
such as automation systems, air system upgrades or implementation of other unique efficiency
technologies that work to maximize efficiency. The bottom line: Custom Incentives help offset
program costs and speed payback to get you on track for maximized efficiency and maximized
profit as soon as possible.
Smart $aver
®
Custom Incentives help
drive SmartBuilding Advantage®
’s ROI.
Contact your Duke Energy account manager for more
information or visit www.SmartBuildingAdvantage.com.
SmartBuilding Advantage®
Benefits
healthcare
Df su!op/ YYY.YYY.111
110531-SBA-HC-1203
SmartBuilding Advantage
addresses technology,
operational, conservation and
financial objectives together,
arriving at a plan that promises
maximum investment potential
in terms of both short-term
payback and long-term
contribution to the bottom line.
ROI
Maximized
Whole-building approach
Our vendor will approach your facility
holistically to foster integrated, seamless solutions
which will maximize energy conservation efforts and
continue to provide value long into the future.
Shared investment
We cover 50 percent of the assessment costs,
making the decision to initiate this program easier.
Cost-reduction incentives
As a participant in this program, our Smart $aver®
incentives are available to help you offset the
cost of implementation.
Unbiased experts
Our vendor network is focused on successful
outcomes and are not beholden to any single
technology or brand solution.
Total picture
As your energy partner, we can access and
analyze your historical data against industry
standards to provide our vendors with the
information to give you the most comprehensive
assessment and proposal possible.
No obligation
Should you find that SmartBuilding Advantage
isn’t right for your organization, you may exit at any
time with your only financial commitment being
50 percent of the assessment cost.

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110531-SBA-Healthcare Brochure_r1-LowRes-ALL-FINAL

  • 1. SmartBuilding Advantage® | Healthcare Becoming energy efficient is good. Using efficiency to improve your income statement’s vitals is better. energy to improve income
  • 2. Mission critical assets. Whether it’s a new wide-bore MRI to ease patients’ anxiety or expanding a PACS to improve collaboration, investing in the best technology and equipment are critical to fulfilling your healthcare facility’s mission. Such investments increase productivity and efficiency, and add quality—everything you need to compete for patients’ trust while at the same time favoring net profit margin. Or is it everything? The very systems that keep all that important equipment up and running—power, HVAC and other asset-enabling systems—have lacked planning and investment in many healthcare organizations. Even though these assets might not seem as urgent as acquiring the latest in radiology equipment, they are just as important because they directly impact patient satisfaction, efficiency and costs—even patient safety. SmartBuilding Advantage® : holistic thinking makes for a sound investment decision. By exploring your facility with a whole-building approach to monitoring and managing your power use, SmartBuilding Advantage will change your outlook on investing in the energy efficiency of your healthcare facility. We leverage our popular customer assessment and Smart $aver® incentive programs in order to help you cut costs and maximize your net profit margin. As an energy conservation program, the whole-building approach is key to successful investment and project completion. We have compiled a team of experienced vendors that bring a technology- and brand- neutral perspective to the analysis, planning, engineering and economic modeling of your project. This is sound DNA for your decision making process, ensuring your energy plan is as comprehensive as possible. Better still, the opportunity to defray the cost of implementing energy conservation measures by using our Smart $aver efficiency incentives makes for an attractive ROI in the short term and positive contributions to the bottom line in the long term. 52% 18% Where does the energy go? HVAC and Lighting account for an average of 70% of energy consumption in healthcare facilities. (2003 EIA Commercial Building Energy Consumption Survey) HVAC Lighting Water Heating Cooking & Refrigeration Computers & Office Equipment Other 52% = 18% = 16% = 3% = 2% = 9% =
  • 3. Energy powers business. Energy efficiency powers profitable business. We are helping our customers leverage energy efficiency and realize the enormous benefits it promises. So important is efficiency, in fact, that we now call it the “Fifth Fuel,” joining coal, gas, nuclear and renewables as vital components of the United States’ energy infrastructure. Energy efficiency has long been important for controlling costs. Now, energy efficiency, once associated primarily with emissions, has emerged as a strong factor for financial health as well. We recognize this and are helping our healthcare customers fine-tune their energy management plan to maximize the benefits that energy efficiency can provide. Why would an energy supplier be advocating efficiency? Fair question, and the simple answer is that we must. The increasing cost of energy production, combined with shrinking resources, has compelled us to look to the Fifth Fuel for our own long-term viability. Rather than face the extraordinary cost of building a nuclear power plant to create more supply, it is more responsible for our customers and shareholders to invest in ways to optimize the energy supply already within our production scope. Like all businesses, an energy company has to be on a sustainable path. We’re in the business of energy optimization, not just energy supply. Many of our customers recognize that we are now as much an energy optimizer as we are a provider. This is good news as we are able to utilize valuable and proprietary assets and information to show that energy efficiency is truly an asset in our customers’ balance sheets. Generating renewable energy is a great idea. But for ROI, energy efficiency comes first. In recent years, much attention has been given to renewable forms of power such as solar, wind and geothermal. A cost/benefit analysis, however, reveals a significant financial advantage in implementing energy conservation measures over renewable power-producing assets. To sum up, your payback period is far shorter. Below is a simple comparison, based on a goal of a 75 percent reduction in energy spend: Replacing a 100-watt incandescent light bulb with a 25-watt compact fluorescent can yield a payback as quickly as 13 days. Because the upfront cost of an investment in wind power is much more significant, the same reduction in energy spend would take approximately 9 years to achieve. Wind also costs about $38 per ton of CO2 offset, whereas the bulb swap saves about $159 per ton of CO2 offset. Wind power generation Delamp overlit areas Swap incandescent w/CFL Seal building envelope Occupancy sensors Swap T12 fluorescent w/T8 ENERGY STAR™ refrigerator Daylight harvesting controls 0 1 2 3 4 5 6 7 8 9 Estimated payback (years) (Tom Marsik, Assistant Professor of Sustainable Energy, University of Alaska Fairbanks, Economics of Energy Efficiency vs. Renewable Energy, 2010.)
  • 4. As long as the roof’s not leaking and windows aren’t broken, no one tends to think about inefficient systems infrastructure. Sporadic planning and weak investment have led to systems which are a tangled patchwork of brands and technologies never designed to work together. While everyone can agree that holistic planning is theoretically smart, there are usually too many data sources, opinions, technologies, stakeholder objectives and budget challenges to arrive at a cohesive, clear energy management plan. Enter SmartBuilding Advantage. Finally there is a planning process that makes sense of everything. By leveraging our experience, data, expertise and strong vendor network, an institution can make efficiency a reality through proper planning: holistically, accurately, unbiased and with a clear financial benefit. And in today’s budget climate, it’s the plans with financial clarity that get traction. Ad hoc systems versus SmartBuilding Advantage® . Duke Energy focused on our needs, our operations and made the engineering fit our systems. They kept our people happy with the energy results and we save money.” — Matthew Sonoski Engineering and Maintenance Supervisor, Presbyterian Hospital Matthews “
  • 5. Stage 1 Stage 2 Stage 3 Stage 1: Assess • Gather data on facility, equipment and energy usage • Establish baseline metrics • Conduct an initial on-site assessment • Examine obtained data • Define potential measures and estimate cost • Move into an investment-grade assessment, if warranted • Further test existing systems • Conduct interviews to build a deep understanding of operations • Off-site data modeling • Explore overall project economics Stage 2: Evaluate • Present findings, opportunities and potential costs • Build the business case for implementation • Review optional future services • Discuss potential funding such as Smart $aver® incentives • Assist you with the Smart $aver application Stage 3: Implement • Provide oversight of implementation • Confirm implementation is completed • Issue payment of Smart $aver incentive • Additional performance verification and maintenance of efficiency measures may be provided as a separate service SmartBuilding Advantage® gives a strategic energy management plan traction. It’s amazing how projects can actually get moving and get done when there is a clear blueprint and financial picture, one based on sound data and solid planning. Here’s the process our vendors follow to make your goals a reality: Long-term benefit to net profit margin. As energy needs grow over time, the greater the potential cost of maintaining your current system. And the greater the present value of SmartBuilding Advantage.Assess Evaluate Implement Our vendors will conduct a series of ASHRAE-certified inspections and disclose all findings in a detailed report and discussion of potential energy conservation measures. While energy conservation measures are implemented, they will help you prepare your Smart $aver application to help offset the cost of improvements. Once our vendor confirms that all efficiency measures are completed we will issue payment of your Smart $aver incentive.
  • 6. Prescriptive Incentives We want saving energy to be financially and environmentally rewarding. Smart $aver Prescriptive Incentives help offset upfront costs of qualifying high-efficiency equipment, shortening payback time and increasing energy savings. The categories for incentives include: Lighting Lighting creates a pleasant, productive work environment—and is a big part of a power bill. That’s why high-efficiency lighting systems are worth every penny. You’ll lower your operating costs while maintaining adequate lighting levels. New efficient technologies provide direct or indirect lighting and use up to 30 percent less energy than fluorescent equipment, meaning energy savings and significantly lower costs. HVAC Temperature plays an important role in providing a comfortable environment for employees and customers. High-efficiency HVAC equipment not only creates a pleasant and productive atmosphere, but can also provide energy savings of up to 15 to 20 percent. Chiller/Thermal Storage Cooling your facility can have a serious impact on the bottom line. By installing or retrofitting with high-efficiency chillers and thermal storage technologies, you can significantly reduce your summer energy costs. Variable Frequency Drive A variable frequency drive is one of the most effective ways for businesses to reduce energy consumption. With our incentives the return on investment is even more appealing. Pump Pumps can account for 75 percent or more of energy use, so investing in high-efficiency pumps can significantly lower your energy costs. Incentives are available for both process pumping and HVAC. Food Service Investing in high-efficiency food service equipment can also help cut energy costs by 10 to 30 percent, as well as improve food quality, boost productivity and be environmentally-friendly—all worthwhile goals. You may already be familiar with Smart $aver Prescriptive Incentives, which apply to standard efficiency upgrades such as replacing incandescent bulbs with CFLs (see summary opposite page). Custom Incentives build on those by rewarding large facilities for conservation measures such as automation systems, air system upgrades or implementation of other unique efficiency technologies that work to maximize efficiency. The bottom line: Custom Incentives help offset program costs and speed payback to get you on track for maximized efficiency and maximized profit as soon as possible. Smart $aver ® Custom Incentives help drive SmartBuilding Advantage® ’s ROI.
  • 7. Contact your Duke Energy account manager for more information or visit www.SmartBuildingAdvantage.com. SmartBuilding Advantage® Benefits healthcare Df su!op/ YYY.YYY.111 110531-SBA-HC-1203 SmartBuilding Advantage addresses technology, operational, conservation and financial objectives together, arriving at a plan that promises maximum investment potential in terms of both short-term payback and long-term contribution to the bottom line. ROI Maximized Whole-building approach Our vendor will approach your facility holistically to foster integrated, seamless solutions which will maximize energy conservation efforts and continue to provide value long into the future. Shared investment We cover 50 percent of the assessment costs, making the decision to initiate this program easier. Cost-reduction incentives As a participant in this program, our Smart $aver® incentives are available to help you offset the cost of implementation. Unbiased experts Our vendor network is focused on successful outcomes and are not beholden to any single technology or brand solution. Total picture As your energy partner, we can access and analyze your historical data against industry standards to provide our vendors with the information to give you the most comprehensive assessment and proposal possible. No obligation Should you find that SmartBuilding Advantage isn’t right for your organization, you may exit at any time with your only financial commitment being 50 percent of the assessment cost.