This document discusses energy efficiency in hospitals through building design and operations. It outlines the importance of energy efficiency in hospitals, as energy consumption accounts for a large portion of hospital costs. Designing hospitals to maximize daylight, optimize HVAC and lighting systems, and utilize energy recovery can significantly reduce energy use. Specific measures mentioned include installing efficient LED lighting, optimizing insulation and windows, recovering heat from sterilization processes, and utilizing building automation for HVAC and lighting control. The document emphasizes that improving energy efficiency in hospitals can lower costs while enhancing patient and staff comfort.