KHOO TECK PUAT HOSPITAL

Creating A Green Healthcare Facility

CNA Group Ltd 23 Mar 2009

Unique Green IAQ Enhancement Technologies

Complete Sterilization of Hospital Indoor Air First Hospital in Singapore

All ducted FCU units are fitted with UVC emitters and radiometers which are tracked by IHEMS.
Concealed Ceiling Fan Coil Units are Difficult to Clean

Large Spacing Between Coil Fins

Small Spacing Between Coil Fins

All AHUs are fitted with UVC emitters and radiometers which are tracked by IHEMS.

Continuously Running AHUs with Compact Fins are Difficult to Clean

All Exhaust Air from Operating Theatres are Treated with Double Layer of UVC Emitters

UVC-irradiated sterilized New Air from OT exhaust is reused to cool the courtyards to provide free cooling.

HVAC System - Habitat for Mould and Microbial Growth

Concoction of dirt, bioaerosol and moisture on cooling coil provide nutrient for mould and bacteria to grow

Cooling Coil Completely Blocked With Fungal Cocktail. Air Hardly Able To Pass Through.

Harnessing the Power of Nature UV Light from the Sun

UVCEmittersInstalledAtAnAHU NaturalSunlight

LethalMagneticWaveforms

The suns UVC rays act as a natural outdoor air purification system, inhibiting the growth of bacteria, viruses, fungi and moulds. Germicidal UV light from UVC emitters destroys moulds and microbial growth on wet cooling coils. Bring crucial improvement to cooling coil heat transfer efficiency and energy savings. Improve IAQ and enhance healing and workplace productivity.
EnhancedHealingEnvironment

Eliminate coil washing save water and manpower, extend coil life.

Titanium Dioxide Photocatalyst Treatment of Cooling Coils 1st Application in Singapore

Titanium Dioxide Coating on Cooling Coil

Titanium dioxide when activated by UV lights becomes a powerful oxidizing agent which:
Unique Titanium Dioxide (PMI) photocatalytic treatment for the cooling coils to remove harmful bioaerosol and odours to create a fresh, clean and healthy hospital environment. Converts harmful VOCs (e.g. formaldehyde) into harmless substances. Removes odours (e.g. ammonia from toilets, musty smell from moulds). Kills bacteria, viruses and mould.

Energy Enhancement Strategies

Innovative Control Strategies

Interactive Multi-System Control Weather-Responsive Strategies Rain Sensing , Daylight Sensing Demand-Controlled Ventilation CO and CO Sensing Night Cycle Night Purge Occupancy Sensing Daylight Harvesting Load Shedding

Interactive Multi-System Control (IMSC)

FacilityBookingSystem

MeetingRoom

IHEMS

IMSC involves the use of high-level computer interfaces and business rules between the various IT systems of the hospital to enhance operational efficiency and eliminate energy wastage. One such use of IMSC entails integrating the Facility Booking System with the IHEMS so that the air-conditioning and lighting systems for all the facilities (meeting rooms, training rooms, conference rooms and auditorium) will only be turned on during the booked period of the facilities. In the event that the duration of usage of the rooms is cut short, occupancy sensors installed in these rooms will turn off the lights and air-conditioning to prevent energy wastage.

Weather Responsive Strategy Rain Sensing

Rain

Cut off Water Supply to the Irrigation System When it is Raining

Rain Sensor

PLC Controller IHEMS

Adjust Space Temp Higher to Improve Comfort and Save Energy

A special weather programme will be incorporated into the IHEMS so that on a raining day the rain sensor and the weather programme will work hand-in-hand to increase the temperature setpoint of the indoor spaces to conserve energy and to enhance occupant comfort. The raising of 1C of temperature during raining days will help save between 7% to 8% of the airconditioning energy. The IHEMS will also send a signal to the irrigation system to cut off water supply to prevent the irrigation system from discharging water to the vegetation when it is raining.

Weather Responsive Strategy Photocells and Daylight Harvesting

Photocell

PLC Controller IHEMS

Landscape and Exterior Lighting

KTPH exploits its full daylight harvesting potential by installing photocells in various parts of the hospital to keep the street, landscape and other exterior lighting off as long as possible. The photocells work better than time clocks or time schedules due to the variance of daylight caused by weather or cloud cover. Photocells save energy by stretching the off time of the exterior lighting.

Integrated CO and Night Purge System

Outside

OA Damper Actuator

Stale Air from Hospital is Expelled

CO sensors will used to control the amount of fresh air into the hospital spaces based on the measured CO level (Maintain at 900 to 1,000 ppm).
PLC Controller CO Sensor

This system will be integrated to the Night Purge System to improve IAQ as the same OA dampers and exhaust air fans will be used.

Night Cycle

KTPH operates round-the-clock and to keep its energy consumption low, the hospital will operate on an economy mode at night by raising the night temperature setpoint by 1C from 11 pm to 6 am during which time the hospital is expected to be lightly occupied.

Ventilation Control of Car Park Fans

At KTPH the IBMS will deploy smart controls using carbon monoxide (CO) sensors to shorten the operating hours of the car park ventilation fans. The fans will only come on at CO level of 15 ppm and above.

Occupancy Sensing

Ultrasonic

Infrared

Occupancy sensors will be installed in rooms which are sporadically occupied (meeting rooms, training rooms, gyms, etc) to automatically turn off lights when the rooms are vacated.

Low-Energy Green Operating Theatres

Traditional method
Continual state of readiness 15-20 air changes / hour High energy cost

New method adopted at KTPH

Heat recovery via heat pipe technology Variable air volume fan control Lower air changes / hour and higher temperature during non-usage Full / Economy operation HEPA and UVC air sterilizers Unique double-UV irradiated new exhaust air for free cooling of courtyard first in Singapore.

Innovative VAV Control Strategy First in Singapore

Fan Pressure Optimization for VAV Systems

As cooling loads change, VAV terminals modulate to vary airflow supplied to the zones. This causes the pressure inside the supply ductwork to change. In many systems, a pressure sensor is located approximately two-thirds of the distance along the main supply duct. The AHU varies the capacity of the supply fan to maintain the static pressure in this location at a constant set point. With this approach, however, the system usually generates more static pressure at part load than necessary.

Fan Pressure Optimization for VAV Systems at KTPH

When communicating controllers are used on VAV boxes, it is possible to optimize this static-pressure control function to minimize duct pressure and save fan energy. Each VAV-unit controller knows the current position of its air-modulation damper. The IHEMS continually polls these individual controllers, looking for the VAV terminal with the damper that is open the widest. The supply fan's set point then is reset to provide just enough pressure so that at least one damper is nearly wide open. This results in the supply fan generating only enough static pressure to push the required quantity of air through this "critical" VAV-terminal unit.

Fan Pressure Optimization for VAV Systems at KTPH

Reduced supply-fan energy use. At part-load conditions, the supply fan is able to
operate at a lower static pressure and consume less energy.

Lower sound levels. The supply fan does not generate as much static pressure
and typically generates less noise. In addition, with lower pressures in the supply duct, the dampers in the VAV boxes open wider, resulting in less regenerated noise.

Reduced risk of fan surge. With the fan operating at a lower pressure when
delivering reduced airflow, the fan operating point is kept farther away from the surge region.

Fuel Cells Green Back-up Power Solution for IHEMS

Fuel Cell

Cabinet Housing for Hydrogen Cylinders

Green Back-up Power for Integrated Hospital Energy Management System

Fuel cells are cost-effective, reliable and emit no pollutants. Unlike battery-backed UPS, fuel cells are environmental friendly no toxic battery waste polluting the environment. As fuel cells are powered by hydrogen, back-up power duration can be stretched indefinitely with a continuous supply of hydrogen, a distinct advantage over batteries.

State-of-the-Art Converged Network, IT and Infocom Technologies

Creation of A Hassle-Free Hospital

Patient-Centric Workflow

Patient Admission
Patient Tracking & Resource Optimisation

Patient Call

Sentinel Events Planned Outpatient

Medication & Discharge

Creation of A Hassle-Free Hospital

First Hospital in Singapore to Adopt the Converged Network Platform

Surgery Inpatient Facility

Data Center
Converged Network

Patient Convenience Energy Efficiency Process Integration Resource Maximisation Hi-touch Flexibility

Clinical Services (Radiology, etc.)

Admissions

Pharmacy

Emergency Facility

Outpatient Facility

Connected Health Environment

End-Point Devices for A Hassle-Free Hospital

Infocomm Devices
Laptops/PCs IP Phone (As a point-of-care device) Wireless IP Phone Nokia Dual-mode Video Conferencing

Building Systems
Digital Signage Video Surveillance Kiosks Carpark Door Access/Alarms Lighting Air-con Elevators

Clinical Systems
Smart Bed Patient Monitoring Devices Kiosks

Smart IT Applications
IPSecurity Unified Communications Broadband

ServiceCenter MealOrder& Delivery

IntegratedFacility& Energy Management

RadioNetwork IPSurveillance

WiFi

DigitalSignage SmartPowerMeters

AccessServices AudioVisualSystems forSurgicalTraining

Selfhelp Kiosks

Point of Care IP Telephony

We have engineered and extended an IP phones functionality to include selecting food menu, adjusting air-conditioning or lighting settings, receiving signals from biomedical monitoring devices or even extracting a patients clinical information. This opens up opportunities for KTPH to serve patients better, faster, at lower costs and higher levels of convenience.

Facilities Management

Sustainability / Energy Management

Web-based Building Management Metering & Billing

HVAC Control

Intelligent Lighting Control

Temperature Monitoring & Fire Alarm Systems

Automated Event Management & Escalation

Benefits of Converged Integrated KTPH

CAPEX Reduction
One backbone, cabling Optimization of resources

OPEX Reduction
Enhanced energy performance Maintenance optimization Interoperability, Scalability and Expandability Reduce cost of changes

Improved Business Performance

Facilitate transformation of data to information to knowledge to wisdom to action to improvement Optimum comfort and healthy environment