1. © 2016 American Society for Healthcare Engineering, a personal membership group of the American Hospital Association 155 N. Wacker Drive, Suite 400 | Chicago, IL 60606 ashe.org | ashe@aha.org | 312-422-3800 2016 ASHE UPDATE September 20, 2106 Jan 2016

2. © 2016 American Society for Healthcare Engineering Sustainability Jan 2016

3. Energy to Care and the Sustainability Roadmap Improving efficiency to reduce costs and support patient care

4. © 2015 American Society for Healthcare Engineering Sustainability Sustainability can be defined as the ability of a system to continue doing what it is doing over time. To be truly sustainable, however, initiatives must stand the test of time by being fiscally sound while also helping the community and the environment.

5. #ASHEANNUAL ASHE.ORG/ANNUAL Why Energy? 50% of Facility Managers Budget Reduce Energy not FTE’s If you Don’t Someone Will Bring value to Your Organization Confidential Data Benchmark Join the Battle

6. © 2015 American Society for Healthcare Engineering Agenda Why Improve efficiency Reduce costs Improve the patient experience How Energy to Care Sustainability Roadmap for Hospitals What Overcoming barriers and inertia Tools and resources

7. © 2015 American Society for Healthcare Engineering Benefits of Efficiency in Health Care Energy costs more than 50% of facility budget Energy cost inflation…off the bottom line! Patients and staff take notice Differentiate your hospital or system

8. What is Energy to Care? Complimentary program, sponsored by Johnson Controls, to help health care facilities monitor and reduce energy consumption National awards program Energy dashboard, system challenges, and web tools Energy data remains confidential

9. #ASHEANNUAL ASHE.ORG/ANNUAL

10. Geographic Distribution

11. Energy Savings Since 2009, hospitals and health care facilities participating in ASHE's Energy to Care program have tracked more than $100 million in energy savings!

12. © 2015 American Society for Healthcare Engineering Electricity vs. Previous Year Facility Comparisons

13. Health System Competitions

14. Energy to Care Awards: New! Energy to Care Awards Given to hospitals that reduce EUI by 10% from prior year baseline Application Deadline: April 1, 2017 Energy Champion Given to a single facility leading the way in energy efficiency Application Deadline: April 1, 2017 www.energytocare.com/awards For questions, contact helpdesk@energytocare.com

15. Chapter Elite Award Special category added to Gold, Silver, and Bronze levels Must Join the Chapter Challenge Participate in Energy to Care – 75% of total hospital chapter membership OR – 10% increase from prior year Applications due March 1, 2017 For questions, contact Avis Gordon at agordon@aha.org

16. Energy to Care Resources

17. © 2015 American Society for Healthcare Engineering View Your Energy Performance Trend Analysis Facility Comparisons

18. © 2015 American Society for Healthcare Engineering Summary Small energy cost savings create a large positive financial impact Energy to Care and Sustainability Roadmap help hospitals continually improve efficiency and sustainability Programs are designed to be: Low cost Easy to implement and maintain Patients and staff expect hospitals to be efficient and deliver cost effective patient care

19. © 2015 American Society for Healthcare Engineering Energy Star Labeled Hospitals ?

20. © 2015 American Society for Healthcare Engineering Energy Star Labeled Hospitals 5643 Hospitals 56 Energy Star

21. © 2015 American Society for Healthcare Engineering Memorial Hermann The Most Energy Efficient Health System 9 Energy Star Labeled Hospitals 11 Energy Star MOB’S Clinics 250

22. #ASHEANNUAL ASHE.ORG/ANNUAL Memorial Hermann Cost Since 2009

23. #ASHEANNUAL ASHE.ORG/ANNUAL Memorial Hermann BTUs/SF July - December

24. #ASHEANNUAL ASHE.ORG/ANNUAL

25. pdcsummit.org

26. © 2015 American Society for Healthcare Engineering Texas Energy Roundup (TAHFM) 75 Buildings Benchmarked 2013 $1.7 Million Savings 100 Buildings 2014 Savings/Winners (Another million) Battle of the Buildings (EPA)

27. 27 54 hospitals Cleveland Clinic 101 hospitals Midland Memorial

28. pdcsummit.org standards ENERGY / ACTUAL PATHWAY TO ENERGY STAR

29. © 2015 American Society for Healthcare Engineering Implementation Energy Committee Low hanging fruit Set Back Programs One Year Payback Recognition Obtain Staff buy in Hard Wire it Improves Hot/Cold calls (Patient Sat) Money

30. © 2015 American Society for Healthcare Engineering Set Backs OR/Cath Labs Reduce Air Changes Huge Savings Scenarios Obtain Buy In Infection Control Always Compliant Temp/Humidity Sensors Measure and Verify

31. pdcsummit.org Establishes the project energy efficiency goal, typically expressed as a target Energy Star rating. For new facilities, the recommended Energy Star target rating is 75 (the minimum required to earn the Energy Star label). For renovation and building addition projects, the recommended Energy Star target rating should be a reasonable increase from the current and baseline energy ratings for the existing facility. The OPR identifies the requirements for measuring and verifying actual building energy performance using the Energy Star rating system. If the actual Energy Star rating does not meet or exceed the target rating, the project team should work to identify the cause of the disparity and implement corrective action. New Facilities

32. © 2015 American Society for Healthcare Engineering Sustainability Goals (2016) Benchmarked Hospitals (401) 680 42% Energy Star Hospitals (40) 5625% Battle of Buildings (85) Increase Chapter Challenges 1017 Get All to Share Data Gathering of National Experts ASHE EPA Partner of the Year

33. pdcsummit.org

35. Survey Day Send them home

36. © 2016 American Society for Healthcare Engineering ASHE WANT’S YOU Willingness To Serve