1. Cleveland Clinic Abu Dhabi Sustainability Case Study Presented by Ted Jacob

2. Patient Tower Offices Gallery D&T

3. The Team OwnerMubadala DeveloperAldar OperatorCleveland Clinic Program ManagerFluor ArchitectHDR, Inc. EngineersTed Jacob Engineering Group

4. Green Principals (American Society of Hospital Engineers)  Integration Design  Site Design  Water  Energy  Indoor Environmental Quality  Material & Products  Construction Practices  Commissioning  Operations & Maintenance  Innovation

5. Green Guidelines  US Green Building Council (USGBC) LEED Green Building Rating  Green Guide for Healthcare (GGHC)  Emirates Green Building Council (EGBC)  Abu Dhabi Green Buildings (ADGB)

6. CATEGORYUSGBCGGHCEGBCADGB Sustainable Sites14211315 Energy & Atmosphere17211620 Water Efficiency561230 Materials & Resources13211115 Indoor Environmental Quality152415 Innovation & Design Process5455 Total Points699772100 CERTIFICATIONUSGBCGGHCEGBCADGB Certified26 - 32N/A29 - 3545 Silver33 - 38N/A36 – 4355 Gold39 - 51N/A44 –5765 Platinum 52 or more N/A58 or more 75 or more Design & Construction Rating Systems

7. CATEGORYUSGBCGGHCEGBCADGB Integrated OperationsN/A5 Transportation OperationsN/A3 Energy EfficiencyN/A18N/A Water ConservationN/A8 Chemical ManagementN/A5 Waste ManagementN/A6 Environmental ServicesN/A9 Environmental Preferable PurchasesN/A11N/A Innovation in OperationsN/A7 Total PointsN/A72N/A Operations

8. Unique Design Challenge  Initial and Operating Costs  Integrated Design  Design for Medical Indoor Environment  Continuously Changing Medical Technology  Design for Future Expansion  Design for Diverse Functions  Diverse Occupancy and Operating Schedules

9. Unique UAE Design Conditions  High Temperature  High Humidity  Sand Storms  Water Shortage

10. Life Cycle Cost Sustainable Hospital vs. Traditional Hospital  First Cost  Operation Cost  Replacement Cost  Payback

11. 9.5 / 6.8 1 14.2 / 12.4 279 18.7 / 15.8 1712 23.8 / 19.6 2061 28.1 / 23.1 1203 30.8 / 25.3 1375 33.5 / 26.2 992 36.2 / 26 687 38.9 / 25.4 333 41.4 / 24.8 91 46.1 C DB / 23.8 C WB Dry Design Conditions 43.8 C DB / 23.0 C WB ASHRAE Design Conditions 43.55 / 24.6 33 33.3 C DB / 30.7 C WB ASHRAE Dehumidification Design Conditions 12 C DB / 12 C WB Cooling Coil Leaving Air Conditions 24C DB & 55%-58% RH Room Conditions Comfort Zone

12. Optimize Energy Performance  Heat Recovery- Exhaust - Kitchen Equipment - Re-heat Coils  Double Skin Defensive Buffer Zone  Variable Air Volume  Displacement Ventilation

13. Heat Recovery

14. Displacement Ventilation Smoke Test

15. Displacement Ventilation

16. 120 CFM @ 3.6 AC/HR Cooling: 18.0 °C Supply Air 240 CFM @ 7.2 AC/HR Cooling: 18.0 °C Supply Air HeightRoomWindowBath 9’-0”--- 8’-6”24.124.421.1 8’-0”23.724.421.3 7’-0”23.623.521.6 6’-0”23.423.321.9 5’-0”23.3 22.2 4’-0”23.3 22.2 3’-0”23.023.322.3 2’-0”21.220.522.5 1’-0”--- HeightRoomWindowBath 9’-0”--- 8’-6”23.624.722.2 8’-0”23.323.621.9 7’-0”22.823.621.9 6’-0”22.822.521.7 5’-0”22.722.521.8 4’-0”22.722.322.2 3’-0”22.021.922.2 2’-0”21.021.621.3 1’-0”--- Room Temperature Profile Displacement Ventilation

17. Patient Tower Offices Gallery D&T

18. PATIENT TOWER

19. HVAC System Options

21. Solar Hot Water

22. Water Efficiency  Eliminate Potable Water Use for Medical Cooling  Potable Water Measurement and Verification  Reduce Use of Potable Water in Building Systems Equipment  Provide System to Capture AHU Condensate

23. Grey Water Recovery

24. Condensate Water Recovery

25. Reclaimed Water (Grey Water and Condensate)