FORTIS HOSPITAL MOHALI, A MULTY SPECILITY HOSPITAL€¦ · Presented By: - Mr Neeraj Tandon Chief...

Presented By: - Mr Neeraj Tandon

Chief Engineer

CII 21st

National Award for Excellence in Energy Management-2020

FORTIS HOSPITAL MOHALI, A MULTY SPECILITY HOSPITAL

BUILDING DETAILS Total Plot Area 8.22acre Builtup area 50336sqm No of Beds 448 Operation Theatres

16

Incoming Electrical

2 Sources 11KVA

Generators 1250KVA *3nos Transformer 2000KVA*4nos Chiller Plant 433TR*2nos

UPS 200KVA *3nos(UPS are in parallel load with ATS), 120KVA *3Nos.

Fuel PNG from AGL, HSD

Fortis Hospital Mohali Establishes in 2001, Approx 2000

sqf/cardiac ICU bed instead of the normal 800-900 sqf/in

Indian healthcare. Hospital set on sprawling 8.22 acres, with built up area of 50336 square meters.

FHM is a 360(448) bedded, JCI and NABH certified multi specialty tertiary care hospital,

Fortis Hospital, Mohali has won several awards, including; Best Design Award from American Institute of Architects,1999

Number of Buildings: 3

• IPD Block (A block)

• OPD Block (B block)

• Rehabilitation Centre

• Fortis Cancer Institute

FORTIS INN BUILDING BUILDING B

BUILDING A

ONCO BLOCK

OVERVIEW OF HOSPITAL

Inaugurated

on

June 28, 2001

JCI,

2007

NABH,

2008

NABH Blood Bank,

2010

FCI Inauguration 2014

History & Growth

Multi-Speciality Hospital, 2002

Change of

ownership

to IHH

2018

NATURAL ENERGY USAGE FOR LIGHTING

Glass type Direction Double Glaze Unit NW

Low-U Double Glaze Unit SW

Fortis Hospital Mohali

Parameter Baseline Glass specs as per AHRAE 90.1

Normal DGU Glass (North-east)

Low e Glass (South-west)

U Value (Btu/hr-sqft *F)

1.2 0.49 0.35

SHGC 0.25 0.35 0.23

ARCHITECTURAL DETAILS OF FORTIS MOHALI WITH RESPECT TO ENERGY EFFICIENCY

Low window to wall ratio

(WWR).It reduce the

building cooling load.

As per ECBC 2007,WWR

should not exceed 60%

and preferred in

between 40% to 60%.A

building with higher

WWR will transfer more

heat than a building with

lesser WWR

65% area have day- lighting. It reduce

the artificial lighting requirement. It

reduce 5% of energy consumption

Solar PV panel installed on roof-

top. It reduce cooling load. It

reduce 0.5% to 0.75% energy

consumption

Green Central court yard to reduce

heat load of building. It reduce energy

consumption as well as feel good for

patients

Thermal Resistance glazing to

reduce heat load of building. It

reduce 2.5% to 3.5% of energy

consumption.

Natural Lighting

“Often design strategies for energy efficiency can

also have direct benefits for patient outcomes.

A recent study has found that daylight in patient

rooms helped surgery patients maintain lower

stress levels and feel less pain resulting in use

of less pain medication and reducing medication

costs for these patients by 22%.”

– Jeffrey Walch, University of Pittsburgh Montefiore Hospital

FIRST OF ITS KIND PROJECTS IN HOSPITAL

PNG for Boilers

Best Design Award from American

Institute of Architects,1999

Solar Photovoltaic

Panels

Solar Water Heating System

Energy Efficient LED Lights Phase II

Chillers on VSD

1999

2016

2017

2018 Power Optimizer for reduction of kVAR

Kitchen Waste Composting

MBBR Based STP

& ETP

2019 Automatic Chiller

tube cleaning system

PNG for Kitchen

VFD operated Pumps/Motors

1999

Best Design Award from American Institute of Architects

2017

1. Replacement of Old Vacuum . Pumps with new VFD operated . Vacuum Pumps

2. Solar Photovoltaic Panel Parking . and lift mumty

3. Hot water generation through . solar water heating system

2018

1. Chillers on VSD

2. PNG for Boilers

3. Installation of ETP and ….reutilization of Water

4. VFD operated Air compressor

2019

1. Automatic Chiller Tube …..cleaning System

2. PNG for Kitchen

3. Replacement of ….Conventional AHU's with ….VFD operated AHU's

4. Additional Automatic ….power factor controller

5. STP Modification with UV

Our Encon Journey …

2017 EPI 126

2018 EPI 116

2019 EPI 111

BEE National Benchmark 200

BENCHMARKING – ENERGY USAGE- OUR CHALLENGES Current – Consumption patterns ,Perpetual growth in facilities, diagnostic equipment's, additional beds thus

increased Energy.

Consumption patterns aren’t fixed, they vary depending on the number of occupied beds, the footfalls & the local weather conditions. Increasing energy & Maintenance costs.

Hospital are energy guzzlers. They not only adds to the operational costs but also to emissions that contribute to the anthropogenic green house gases

Equipment Avg.

Consumption

HVAC (heating, ventilation,

& air conditioning) 38%

Lighting 13%

Medical Equipment 22%

Boilers 10%

Water Systems 8.5%

DG Sets (Diesel generator) 1%

Laundry 3%

Medical Gases 2%

STP (sewage treatment plant) 2.5%

HVAC (heating, ventilation, & air

conditioning)

Lighting

Medical Equipment

Boilers

Water Systems

DG Sets (Diesel generator)

Laundry

Medical Gases STP (sewage treatment plant)

Energy Consumption Overview

SEC:- There is a reduction of 11.90% compared to 2017-18 Energy Consumption:-Reduction of 12.43% compared to 2017-18 kWh/Bed:- Reduction of 14.97% since 2017-18

Parameter 2017-18 2018-19 2019-20 KWH 6362423 5860805 5571526

SEC in kWh/M2 126 116 111 kWh/Bed 14626 13082 12436

No. Of Beds 435 448 448

Average Occupancy 89% 88% 89% Built Up area 50336 50336 50336

90

110

130

150

2014-15 2015-16 2016-17 2017-18 2018-19 2019-20

141 137

130 126

116 111

SEC in kWh/M2

Reduction of 11.90% compared to 2017-18

10000

12000

14000

16000

18000

20000

22000 20111

16014 15100 14626

13082 12436

Total kWh/Bed Reduction of 14.97% compared to 2017-18

Unit consumption in 2018-19 is 58.61 LkWh

Anticipated unit consumption 2019-20 due to load increase 63.18 LkWh

Actual Unit consumption 2019-20 55.72 LkWh

Total savings FY 2019-20 is 7.46 LkWh which is 13.39% over 2018-19

Thermal Energy Consumption Overview

HSD+PNG/M2:- There is a reduction of 17.57% compared to 2017-18 HSD+PNG Consumption:- Reduction of 17.57% compared to 2017-18 HSD+PNG/BED:- There is a reduction of 19.96% compared to 2017-18

Parameter 2017-18 2018-19 2019-20 HSD /PNG 268785 124960+136790 (261750) 221570 HSD Ltrs/M2 5.34 5.20 4.40 HSD Ltrs/Bed 618 584 495 No. Of Beds 435 448 448 Average Occupancy 89 88 89 Built Up area 50336 50336 50336

0.00

2.00

4.00

6.00

2017-18 2018-19 2019-20

5.34 5.20 4.40

HSD Ltrs/M2

0

100

200

300

2017-18 2018-19 2019-20

269 262 222

HSD/PNG (KL/CBM)

137

125

0

200

400

600

800

2017-18 2018-19 2019-20

618 584 495

HSD Ltrs/Bed

Reference A report on Energy efficient hospitals survey by CII, Schneider and S.L.Raheja

NATIONAL

BENCHMARKING

INTERNATIONAL

BENCHMARKING

0

50

100

150

200

250

300 263

225 205

143 111

205

Specific Energy Consumption - kWh/SqMtrs/year

Comparison of building energy benchmarks in Serbia, UK and Germany (CIBSE TM 46), (EnEv)----- KWH/M2

0

50

100

150

200

250

300

350 312 304 285 269 258

214 212 210 208 196 168

111

200

Specific Energy Consumption - kWh/SqMtrs/year

EPI Index across Fortis Hospitals

Energy performance Index for Fortis Group Hospitals All Weather

0

50

100

150

200

250

300

350

400

198

108

238

111

172

199 204 194

242

186

395

212

334

218

310

244

146 143

221

Energy performance Index

ELECTRICAL LOAD DISTRIBUTION(%)

2019-20 2018-19

Area 2018-19 2019-20 Remarks

HVAC 40 38 Reduction of 5% kWh due to Automatic tube cleaning system and VFD operated AHU’s , Dehumidifier and FCU replacement.

Lighting 13.5 13 Reduction due to the LED replacement & motion sensors and rest due to the addition of other loads

Medical Equipment's 18 22 Increased by 22% due to the new equipment’s

Water System 8 8.5 Slightly Increased by 0.5% due to the new equipment’s

Laundry 2.5 3 Increased by 1% due to the new equipment’s

40%

13%

18%

10%

8%

2%

3% 3% 3%

HVAC Lighting Medical Equipment Boilers Water Systems DG Sets Laundry Medical Gases STP

38%

13% 22%

10%

8.5% 1% 2% 2% 3%

HVAC Lighting Medical Equipment

Boilers Water Systems DG Sets

Laundry Medical Gases STP

7520 7695

7720 7810

130

126 116

111

2016-17 2017-18 2018-19 2019-20

100

105

110

115

120

125

130

135

5400

7200

9000

CO

NN

ECTE

D L

OA

D IN

KW

H

----CONNECTED LOAD IN KWH --SEC

Additional Load & Specific Energy Consumption YOY

SEC

(K

WH

/SQ

M)

131

How to further nullify the effect?

New Machines MRI 3 TESLA

Robotic OT and Biomedical

Equipment's/ Eating Joint &

BMT Programme

Energy excellence frame work-FHM

Energy

Efficient

Equipments

Energy

management

structure

Total

Employee

Involvement

Monitoring

and review

systems

Energy

Audits

Bench

Marking

Energy

management

planning

Energy

excellence

ENERGY CONSERVATION PROJECTS

New Technology

Renewable Energy

Substitution

• Solar Photovoltaic Lighting

• PNG for Boilers

• Hot Water generation

through Solar water heater

system

• Water conservation

• STP Modification with

UV/UF

• HSD consumption reduction

• PNG for Kitchen

Automatic Chiller Tube cleaning

System

Waste Heat Recovery

(Condensate/Process)

VFD on Identified AHU’s

Sharing one AHU for two OT’s

during night hours

Power factor improvement

Reduction in ripple factor &PF

improvement

AHU's with 100% Fresh Air in OT

• Replacement of Fluorescent tube/lights

with LED Lights

• Chillers on VSD

• Installation of VFD drives with water

pumps

• Replacement of vacuum pumps with

energy efficient VFD operated vacuum

pumps

• Humidity & Temperature in LINAC

List of EnCon Project with Zero Investment

Sr. No. Title of Project Year Of Implementation

Annual Electrical Savings (Kwh)

Annual Thermal Saving (Quantity) KL

Total Annual Savings (Rs. Lakhs)

CO2e Reduction (MT)

1 Modification of Lighting circuit - Across the Hospital 2019-20 9250 0 0.74 8

2 Modification of the diverter plunger in shower mixers. 2019-20 15000 25 1.4 13

3 Thermal recycling at laundry 2019-20 25000 250 1.82 27

4 Cath Labs and Lab UPS shut down in night hours 2018-19 73000 0 0.584 60

5 OPTIMIZATION IN LIGHTING 2018-19 16000 0 1.28 13

6 BMS monitoring increased 2018-19 20000 0 1.6 16

7 Chiller set point adjusted as per night demand 2018-19 20000 0 1.6 16

8 Condensate recovery from boilers as increase in boiler steam 2017-18 0 0.25 2.7 1

9 Chillers Condenser tubes and Strainer cleaning 2017-18 80000 0 6.5 66

10 Cooling Tower maintenance and cleaning 2017-18 20000 0 1.5 16

11 Boilers Tube descaling 2017-18 0 0.17 1 0

12 AHU and FCU Coil cleaning and descaling 2017-18 56000 0 4.5 46

13 Gas range burner cleaning and leak testing 2017-18 18600 0 1.5 15

352850 275.42 26.724 297

List of EnCon Project with Investment (2017- 18)

These projects have been replicated in other units

Sr.

No. Title of Project

Year Of

Implementati

on


Annual Thermal Saving

(Ton/Year)

Annual Savings

(Rs. Million)

Investment Made (Rs. Million)

Pay Back (Months)

CO2e Reduction (MT)

1 Condensate recovery from boilers 2017-2018 25000 12 0.27 0 0 52

2

Replacement of Old Vacuum Pumps with new VFD operated Vacuum Pumps 2017-2018 30000 0 0.26 1.4 64 25

3 LED Replacement for balance CFL Lights 2017-2018 50000 0 0.393 1 35 41

4 VFD on identified AHU's 2017-2018 70000 0 0.55 0.5 12 57

5 Water conservation 2017-2018 10000 1 0.1286 0.7 66 11

6 Solar Photovoltaic Panels in Parking and lift mumty

2017-2018 250000 0 1.965 9 54 205

435000 13 3.5666 12.6 391

List of EnCon Project with Investment (2018-19)

Sr.

No. Title of Project

Year Of

Implementa

tion


Annual Thermal Saving (Ton/Year)

Annual Savings (Rs. Million)


Pay Back (Months)

CO2e Reduction (MT)

1 PNG (Piped Natural Gas) for boilers 2018-2019 28800 137 9.32 0.75 2 385

2 PNG (Piped Natural Gas) for Kitchen 2018-2019 0 0 0 0.07 0 0

3 Chillers on VSD 2018-2019 140000 0 1.12 3.5 36 115

4 VFD on Identified AHU's 2018-2019 90000 0 0.72 1.5 24 74

5 VFD operated Air Compressor 2018-2019 60000 0 0.48 1.1 27 49

6 Shutting off One AHU instead of 2 during night operations 2018-2019 24000 0 0.0192 0.001 1 20

7 Splits AC's for night 2018-2019 70000 0 0.56 0.05 1 57

8 LED Replacement (Phase 3) 2018-2019 99000 0 0.792 1 15 81

9 Energy efficient motors 2018-2019 25000 0 0.2 0.55 33 21

10 Use of foam flow in taps 2018-2019 20000 1 0.21 0.07 0 19

11 Installation of ETP and reutilization of water 2018-2019 60000 5 0.73 1 15 62

Total 616800 143 14.15 9.591 883

These projects have been replicated in other units

List of EnCon Project with Investment (2019-20)

Sr. No. Title of Project Year Of Implementation


Annual Thermal Saving (Ton/Year)

Annual Savings (Rs. Million)


Pay Back (Months)

CO2e Reduction (MT)

1 Automatic Chiller Tube cleaning System 2019-2020 62272 0 0.51 1 23.35 51 2 Replacement of Conventional AHU's with VFD operated

AHU's, Replacement of Damaged AHU Coils and Replacement of Old Damaged FCU with new FCU

2019-2020 77200 0 0.64 0.992 18.69

63 3 AHU's with 100% Fresh Air in OT Designed Heat Recovery

Wheels in OR AHU's for energy conservation. 2019-2020 67640 0 0.56 0.12 2.58

55 4 Additional Automatic power factor controller 2019-2020 73000 0 0.60 0.9 17.94 60 5 Powa Trim 2019-2020 55000 0 0.45 0.2 5.29 45 6 Replacement of Chiller conventional pumps with VFD

operated Primary and secondary pumps 2019-2020 201000 0 1.65 1 7.27

165 7 Project to Control the Humidity & Temperature in LINAC

Area 2019-2020 72485 0 0.60 0.3 6.02

59 8 Modification in HVAC Cooling towers, IE4 motors for

cooling towers, STP blowers etc 2019-2020 53200 0 0.44 0.55 15.03

44 9 HYDROPATH 2019-2020 20000 45 0.20 0.2 12.31 18

10 STP Modification with UV/UF 2019-2020 15000 0 0.12 0.175 16.94 12 11 Agnisumukh Gas Burner 2019-2020 0 350 1.05 0.1 1.14 9 12 PNG (Piped natural gas) for Balance Boilers/Kitchen 2019-2020 0 0 1.48 0.7 5.67 20

Total 696797 395 8.30 6.24 582

Energy Savings Project Implemented in 2019-20

REPLACEMENT OF CONVENTIONAL AHU’S

AUTOMATIC POWER FACTOR CONTROLLER

AUTOMATIC chiller tube cleaning system

UV/UF filtration in STP HYDROPATH

Desiccant Dehumidifier PNG & AGNISUMUKH Burner in Kitchen

Savings of 7.46LkWh Power

Units & 630MT CO2e

Energy Efficient Pumps/Motors


Chillers on VSD

VFD on AHU's VFD operated Air Compressor

Splits AC's for night

LED Lights Energy Efficient Motors

PNG for boilers

Savings of 7.45LkWh Power

Units & 988MT CO2e


Cooling Towers Replacement STP Modification

Solar Panels at Roof Top Solar water heating

PowaTRIM Savings of 6.85LkWh Power

Units & 545MT CO2e

Solar Panels in car parking

SUMMARY OF PROJECT IMPLEMENTED IN LAST THREE YEARS

11 15 15

50.67

95.91 62.4

126.00 144.96

86.98

2017-18 2018-19 2019-20

No. Of Proposals Investments (INR Lacs) Savings (INR Lacs)

Year No. Of Proposals Investments (INR

Lacs) Savings (INR Lacs)

Energy Savings (LkWh)

CO2e MT reduction

2017-18 11 50.67 126 6.10 535

2018-19 15 95.91 144.96 7.46 988

2019-20 15 62.4 86.98 7.46 630

Total 41 208.98 357.94 21.02 2153

Energy conservation is the buzz now and it implies not only exposing the possibility of clean energy besides money saving thus ultimately contributing to low environmental emissions & greater efficiency in running the operations.. Thus decided 1. LPG replaced with PNG 2. Replacement of energy efficient /Eco friendly burners in cooking .

PNG (PIPED NATURAL GAS) FOR MAIN KITCHENS

Trigger for implementing the project

Statement: Main Hospital Kitchens were using steam from boilers for making Rice and LPG for

day today operations, thereby posing increaser risks of keeping large numbers of LPG Cylinders

bank to cater 24x7 needs. Cost Benefit Analysis

Cost Savings Rs.14.82Lacs/Year Investment 7.0 Lacs Payback 5.7 Months

Innovative Project (1)

Fortis Saving Sheet - LPG Fuel Unit

Gross Calorific Value

Cost of Fuel Cost (Rs / 1000

Kcal) Combustion

Efficiency Indirect Cost

Net Cost To User (Rs/1000Kcal)

Savings (Rs/1000Kcal)

% Savings

(A) (B) (C) = (B/A)*1000 (D) (E) (F) = C/D+E*C (G) (H) = G/F

LPG Kgs 11000 ₹ 69.63 6.33 95% 1.00% 6.73 - - NG SCM 9000 ₹ 45.48 5.05 95% 0.00% 5.32 1.41 20.92

Fuel

Cyl/day Unit/day Unit/Cost

Act. Unit Cost Inc

Efficiency Factors(D)

FuelCost/Day Savings/Day Savings/Month Savings/Year

LPG 14 266.00 ₹ 69.63 ₹ 73.99 ₹ 19,682.06 - -

NG - 325.11 ₹ 45.48 ₹ 47.87 ₹ 15,564.27 ₹ 4,117.80 ₹ 123,533.86 ₹ 1,482,406.36

Natural Gas vs LPG

Savings and Results

1. NG is lighter than air, in case of leak it rises and disperses into air.

2. LPG comes in cylinders, there is a chance of pilferage besides some LPG is left in cylinder after use.

3. LPG is heavier than air, whenever there is sudden drawing of gas from LPG cylinders or during . .

. winters there is icing issue thereby wasting energy in heating.

4. LPG cylinder bank poses risk in case of leakage and is a fire hazard besides statutory licencing.

Cost Benefit Analysis

Thermal Savings 350Ton/year

Cost Savings Rs.10.05Lacs/Year

Investment 10.0 Lacs

Payback 1.14 Months

AGNISUMUKH GAS BURNER FOR UNIFORM HEATING

The burners has been tested and certified by LERC at a thermal efficiency, under IS 14612, between 65-68.9% as against conventional commercial gas burners with efficiency rating between 36-45%. https://www.agnisumukh.com/innovate/

https://www.agnisumukh.com/innovate/




PROJECT TO CONTROL HUMIDITY & TEMPRATURE IN LINAC AREA Statement

Erratic Humidity Control in Linac Machines

Challenge

Ever since the installation at level 2 basement in bunkers , temperature was not much of a concern

but humidity control was an issue ever since the Linear Accelerators were handed over to operations.

Humidity control in Linear Accelerator was a challenge ever since its functioning. Initially 4 additional heaters

of 9Kw each were added during rainy season to control humidity , but the results were erratic so added 2

more heaters & with huge variation. Other option of reducing temperature upto dew point of chiller was also

explored but that came with huge energy costs.Hot water option was also explored.

Hence decided to go with dehumidifier and designed through Bryair as per our needs& in Auto mode & got

rid off 6 electric heaters of 9kw each & humidity reduced from 75% to 55%.



Advantages of Desiccant Dehumidifier over Heater

Desiccant Dehumidifier

1. Reduces Absolute Humidity

2. Less Power Consumption as compared to heater

3. Can reduce relative humidity upto 1%

4. Consistent Performance. Heater

1. Doesn't reduce Absolute Humidity

2. Consume more power

3. Difficult to maintain relative humidity below 50%

4. Performance fails during monsoon season.

Cost Benefit Analysis Energy Savings 72485 kWh/Year Cost Savings Rs.6.0Lacs/Year Investment 3.0 Lacs Payback 6 Months

Operation Principle of Desiccant Dehumidifier

Heat Recovery Wheels in AHU’S WITH 100% FRESH AIR IN OPERATION THEATRES

Our Operation Theatres were designed on 100% fresh air, hence a lot of conditioned air gets exhausted, thereby resulting in huge kWh loses, Thus placed Heat Recovery Wheels

Statement

Since ventilated massive volumes of conditioned indoor air were lost with huge energy losses in running day to day operations in OT's, Heat recovery wheel was considered as its moisture content transfer ability nearly 30-40% of the cost of conditioning is saved by heat recovery wheels. The wheel was designed with the help of OEM. The benefits achieved were pre warmer region temperature is transferred to the colder region, hence recovery reusable heat. Similarly the desiccant coating adsorbs the moisture from high humidity ratio region & releases the lower humidity ratio region hence recovering latent heat

Why innovative

Air must be exchanged at least 25 times hourly and RA is prohibited in Operation Theatres. Thus modified by placing heat recovery wheel to remove the moisture content and this saved 68k units. The project has replica potential and thus suggested to other units as well.


Cost Benefit Analysis Energy Savings 67640 kWh/Year Cost Savings Rs.5.6Lacs/Year Investment 1.2 Lacs Payback 2.5 Months

Outdoor Air (O/A)

Supply Air (S/A)

Exhaust Air (E/A)

Return Air

(R/A)


PowaTRIM

Energy Conversion - Generates current via reactive load produced by site inductive loads. Current is then injected into the

adjacent phases as new, usable power available towards your Main Incomer.

Power Factor - resonance-free power factor correction to reduce the demand of reactive non-power currents.

Phase balancing - of voltage and current to reduce waste, demand, friction and heat in loads.

Harmonic Protection - filtering of non-power currents to reduce the billed kVAh/kWh consumption

In summary: PowaTRIM returns out-of-phase power into your electrical grid. PowaTRIM does this without consuming energy. It

uses the inductive power you’re already consuming and re-introduces this surplus power onto the adjacent phases.

Reducing kVAh based electricity Cost & Consumption

kVAh & kWh By the amount of current that’s magnetically induced into circuit. Approx.70% of savings.

All PowaTRIM savings are determined by the site inductive load profile, typically:

Surges and spikes (IE). “Dirty Power” that’s filtered & re-introduced as usable power. Approx. 20% of savings.

Total harmonic current reduction. Approx. 5% of savings.

I2R losses due to poor power factor. Approx. 5% of total savings


Energy Savings 55000 kWh/Year



REPLACEMENT OF CHILLER CONVENTIONAL PUMPS WITH VFD OPERATED PUMPS



Cost Savings Rs.16.5Lacs/Year

Investment 10.0 Lacs

Payback 7.25 Months

Statement

Fortis was initially designed for 30 meters head as two more story's were passed and proposed to be constructed as and when beds expansion would be needed, hence Condenser, Primary and Secondary pumps at chiller plant were designed on higher rating , but since it was decided to go horizontally expansion due to purchase of adjacent plot, we proposed to reduce the load and converted the vertical pumps with VFD and IE3 motors resulted in savings.

After Before

BEFORE AFTER

Description QTY KW Head (Fts) KW Head (Fts)

Primary Chilled Water Pump 4 60 45.93 30 25

Secondary Chilled Water Pump 4 67 65.62 48 65

Condenser Water Pump 4 148 82.02 74 55

12 275 Kw 152 Kw

Difference 123 Kw

Cost benefit

analysis for new

pumping system

ENCON PROJECT - 5

AUTOMATIC CHILLER TUBE CLEANING SYSTEM

Before After



Cost Savings Rs.5.1Lacs/Year Investment 10.0 Lacs Payback 23 Months

Ball Storage Tank

Condenser Water inlet Ball Arrester

Control Panel

Condenser

Auto Valves

The benefits:

• Improved operating efficiency

• Extended chiller life cycle

• No chiller downtime

• Low cleaning system operating costs

• Lower water treatment costs• Environment friendly

Challenge: Since water entering to cond3ensor through various stages after heat exchange, deposits or

scaling is imminent.

Working: The automatic tube cleaning system features specially developed sponge balls, which are

injected into the chiller condensing water flow to provide continuous tube cleaning while the chiller is in

operation.

Statement: Chiller Operation to remain Efficient

ENCON PROJECT- 6

REPLACEMENT OF CONVENTIONAL AHU’S WITH VFD OPERATED AHU’S

AND OLD DAMAGED FCU’S WITH NEW FCU’S




After 18 years of hospital running it was observed that complaints of temperature and humidity were on the rise, hence an energy audit was carried out and based on that report we decided to replace old inefficient AHU's with VFD operated ahu's. and damaged AHU's old coils were also replaced resulted in units savings. As good practices identified inefficient old FCU's with new ones for better efficiency.

Statement

ENCON PROJECT- 7

STP MODIFICATION WITH UV & UF FILTRATION


Electrical Savings 15000kWh/year


Statement

STP NEEDS MODIFICATION TO REUSE ENTIRE WATER

ENCON PROJECT- 8

Challenge : With stricter Regulatory requirements and also to improve ground water table, reuse of water in horticulture , Flushing , Solar Panel cleaning and in Cooling towers was the need of the hour.

MODIFICATION IN HVAC COOLING TOWERS & IE4 MOTORS FOR COOLING TOWER




Statement

The conventional cooling towers were overhauled and placed VFD in CT fans, fills and nozzle got replaced for best efficiency., 12% reduction in cooling tower motor load

ENCON PROJECT - 9

ENCON PROJECT- 10 HYDROPATH

Statement

This is used in low pressure steam line of laundry. It protect the machines from lime scale build-up and removes exiting lime scale. It fits around pipes and works independent of flow rate. Approx. saving 450 SCM with improvement in machine performance.

Cost Benefit Analysis Energy Savings Thermal Savings

20000 kWh/Year 45Ton/year


MODIFICATION OF LIGHTING CIRCUIT – ACROSS THE HOSPITAL



Cost Savings Rs.0.74Lacs/Year Investment 0 Lacs Payback 0 Months

Statement

By placing motion sensors and timers for efficient use in LED's.

ENCON PROJECT- 11

MODIFICATION OF THE DIVERTER PLUNGER IN SHOWER MIXTURES

Statement

All the patient rooms washrooms have been retro engineered. This has resulted in a saving of 3% overall in hot water production and circulation pump load



Thermal Savings Rs.25 SCM/Year Cost Savings 1.4 Lacs Investment 0 Lacs

ENCON PROJECT- 12

ADDITIONAL AUTOMATIC POWER FACTOR CONTROLLER




Statement

To maintain PF 1 remains a challenge, saved on extra charges on account of PF

ENCON PROJECT- 13

INSTALLATION OF ENERGY METERS IN ALL ELECTRICAL FEEDERS

Statement

To capture the in time power consumption, installed energy meters in each and every power DB, resulted in real time capturing of data for analysis/ losses and optimization.

ENCON PROJECT- 14

Use of New Technology

Automated Water Taps

Sprinkler System for Irrigation

Automated Urinals

Water Recycling

STP Plant

ETP Plant

UV/SOFTNER in STP

RO Reject Water

Innovation

MGF Backwash

AHU Condensate

Cooling Tower blow down Reuse Efficiency Improvement

Benchmarking

Auditing

Monitoring & Analysis

Improving

Renewable Substitution

Rain Water Harvesting

Municipal Waste Water Treatment and Reprocessing

WATER – CONSERVATION METHODOLOGY

Water Flow Restrictors

Water Less Urinals - Bio Tabs

100

150

200

250

300

350

2015-16 2016-17 2017-18 2018-19 2019-20

345

280

245 235 225

Water Consumption Trend KL/Day

UTILIZATION OF RENEWABLE AND GREEN ENERGY

SNo Description of scheme Amount INR Year Remarks

1 STP Modification with UV/UF 120000 2019-20 Annual saving of 20000 Units

2 Modification of Lighting circuit - Across the Hospital 78500 2019-20 Annual saving of 9250 Units

3 Modification of the diverter plunger in shower mixers. 140000 2019-20 Annual saving of 15000 Units

4 Thermal recycling at laundry 182000 2019-20 Annual saving of 25000 Units

5 Agnisumukh Gas Burner 1482000 2019-20 Annual saving of 00 Units

6 Additional Automatic power factor controller 600000 2019-20 Annual saving of 73000 Units

7 HYDROPATH 200000 2019-20 Annual saving of 20000 Units

8 Use of foam flow in taps 70000 2018-19 Annual saving of 20000 Units

9 Shutting off One AHU instead of 2 during night operations 10000 2018-19 Annual saving of 24000 Units

10 PNG (Piped Natural Gas) for Kitchen 70000 2018-19 Annual saving of 00 Units

11 PNG (Piped Natural Gas) for boilers 750000 2018-19 Annual saving of 28800 Units

12 Installation of ETP and reutilization of water 1000000 2018-19 Annual saving of 60000 Units & Maintain Ground Water table

13 LED Replacemwent (Phase 3) 1000000 2018-19 Annual saving of 99000 Units

14 LED Replacement for balance CFL Lights 100000 2017-18 Annual saving of 50000 Units

15 Solar Photovoltaic Panels in Parking and lift mumty 9000000 2017-18 Annual saving of 275000 Units

Summary Co2 Emission Reduction 590 MT (App) 14682500 Savings 7.19LkWh Units

Results Achieved on Green Initiatives

Green Initiatives4538 Amount Saving

INR (Million) CO2t

Reduction Equivalent to trees planted

Going the LED way 3.39 432 29376 Solar electricity generation Rooftop 0.25 68 4674 Solar water heating 1.98 57 148 Solar electricity generation in car parking

0.2 65 4538

Rain water harvesting pits Improved ground

water security

Going the LED way Solar electricity generation Rooftop

Solar water heating Solar electricity generation in car parking

Rain water harvesting pits

Reduction of 622 CO2t by

these projects

UTILISATION OF RENEWABLE ENERGY SOURCES

Technology (Electrical)

Type of Energy Onsite/Offsite Installed Capacity

(Kw)

Generation (LkWh)

% of Overall electrical Energy

1 Solar PV Panels Onsite 420kW 5.399 9.69%

Technology (Thermal)

Type of Energy Onsite/Offsite Installed Capacity

(kCal) Usage LkCal

% of Overall Thermal Energy

1 Solar Water Heater Onsite 8000 25.55 70%

Grid Power 89

DG 1%

Renewable Energy

10%

ENERGY CONSUMPTION TREND 2019-20

Utilization of waste material

FHM Generates mainly these type of waste

Water, Paper, waste oil and E waste.

Water waste is treated by using STP/ETP and reused in

Gardening/Landscaping.

We use identified vendor for paper, waste oil and E waste for

recycling as per state laws.

Condensation recovery in heating water for daily usage

• 500 KLD Sewage Treatment plant with ultra filtration membrane. • 100% Recycled water using for irrigation, cooling tower and flushing system. Zero discharge

• Segregation of dry and wet garbage at kitchen • Kitchen waste being used in making manure. • Dry garbage being composed too and left over being given to authorized persons for making bio gas.

DRY AND WET GARBAGE FROM KITCHEN SEWAGE TREATMENT PLANT

UTILIZATION OF WASTE MATERIAL

Fortis Mohali is committed to GHG reduction not only by reduction of its own facilities but also creating Benchmarks for Indian Buildings as Smart Building. Fortis Mohali Every year allocates Budget for Energy Efficiency program as a corporate initiative and allocate the budget based on Global competition, any project below 5years of pay back qualifies for it, This year Fortis Mohall has allocated approx. 10 Million INR for this program Globally. 2019-20 Project was part of the same corporate budgeting program. Reduction of 2153 Tons of CO2 in last year.

GHG Inventorisation

FORTIS HOSPITAL, MOHALI

POLICY ON GREEN PURCHASE AND CLEAN HOSPITAL

PREPARED BY Head Engineering

APPROVED BY Director

Valid till: 30/6/21

Reviewed on: 1/7/19

FHM - 1B

Page No: 1 of 1

1.0 Purpose

To mitigate ill effects of environment (GREEN) on patients and staff and even hasten the

recovery process through infection free ambience (CLEAN).

2.0 Scope

The entire hospital building (structural Requirement), processes followed and outcome

measured.

3.0 Procedure

3.1 The process shall cover the

a) Environment Management Requirement

b) Structural Requirement

c) Process Requirement

d) Outcome Requirement

4.0 Responsibility

Various departments across FHM FOLLOWING DIFFERENT LAWS AND REGULATIONS

APPLICABLE AS PER STATE, NATIONAL LAWS AND FOLLOWS JCI/NABH/AHPI

GUIDELINES.

5.0 Outcome:-

a. Hospital has established monitoring, review & verification of Procedures

b. Reports ( Third Party Validation)

c. Purchasing green products

5.0 Reference:

http://ahpi.in/AHPI%20Standard%20for%20Green%20&%20Clean%20Hospital.pdf

GHG MITIGATION MEASURES

Landscaping -5Acre Appox. The Hospital consists over 45% of landscapes with over 150 varieties of green plantation of native, less water consumption plants. Hence reduction in water and power consumption which caters to reduction in carbon emission and environmental friendly. All water is being utilized STP water.

Segregation of dry and wet garbage

at kitchen

• Wet garbage 100% recycling

through authorized persons for bio

gas now.

• Dry garbage 100% recycling .

Rain water harvesting pits

Creation of rain water harvesting pit which is having the capacity to percolate over 76% of rain water considering 3 years of average rainfall, Which is environmental friendly as it improves ground water table.

Environmental Monitoring

100% Compliance against the pollution norms:

DG Sets Stack monitoring.

24 hrs Ambient Noise monitoring

DG Sets Noise monitoring.

Monitoring & controlling of waste water parameter.

Monthly drinking water analysis.

Medical Compressed Air Validation as per ISO 8573-1: 2010 (E)

Carbon Footprint Reduction

Reference IFHE : International Federation of Hospital Engineering 2013

0.00

5.00

10.00

15.00

20.00

25.00

20.11

17.87

16.49

13.13 12.38 11.99

10.73 10.20

20.98

CO2

in T

on

s

ANNUAL CO2e/BED IN TONS

2012 -13

2013 -14

2014 -15

2015-16

2016-17

2017-18

2018-19

2019-20

Bench Mark

0

200

400

600

800

1000

1200

1400

1600

0

286.76 351.78 401.10

559.35

754.01

922.90

1334.23

1571.44

Co2 Tonne

Total savings of CO2e is 2153 Tons by reduction of power

consumption

CO2e Calculation for EB units from Central Electricity Authority of India (0.82kg/unit)

CO2e Calculation for PNG from www.epa.Gov/energy/greenhouses (1.95mtCO2/SCM)

CO2e Calculation for HSD from ecoscore.be (2.64kg/litre)

Green Supply Chain a. Information on Projects implemented– Our Housekeeping cleaning Agents & Card Board and

Wooden Packing Boxes are purchased from identified vendor who manufactures with Recycled material.

b. Information on Evaluation done– Different vendors were evaluated and manufacturing

processes and materials used were certified by FHM as per FHM standard before giving clearance for the Boxes.

c. Information on Benefits achieved- 50% reduction in cost and contribution to green initiative

by the company.

Segregation of dry and wet garbage at kitchen Wet garbage 100% recycling through AGA for piggery

Our Green chillers provide air conditioning comfort with lowest electrical energy

Minimize exposure of building

occupants and cleaning

personnel to potentially

hazardous chemical, biological

and particulate contaminants

Education imparted to customers, vendors & associates segregation of waste to minimize land pollution

Cafeteria Food Waste Pantry Waste Dry Waste

WET GARBAGEE

DRY GARWAGE

PSMC APPROVED VENDOR

PSMC APPROVED VENDOR

E W

ASTE

PLA

STIC

GLA

SSES

PAPER

META

LS

•Natural lighting in patient areas

•Green house keeping

•Better Indoor Air Quality

•Sound Reduction

•Mercury free hospital

•20t-40% Energy savings

•35-40% water savings

•Good day lighting

•No sick building syndrome

•Faster patient recovery

BEST PRACTICES FOLLOWED

THE NEW WAY FORWARD

• Initiated and implemented ERC (Energy Review Committee) management system for measuring and

benchmarking for Conservation of energy and water .

• ERC committee consists of facility manager & building managers to monitor, control and optimize power and

water consumption.

• Added the responsibility as part of KRA’s of annual performance appraisals.

• Have set targets month wise , quarter wise and annually by effective implementation of metering system,

EMS and BMS.

• Formed sub teams for building supervisors & technicians to create healthy competition among the teams for

enhanced performance and focus.

• Award and Reward systems implemented for innovative and creative ideas.

Involvement of Employees, Team work in Encon, Monitoring

& Reporting formats and Implementation Methodologies

Involvement of Employees, Team Work in Encon

Suggestion from all levels of employees on energy conservation Implementation of R&R scheme for energy & water conservation project. Training /awareness for contract labour/Office staff on energy conservation. Conducting technical training in the area of Energy conservation. Sharing of best practices among the industries Objectives are set for employees on reduction in energy & water FHM Top management committee involved in Swatch Bharat Campaign conducted in

Hospital for employees and stake holders. FHM Top management committee involved in planting of trees in Hospital premises

on world environment day

MEASURING AND MONITORING

Morning Meet with all HOD & GM

Daily HLP consumption compared to last year

Online energy data capturing system

Online HVAC monitoring system (BMS)

Energy meters for load capturing

Engineering Executive Meet

Compare and analyze deviation in shift, shift-wise

Daily energy report

Monthly report on the energy indices

Monthly performance review

Energy trends analysis

Engineering Staff level meet

Action plan for any deviation

17-Jun-16

Today Budg. MTD Act.MTD Budg.YTD Act.YTD

%Var

MTD

%VarY

TD 17/06/2015 MTD Diff. MTD. Jun-15

Energy consumed for the day units 24870 378533 413070 1605533 1730785 -9.12 -7.80 25830 397650 15420 720045

Total Day unit 14505 244610 1024835

Total Night unit 10365 168460 705950

D.G. unit 0 7987 34181 0 5211 2776 8742

Total unit 24870 421057 1764966 25830 402861 18196 728787

Power factor 0.99 0.99

H.S.D.Consumption in Boilers(Ltrs) 700 12215 56065 695 12435 -220 21710

H.S.D.Consumption in D.G.(Ltrs) 0 2216 9495 0 1425 791 2419

Total H.S.D. Consumption (Ltrs) 700 16433 14431 76439 65560 12.18 14.23 695 13860 571 24129

Medical Gas Oxygen Consumption 1310 22417 104558

Medical Gas Nitrous oxide Cons. 0 7 24

Energy consumed for Chiller TR 1 4320 57840 203520 4320 41280 16560 95760

Energy consumed for Chiller TR 2 1200 18960 68880 1200 20160 -1200 36480

Energy consumed for Chiller M/C 4 2093 49953 197975 3293 61353 -11400 101936

Total unit 7613 126753 470375 8813 122793 3960 234176

Oncology block Consumption 2317 34250 144699 2293 35666 -1416 64143

Energy consumed MRI Unit 570 9960 46020

Energy consumed for Laundry 262 4350 19334

Energy consumed for CSSD 168 2344 12680

Energy consumed for Rehab 664 11216 44976

Energy Genrated by Solar System 69 1273 6482

Energy consumed for PET CT 100 1745 7915

Energy consumed for LINAC 104 1780 7752

Raw Water total production(KL) 640 11430 46090

Raw Water Consumption (KL) 497 8481 27637

Municipal Corporation water (KL) 13 201 947Solar water system Cons.(KL) 25 533 2107

Running time of Equip. (hrs)Running time

of Equip. (hrs.)Running time of Equip. (hrs.)

Running time

of Equip. (hrs.)YTD Budget

Running

time of

Equip.

(hrs.)

Running time

for Eqpt. (hrs)

Act.MTD

2015

Act.YTD

2015-16

PSEB power fail 0.00 NA 9.05 NA 35.35 0.00 5.40 37.20

Chiller no-1 0.00 NA 0.30 NA 0.40 0.00 5.40 7.50

Chiller no-2 0.00 NA 0.50 NA 0.50 1.30 5.55 7.50

Chiller no-3 14.15 NA 162.55 NA 543.25 9.45 77.40 489.00

Chiller no-4 8.20 NA 195.50 NA 777.05 13.00 242.15 761.25

HW Generators-2 0.00 NA 0.00 NA 0.00

Boiler no-1 11.55 NA 152.20 NA 628.89

Boiler no-2 13.07 NA 155.64 NA 626.16

Boiler no-3 0.72 NA 114.63 NA 389.22

Boiler no-4 0.00 NA 5.60 NA 318.75

DG-1 0.00 NA 5.35 NA 25.05

DG-2 0.00 NA 1.00 NA 11.05

DG-3 0.00 NA 7.35 NA 20.40

BOREWELL-1 9.75 NA 192.92 NA 648.37

BOREWELL-3 3.00 NA 29.45 NA 298.20

RO- WTP 25.00 NA 376.00 NA 1471.20

AIR COMPRESSOR-1 0.00 NA 0.00 NA 0.00





VACUUM PUMP-1 0.00 NA 23.07 NA 729.90

VACUUM PUMP-2 11.44 NA 197.16 NA 874.12

VACUUM PUMP-3 12.00 NA 166.50 NA 166.50

VACUUM PUMP-4 0.00 NA 20.53 NA 54.87

VACUUM PUMP-5 1.91 NA 21.23 NA 51.54

AGSS 20.00 NA 212.67 NA 919.77

ELECTRICIAN

• Recording Units shift wise

SHIFT ENGINEER

• Formatting Daily Report

CHIEF ENGINEER

• Discussing and Analyzing with All HOD’s and Engineers

ENCON – O&M BEST PRACTICES Practice FORTIS,

MOHALI

Adaption of Energy Management System Yes

Adaption of Environmental Management System Yes

Use of automated building Management System Yes

Use of Energy performance Indicator (KWH/Pax, KWH/TR ) Yes

Metering of Tenant energy Yes

Reporting of carbon emission to CDP Yes

Conduct energy audits Yes

Internal & External Stakeholder engagement Yes

Cleaning of Air Filters in AHUs and FCUs. Yes

Timers & Motion sensors for external & Corridors Lighting Yes

Chemical Treatment for make up water Yes

Mapping & reduction of carbon emission as per ACA Yes

Automatic Scheduling for AHUs and Ventilation fans. Yes

De-scaling of Water Cooled condenser tube and cleaning of Air Cooled condensers. Yes

Set point of chillers are manually controlled based on ambient condition. Yes

Sharing of best practices with others hospitals Yes

Use of renewal energy for day to day operations Yes

WHERE WE ARE TODAY

Benchmarks 17762 KWh/Bed & 200kWh/m2 (By Bureau of Energy Efficiency,

Govt. of India ECO-III project)

Reduction of CO2e by 2153MT (2017-20)

141 137 130 126 116 111

20111 16014 15100 14626 13082 12436

348 425 435 435 448 448

1

10

100

1000

10000

100000

2014-15 2015-16 2016-17 2017-18 2018-19 2019-20

SEC in kWh/M2 Total kWh/Bed No. Of Beds

Long Term Vision On Energy Efficiency We aim at bringing down our SEC of 111 to double digit figure in the future.

Zero CFC gas emissions from any system at the facility.

Maximum clean Energy use at the facility through renewables

100% recycling of paper and plastic waste.

Accreditation from IGBC/ISO50001, BEE, AHPI etc.

SUPPORT NEEDED:

Technical:

Further hiring the right consultants for other Energy conservation activities at the facility in any form (Building construction, resource conservation etc.).

Financial support:

The investment, Par of the monetary Energy saving is given to FHM that is further used for sustainable activities at the hospital

Supplier Engagement:

Need consultant for IGBC/ISO50001 certification

Energy managers and technical support available for FHM

ENCON Roadmap – Sustaining continual

improvement

Condensate

recovery from

Boilers

25000units & 12 tons HSD per

Annum

Energy Efficient LED Lights Phase II

50000 units/annum

Biomass

Gassifier

2ton HSD/Annum VFD Operated

Vacuum Pumps

70000 Units/Annum Solar Water Heating

System

50000 units and 42 MT of CO2

REDUCTION

Geo Thermal System

for HVAC

250000 units & 211MT of CO2 REDUCTION

Solar

Photovoltaic

Lighting

300000Units & 253 MT of CO2 EMISSION

REDUCTION

Right now % Renewable

Electrical 10 %

PNG for Boilers

469 MT of CO2 reduction

ENCON Roadmap – Sustaining Improvement

16% by 2021

Solar PV Panels –

Balance for Façade and

Parking space

225000Units & 185 MT of CO2 EMISSION REDUCTION

Clean and Green Energy 19 %

Renewable

Energy

FUTURE ENCON PROJECTS FY 2020-23

Year Description

2020-21 VFD’s on Identified AHU’s for Patients wards

2020-21 Geo Thermal system to stop usage of Cooling Towers for water cooled Chillers

2020-21 Solar PV Panels – Balance for Façade and Parking space

2021-22 Heat Pump for Hot Water

2021-22 Power Optimizer for Chiller Machines

2022-23 Harnessing Wind Energy

2022-23 Renewable Energy through Online Power Trading

Going forward

130

By 2017

126 By 2018

116

Yesterday

111 Today

107

By 2021

EPI REDUCTION BY 11% & CO2 Reduction by more than 15%

99 By 2022

QUALITY ACTIVITIES

BMW

Management

Hand Hygiene

Patient Safety

Medication

Safety

• Free Treatment of Acid Attack

Survivors

• Patient Support Groups

• Rotary Heart line project

• Hands On Heart Club

• Free Checkup and Screening

Camps

• Organ Donation

• School Buddies Program

SOCIAL ACTIVITIES

List of Certifications Received Over the years..

NABH 2008 NABL

2002

NABH(NURSING

EXCELLENCE) 2016 NABH 2011

NABH 2014 NABH(BLOOD

BANK) 2013 YEARLY

REACCREDITATION

Certificate No. : M-

0038

NABH 2017

NABH(NURSING

EXCELLENCE) 2018

JCI 2007

JCI 2010

JCI 2013

JCI 2016

NABH(BLOOD

BANK) 2010

NABH(BLOOD

BANK) 2016

JCI 2019 NABH 2020 NABH(BLOOD

BANK) 2019

FHM Awards & Recognition

BEE NATIONAL ENERGY CONSERVATION AWARD 2015

Doc n Doc Gammex Saviour - Best Multispecialty Hospital - 2014

Indian Health & Wellness Awards 2016

Pan Fortis Innovation Award - 2014

Intel Embedded Challenge Award for

Innovation in Industry (Catheter

reprocessing) 2014

Best Sustainable Hospital Project

Award by HBII-MEDGATE - 2014

AHPI Award for Quality Beyond

Accreditation - 2015

State Energy Conservation Award PEDA-2019

No. 1 Private Multispecialty Hospital

in Chandigarh – The Week – Nielsen

Best Hospitals Survey -2015

Asia Pacific Hand Hygiene Excellence Award- 2015

AHPI Award for Best Green Hospital- 2019

NABH Nursing Excellence- 2016

NABH Nursing Excellence- 2016

Multispecialty Hospital in Chandigarh – The Week – Nielsen Best Hospitals Survey – 2015, 2014

CII National award for Excellence in Energy Management- 2016, 2017,2018

AHPI Award for Quality Beyond Accreditation - 2019

http://components.myfortishealthcare.com/UserConsole/ViewUploadedContentFile.aspx?ContentID=8994

Not just lives, but saving the earth as well.

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FORTIS HOSPITAL MOHALI, A MULTY SPECILITY HOSPITAL€¦ · Presented By: - Mr Neeraj Tandon Chief...

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