How Hospitals Can Drastically Reduce Energy Consumption

Indiana University’s Methodist Hospital: A Controls System Retrofit Case Study

Belnor Engineering
THE BELNOR BLOG
5 min readMay 8, 2019

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Methodist Hospital, Indiana University, Indiana, USA
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Methodist Hospital at Indiana University Health, in downtown Indianapolis, is the premier hospital in the region, as well as a nationally recognized organ transplant center, the largest neuroscience critical care unit in the country, and one of the largest critical care departments nationally.

With new air handling units and a retrofit using airflow controls in 20 operating rooms, the hospital is projected to reduce its energy consumption by one million kilowatt-hours a year, resulting in a $60,000 annual cost savings.

The Situation

The 660,000-square-foot IUH Methodist Hospital was built in the early 1980s as part of a 2.2-million-square-foot academic medical campus. After more than 30 years of heavy use, the constant-volume HVAC system was showing its age, and 20 of the 28 operating rooms were experiencing issues maintaining the proper humidity and temperature ranges. The goal was to achieve 64 degrees and 55 percent relative humidity, while also reducing energy consumption.

The problem is that it’s more complicated to retrofit an older building than it is to build a new one. Ductwork designed for the HVAC systems of the past doesn’t always accommodate today’s monitoring and control requirements. But operating rooms in one of the busiest hospitals in Indianapolis cannot go offline for an extended period of time, so rebuilding the ductwork was not an option.

The Solution

Methodist Hospital had been using airflow controls in its labs for decades, but they were skeptical about employing the same technology in a patient-care setting. That’s where airflow controls and venturi valves come in. Valve controllers are designed specifically for healthcare applications, where infection control is a paramount concern.

“They had the lab valves for probably 20 years,” says Damon Greeley, founder and president of Global Health Systems Inc., who works under contract as the owner’s technical representative.

“Theris was more suited for this application.”

It was the perfect solution for a number of reasons. Valve controllers are typically available in constant volume (CV) and variable air volume (VAV) solutions, so readily able to accommodate the Methodist Hospital’s desire to switch to VAV controls and achieve better temperature and humidity control.

Because this was a retrofit, they had to work within the existing ductwork, and, unlike other airflow devices (like blade dampers) that use sensors, venturi valves don’t require the long expanses of straight ductwork more commonly found in new construction. That point was critical because the ductwork at Methodist takes so many twists and turns, it’s “like a bowl of spaghetti,” says Greeley.

“That’s one of the advantages of controls and valves,” says Greeley. “We didn’t have to adjust ductwork. It just went in quicker and easier.”

Valve controllers, in particular, are characterized at the factory for each unique installation, eliminating the need for time-consuming field calibration and rebalancing on site. Each operating room was off-line for only three or four days.

The operating rooms were also outfitted with infrared and ultrasonic occupancy sensors to reduce airflow when they are not in use, which is a significant energy saver.

“The offset remains the same, which is the nice thing about controls and valves,” says Greeley. “It maintains the pressure. Other products don’t react as quickly. The valves react in 15–20 seconds — we’ve timed it — versus the two minutes or more that other systems take to stabilize.”

​Once the controls are up and running, they do not require cleaning and rebalancing in order to maintain their accuracy. There are no flow sensors to maintain. The controller modulates both the supply and exhaust valves from a single device and uses a simple mechanical regulator to compensate for changes in static pressure, ensuring accurate flow control at all times.

They also continue to work even in the event of a power failure.

The Result

Retrofitting the operating rooms was the first of a two-phase project. The second phase involves replacing the air-handlers, and until that is completed, it’s difficult to realize the full benefit of the control valves. But Methodist Hospital’s utility company granted it a $60,000 incentive based on a third-party review of the plan, so Greeley fully expects to save $60,000 a year in energy costs by reducing consumption by more than one million kilowatt-hours.

Methodist Hospital is so pleased with the performance of the venturi valves that they have set the standard for future renovations.

“We are seeing repeatable results when they recertify, and some of these rooms have been recertified three times since they’ve been installed,” says Greeley. “We haven’t had to do any maintenance on them; we trust that they do what they say they’re doing, and we don’t always have that reliability with every product. We’ve convinced the staff that in any future ORs we want to have the same product.”

If You’re Planning a Healthcare Project, Consider This:

Today’s healthcare facility requires precision controlled flexible spaces to serve the needs of patients, healthcare providers, staff, and support personnel. Integrated solutions provide configurable systems and components with repeatable accuracy and stringent environmental control at the room, floor, or building level.

Airflow control solutions can be implemented standalone, or integrated to a building management system, or both.

Pressure independent venturi valves with controllers are the foundation for healthcare applications. These controllers are engineered for healthcare applications with infection control, energy savings, and reduced maintenance in mind. Pressurization and climate control, on-demand isolation, and pandemic conversion are all configurable to each facility’s needs.

A suite of front end displays provide customized monitoring and actionable data to all levels of end users and facility administrators. At the room level, this results in shorter response times and increased staff efficiency. At the building level, system views created for specific managerial needs to strongly support facility goals for safety, energy efficiency, and cost control.

It display monitors critical environmental information like temperature, humidity, or air change rate. As a nurse’s station or local operator display, it is an integral component in the healthcare solution.

This post was brought to you by Belnor Engineering.

Belnor Engineering, home of the Belnor IAQ Warden™, is the official multiple consecutive award-winning distributor of innovative architectural products around the globe. At the forefront of sustainability for over three decades, we specialize in laboratory & building automation & controls, IAQ & HVAC systems, renewable energy & architectural solutions, technical services, and green & healthy building consulting — building green cities one green building at a time. For more information, contact us. Don’t forget to read our Sustainability Manifesto: Decade Of 2020 while you’re at it. Cheers!

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Belnor Engineering
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