Climate Smart Healthcare: Low Carbon and Green Strategy for Health Sector Ir. NOOR MUHAMMAD BIN ABD. RAHMAN Engineering Services Division Ministry of Health Malaysia
Climate Smart Healthcare: LowCarbon and Green Strategy for
Health Sector
Ir. NOOR MUHAMMAD BIN ABD. RAHMAN
Engineering Services Division
Ministry of Health Malaysia
Environmental Issue
Malaysian Commitment
Reference: YAB PM at COP 15, Copenhagen on 17th December 2009
Economic Transformation Program
Rancangan Malaysia Ke-11
Rancangan Malaysia Ke-11
Low Carbon Cities
Low Carbon Cities
Low Carbon Cities
Low Carbon Cities
Towards Green Hospital
Sustainability
Sustainable Development Goals
Sustainable Framework for MOH
Acts/Regulations National Policies Standards
5 YearsMalaysia Plan
Safe Environment
Sustainable Development Goals
Economic Transformation
Program
Global
MOH
National
WHO, UNEP, UNDP, IFHE
EPU, MOF, MOH, JKR KETTHA, DOE, KPKT, MOSTI, CIDB, SIRIM, MGTC, SEDA, DOSH, IEM, BEAM
PartnershipGoals 6: Clean Water and SanitationGoals 7: Affordable and Clean EnergyGoals 13: Climate Change
Engineering Service Division, MDA, JKN, Hospitals, Institutions, Clinics
Sustainable Healthcare Facilities
Green Building&
National Commitment
Sustainable Healthcare Facility
Malaysia Commitment (COP21)
- 45% carbon reduction by 2030
Transformasi Nasional 2050
11th Malaysia Plan (Thrust 4)
- Pursuing green growth for
sustainability and resilience
Efficient Management of Electrical
Energy Regulations 2008
Renewable Energy Act 2011
Economic Transformation Programme (ETP)
- Oil, Gas and Energy
Government Transformation Programme (GTP)
National Energy Efficiency Master PlanNational Green Technology Policy
National Energy PolicyGovernment Green Procurement
Green Technology Master Plan
HSS Concession Agreement MOH Energy Policy
Green Healthcare Facility for a Better Tomorrow
PSK, MEET
Key Milestone
Sustainability Programme(HSS Concession Agreement)• Energy Management
• Indoor Air Quality
• Reduce, Reuse,
Recycle (3R)
• Technology Transfer
Sustainable Projects• Renewable Energy
Projects
• Energy Efficiency
Projects
• 3R Projects
• IAQ Projects
• Green Procurements
Green Healthcare Facilities• Energy Efficient
• Waste Reduction
GTP Achievement• 45% Carbon Reduction
• Environmentally Friendly
Buildings
• Sustainable Environment
2015 2016 20252018 2020
Green Building Pilot Projects• 5 Hospitals
• 2 Clinics
Sustainability Programme & Engineering Technology• Flood Safe Environment
• Fire & Electrical Safety
• Indoor Environmental Quality
• Utility Supply
• Hospital Sanitation
• Landscape Management
• Water & Waste Management
• Green Maintenance
• Health Engineering Technology
Assessment (HETA)
Sustainable Healthcare Facilities• Green Building
• Safe Environment
2030
Reliable and safe healthcare facility
SAFE ENVIRONMENT
Strategic Thrust Towards Sustainable Healthcare Facility
GREEN BUILDING
ENGINEERING TECHNOLOGY
HEALTHCARE ENGINEERING
EXPERTS
Sustainable asset and system across life cycle
Technology Assessment
Competency Training
Conserve environment and natural resources
Energy EfficiencyGB1SE1 ET1 HE1
Technical expert in sustainable management
Key Strategy
Waste ManagementGB3
Renewable EnergyGB2
Water ManagementGB4
Green ProjectGB5
Green ProductGB7
Flood Safe Environment
SE2 Fire and electrical safety
SE3 Utility Supply
SE4Indoor Environmental Quality
SE5 Hospital Sanitation
SE6 Landscape Management
Approval of Technology Application
ET2 Technology TransferHE2
Smart Partnership with Agencies
HE3
Green MaintenanceGB6
Green ProcurementGB8
Sustainable Projects
Rain Water
Harvesting
IAQ Remedial
Works
Green Building
Energy Efficiency
Renewable Energy
Recycling and
Composting
Financing
Sustainability Programme
HSS
Others i.e. KeTTHA,
CSR, NBOS
Management Tools
ASIS
BIM
BMS/BASEMSVirtual Library
Command Centre
Water Management
System
RFID, Remote
Sensing
CASIS
Green Healthcare Facilities
Energy Management- Energy Efficiency- Renewable Energy
Indoor Environmental Quality- Indoor Air Quality- Thermal Comfort- Lighting, Visual & Acoustic Comfort
Material & Resources- Waste Management- Reuse & Recycle Materials- Green Products
Water Management- Rain Water Harvesting - Water Efficiency
Site Management- Facility Management- Operation & Maintenance- Transportation
Innovation- Certified Qualified
Professional- Innovation & Sustainable
Project Initiatives
Elements of Green Building
LEED CERTIFICATION
LEED (Leadership in Energy and Environmental Design)
LEED is the most widely used green building rating
system in the world. The rating system is developed by
US Green Building Council (USGBC) that provides a
framework that can be applied to create healthy, highly
efficient, and cost-saving green buildings. LEED
certification is a globally recognized symbol of
sustainability achievement.
Green Building Projects
Target: >50 points
Implementation
LEED Certified
Green Building Projects
9. Documents Review
10. Final Review by GBCI
11. Credit Points Achieve Target
8. Preliminary Review by GBCI
12. LEED Green Building Certified
7. Submit Documents
4. Credit Points Implementation
3. Monthly Meeting
2. Detail Assessment
5. Prepare Reports
1. Establish Project Team
6. LEED Application
ACTION PLAN
Code Section Credit
LT Location and Transportation 8
SS Sustainable Sites 4
WE Water Efficiency 4
EA Energy and Atmosphere 28
MR Materials and Resources 1
EQ Indoor Environmental Quality 10
IN Innovation 4
RP Regional Priority 3
TOTAL 62
Currently, Hospital Langkawi is planning to achieve LEED v4 O+M
certification for Existing Buildings: Operations & Maintenance and
targeted to achieve LEED certification.
LEED CERTIFICATION
Success Story
RE Projects
1. Hospital Sungai Buloh (Solar Thermal Hot Water System) - 2016
2. Hospital Langkawi (Solar PV) - 2017
Solar Thermal Hot Water System
Hospital Sungai Buloh
Building Integrated Solar Photovoltaic
Building Integrated Solar Photovoltaic
Solar Module InverterCombiner
Box
Hospital Langkawi’s
Consumption with
expected generation
of 124,200.00 kWh or
reduction of carbon
emission by 92
tonnes per year
The plant operates by converting sunlight that hits the solar
module, into DC power. The inverter of the PV plant converts this
DC power into AC power and supply the AC power to the
hospital through the combiner box to match the hospital’s
incoming supply size.
EE Projects (NBOS -KeTTHA)
1. Hospital Kulai (2016)2. Hospital Sg. Siput (2016-2017)3. Hospital Sandakan (2017)4. Hospital Segamat (2017-2018)5. Hospital Miri (2018)6. Hospital Batu Pahat (2018) 7. Hospital Sabak Bernam (2018)8. Hospital Tawau (2019)9. Hospital Kuala Pilah (2019)
RM49mil –RMK11
Energy Efficiency Project
9nos
Government HospitalsEnergy Audit + Retrofit
5years
Implementation11th Malaysia Plan
(2016-2020)
Electricity Consumption51 mil kWh/year
RM18 mil/year
Project Information Outcome
Expected Energy Saving10 mil kWh/year
RM3.7 mil/year
Expected CO2 Reduction7,410 tCO2
Efficient ChillerNew Technology + Energy Saving
EE Projects (NBOS -KeTTHA)
1. Hospital Melaka
2. Hospital Ipoh
3. Hospital Kota Bharu
4. Hospital Temerloh
5. Hospital QE, Kota Kinabalu
RM4.4mil (2017) – RMK11
Estimated saving:
1.216 mil kWh @
RM492,050.00 per year
EE Projects (EPC)
1. Hospital Teluk Intan (2017)
2. Hospital Ipoh (2018)
3. Hospital Putrajaya (2018)
HOSPITAL TELUK INTAN ENERGY PERFORMANCE
CONTRACT (EPC)
ENERGY PERFORMANCE CONTRACT
EPC is a turnkey service, which provides customers with a
comprehensive set of energy efficiency, renewable energy and
distributed generation measures and often is accompanied with
guarantees that the savings produced by a project will be sufficient
to finance the full cost of the project.
A typical EPC project is delivered by an Energy Service Company
(ESCO).
ENERGY PERFORMANCE CONTRACT
An EPC project consists of the following elements:
• Turnkey Service – The ESCO provides all of the services
required to design and implement a comprehensive project at
the customer facility, from the initial energy audit through long-term
Monitoring and Verification (M&V) of project savings.
• Comprehensive Measures – The ESCO tailors a
comprehensive set of measures to fit the needs of a particular
facility, and may include energy efficiency, renewables, distributed
generation, water conservation and sustainable materials and
operations.
EPC TELUK INTANNo Item Description
1 Premises Teluk Intan Hospital
2 Commencement Date 01 February 2017
3 Contract Period for the Premises 8 years 2 months
4 Construction Period 1 February 2017 to 31 July 2017 (6 months)
5 Energy Performance Period 1 August 2017 to 31 March 2025 (7 years 8 months)
6 Monthly Saving RM 113,596.11
Truwater TXS600-2L
COOLING TOWER INS
TA
LLE
D
EQ
UIP
ME
NT
MultistackMTW450FC
CHILLER
INS
TA
LLE
D
EQ
UIP
ME
NT
Ebara 150 X125 FS4KA 5 30
CHILLED WATER PUMP &
Ebara 200 X150 FS4JA 5 15
CONDENSER WATER PUMP
INS
TA
LLE
D
EQ
UIP
ME
NT
EMGS CERTIFICATION
Energy Management Gold Standard (EMGS)
System of certification based
on excellence in energy
management. The
certification is issued by
Asean Centre for Energy
(ACE) through GreenTech
Malaysia.
EMGS CERTIFICATION
Status of EMGS Certification 2017
1-Star – 89 Hospitals
2-Star – 1 Hospital
3-Star – All hospitals to obtain the certification by
year 2020.
3R Projects
ANAEROBIC FOOD DIGESTOR
COMPOSTING MACHINE
RAINWATER HARVESTING
CERTIFICATION FOR 3R
IAQ Projects
IAQ Monitoring Projects
• Carbon Dioxide Monitoring
• Outdoor Air Monitoring
Rectification Works
• To comply ICOP Parameters
IAQ Improvement Projects
• UVGI
• Air Purifier
Energy Saving 2017
Energy Saving 2017
Carbon Reduction 2017
17,259,643.96
7,612,256.35
2,110,568.60
5,834,062.57
10,263,711.69
Edgenta
Sedafiat
One Medicare
Medivest
Radicare
Carbon Reduction (Tonne)
Overall Saving 2017
0.00
10,000,000.00
20,000,000.00
30,000,000.00
40,000,000.00
50,000,000.00
60,000,000.00
54,692,650.25
21,800,536.38
43,080,243.17
Overall Savings in kWh & RM, Carbon Reduction (Tonne)
Saving (kWh) Saving (RM) Carbon Reduction (Tonne)
Conclusion
Green practice is a continuous efforts