HealthcareProject Histories
"We judge ourselves by what we feel capable of doing,
while others judge us by what we have already done."
- Henry Wadsworth Longfellow
SUSTAINABILITY- LEED - GREEN PROJECTS
Innovative Technologies - Venturi Airflow Valves Green Alignment
LEED – GGHC Guide
Healthcare
■ Burnham Institute, Orlando, FL • Blood Bank
■ Central Washington Hospital, Wenatchee, WA• New Tower
■ Colorado Children's Hospital, Aurora, CO• New East Tower
■ CS Mott Children's & Women’s, Ann Arbor, MI• New Hospital
■ Enumclaw Medical Center, Enumclaw, WA • New Hospital
■ Good Samaritan Hospital, Puyallup, WA • New Hospital
■ HUP, Philadelphia, PA • Advanced Medicine Tower
■ Johns Hopkins Hospital, Baltimore, MD • Asthma Building
LEED Projects
Healthcare
■ John Muir Medical Center Walnut Creek, CA • New Hospital
■ Kaiser Permanente, Oakland, CA • Replacement Hospital
■ Mass General, Boston, MA • Building for Third Century
■ Mills Peninsula Hospital, Burlingame, CA • New Hospital
■ Nationwide Children's Hospital, Columbus, OH • New Tower
■ Northwest Community, Arlington Heights, IL • Addition
■ Rady Children’s Hospital, San Diego, CA • New Hospital
■ Santa Clara Valley Medical Ctr, San Joe, CA • New Hospital
LEED Projects
Healthcare
■ St. Luke RMC, Twin Falls, ID • New Hospital
■ Texas B&P San Antonio, TX • New Texas Center for Infectious
Disease Hospital■ U of Chicago Medical Center, Chicago,
IL • Expansion
■ U of Kentucky, Lexington, KY • Addition
■ VA Med Center, Richmond, VA • McGuire Clinic
LEED Projects
DEPARTMENT OF VETERANS PROJECTS
Healthcare
■ Anchorage Vet Center, AK • Isolation
■ VA Long Beach, CA • Isolation
■ Boise VA Medical Center, ID • Isolation
■ Ventura Vet Center, CA • Emergency
■ Lexington VA Medical Center, KY • Pharmacy
■ Minneapolis VA Medical Center, MN • Surgery
■ Sioux Falls VA Medical Center, SD • Ambulatory
Department of Veterans Affairs
Healthcare
■ James A Haley Eye Clinic, FL • Surgery
■ Nashville Vet Center, TN • Labs, TB, Bone Marrow and Isolation
■ Reno Vet Center, NV • Isolation
■ VA Roseburg Healthcare System, OR • Isolation
■ Amarillo Vet Center, TX • Isolation
■ William S. Middleton Memorial, WI • Labs and Pharmacy
■ Sepulveda Vet Center, CA • Isolation and Labs
Department of Veterans Affairs
Healthcare
■ Jacksonville Vet Center, FL • Pressurized Spaces
■ Biloxi Vet Center, MS • Pressurized Spaces
■ Raleigh Vet Center, NC • Pressurized Spaces
■ Albuquerque Vet Center, NM • Pressurized Spaces
■ VA Baton Rouge Outpatient Clinic, LA • Pressurized Spaces
■ Canandaigua VA Medical Center, NY • Pressurized Spaces
■ Jack Montgomery VAMC , OK • Labs, Isolation and Pressurized
Spaces
Department of Veterans Affairs
Healthcare
■ VA Butler Healthcare, PA • Pressurized Spaces
■ William Jennings Bryan Dorn VA MC, SC • Pressurized Spaces
■ VA Palo Alto Health Care System, CA • Research
■ Raleigh Vet Center, NC • Pressurized Spaces
■ VA West Haven Campus, CT • Isolation and Pressurized Spaces
■ Lebanon VA Medical Center, PA • Labs
■ San Antonio Vet Center, TX • Labs
Department of Veterans Affairs
Healthcare
■ Michael E. DeBakey VA Medical Center, TX • Labs
■ Hampton VA Medical Center, VA • Isolation
■ Seattle Vet Center, WA • Isolation and Labs
■ Asheville VA Medical Center, NC • Labs
■ James A. Haley Veterans' Hospital, FL • Labs
■ Atlanta Vet Center, GA • Labs
■ Southern Arizona VA, AZ • Labs
Department of Veterans Affairs
Healthcare
■ Jesse Brown VA Medical Center, IL • Labs
■ Hunter Holmes McGuire VA Medical Center, VA • Labs
■ James J. Peters VA Medical Center, Bronx, NY• Labs
■ VA Med Ctr-Richmond, VA • McGuire Clinic
Department of Veterans Affairs
PROJECTS APPLICATIONEXAMPLES
Benefis Health System Great Falls, MT
■ New Patient Tower• 204K ft2• CV, TP, APM, BACnet• Isolation Rooms, Patient
Recovery, Surgery• Lower Cost vs. VAV Boxes
w/DDC, Valve Accuracy, Feedback and Alarm Capabilities, Lab History, Short Commissioning Time, Energy Conservation, Pressurization
• Sletten, CTA-OPW, LPW, Central Plumbing, FICO Controls, Vemco
Women's and Children's Hospital
Black River Falls, WI
■ Hospital Addition and Remodel• 55K ft2, 31K ft2• Surgical Services, Emergency,
Patient Rooms, Dialysis • No Maintenance, Repeatable
Flow Performance, Static Pressure Response, High Turndown, VAV Accuracy, Pandemic Design
• 1 Year Payback• HSR Associates, Inc., Market &
Johnson Inc., Eau Claire, WI, Masters Building Solutions
Memorial Hospital
Catholic Initiatives - Franciscan Health
■ Replacement Hospital• 90K ft2• LEED Project• TP, LON • OR, Patient, Iso• Pandemic Control, Energy
Conservation, Infection Control• Open 2011• Mahlum Architects, Sellen Co.,
OveArup, ATS Seattle
Enumclaw Regional Hospital
“The new Enumclaw Regional Hospital will be the first LEED certified hospital in Washington State.”
Cayuga Medical Center, Ithaca, NY
■ Surgery Reconfiguration• Theris• OR’s, Isolation • Health and Safety, No
Maintenance• Install 2012• Charles A. Gaetano Construction
Corporation, R.L. Kistler
Surgical Suite
“There will be an overall reconfiguration of the surgical suite space to enhance technological capabilities, meet the community’s needs,
and improve and enhance operational efficiencies.”
City and County of San Francisco, San Francisco, CA
■ Replacement Hospital• 448K ft2• LEED Gold Project, Level 1
Trauma• 1465 VVs, TP, BACNet• Patient, ICU, Iso, Surgery• Accuracy, Reliability,
Affordability, Past Lab History• Install 2010, Open 2015• Fong & Chan Arch, Webcor
Builders, Gayner Engineers, Critchfield Mechanical, Newmatic Eng. Inc.
San Francisco General Hospital
City of Hope National, Duarte, CA
■ New Patient Tower• 900 Venturi Air Valves• Patient Rooms, Surgical Suites,
Labs, Cancer, Patient Safety, Isolation, Zone Control Design
• No Maintenance, No Recalibration, Pressurization Accuracy
• OSHPD Approved• Open 2004• NBBJ, Syska, George Yardley
Medical Center
“The venturi design of the Venturi Valve was uniquely suited for this configuration because of its ability to precisely control airflow, thereby providing the positive
pressure required for protecting immunocompromised patients.” - Syska Hennessy, Los Angeles, CA
Colorado Children's Hospital, Aurora, CO
■ New Patient Tower• $230 million expansion, 355K ft2 • LEED Project, Integrated Project
Delivery• Theris• OR’s, Isolation, Patient• Accuracy, No Maintenance,
Energy Savings, Risk Reduction• Install 2012• H+L Architecture , ZGF
Architects LLP McCarthy Building Companies, Inc., Gerald H. Phipps, BR+A, Cator, Ruma & Associates, Air Purification Company
East Expansion
“Energy modeling to ensure the most advanced building enclosure and
efficient mechanical, electrical and plumbing systems.”
Central Washington Health Services, Wenatchee, WA
■ New Patient Tower• 190K ft2 • TP, BACnet• OR, Patient, Isolation• Open 2011• HDR, Cdi, Mortenson, ATS
Seattle
Central Washington Hospital
Cleveland Clinic, Cleveland, OH
■ Surgery Center and Expansion• LEED Gold Project• C2 • Isolation, Specialty, Labs,
Pharmacies, Pressurized Spaces• Open 2011• Westlake Reed Leskosky, Tuner
Jacobs Family Health
Reference Clinic at Twinsburg
El Camino Hospital, Mountain View, CA
■ Replacement Hospital• 450K ft2• 1600 VVs, Room Pressure
Monitors• Venturi Valves in 90% of the
facility• Sustainability, Energy Savings,
Efficiency• 500 zones• 2.9 year payback• Install 2008, Open 2009• KMD, Rudolph and Sletten,
Siemens, M+NLB, Newmatic
New Construction
“Room pressurization is increasingly becoming more critical throughout all hospital spaces, not just isolation rooms and operating rooms.
In hospitals, we design in Venturi Valve products because we know they have the highest VAV turndown ratio for energy conservation and
reliable pressurization is never an issue with lower airflows.” – Jon Inman, Principal, M+NLB
El Camino Hospital, Mountain View, CA
■ VAV Savings■ VAV Savings with Setbacks■ $3 per CFM
• Savings = $369K and $542K
■ Payback @ 2.9 years
No 100% Shut-DownOperating Rooms
Prep Rooms
Recovery Rooms
Patient Beds
Emergency Department
Radiology
Nuclear Medicine
Cardiology
Pharmacy
Kitchen/Dining
Administration
CV Supply Airflow (Original) 555,000 CFM
VAV Airflow Occupied (Full Op) 432,000 CFMVAV Airflow Reduction 123,000 CFMVAV Savings 22.20%
VAV Airflow Unoccupied (w/Setbacks) 374,400 CFMVAV Airflow Reduction 180, 600 CFM
VAV Savings 32.50%
F.F. Thompson Hospital, Canandaigua, NY
■ Project Excel Expansion and Renovation• A $43M • 61K ft2 addition, 42K ft2
renovation• Theris• OR’s, Isolation, Pressurized Spaces• Install-Open: 2012• Turner Engineering, R.L. Kistler• “State-of-the-art suites that can
better accommodate the latest technology, Project Excel will make major strides in enhancing the quality and healing environment”
F.F. Thompson Hospital
F.F. Thompson Hospital, Canandaigua, NY
■ 113-bed acute care community hospital
■ Original building opened in 1970 • 126,000 sq.ft.
■ With current 60,000 sq. ft, addition • 285,000 sq.ft.
Located in Finger Lakes Region of Upstate New York
University of Rochester Affiliate
3 hospital systemU of R MC: 739 Beds
Highland: 253 Beds
F.F. Thompson Hospital, Canandaigua, NY
■ Expansion/Renovation Project62K sf New Construction:
Surgical Suite – 6 Ors
4 Endoscopy Rooms
PACU – 9 Beds
Pre-Post – 24 beds
PT/OT Department
45K sf Renovation:Central Sterile Supply
Laboratory
ICU
OR Support
F.F. Thompson Hospital, Canandaigua, NY
■ Patient Safety• Needed better control of room
pressurization
■ Reliability• Issues with old system
- Energy reduction was accomplished by reducing the air flow at the AHU – occupancy switch
• Individual room pressurization control was not possible
■ Energy Savings• Allows for the ability to
turndown rooms individually
Why Venturi Valves?
7 Years Experience:
Implemented in isolation rooms in ED expansion
F.F. Thompson Hospital, Canandaigua, NY: OR Facts
F.F. Thompson Hospital, Canandaigua, NY OR Annual Energy Use Assessment
F.F. Thompson Hospital, Canandaigua, NYOR Life Cycle Cost Analysis
F.F. Thompson Hospital, Canandaigua, NYDemand Impact Comparison
John Muir Health, Walnut Creek, CA
■ Tom and Billie Long Patient Care Tower • 346K ft2• LEED Project, OSHPD Approved• CV, TP• Patient Rooms, ICU, ICNU, Surgical
Suites, Trauma Treatment• Lower Cost, No Maintenance,
Accurate Pressurization, Mechanical Pressure Independence
• 560 zones• 2 year payback• Install 2009, Open 2011• Ratcliff, Arup, Clark, M+NLB,
Newmatic
John Muir MC
Kaiser Permanente, Oakland, CA
■ Replacement Hospital• 12 floors, 349 beds, 12 Inpatient
Operating Rooms, 8 Labor & Delivery Rooms, Emergency
• LEED Gold Project• Theris, TP, CV• Patient, Iso, Surgery,
Pressurized Spaces• Accuracy, Reliability,
Affordability• Install 2011, Opening 2014• NBBJ, McCarthy, Ted Jacobs,
Newmatic Eng. Inc
Oakland Medical Center
Kaiser Permanente, Oakland, CA
■ New Hospital• 2880K ft2• Built with total health in mind,
including “green” features using the Green Guide for Healthcare
• OR’s, Isolation, Patient• Accuracy, Reliability,
Affordability• Install 2012, Open: 2014• AECOM/Ellerbe Becket, Rudolph
and Sletten Inc., Newmatic Eng. Inc
Redwood City Medical Center
Redwood City, CA
Kaiser Permanente, Oakland, CA
■ New Hospital• $600M, 425K ft2• “Green” facility• OR’s, Isolation• Accuracy, Reliability,
Affordability• Install: 2012, Open: 2014• AECOM/Ellerbe Becket, M+NLB,
Newmatic Eng. Inc
San Leandro Medical Center
San Leandro, CA
Kaiser Permanente, Oakland, CA
■ Renovations, Upgrades, Expansions• Patient, ICU, Iso, OR’s,
Pharmacy, Pressurized Spaces• Accuracy, Reliability,
Affordability• Open 2011, 2012, 2013
San Diego Surgical
Sunnyside Portland
Westside Hillsboro
MOB San Marcos
San Leandro MC
Castle Rock MOB
La Maestra Community Health Centers , San Diego, CA
■ New Construction• 32K ft2• LEED Gold Project• C2, BACNet • 42 zones, Pharmacy, Lab, Clinic
Spaces• Energy Conservation and
Sustainability• Saved >12,000 CFM of air• 2 year payback• Yen & Associates, Walsh
Engineering, Newmatic, ECS-JCI
Medical Office Building
“The new La Maestra Community Health Center in the City of San Diego is expected to be the first community clinic to be a LEED® Certified Gold level green building in the nation.”
Lathrop PARC, Redwood City, CA
■ New Facility• 69K ft2• Theris• Patient Spaces• Fong & Chan Architects, James
Embleton Consulting, Newmatic Eng. Inc.
Post-Acute Care
Louisiana State University Health , New Orleans, LA
■ Replacement Hospital• $1.2B• 560K ft2 Inpatient Tower• 747K ft2 Diagnostic Pavilion• OR’s, Iso, Labs, Pharmacy,
Pressurized Spaces• Install: 2012, Open: 2015• NBBJ, URS, Skanska, Schully-
Strawn
Medical Center of Louisiana at New Orleans
Mid-Michigan Health , Midland, MI
■ Expansion and Renovation• 280k ft2• TP• Operating Rooms• Long-Term Cost Savings, Energy
Savings, Reduced Maintenance• Install 2009, Open 2010• HDR Chicago
Mid-Michigan Medical Center
“We knew we had to make dozens of separate decisions right the first time”
“It would be cost-prohibitive, difficult or impossible to retrofit these kinds of building systems after the fact,
and we felt they would be even more important in the future than they are today.” - Mike Erickson, VP of Facilities and Construction
Multicare, Tacoma, WA
■ New Patient Tower• 357K ft2• Silver LEED• 600+VVs, TP, TX, CV, LON• Patient, General Areas, Surgery,
Isolation• VAV Energy Conservation, Lab
Experience• BIM ROI Under 2 Years• Install 2009, Open 2010• Clark/Kjos Architects and GBJ
Architects, Skanska, CDi Engineers, University Mechanical, GSH Design Collaborative, ATS Seattle
Good Samaritan Hospital, Puyallup, WA
“Hospitals are energy intensive operations, requiring rigorous environmental controls”
Nationwide Children’s , Columbus, OH
■ New Construction• 720K ft2• Tracking Pairs BACNet• Isolation and Pressurized Spaces• Install 2010, Open 2012• No Maintenance, Accuracy,
Control Flexibility, Emergency Response
• FKP, Turner, HAWA, Ingenuity IEQ
Hospital
“We have looked around the nation to identify the ‘best of the best’ in pediatric facilities and our plan is
to bring those features here for our community’s children.”
Northwest Community Healthcare , Arlington Heights, IL
■ Patient Care Addition• 225K ft2• ORs, SPD, Isolation, Pandemic
Patient Floors• Install 2008, Open 2010• No Sensors Maintenance,
Accuracy, Pressurization, Emergency Control Flexibility
• OWPP, Power Contracting, JCI, Verus (HTS Chicago)
Northwest Community Hospital
Arlington Heights, IL
Northwest Community Healthcare , Arlington Heights, IL
• (BMS) command sequence initiated by the facility engineer
• HVAC control system changes the balance of supply and exhaust air volumes to ensure that the direction of airflow goes from neutral to clean to unclean
• Emergency CFM quantities provide more air volume to exhaust than supply, and full exhaust vents outdoors
• Normal patient rooms convert to negative pressure beds or airborne infection isolation rooms
Northwest Community Hospital
Arlington Heights, IL
Mechanical systems on the fifth and ninth floors
Pandemic-ready patient rooms become isolation rooms on demand
VAV Venturi Valve devices and controls
Partners Healthcare, Boston, MA
■ Building for the Third Century (B3C), Phase II New Hospital• 530K ft2• Green• 300 VVs, EO• Ors, ICUs, Patient, PACUs• No Flow Sensors, No
Maintenance, Feedback• Install 2009, Open 2011• NBBJ, Turner, APA
Massachusetts General Hospital
“Will offer a number of sustainable architectural design elements intended to
promote healing, conserve energy and enhance the interior areas.”
Partners Healthcare, Boston, MA
Massachusetts General Hospital
Boston, MA
Building for the Third Century (B3C), Phase II
Boston, MA
Partners Healthcare, Boston, MA
■ Procedure Room• Reduce air changes during
unoccupied periods• 20 Procedure Rooms• Difference in Air Flow: 2,352
cfm• Temp of Conditioned Air (AHU):
55°F• Annual Savings $147,700
Massachusetts General Hospital
Boston, MA
Building for the Third Century (B3C), Phase II
Boston, MA
Occupied25 ACH
2,800 cfm
65 hr/wk
Unoccupied4 ACH
448 cfm
103 hr/wk
Partners Healthcare, Boston, MA
■ Isolation Room• Reduce air changes when not
needed as an Isolation Room and utilize as a Patient Room
• 25 Isolation Rooms • Difference in Air Flow: 508 cfm• Temp of Conditioned Air (AHU):
55°F• Annual Savings $46,604 per
Massachusetts General Hospital
Boston, MA
Building for the Third Century (B3C), Phase II
Boston, MA
AII Occupied12 ACH
1,015 cfm
42 hr/wk (25%)
Patient Room6 ACH
508 cfm
126 hr/wk (75%)
Conditioned Air Cooling 2,035 kWh $305Conditioned Air Heating 5.4 Mbtu $81Reheat Energy 53.9 Mbtu $808Fan Energy 4,465 kWh $670
6,499 kWh59.3 Mbtu
$1,864Total:
Providence Health & Services , Renton, WA
■ Patient Tower• 12 Stories, 680K ft2, 368 Beds• TP, BACnet• Patient Rooms, Isolation• Energy Conservation, Airborne
Infection Control , Room Pressurization, Emergency Surge Capacity
• ZGF Architects , CDi, Mortenson Construction, Hermanson Mechanical, ATS Seattle
Providence Everett
Everett, WA
Providence Health and Services, Renton, WA
Providence Everett
Everett, WA
Engineering study Changing from CV (11.6 ACH) to VAV would provide significant savings
Fan energy and re-heat demand
VAV design Energy savings
Venturi Valve Technology
Airborne infection control
Enables hospital to respond to pandemic incidents by creating isolation rooms on-demand
Providence Health and Services, Renton, WA
■ New Wing• 74K ft2 • CV and TP • Patient Rooms, Hallways• Monetary Savings, No
Maintenance or Recalibration, Control Flexibility, Integration Ease and Accurate Pressurization
• GBJ Architects, Glumac, Oregon Air Reps
Providence Hospital
Hood River, OR
Spectrum Health, Grand Rapids, MI
■ New Construction• 900 Venturi Air Valves, Theris,
SO, CV• OR’s, Isolation, Pharmacy,
Pressurized Spaces• Accuracy, Flow with HEPA Load,
Turndown, No Flow Sensors, No Maintenance
• Open 2011 and 2012• Jonathan Bailey & Associates,
Rockwell Design, URS, Turner, Wolverine Building Group, Quality Air Service
Helen DeVos Children's New Hospital
Michigan Hill New Tower 35
St. Luke Magic Valley RMC, Twin Falls, ID
■ New Tower• 700K ft2• 1,289 VVs, SO, EO, TP, TX, LON • Mechanical Pressure
Independence, Accurate Flow, Volumetric Offset, Emergency Modes, Inlet Insensitivity, Airborne Infection Control, No Maintenance
• Install 2009, Open 2011• Hummel, Nexus Architects,
Engineering Inc., Hobson Fabricating, Yamas Invensys, Norbryhn Equipment
In-Patient Tower
Sutter Health, Sacramento, CA
■ Replacement Hospital• 460K ft2 • TP in 90% of Spaces• Energy Efficiency• Install 2009, Open 2010• Anshen + Allen, Ted Jacob
Engineering, Turner, Newmatic Engineering
Mills Peninsula Health
Burlingame, CA
“The hospital is served by 100% outside air HVAC system with heat recovery
to maintain proper pressurization, cooling and indoor air quality.”
Texas State Department of Health Services, Austin, TX
■ New Hospital• 66,000 SF2
• Isolation• VAV C2• Airflow Accuracies, Airborn
Infection Risk Reduction• O’Connell Robertson, JE Dunn,
TAC, Vicon
TCID Texas Center for Infectious Disease Hospital
University of California, San Francisco, CA
■ New Women’s and Children’s Facility• LEED Gold Project • OR’s, Isolation, Patient,
Pressurized Spaces• Install: 2012, Open: 2013• Anshen + Allen, DPR
Construction Inc., Newmatic Engineering, Inc.
UCSF Medical Center at Mission Bay
University of Chicago Medical Center, Chicago, IL
■ Expansion• LEED Project• Theris TP, BACnet• Patient Rooms• Rafael Viñoly Architects,
Cannon, AEI, JCI Evanston, HTS Chicago
Pavillion
University of Kentucky Health , Lexington, KY
■ New Tower• 500+ Venturi Valves, TP, CV• Accuracy, No Maintenance • BACnet• GBBN, AEI, Turner, Tridium,
Master’s Building Solutions, Air Equipment Co., Honeywell
Chandler Patient Tower
University of Michigan Health System, Ann Arbor, MI
■ New Clinic and Inpatient Tower• 1.1 M ft2 • LEED Silver Hospital• Tracking pairs• Pandemic Rapid Infection
Control Units, Hazmat Capability and Control Flexibility
• Install 2009, Open 2011• HKS Architects, Barton Malow,
CCRD Partners
C.S. Mott Children’s Hospital
University of Michigan Health System. Used with permission."
Virginia Department of Health, Richmond, VA
■ New Construction• CV, SO, TP, APMs, Thermostats• Theris LON w/BACNet interface• Toilets, Corridors, Waiting
Rooms, Treatment Rooms • Pressure Control Capabilities• Dunlap Engineers, Comfort
Systems, Metropolitan Equipment
Medical Office Building