“Quality of care” is more than just a phrase at Carilion Roanoke Memorial Hospital (CRMH), one of the largest hospitals in Virginia. CRMH defines quality of care using six characteristics: excellence in care, patient safety, clinical outcome, technology advances, accessibility, and patient experience.
Done right, going modular can be a good fit for hospitals in search of efficiency. From design to specification to pre-shipment, the process demands engineering attention to the right details at the right times. Get a designer’s notes from experience and learn how to take advantage of what a modular central plant can offer.
Sometimes, what seems like a need for more cooling capacity could be the need to take a hard look and fine-tune the existing chiller plant. With a hospital expansion coming up, the team on this UMass Memorial Health Care project avoided adding up to 120 tons of capacity with tactics that included attacking inefficiencies in piping, valves, cooling towers, and controls.
With a wide spectrum of specialized spaces and particular outside air requirements, a hospital’s en-ergy-efficiency efforts start when arranging which areas go where. From there, the author leaves no technology unturned — chilled beams, geothermal, DOAS, VRF, etc. — in evaluating which ap-proaches might best contribute proper ventilation and humidity in which environments, with an eye on minimizing facility energy consumption.
New York City is certainly renowned for the quantity and variety of tall buildings towering over the Manhattan skyline. Many of these structures are at a point where age has taken its toll on mechanical systems and now require replacement. Even if they are still operational, today’s new A/C systems are more energy efficient, making it cost effective for changeout.
A lot will happen under the single rooftop of the new Wesley Long Cancer Center in Greensboro, NC. The 33,000-sq-ft addition to the Moses Cone Regional Cancer Center includes a business office, lobby/waiting area, admitting, phlebotomy lab, breast cancer treatment, exam areas, chemotherapy, an auditorium, and education classrooms.
For the massive 235,000-sq-ft Merrimack County Nursing Home in New Hampshire, the geothermal source available nearby may not have been the fountain of youth, but it did prove key to the center’s “uber-green” mechanical system retrofit. See how the companies involved brought together 16 wells, over 300 water-to-air heat pumps, and the rest of the 615-ton system to serve this 290-bed facility.