PRESENTING

AGENDA

• Why Electrical Infrastructure Planning Matters

• Primary Considerations for Ensuring Continuity and Resiliency

• How to Convey Your Business Case to Leadership

WHY PLANNING MATTERS

ELECTRICAL INFRASTRUCTURE

• Drives all other building systems

• Hidden and quiet… until if fails

• Less well understood in industry

• Difficult to show an ROI

FAILURE IS NOT AN OPTION

• Failure is catastrophic

• Some systems have backup systems, but some do not and most are temporary

• Risk in NOT STRATEGICPLANNING IS ENORMOUS

KNOW WHAT YOU HAVE

• Readily accessible

• Up to date

• Pertinent information

UNDERSTAND YOUR INFRASTRUCTURE LIFESPAN

Equipment Lifespan

Panelboard/Circuit Breaker

25-35 years

Transformer 20-30 years

Automatic Transfer Switch 20-25 years

Diesel Generator20-40 years (~15K op hours)

ENSURECONTINUITY & RESILIENCE

CODES AND STANDARDS

RISK ASSESSMENT & DEFINING CONTINUITY & RESILIENCE

• Assessing current conditions.

• What needs to remain online in event of a power outage?

– Have to haves / wants.

• Things to consider: Imaging, Cooling, Food Service, Elevators, Sterile Processing, Lab

BEST PRACTICES

• Paralleled Generators

• Transfer Switches

– Multiple Switches (Diversity)

– Open vs Closed

– Bypass Isolation

• 100% Generator Capability

• Flexibility for Growth

MOUNT CARMEL EAST – CASE STUDY

• 3 Different Generator Systems, Not All Paralleled, Some Systems Did Not Have 3 Branches of Power• Areas of the Hospital with Minimal Emergency Power• 2 Utility Services. Over $10K/Month for Reserve Capacity In Second Service.• Project to Provide 6MW of Generator for 100% Backup, Eliminate Second Utility. 96 Hours of Fuel.• Over 90 Planned Shutdowns to Connect In.

INDUSTRY TRENDS

• Metering & Monitoring

• Joint Commission Reporting

• Microgrids

MAINTAINING EXISTING SYSTEMS

• Arc Flash Study

• Infrared Testing

• Megger Testing

• Parts and Piece Availability

• Exercising Breakers

ADDRESS THE UNFORESEEN

• Black Out Testing

• Elevator Impact

• Uninterrupted Power Supply (UPS)

• Loss of a Transformer

CAMPUS ASSESSMENTMASTER PLANNING (CAMP)

• Master single line & floor plans.

• Assess major equipment.

• Document age & condition

• Provide cost to replace.

CONVEYYOUR BUSINESS CASE

BEFORE YOU PRESENT

• Prepare a Strategic Long-Term Plan

– 5 to 10 years

• Understand how infrastructure impacts providers & administration

• Know the Risks

• Understand Your Priorities

• Code is Minimum Safety

• Evaluate Current Emergency Plans

– Are There Items Limiting a Better Response?

• When the community needs you most, don't handicap clinical teams with lacking utilities.

WHY MORE THAN CODE

KNOW YOUR AUDIENCE

• Develop the Business Case.

• Include Anticipated Investment and ROI (cost of failure)

– R.O.I. IS ALWAYS INFINITYAFTER FAILURE!

• Take a 50,000-foot view.

• Be precise and concise.

• Tell a story. Paint a picture of failure.

– It’s a Clinical Asset, not a Utility Asset!

SELL YOUR AUDIENCE

• 20-year-old hospital, built under outdated codes

• Red Flag = No AHU’s on EPSS

• Hired engineer to perform assessment

• Found a litany of issues beyond the AHU’s.

• $12M plus to bring up to code.

CASE STUDY: “PULLING ON THE SWEATER STRING”