Highly challenged environment

Highly challenged environment Navigating the maze of healthcare compliance requirements in healthcare facilities The world s population is both growing and aging. Healthcare costs are escalating. Workplace violence is on the rise. Energy availability and infection control continues to be a major concern. Growing IT needs Reduce safety issues Reliable & Secure Energy supply Financial performance & rising costs Corporate & environmental responsibility Meet Regulatory Compliance Competition for new patients 15 October 2014 Irina Lindquist Offer Manager, Healthcare Solutions, Schneider Electric IHEA Healthcare Facilities Management Conference, 2014 Building, operating, and maintaining hospitals that can handle all these challenges and more are complex tasks. Lack of Skilled people Reduce Waiting times Growing security issues Attract & retain medical staff Technological & organisational evolutions What if We Change Nothing? Ways to Move Forward Hospitals will need to find $1M / year, just to cover a 25% increase in energy costs. 1 If staffing is reduced to cover this cost, patient safety and satisfaction will be compromised. A natural disaster that knocks out power to the hospital, could cost an additional $1M. 2 Hospitals will continue to: be the primary origin of infant abductions. 3 lose nearly $4,000 per bed each year 4 due to equipment theft. incur over 876,000 lost workdays and $16M in lost wages due to workplace violence. 5 Nurse s will continue to waste 1 hour during each shift searching for equipment 6 and hospitals will misplace or lose up to 40% of their assets over time. 7 Hospitals will continue to spend up to $130,000 per hospitalization, depending on the type of hospitalassociated infection. 8 1. Do nothing. 2. Look for workarounds to multiple obstacles caused by traditional facilities design: Multiple networks from different vendors Too many systems to learn Complex troubleshooting Higher capital and operational expenditures Too much energy consumption 3. Implement an intelligent infrastructure design that improves patient care and the bottom line. Traditional Facilities Design The Efficiency Opportunity The Intelligent ENTERPRISE HVAC Controls/BMS ICT/Data Centre Information gap OPERATIONS CONTROL Web standards (IP & web services ) Operating Theatre OT Life Safety s Integrated Security Lighting Control Medical Wards Power Enterprise Management DEVICES 1

Key elements Interoperation between Elements Data Centre Mechanical Electrical Security ICT Environment management Energy management Security Management Messaging Lighting Control Dimmer units Lighting controllers Room switch units Multi sensors Scene setting RFID LOCATION External lighting SYSTEM Integrated Security s IP CCTV Access control Staff attack Infant tagging Video intercom Intruder detection Integrated Building Automation HVAC controls Utilities metering Pred maintenance SCADA M&T Data Centre Power distribution UPS In-row cooling units Integrated security Room cooling Energy reclaim Operating Theatre Electrical distribution IPS UPS Surgeons panel RFID Environmental LOCATION SYSTEM Applications Hospital Intelligent Technology End User Presentation Information management Graphical User Interfaces / Portals Dashboards Interactive graphic presentation Mobile Apps Service strategy Service lifecycle management Service Operations Fire SYSTEM alarm Emergency lighting Public address Voice evacuation Fire dampers Nurse call Bedhead services Entertainment RFID systems Environment HV /MV /LV switchgear Transformers Generator integration Busbar trunking Distribution 24/7 remote services Energy modeling Bill validation Energy pricing Load shedding Maximum demand RFID Servers LOCATION SYSTEM Video recording POE switches Firewalls Quality of service Digital signage Fire Safety s Medical Areas Electrical Distribution Energy Management ICT Healthcare Facility Management Integrated Facility Management The Business Utilities Operational Management Technology & Building Management Critical Operating Modes Processes Security & Access Control CCTV But the mismanagement of compliance programs leads to a higher cost. Critical Functional Areas Service Support Model Power Management Functional Areas Service Delivery Model Nurse Call & Patient Minding Asset Management Resources Technical Documentation Management On data reporting 96% of firms see improving their energy data collection and reporting processes as important or very important 3 1 Report on Big Data, IBM; National Energy 2 Verdantix 3 Gartner Group, Powerpulse.net, GigaOm 2013 SMART Building Services Firms cite difficulties with in-house management 2 23% Difficulty measuring impact on bottom line 1 Verdantix, 2013 2 Deloitte resources 2013 Study 25% Lack of dedicated staff 24% Lack of capital 2

Compliance programs: The Process Monitor, detect, diagnose and identify energy savings opportunities 1. Identify Saving opportunities 2. Prioritise Building repairs 3. Execute Recommendations Compliance programs: The impacts Baseline What is the current state of your facility? Improvements Know what actions to take to produce energy savings and operational improvements Performance Keep your facility performing at an optimum level Operating cost Your needs By managing the information from building systems, facility managers and operators can. Identify, prioritize and act on cost savings opportunities Building owners and operators need to Drive efficiency in building operations, mitigate risk, and improve asset efficiency Understanding how to: Take advantage of your building data Find hidden costs and inefficiencies Optimize operational performance Reduce energy expenditures Create more environmentally friendly, high performance buildings Utility and maintenance Typically the largest cost components of a facility operations budget Cost Reduce Costs Cost of Facility Operations Utility Costs Probability Mitigate Risks Negative Event Efficiency Improve Asset Efficiency Maintenance Costs Time Impact Severity Time Facility Management: Trends Facility Management: Trends Critical facility management drivers that are impacting all industries O&M Environment Aging facilities and budget gaps forcing organisations to maintain with fewer resources Critical facility management drivers that are impacting all industries Risk Management Awareness & accountability of facility risks is both increasing and becoming more complex Labor Conditions FM organisations are finding increasingly difficult to hire, develop, and retain staff Emerging Technology Technology will impact how facility managers do their jobs and buildings operate Outsourcing Businesses choosing to turn over facilities management functions to contractors Sustainability Demand escalating for environmentally friendly high performance buildings 3

What You Need to Answer WHAT IS EVERYONE ELSE DOING? DO WE HAVE TO DO IT? The Value & Perception of compliance programs Definition Healthcare compliance programs do not typically generate revenue and the preventative value has many industry standards by which to measure each facility and the facility manager must do his or her best to take existing data and translate it into a language that the administration will understand, appreciate and value. WHO SAYS WE HAVE TO DO IT? METRICS (the science of data) + BEST PRACTICES (the art of experience) = The Craftsmanship of Effective Facility Management WHAT HAPPENS IF WE DON T DO IT? Healthcare Compliance Risk Based Incident Driven What do we hear from you? I want to Have more confidence when spending money for our operations Gain answers to enable fact-based decisions when investing in improvements Know improvements are highest priority and will produce measureable results Make real impact to energy, operational efficiency, comfort and the financial well being of our buildings What do we hear from you? We re looking for Monitoring based, continuous or ongoing commissioning Automated fault detection and diagnostics Help with certification Performance based utility incentives Better service and insight into how service resources should be allocated Energy and cost savings Our Perspective Top Reasons for Investment Cost reduction Compliance Energy price risk mitigation Sustainability Energy Big Data ISO50001 Shared Value Barriers to Investing Lack of time, resources, and/or knowledge Competing priorities Visibility of key energy metrics Identification and prioritisation of energy efficiency opportunities 4

SMART Building Services SMART Building Services: Definition Additional Energy Savings Potential Visualise What, when and where Dashboards/ Kiosks $s, kwh, CO2 Normalisation Benchmarking, KPIs, Standalone and/ or maintained BMS Energy Operation Reports Dashboards Building Analytics Query Drilldown Statistical Analysis Notification Alerts Analyse Why Prioritised exceptions Root cause analysis Visibility C+E+M ROI justification A managed service encompassing building data acquisition, analysis & diagnosis of findings, and equipment operation & maintenance Cloud Based Software Fault Detection & Diagnosis Remote Monitoring & Analysis Services Reporting & Maintenance Degree of additional Intelligence Live input from BMS Plant O&M Data SMART Buildings: Software SMART Buildings: Software SMART Buildings: Service SMART Buildings: Service Avoidable costs and total savings for period AND analyst commentary on building operating issues Prioritise energy, maintenance, and comfort issues 5

SMART Buildings: Service Compliance Management road to value PREDICTION Algorithms & Models Trend analysis over time to track performance ANALYSIS Dashboards & KPI s MONITORING Devices & Networks A holistic view of building systems operation Across your entire healthcare infrastructure Power Building management Security management IT room management Utility management and sustainability planning Forecasting and modeling Scenario planning Regulatory analysis Risk management Price modeling Supply chain optimization Making sense of building s data Facility Benchmarking Incident Forensics Behavior Empowering Dashboards Proactive Fault Detection Carbon Footprint Analysis And your top challenges Patient safety Financial performance Hospital security Data center uptime Energy and regulatory compliance Standardized Compliance Reporting Informed Energy Procurement Predictive Modeling Question: Questions answered Is this something implemented in the Building Automation s? 7 Reasons Hospitals Need a SMART Service Solve your financial challenges StruxureWare for Healthcare and Building Analytics can enable your healthcare organization to see, measure, and manage energy use so you can reduce waste and optimize the energy you do use, resulting in up to 30 per cent in energy savings. These savings can help you improve your facility s financial health by freeing up money and resources. Building Automation Building Information as Managed Service Maintain patient safety and quality of care StruxureWare for Healthcare and Building Analytics includes software that monitors power to maintain 99.9 per cent availability, tests backup power systems, alerts maintenance staff to potential facility issues, and optimizes environment conditions to reduce the threat of HAIs. Comply with regulatory standards and energy mandates StruxureWare for Healthcare and Building Analytics provides automatic actionable reports on critical facility systems, such as backup power generators, to help your hospital fully comply with regulations and accrediting organizations. The software suite also includes energy reporting to help your hospital reduce carbon emissions and meet mandates for energy usage reductions. integrates building systems performs control tasks as designed reacts to current state conditions provides notification of nonconformance or exceeding threshold settings Operations & Maintenance to maintain day to day building operations analyzes trend performance energy, maintenance & comfort information over a given period day, month, year automatically quantifies and identifies persistent performance issues in the building(s) or site top issue validation made by experienced building engineer along with recommendations to remedy Engineering planning to pinpoint top energy, maintenance, and comfort priorities that can maximize O&M resources and budget Ensure patient satisfaction StruxureWare for Healthcare and Building Analytics includes software that optimizes the patient room environment, helping to improve patient satisfaction and health outcomes by giving nursing staff and patients greater control over their environment. Keep up with technological advancements StruxureWare for Healthcare and Building Analytics is open, flexible, and scalable to accommodate future technologies and facility expansions. It also allows for seamless integration between your healthcare facility s most critical infrastructure systems, such as power, IT, building management, and security. Enhance productivity Utilizing EcoStruxure Web Services, StruxureWare for Healthcare and Building Analytics is easily accessed and maintained through your organization s network. Additionally, Web Services takes the complexity out of accessing and analysing information from multiple systems by providing a single, easy-to-use interface. Improve security StruxureWare for Healthcare and Building Analytics can help mitigate these risks by integrating video surveillance, access control, and other security systems to provide real-time data and alarms, as well as actionable reports, such as event traceability for forensic analysis. 6

Session Wrap Up Managing compliance of infrastructure translates to: consistent performance and reliability of infrastructure, retaining and leveraging in operations the value of investment in intelligent building systems, efficient analysis and predictive diagnosis service delivery supported through analytics algorithms, continuous visibility and supervision of compliance parameters against specific functional requirements of specialist areas, significantly reducing cost from reactive maintenance and breakdowns, optimization of maintenance regimes and the cost of maintenance, controlling the cost of utilities through active energy and sustainability management regimes, optimising cost of operation over time while delivering improved infrastructure performance and minimising the risk of service disruption. Discussion / Questions 7