SLIDE 1
Today’s Goals
- What is Cx?
- Cx in Healthcare
- Lessons Learned
- Value
The Value of Commissioning in Healthcare Facilities Al Rodgers, - - PowerPoint PPT Presentation
The Value of Commissioning in Healthcare Facilities Al Rodgers, - - PowerPoint PPT Presentation
The Value of Commissioning in Healthcare Facilities Al Rodgers, LEED AP, G|PRO Todays Goals What is Cx? Cx in Healthcare Lessons Learned Value What is Cx? A quality-oriented process to verify and document performance
SLIDE 2
SLIDE 3
What is Cx?
- A quality-oriented
process to verify and document performance of systems and components to meet the Owner’s and Engineer’s
- bjectives and
criteria
SLIDE 4
Cx Isn’t
- Construction
inspection
- “Value
engineering”
- Project
management
- Directing
contractors
- Re-design
SLIDE 5
Cx Authority
- Technically
competent
- Understands
systems and how they function as a whole
- Understands the
design intent before site visits
SLIDE 6
Cx in Healthcare
- Required by FGI,
NYSDOH
- 2014 Edition
“Added are requirements for developing the
- wner’s project requirements, preparing a
commissioning plan, and developing commissioning specifications and construction checklists. The types of systems to be commissioned now include domestic hot water, fire alarm and fire protection, and essential electrical power systems and automatic temperature controls.
SLIDE 7
Considerations
- Pressurization
- Critical power
- Backflow
prevention
- Temperature
control
- Specialty gases
- Nurse call
- Safety eye
washes, showers
SLIDE 8
Path to Cx Success
- Documented Cx
procedure
- Develop Cx team
- Design phase Cx
- Pre-bid
- Review
submittals
- Review ongoing
installation
Commissioning Authority (CxA) selected CxA develops Commissioning Plan CxA conducts scoping meeting CxA develops prefunctional checklists CxA executes checklists Deficiencies corrected CxA approved prefunctional checklists & start-up reports CxA develops functional tests CxA directs and witnesses tests performed by responsible parties Yes No Approval Non-compliance Corrections and re-test Approval CxA submits final report Is equipment in compliance? CxA obtains project design and provides design review
SLIDE 9
Path to Cx Success
- Cx Issues Log
- Cx forms
- Final acceptance
testing
- Training
- Close-out,
including off- season testing
- Warranty review
- Final report
Commissioning Authority (CxA) selected CxA develops Commissioning Plan CxA conducts scoping meeting CxA develops prefunctional checklists CxA executes checklists Deficiencies corrected CxA approved prefunctional checklists & start-up reports CxA develops functional tests CxA directs and witnesses tests performed by responsible parties Yes No Approval Non-compliance Corrections and re-test Approval CxA submits final report Is equipment in compliance? CxA obtains project design and provides design review
SLIDE 10
Risks
- If you don’t test it,
how do you know it works?
- Out of the box
equipment failures
- Untrained staff
- Liability
Wall outlets
SLIDE 11
Risks
- If you don’t test it,
how do you know it works?
- Out of the box
equipment failures
- Untrained staff
- Liability
vav
SLIDE 12
Risks
- If you don’t test it,
how do you know it works?
- Out of the box
equipment failures
- Untrained staff
- Liability
SLIDE 13
Risks
- If you don’t test it,
how do you know it works?
- Out of the box
equipment failures
- Untrained staff
- Liability
SLIDE 14
Opportunities
- You know it works
- Patient, staff
safety
- Energy savings
- Limit liability
SLIDE 15
Retro-Cx
- f Existing
Systems
SLIDE 16
Why Retro-Cx
- Buildings,
systems and equipment age
- Change of use
- Opportunity to
re-tune for
- perations and
energy efficiency
SLIDE 17
RCxA Performance
- Coordinates process between Administration,
Building Operators, Vendors, RCxA
- Builds team of stakeholders
- Controls design, implementation, and M/V
process, develops long-term continuous RCx plan
- Owner must implement and follow-through
SLIDE 18
RCx TEAM Creation
- Engage operators
- Engage BMS and equipment vendors
- TEAM with RCxA
– Set targets – Define building or space use – Document new operation and control strategies – Make logical changes (hardware, software, equipment)
- Provides a plan forward
SLIDE 19
Space Use Changes
SLIDE 20
RCx Results
- Provides operators confidence that building
will operate properly
- Makes what you have work better
– 70-80% of issues are controls-related – 20-30% is equipment age-related
- RCx must continue over time
SLIDE 21
Maintenance
- Keep systems
functioning as intended
- Identify problems
- Not letting small
issues snowball to larger system malfunctions
SLIDE 22
New Use
- Existing building
and interior space change of use
- Not major
demolition or system replacement
SLIDE 23
Approach
- Different than
Cx for new construction
- Review existing
design, equipment
- Suggest
equipment changes
- Generate O&M
procedures
SLIDE 24
The Value of Cx
SLIDE 25
The Value of Cx
SLIDE 26
The Value
- f Cx
SLIDE 27
The Value of Cx
SLIDE 28