Workshop A Energy Savings Champions Best Practices & Case Studies in Energy Reduction & Energy Efficiency in Award-Winning Hospitals and Medical Facilities Tuesday, February 19, 2019 10:45 a.m. to Noon
Biographical Information Nolan Rutschilling, Energy Program Director, Ohio Hospital Association 155 E Broad St. Suite 301, Columbus OH 43215 614.384.9145 Nolan.rutschilling@ohiohospitals.org Nolan Rutschilling leads the OHA Energy & Sustainability Program to ensure all members have access to the resources, financial incentives and educational programs necessary to make informed decisions around energy and the environmental impact of their facilities. Nolan has a background focused on alternative transportation fuels such as natural gas, propane, and electric vehicles where he wrote grants, held consumer education events regarding electric vehicles, and managed electric vehicle charging infrastructure projects. Rutschilling assisted the City of Columbus in designing the electrification portion of the application for the Smart City Challenge, a competition started by the US Department of Energy and the Vulcan Foundation to encourage mid-sized cities to pursue strategies reducing their carbon footprint and electrify the transportation sector. Rutschilling began employment at the Ohio Hospital Association in 2017. Nolan serves as Vice President of The Ohio State University School of Environment and Natural Resources Alumni Society. Originally from Cincinnati, he is a LEED Green Associate and earned a bachelor’s degree in environmental policy and decision making from Ohio State University. Marty Lanning, Partner, Energent Solutions 1550 Old Henderson Road, Suite 175, Columbus OH 43220 614.360.2245 FAX: 614.360.0650 mlanning@energentsolutions.com Marty Lanning is a Partner at Energent Solutions in Columbus, Ohio. Energent helps clients to optimize energy usage to create tangible cost savings and a compelling environmental story for their brand. Over the last several years, the firm worked with 1 out of 5 Energy Star certified hospitals in the country, including the 2017 American Society for Health Care Engineering Energy Champion - the top award in the country for hospital energy management. Mr. Lanning is a Certified Measurement & Verification Professional and a LEED Accredited Professional. He holds a BSBA in Finance from The Ohio State University and an MBA from the University of North Carolina at Chapel Hill.
Biographical Information Nick Bagnolo, CHFM, Vice President, Construction & Facilities Sisters of Charity Health System Mercy Medical Center, 1320 Mercy Drive NW, Canton, Ohio 44708 (330) 489-1367 Fax (330) 430-6962 nbagnolo@sistersofcharityhealth.org Bagnolo, began his career at Massillon Community Hospital in 1987, came to Mercy in 1997, where he has administered building and boiler plant maintenance, construction, property management, environmental services and laundry, safety and security, food service, courier and valet services, telecommunications and clinical engineering. Bagnolo has been instrumental in helping to develop Mercy’s facilities master plan— including the new I.C.U. and current emergency department construction—he has also directed several other major additions and renovations for the surgery, heart and cancer centers, radiology and offsite health centers. With more than 32 years of experience in health care facilities management, Bagnolo is responsible for overseeing construction projects and their related approvals and design and financial management at all SCHS facilities in Ohio including Mercy Medical Center, St. Vincent Charity Medical Center, Regina Heath Center, and Light of Hearts Villa. As the Vice President of Construction Management Services he is the party primarily responsible for the successful completion of SCHS’ entity construction projects. The Vice President leads the delivery of multiple construction projects to the SCHS entities. The Vice President is responsible for managing the master facilities plan implementation through the design, construction and close-out phases of the recommended and approved projects. As Administrative Director of Support Services, he has direct responsibility for the Facilities and Engineering Department which includes managing planning, construction, maintenance, and code/regulatory compliance responsibilities. He also provides oversight of the balance of the Support Services including: Clinical Engineering, Telecommunications, Environmental Services, Food Service, Safety & Security, and Courier/Transport/Valet departments. A graduate of St. Thomas Aquinas High School in Louisville, Bagnolo earned his bachelor of science in construction technology from the University of Akron. He is a Certified Healthcare Facility Manager. He and his wife live in North Canton.
OHA Energy & Sustainability Program February 2019 1
• Hospitals are the 2 nd largest employer in Ohio • Hospitals are the largest employer in 77 of 88 counties in Ohio • Ohio is the 7 th most populous state in the country OHA Energy & Sustainability Program February 2019 2
Energy & Sustainability Program Goals Advocacy Operating Cost Optimization Energy Efficiency Education Energy Procurement Benchmarking Audits | RCx Rebates Reduced greenhouse gas (GHG) impact from Ohio hospitals Increased Hospital Resilience Enhanced Regulatory Compliance 3 3
Agencies Regulating Hospitals: The Communication Challenge DME Regional Joint Regional MACs QIOs FDA Offices Commission Payer State Contractors • • Medicare Survey & Certification • Medicare • Regional Home Advantage Courts Health DOT • • Medicaid Attorneys Intermediaries General • CHIPs • Medicaid • TRICARE (DoD) DEA OSHA • Board of Health • Uncompensated • Care Pool Medical Boards • • Employer‐ Local Sponsored Governments Insurance FAA DOJ • Licensure • Patient Self‐Pay • Health Care • Worker’s Authority OPOs Treasury Compensation • Department of • Other Public Labor and Insurance Industries SEC FBI • • Other Private Public Disclosure Insurance Commission • Office of the Insurance HHS/ Commissioner HHS/ IRS EPA FTC FCC HRS NRC DOL NIOSH A Source: Adapted from Washington State Hospital Association, (2001). How Regulations Are Overwhelming Washington Hospitals , and American Hospital Association and PricewaterhouseCoopers, (2001). Patients or Paperwork? The Regulatory Burden Facing America’s Hospitals . 4
Begin with the End in Mind • Get buy‐in from C‐Suite • Create an “efficiency snowball” – Start with “Low Cost, No Cost” – Use savings to pay for small capital projects – Use savings to pay for large capital projects 5
Goals Make Commitment Assess Performance & Set Goals Create Action Create Action Plan Plan Recognize Recognize Implement Implement Achievement Achievement Action Plan Action Plan Evaluate Evaluate Progress Progress 6
Copying from Many is Research • Collaboration • Access to data • Technical Expertise 7
Rebates 8
Rolling Edge 9
HOSPITAL CASE STUDIES & ENERGY STAR 10
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Audit again Audit + 5% 0 ‐5% Costs ‐10% Easy Actions Program Falters ‐15% Undertaken Savings lost due to lack (obvious energy ‐20% of systems waste) ‐25% 0 5 10 Years 13
EM Program Initiated + 5% Cut energy waste 0 ‐5% Costs Extra savings from ‐10% operations and process improvements ‐15% ‐20% New Plant Technical Development ‐25% 0 10 5 Years 14
• No matter your ENERGY STAR score, there are always cost-effective energy saving opportunities, if we only look 15
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Ohio . . . Cradle of ENERGY STAR hospitals Current ENERGY STAR hospitals in • Ohio: 1. Mercy Medical Center 2. Summa St. Thomas 3. Adena Greenfield 4. Good Samaritan (TriHealth) 5. Firelands South 6. ProMedica Bay Park 7. Barnesville 8. St. Rita’s Health Partners 9. The Ohio State University Hospital East 10. Southern Ohio Medical Center 11. Mercy Tiffin 12. Avon Hospital 13. Summa Akron City We’re #2! Current ENERGY STAR certified hospital 2018 John Chapman Award hospital – 2018 Melvin Creeley Environmental Leadership Award hospitals 17
How to Leverage the Energy Cup Gain CEO Attention • Speak dollars not BTUs Table accessed in the “Goals” tab We’re paying this much compared to the Median. But if we improved to ES = 75, we’d pay much less. 18
Long Payback Period / ROI Now Plan / Life Cycle Focus / Delivery Effort / Funding Required Large $ 19
ENERGY STAR: Bright Light in a Green Initiative 23 rd Annual Ohio Energy Management Conference February 19, 2019 20
Case Study: ENERGY STAR 21
Mercy Becomes ENERGY STAR Facility in 2009 National Mark of Energy Excellence • Second hospital in Ohio and 87 th nationwide to achieve ENERGY STAR. • Only 1 of 3 hospitals nationwide to earn 10 consecutive Energy Star Awards • Most recent rating was 87 on an energy efficiency scale of zero to 100. • Passed rigorous application U.S. Congressman John Boccieri (right) and Mercy president and CEO hold the ENERGY STAR plaque, and on‐site review. presented to Mercy last August. 22
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