Inside ASHE - Fall 2017 - 30

BCH needed a project that met all of
the following requirements:
* Low-cost lighting units
* An energy reduction over a T5 with
electronic ballast
* Reduction of maintenance calls and
FTE hours (> 10 year life)
* Storage and disposal cost reduction
* Very low installation costs to make
the ROI
* Compliance with many energy rebates
from the utility company without
additional engineering and costs
* Little to no infection control risk
assessment (ICRA) issues-and does
not break the ceiling plenum plane
* Removes the ballast as a failure point
* Very fast installation per unit leading
to low initial labor costs
* Multi-voltage 110 volt or 277 volt
* From a solid manufacturer with a
long warranty
We evaluated many possible projects,
but few met our needs. Projects that
reduced bulb wattages, such as replacing
32 watts with 28 watts, would save
energy but also reduce the lumens at the
surfaces and floors. Such a project would
also mean replacing bulbs as needed,
even when rebates are not available.
Lastly, the city of Boulder already
mandates very low lumens at the floor.
Replacing bulbs with LED tubes and
leaving ballasts in place would reduce
the wattage (4 tube to 2 tube) and
energy consumption, and would speed
up the installation, but left a critical
failure point in the fixture-the ballast.
Removing the ballast and putting
277 volts to the fixture tombstones, also
called "direct lamping," would save time
and remove the critical failure point, but
ultimately would violate the UL listing
and may prove unsafe if the technician
missed the (required) label that the line
voltage was at the tube ends. Unsafe
fixtures-for both the technicians and
the people below the fixtures-were
not an option, nor were the insurance
complications! Any of the changes
mentioned in this paragraph may have
significant radio frequency issues that
are difficult to troubleshoot or eliminate.
Replacing the current T5 fluorescent
lighting would reduce energy, but the
reduction was not offset by the cost
per unit and installation costs. Since
30 INSIDE ASHE | FALL 2017

many of the fixtures are fairly new,
replacement would mean throwing away
a fixture that would otherwise have been
expected to last 30 years. Those costs
would compound with all the ICRA and
infection control requirements that delay
installation. The differential in energy
savings is reasonable, but the costs made
the project fall off our list.
Then, at an ASHE conference, I was
walking around the exhibit hall and an
LED lighting vendor display caught my
eye. The vendor described a high-return
energy project that promised a reduction
in electrical power and reduction
in cooling load, reduction in the
manpower required for maintenance,
and a reduction in waste, with very low
installation costs that also enhanced the
physical environment!

facilities; the central utility plant (CUP)
area; and the interior hallways and
corridors. The decision included safety
concerns, ICRA concerns, annoying
maintenance of existing systems, impact
of energy reduction, and lighting quality.
Patient rooms were not included as more
teaming with the doctors and nursing
staff would be required.
After the areas were determined and
agreed on by the lighting project team,
the exact number and type of fixtures to
be replaced in each area were calculated.
These decisions involved both physical
walk-throughs and consultation of
building drawings/plans. Once the
existing lighting was designated for
replacement, the LED upgrades would
be vetted.

Scope and planning

The vendor was asked to demonstrate
each of the fixtures suggested for each
area. At least one replacement light
fixture was to be demonstrated in each
of the project areas. For the CUP, a high
temperature and high output light was
installed. For the parking structure, a flat
light with many options, such as auto
dimming, quick restrike, and computer
trimming, was installed. For the interior
corridors, the replacement bulbs that fit
easily in the 2x4 troffers were installed.
After installing the demos, staff were
asked if they could tell the difference in
lighting as we went to the next logical
progression step.

The criteria for a successful LED
lighting project included prescriptive
rebates to avoid haggling over
engineering calculations. Many
rebates are offered, but BCH wanted
a rebate that fit the city and utility
rebate structure to reduce the chance
of rejection of rebates at the end of
the project. The warranty had to be
great and the project should reduce
the number of lighting calls. To reduce
required manpower, the project needed
to reduce handling, storage, and disposal
of expired tubes.
The vendor representative and I
searched the many BCH buildings for
the areas that fit this strategy. BCH's
operations manager, site electrician, and
the vendor representative were tasked
with determining the physical project
and the number of units.
After the initial management
meetings, the vender representative
was introduced to BCH staff, and what
followed was a logical progression
of preparatory steps and discussions
required before a single light fixture
could be touched. These steps included
facility walk-throughs and audits,
discussion of lighting infrastructure, and
determination of the facility areas to be
prioritized for lighting upgrades. The
lighting project team determined that
the areas of priority were: the exterior
and underground (doctor's) parking

Demonstration

Procurement
During the demonstrations, an overall
bill of materials was created for the
project by the vendor and an electrical
supplier was chosen by BCH to provide
the materials quote. The quote had
to be aligned with the pricing already
established by the team. The bulbs
had to be packaged and shipped by
each sub-project. The shipping had to
be included in the overall invoice. The
team determined the drop and storage
locations for each project.

Labor
Once the scope and the number of
units were defined, labor bids were
solicited from multiple electrical
contractors. Each contractor walked



Table of Contents for the Digital Edition of Inside ASHE - Fall 2017

Letter from the president
What’s new
Pop quiz
The measurement of a health care facility manager: How do you define success?
Creating a program to identify and monitor pressure dependent spaces
Critical considerations for specifying a building automation system for health care
Bright ideas: LED renovation at Boulder Community Health
Selecting the right fire extinguisher for operating rooms
Still battling reheat energy in hospitals: Short- and long-term ideas for hospitals’ biggest energy use
The financial impact of variable speed ventilation controls in hospital kitchens
Data driven culture fuels University of Florida Health’s success in energy and operational optimization
Energy management in a critical access hospital: How Barnesville Hospital reduced energy consumption by 39 percent
Value analysis: Improving operating margin through cost savings
Member spotlight
Advertisers’ index
Inside ASHE - Fall 2017 - Intro
Inside ASHE - Fall 2017 - bellyband1
Inside ASHE - Fall 2017 - bellyband2
Inside ASHE - Fall 2017 - cover1
Inside ASHE - Fall 2017 - cover2
Inside ASHE - Fall 2017 - 3
Inside ASHE - Fall 2017 - 4
Inside ASHE - Fall 2017 - 5
Inside ASHE - Fall 2017 - 6
Inside ASHE - Fall 2017 - 7
Inside ASHE - Fall 2017 - 8
Inside ASHE - Fall 2017 - Letter from the president
Inside ASHE - Fall 2017 - What’s new
Inside ASHE - Fall 2017 - 11
Inside ASHE - Fall 2017 - Pop quiz
Inside ASHE - Fall 2017 - 13
Inside ASHE - Fall 2017 - 14
Inside ASHE - Fall 2017 - 15
Inside ASHE - Fall 2017 - 16
Inside ASHE - Fall 2017 - 17
Inside ASHE - Fall 2017 - The measurement of a health care facility manager: How do you define success?
Inside ASHE - Fall 2017 - 19
Inside ASHE - Fall 2017 - Creating a program to identify and monitor pressure dependent spaces
Inside ASHE - Fall 2017 - 21
Inside ASHE - Fall 2017 - 22
Inside ASHE - Fall 2017 - 23
Inside ASHE - Fall 2017 - Critical considerations for specifying a building automation system for health care
Inside ASHE - Fall 2017 - 25
Inside ASHE - Fall 2017 - 26
Inside ASHE - Fall 2017 - 27
Inside ASHE - Fall 2017 - Bright ideas: LED renovation at Boulder Community Health
Inside ASHE - Fall 2017 - 29
Inside ASHE - Fall 2017 - 30
Inside ASHE - Fall 2017 - 31
Inside ASHE - Fall 2017 - 32
Inside ASHE - Fall 2017 - 33
Inside ASHE - Fall 2017 - Selecting the right fire extinguisher for operating rooms
Inside ASHE - Fall 2017 - 35
Inside ASHE - Fall 2017 - 36
Inside ASHE - Fall 2017 - 37
Inside ASHE - Fall 2017 - 38
Inside ASHE - Fall 2017 - 39
Inside ASHE - Fall 2017 - 40
Inside ASHE - Fall 2017 - 41
Inside ASHE - Fall 2017 - Still battling reheat energy in hospitals: Short- and long-term ideas for hospitals’ biggest energy use
Inside ASHE - Fall 2017 - 43
Inside ASHE - Fall 2017 - 44
Inside ASHE - Fall 2017 - 45
Inside ASHE - Fall 2017 - The financial impact of variable speed ventilation controls in hospital kitchens
Inside ASHE - Fall 2017 - 47
Inside ASHE - Fall 2017 - 48
Inside ASHE - Fall 2017 - 49
Inside ASHE - Fall 2017 - 50
Inside ASHE - Fall 2017 - 51
Inside ASHE - Fall 2017 - Data driven culture fuels University of Florida Health’s success in energy and operational optimization
Inside ASHE - Fall 2017 - 53
Inside ASHE - Fall 2017 - 54
Inside ASHE - Fall 2017 - 55
Inside ASHE - Fall 2017 - Energy management in a critical access hospital: How Barnesville Hospital reduced energy consumption by 39 percent
Inside ASHE - Fall 2017 - 57
Inside ASHE - Fall 2017 - Value analysis: Improving operating margin through cost savings
Inside ASHE - Fall 2017 - 59
Inside ASHE - Fall 2017 - Member spotlight
Inside ASHE - Fall 2017 - Advertisers’ index
Inside ASHE - Fall 2017 - 62
Inside ASHE - Fall 2017 - cover3
Inside ASHE - Fall 2017 - cover4
Inside ASHE - Fall 2017 - outsert1
Inside ASHE - Fall 2017 - outsert2
Inside ASHE - Fall 2017 - 70
Inside ASHE - Fall 2017 - 71
Inside ASHE - Fall 2017 - 72
Inside ASHE - Fall 2017 - 73
Inside ASHE - Fall 2017 - 74
Inside ASHE - Fall 2017 - 75
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