ENERGY MANAGEMENT
The new generating plant that was installed at the Bayview campus.
prepare infrastructure assessment reports and reliability studies for the numerous electrical systems throughout the facilities. Overarching goals for the assessments and studies were to: identify risks from existing electrical assets; create priorities in terms of the highest risk and highest impact of an unexpected failure; identify general concepts for upgrades and options for improvement; and to establish how much effective renewal can be achieved, given budgetary and scheduling constraints.
Funding Creating a meaningful project following the recommendations outlined in a report requires an in-depth understanding of how hospitals receive and spend their funding. As part of a publicly funded healthcare system, Sunnybrook receives funding from the Ontario Ministry of Health (MOH), a Ministry of the Provincial Government of Ontario. Sunnybrook’s facilities management group relies on several different funding sources to maintain the department’s scope of operations. A general maintenance and operations budget covers utility expenditure, annual maintenance costs and general departmental requirements. Sunnybrook receives recurring annual
funding to complete infrastructure upgrades as part of the Health Infrastructure Renewal Fund (HIRF) via the Ministry of Health. HIRF funding must be used for a higher priority requirement,
which has been identified through the MOH Facilities Condition Assessment Program (FCAP) or specifically requested by the hospital as an exceptional business case project. Capital projects in the hospital, which typically involve renovating a clinical department or campus redevelopment, provide additional funding sources to ensure a newly constructed area is not served by end of life infrastructure. Furthermore, Sunnybrook makes use
of rebates and incentive programmes offered by local utility suppliers to reduce peak electricity demand and energy consumption. Energy managers within the facilities group are continuously looking for ways to minimise energy consumption, reduce the hospital’s carbon footprint and secure rebates. While both capital projects and rebates greatly supplement available funding sources, Sunnybrook relies primarily on provincial HIRF funding to complete infrastructure upgrade projects. By developing an understanding of the funding source that will be financing a project, the next step is to work within the constraints of the funding source. Like all funding sources, key requirements include: ensuring funding is spent within an allocated time frame, hence a project schedule must meet an established spend profile; recognising market conditions may result in unexpected pricing increases, which can place a defined budget at risk; and infrastructure renewal money cannot be used to develop new occupiable
space – projects are confined to being built in an existing footprint and hospital operation must remain unaffected. On the opposite side of the fence,
project goals often compete against funding constraints and include: achieving complete infrastructure renewal, whenever possible; improving on reliability and redundancy; promoting standardisation, finding operational cost savings and consideration for future serviceability and the end user. Establishing the constraints and goals for an infrastructure project leads to the next decision: selecting professional services to design and manage a successful project. While capital projects are typically designed and managed by architects, Sunnybrook has typically relied on professional engineers to take the role of the prime consultant for discipline specific infrastructure projects. In terms of electrical infrastructure upgrades, the requirements of new equipment can drive modifications to existing spaces and other infrastructure and the electrical engineer takes on the responsibility for retaining and co-ordinating other disciplines.
Design development With a project concept, budgeting and design team in place, the facilities group works with the corporate planning and development group and the purchasing group to complete detailed design development, procurement and project implementation. Major electrical
The service entrance switchgear at the Holland Centre being upgraded during a 20-hour shut down. 76 IFHE DIGEST 2018
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