• Twitter
  • Facebook
  • Instagram
  • Linkedin
  • YouTube
  • RSS
  • Sign In
  • My Account
High-Profile MonthlyThe Source for AEC Industry News
  • All News
      • Up Front
      • Groundbreaking
      • Topping Off
      • Ribbon Cutting
      • View All Up Front Stories
      • StMarysBank_NorthBranch_ToppingOffNorth Branch Construction Celebrates Topping Off for new St. Mary’s Bank Branch
      • Special Features
      • Contributor
      • Green
      • J.E.D.I.
      • Mechanical / Electrical / Plumbing (MEP)
      • Vision
      • Women In Construction
      • Regions
      • Connecticut
      • Northern New England
      • Popular Sectors
      • Cannabis
      • Corporate
      • Education
      • Healthcare
      • Interiors
      • Landscape/Civil
      • Life Science
      • Multi Residential
      • Restoration/Renovation
      • Retail/Hospitality
      • Senior/Assisted Living
      • Technology & Innovation
      • Other News
      • Awards
      • Community
      • COVID-19
      • Mixed-use
      • Municipal
      • National/International
      • Organizations and Events
      • People
      • Philanthropy
      • Products and Services
      • Real Estate
      • Training and Recruitment
  • Subscribe
  • Next Issue
  • Archive
  • Advertise
  • Podcast
  • A/E/C Associations
  • Calendar
High-Profile Monthly
  • All News
      • Up Front
      • Groundbreaking
      • Topping Off
      • Ribbon Cutting
      • View All Up Front Stories
      • StMarysBank_NorthBranch_ToppingOffNorth Branch Construction Celebrates Topping Off for new St. Mary’s Bank Branch
      • Special Features
      • Contributor
      • Green
      • J.E.D.I.
      • Mechanical / Electrical / Plumbing (MEP)
      • Vision
      • Women In Construction
      • Regions
      • Connecticut
      • Northern New England
      • Popular Sectors
      • Cannabis
      • Corporate
      • Education
      • Healthcare
      • Interiors
      • Landscape/Civil
      • Life Science
      • Multi Residential
      • Restoration/Renovation
      • Retail/Hospitality
      • Senior/Assisted Living
      • Technology & Innovation
      • Other News
      • Awards
      • Community
      • COVID-19
      • Mixed-use
      • Municipal
      • National/International
      • Organizations and Events
      • People
      • Philanthropy
      • Products and Services
      • Real Estate
      • Training and Recruitment
  • Subscribe
  • Next Issue
  • Archive
  • Advertise
  • Podcast
  • A/E/C Associations
  • Calendar
Contributor • Healthcare • Trends and Hot Topics

Retrofitting the Future of Healthcare

May 18, 2015
Lee

David Lee

by David Lee

Many new buildings are focusing on sustainability, with words words like “green” and “eco-friendly” gaining traction with public opinion. We find ourselves often enamored with these marketable, energy-efficient new buildings and lose sight of the aging buildings that exist all around us. Considering that the majority of buildings we work, live, and play in are older, we should instead be focused on improving their performance. As buildings and systems age they degrade, malfunction, fall out of specification, or even change use. The effect of this performance degradation is poor thermal comfort, poor air quality, and wasted energy.

Retrocommissioning is the process of surveying, adjusting, and fixing mechanical, electrical, and plumbing systems in a building. This process not only helps restore systems to meet their operational intent, but assists owners and operators to make informed decisions on how they can optimize systems for their current needs. In some applications, the observed performance issues pose little more than a nuisance; however, in others it may have a major impact on the environmental conditions and overall energy landscape.

Healthcare is one of the sectors that can benefit greatly from retrocommissioning practices. Poor thermal comfort and poor air quality can seriously impact the quality of patient care at a hospital. Hospitals use up a significant amount of energy not only because of the research that they do, but because of the significant amount of air that they must condition. AIA ventilation guidelines for hospitals require 6 air changes per hour for most normal space types and between 12 and 25 air changes for specialty services and operating rooms, airflow that must be provided at all times. Compare that to a typical office which may require the equivalent flow of 4 air changes per hour at peak conditions, and you can already start to see a large difference in energy usage.

According to “Operations and Maintenance Benchmarks for Health Care Facilities Report,” published by IFMA in 2010, 49% of hospitals surveyed consist of multiple buildings, 44% are over 30 years old, and 75% have a central plant. What does this tell us about the hospital landscape in general?

First, it tells us that hospitals are constantly growing and constantly trying to accommodate the increasing demand for quality care. What once was carried out in a single building has undergone multiple expansions and renovations. Having undergone many changes, sometimes the buildings may not be consistent with existing campus buildings and installed infrastructure. Controls, building condition, or even design intent for the HVAC systems may be different or may even have changed since they were installed.

Second, it tells us that many of these hospitals are old. As buildings and systems age, performance degrades, dampers slip, valves start to stick, and sensors fall out of calibration. These issues contribute to systems that don’t perform properly and potentially waste energy.

Finally, it also indicates that the majority of hospitals have a central plant. ASHRAE-recommended service life for most large central plant equipment is between 20 and 25 years. If original equipment remains, chances are the facility can realize efficiency improvements with new equipment. Additionally, substantial controls improvements may be available since equipment was installed. These things combined will save energy for every BTU of energy generated for use across the hospital.

Hospitals use a large amount of energy, and there is a significant opportunity to use retrocommissioning to save cost and energy due to many hospitals’ age, size, and sometimes segmented infrastructure. The good news is you don’t have to be a major energy user to benefit from the retrocommissioning process. Retrocommissioning will typically save 10% to 15% for older commercial buildings in their energy costs. This means that whether you are a large energy user or a small energy user, you can benefit from taking a second look at your facility.

David Lee, PE, LEED AP BD&C, is an energy engineer at Vanderweil Engineers in Boston.

AP David Lee featured leed p615 Retrofitting vanderweil engineers
    FacebookXLinkedInEmail

You may also like

Healthcare

Erland Construction Completes...

January 14, 2025
Trends and Hot Topics

Report Highlights Design-Build’s...

January 9, 2025
Contributor

Ask the Electrician: What are the...

January 8, 2025
Contributor

What’s Next for Construction in...

December 30, 2024
Contributor

Strengthening the AEC Community: A...

December 27, 2024
Contributor

Boston’s Commercial Real...

December 26, 2024
Contributor

Choosing a B2B PR Agency: Why it...

December 19, 2024
Contributor

A/Z’s 2025 Strategic Growth...

December 18, 2024
  • Gray.png
  • Pedigree.png
  • PWC.png
  • INterstate.png

HIGH-PROFILE MONTHLY
615 School St.
Pembroke, MA  02359
Phone: 781 294 4530
Fax:  781 293 5821
info@high-profile.com

Quick Links

  • About Us
  • Contact Us
  • Subscribe
  • Advertise
  • My Account

Stay Informed

Sign up for Fast Facts Friday, our weekly e-newsletter, and stay up-to-date with the latest industry news!

Sign up
Subscribe to High-Profile Monthly to receive an email notice of each new article!
Loading

Copyright © 2026 High-Profile Monthly.

  • Twitter
  • Facebook
  • Instagram
  • Linkedin
  • YouTube
  • RSS
  • Sign In
  • My Account