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Creating sustainable healthcare environments Solutions for greener healthcare facilitiesCreating sustainable healthcare environments Creating sustainable healthcare environments 02 03 A world where everybody wins Better healthcare, cost savings and energy efficiency At Philips, when we talk about sustainable healthcare environments, were looking to the future. A future that is more energy efficient, more cost effective and better for the wellbeing of your patients and staff. With your continuous drive to optimise cost performance and the growing demands from government and consumers to reduce the ecological footprint, a sustainable approach to your healthcare facility is more important than ever, for environmental and financial reasons and also, crucially, for the benefits it can bring for your patients and staff. Within these pages, we would like to demonstrate how you can create a more sustainable hospital, by making use of the latest innovations in healthcare, lighting and controls technology, in collaboration with a trusted partner Philips. We can support you in achieving your healthcare, environmental and budgetary goals, and we can reduce the complexity and risks of defining and implementing new technologies, so you can focus on your key tasks in healthcare. And just so you know, its surprising to see the difference you can make, by updating the lighting solutions and other healthcare technologies and systems you use in your hospital. We continue to strive to make the world healthier and more sustainable through innovation. Our goal is to improve the lives of 3 billion people a year by 2025. Philips commitment to improving healthcare environments for the benefit of patients, staff and communities is an essential part of this vision. Better environments for patients and staff Developing successful stewardship Why choose Philips? Green buildings a brief introduction The benefits of sustainable investments Targeting green certification Contents 4/5 6/7 8/9 10/11 12/13 14/1504 05 Creating sustainable healthcare environments Creating sustainable healthcare environments Green buildings a brief introduction The green building movement Originating in the US in the 1970s, green buildings can be defined as having structures and using processes that are environmentally responsible and resource-efficient throughout their lifecycle. The 2013 Business Case For Green Building Report states: The green building movement has matured over time, and a deeper understanding of the triple bottom line value of green buildings has emerged, shifting the emphasis from planet to people and profit. Consequently, the conversation is now geared around how green buildings deliver on economic priorities such as return on investment and risk mitigation and on social priorities such as employee productivity and health. Why focus on green buildings? Sustainability has become a key element in business strategy development. Building a balanced sustainability approach makes a lot of sense, because the initial investment can pay off in different ways. Y ou can benefit from energy saving, reduction of CO 2emission, cost saving and increased brand reputation. You can re-invest saved money to enhance the healthcare environment for patients and staff, thereby supporting peoples health and wellbeing. Its about taking a long-term view that can often deliver surprising short-term results. It can enhance your brand, your reputation and appeal to staff, patients, partners, investors and the wider community. Reduced energy use Estimates for the reduction in a green buildings energy use compared to a conventional code- compliant building range from 25-30%. Green buildings have been shown to save money through reduced energy and water use and lower long-term operations and maintenance costs. Energy savings in green buildings typically exceed any design and construction cost premiums within a reasonable payback period. The building industry view The industry now recognises that green buildings deliver much more than energy efficiency alone. It also understands that green buildings must be viewed holistically that energy efficiency cannot come with a price of reduced fresh air and poor indoor environmental quality, or high water consumption. Buildings must be examined in the context of their impact on the local, natural and built environments and their neighbours. What green buildings cost From the Business Case For Green Building Report, in relation to higher initial investment costs: It is critical to bear in mind that these upfront costs are often offset by a decrease in long-term lifecycle costs, particularly in the case of green buildings that feature high performance faades and energy efficient building systems. The delivery of cost-effective buildings, more so for green building, is about taking the long-term view and translating that into short-term actions. The real cost of not going green Green buildings, particularly those with improved indoor environmental quality, are being shown to positively impact human health and performance. Again, from the Business Case For Green Building Report: It is not surprising that the business community is increasingly interested in how green building design can positively impact its people. Some leading businesses are now shifting their thinking from how much will green building cost my business to how much will not investing in green building cost my business? Some of our goals are to reduce energy and maintenance costs while improving the welfare of our patients, visitors and employees, transforming the spaces in environments to make them more attractive and rewarding.” Jos Ramn, Santamara Barreiro-Hospital Manager Savings green buildings compared to conventional code compliant buildings 1 Mental function and memory improvement in better lit environments that include daylight 2 30% 25% 10 x up to up to The amount of payback gained by adding a 2% sustainability budget to builds 306 07 Creating sustainable healthcare environments Creating sustainable healthcare environments The percentage of total hospital energy used by lighting 4 Energy reduction by using low energy LED lighting 5 22% 50% 80% up to up to Additional savings made by using controls with LED lighting 6 The benefits of sustainable investments Creating value for your hospital When you consider that a substantial 22% of a typical hospitals energy bill is spent on lighting, reducing energy consumption by up to 50% through low-energy LED solutions makes solid commercial sense. And with intelligent lighting management through control systems, you can factor in additional savings of up to 80%. So the argument for sustainable lighting is impressive on cost grounds alone. Recognising the risks of low quality lighting Most hospitals tend to adopt a low bid approach when choosing their lighting solutions. Essentially, they opt for whoever offers the cheapest upfront cost. As a result, they can miss out on significant savings. And because they have bought on initial price alone, many of these hospitals end up worrying that their chosen solution wont deliver in terms of performance in the longer run. Invest now, save now and keep on saving You dont have to wait to see a saving. Philips sustainable lighting solutions will deliver significant energy reductions from the moment they are installed. They can provide you with an excellent return on investment. Depending on the energy saving potential and the new lighting scenario you prefer, full payback can be realised in as little as three years. But the energy and cost savings dont stop, of course. And when you invest in lighting technology which needs less maintenance, you can also reduce disruption of hospital activities, thus increasing operational efficiency. Reduction of energy use can be further increased by making use of our intelligent control systems, that help to take care that light is provided where it is needed, in the right way, at the right moment. In addition, multiple studies have found that there is significant energy saving potential for medical equipment by reducing idle energy by making sure that equipment is switched off where Philips can help is with analysis training and features to reduce idle energy to a minimum. The quality and brightness of the new lighting is excellent; it has reduced fatigue as well as delivering 50% savings on our energy bill. Without the help of Philips Lighting Capital I would never have made this investment and taken advantage of all the benefits.” Jan van der Meij, General Practitioner and co-owner of the Lindehof Health Centre in Hazerswoude-Dorp 200,0000 400,0000 600,0000 800,0000 1,000,000 1,200,000 Return on investment example traditional lighting versus LED installation over a 10 year period * Existing solution New LED solution Investment costs Energy costs Energy costs Maintenance costs energy savingsC0 2reduction payback 80% 80% 5 year * Based on calculation of lighting across all areas within a UK hospital burning hours in areas: 24/7, 18/7, 14/5. Electricity cost 0.08 per unit.08 09 Creating sustainable healthcare environments Creating sustainable healthcare environments Regulatory requirements have changed rapidly in recent years. Consumers and governments expect you to meet strict targets for energy reduction and carbon footprint. And as hospitals typically consume considerably more energy than commercial offices per square metre, there is an ever-greater emphasis placed on green procurement. Green building standards Adopting a sustainable lighting strategy not only has social and commercial benefits, but it also increases your points towards green building certification. Philips has a wide range of lighting and control products that, designed well into the hospital environment, can considerably help towards certification credits of national or international certification programmes like LEED, BREEAM, HQE, DGNB, VERDE and others. Programmes exist to help building owners achieve either voluntary certification or meet mandatory energy targets. BREEAM (Building Research Establishment Environmental Assessment Method) ratings are used in more than 50 countries, with some countries creating their own variants, for example BREEAM Outstanding Offices UK. LEED (Leadership in Energy and Environmental Design) and Energy Star, which both originated in the US, are voluntary certifications now accepted internationally. The Green Mark is applicable in Singapore, while Green Star is a voluntary sustainability rating for buildings in Australia. Israels voluntary Standard 5281 is unique in encouraging passive and low energy architecture. Our solutions can help you meet current legislation, but also allow you to adopt a future proof strategy, so that you can meet or exceed likely targets in the future. The green procurement of medical equipment can be further supported by Philips as we can disclose environmental product characteristics with a high level of detail. Targeting green certification Meeting and exceeding expectations At The Yorkshire Clinic the new lighting uses only 25% of the energy that equivalent conventional light fittings would consume, producing only a quarter of the CO 2helping the clinic achieve its CO 2reduction targets far quicker.” The Yorkshire Clinic, Bingley, UK $ UK deadline that will make most energy inefficient buildings unable to be leased by, under The Energy Act 2011 7 Estimated energy savings made by existing buildings in the first 10 years of San Franciscos green buildings programme 8 2018 $612m TON 1.44m T ons of carbon saved T okyos mandatory emission reductions programme first year results in 2011 (38% of applicable buildings achieved 2014 targets, 26% achieved 2019 targets) 910 11 Creating sustainable healthcare environments Creating sustainable healthcare environments Better environments for patients and staff How lighting and design make a difference to healthcare Sustainable healthcare environments are not only about conscious energy saving and reduction of waste emissions. We also need to take into account the people perspective, meaning that patients, visitors and staff should feel comfortable in the healthcare facility and supported in their health and wellbeing. Our environment influences our health and wellbeing much more than we realise. Light, as a key element, is important for peoples health, since it helps in regulating important processes in our body, such as the sleep-wake rhythm, that is determined by light and darkness. Using modern, sustainable lighting solutions to recreate the beneficial effects of daylight can help both staff and patients alike to function as they should, naturally. Our lighting solutions can be used to mimic natural daylight, to create flexible and dynamic spaces and more comfortable and relaxing environments, just to name a few. By switching to an intelligent lighting system that applies the correct level of light as required, you can move to a sustainable, low impact lighting solution that helps you meet energy consumption, carbon emissions targets and legislation requirements and can substantially reduce your expenditure, whilst improving the comfort for patients and staff in hospitals. Happier, more productive staff Its not just patients who benefit from adjustable, responsive lighting. It makes a difference to your staff too. If you adjust light in the post lunch dip, for example, it can enhance energy levels, improve alertness and help to minimise errors. Effective lighting can help doctors, nurses and other staff concentrate better and stay alert. Other advantages include more accurate diagnosis through effective colour rendering, less stressful consultations and a better environment to undertake admin. And due to their longer lifetime, LEDs require less maintenance so theres less disruption to the delivery of care. Beautiful and sustainable LED low energy solutions are also ideal for creating inspiring spaces. From the faade of your hospital to every space within it, lighting can be used effectively to enhance your brand, welcome patients and create less stressful waiting rooms, where the perceived time from arrival to consultation is reduced. From an employer perspective, an attractive, well-lit workplace will not only make employees feel better and increase their productivity, it will also help you to attract and retain valuable, high-calibre staff. Philips innovations While we have solutions available for every hospital application area, in addition we have worked on specific application solutions. For scanning environments we have developed Ambient
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