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ENERGY
Submeters Facilitate LEED Certification for Health Care Facilities
According to industry estimates, overall facility operating
costs are 10% higher than just four years ago, with combined
utility costs up almost 20% over the last two years alone.
Interestingly, electrical usage during the latter period
fell almost 13%, most likely in response to continuing rate
hikes and other factors driving increased awareness and
implementation of enterprise energy management systems (EEMS),
equipment efficiency upgrades, utility energy initiatives
and other cost-saving measures.
This trend especially impacts health care facilities which,
according to the U.S. Energy Information Administration,
uses 2.7 times more energy than typical office buildings.
Against this, overlay the DOE’s own analysis of energy use
in the health care sector, in which $5.3 billion is spent
every year, second only to the food service industry in
terms of energy consumption.

24/7 operation and other unique needs make health care
facilities ideal candidates for submetering to measure and
verify compliance with energy management initiatives.
Because of the energy requirements associated with
supporting 24/7 operations and other unique needs, hospitals
and other patient- are facilities clearly face a growing
challenge in managing and controlling their energy use and
demand without negatively impacting the quality and cost of
their services. As a tool for measuring and verifying the
facility’s energy footprint, submetering hardware and
automatic meter reading (AMR) software systems offer an
easily installed, readily available Rx for that old energy
adage that says, “You can’t save what you don’t measure.”
What are Submeters?
First introduced in the early 1980s, electric submeters
continue to gain traction in the institutional facility
segment as front-line energy data gathering tools that can
dramatically improve the bottom line through greater
visibility of the facility’s total energy foot-print. With
increasing sophistication and functionality of building
automation systems, the need arises for equally
sophisticated levels of energy profiling that typically
cannot be provided by the master utility billing meter at
the main electrical service entrance. Alternatively,
submeters—metering devices with monitoring capability—are
installed on the facility side of the master meter to
provide a number of advanced monitoring functions, including
but not limited to:
• Analysis, measurement, verification and benchmarking of
peak demand (kW) and consumption (kWh) for compliance with
energy initiatives;
• Time-of-use metering of electricity, gas, water, steam,
BTUs and other energy sources;
• Load comparisons;
• Threshold alarming and notification;
• Net metering;
• Multi-site load aggregation and real-time historical
monitoring of energy consumption patterns for negotiating
lower energy rates.
Health Care and LEED Partnering for Green
The first facility environmental rating system was developed
in the U.K. by Building Research Establishment Ltd (BRE) in
1990. Known as the BRE Environmental Assessment Method, the
BREEAM rating system inspired several spin-offs, including
the U.S. Green Building Council’s Leadership in Energy &
Environmental Design (LEED) rating system. Since its
establishment in 1993, LEED has moved into virtually every
U.S. commercial and industrial building sector, and is
lately being developed for use in health care and at the
residential and neighborhood levels.
However, with health care facility construction projected by
some industry pundits to surpass $35 billion by 2010, only
two percent of health care facilities are currently pursuing
LEED certification, a number that is beginning to grow,
thanks to a collaboration—now in its fifth year—between the
USGBC and the Green Guide for Healthcare (GGHC). Ajoint
project of the Center for Maximum Potential Building Systems
and Health Care Without Harm, GGHC is not affiliated with
the USGBC but is working closely with the latter to develop
a “voluntary, self-certifying metric toolkit of best
practices that designers, owners and operators can use to
guide and evaluate their progress towards high-performance
healing environments.” GGHC bases much of its rating
framework on LEED, with permission, but also includes
modifications geared specifically to the health care
facility environment. Similarly, the new LEED for Healthcare
guideline draws heavily on the GGHC as a foundational
document in its development, which is being seen by many as
a crucial milestone for bringing more health care facilities
into the sustainability fold.
Role of Submeters in the Facility “Greening” Process
Submeter manufacturers have responded to the green challenge
by developing next-generation hardware and software tools
that specifically address the needs of the sustainability
market. Certified to ANSI C12.1 & C12.16 national accuracy
standards, new- generation green meters offer a number of
important features for new construction or retrofit
applications, including:
• Scrolling LCD display of kilowatt (kWh) usage;
• kWh in dollars;
• Current demand load (kW);
• Cost per hour, based on current load;
• Estimated CO2 emissions in pounds, based on DOE standards;
• Estimated hourly CO2 emissions based on current load;
• Net metering, including utility-delivered vs.
user-received power and net usage;
• Compatibility with BACnet, Modbus, Ethernet, RF and other
popular building automation system communications;
• Compatibility with pulse-output utility meters, including
water, gas, BTU, steam, etc.
Measurement & Verification
Submeters are particularly useful in the Measurement &
Verification (M&V) role. Since they may be installed
virtually anywhere, submeters are ideal for monitoring
individual items of equipment or circuits of interest. For
example, individual submeters can be installed at the point
of load to monitor chillers, HVAC, air handlers, pumps and
so forth. Operational inefficiencies may thus be identified
to reveal, for example, if two or more large loads are
coming on at the same time, causing demand spikes.
Diagnostic functions also include the ability to identify
equipment that may be close to failure, as indicated by a
larger than normal current draw with no corresponding
productivity output. Early identification of a potential
problem allows facility engineers to schedule preventative
maintenance before a costly failure occurs. Other key M&V
capabilities enabled by submeters include:
• Load control options to automatically shed user-specified
loads to avoid costly demand charges;
• Tracking usage of lighting circuits before and after a
retrofit to verify energy and dollar savings;
• Verify a manufacturer’s stated efficiency on newly
installed equipment;
• Validate that the energy efficiency goals of building
design are being met on an on-going basis for building
commissioning and LEED certification;
• “Shadow” the utility meter to provide a real-time snapshot
of energy usage to allow budgeting for monthly energy
charges before the utility bills for them.
In addition to the direct benefits of improving operational
efficiency through implementation of green practices, some
states are beginning to offer tax credits for both new and
renovation projects that incorporate sustainable building
practices based on LEED certification levels. As today’s
health care facility operators face ever- tightening
operational challenges, new technologies and strategies will
be needed to keep pace with rising costs while, at the same
time, maintaining or improving service quality levels.
One such energy strategy, performance-based contracting, can
result in major cost savings with little or no upfront
investment. Utilizing project-related savings to underwrite
energy improvements on a pay- as-you-go basis, submetering
technology can be used to identify inefficiently operating
equipment, allowing repair or replacement. The cost savings
realized from reducing operational inefficiencies can then
be applied to other areas, including deferred maintenance or
installing other energysaving equipment or services.
Don Millstein is president and CEO of E-Mon, LLC of
Langhorne, PA, a leading energy management hardware,
software and services provider. A member of the US Green
Building Council, the Alliance to Save Energy and other
professional organizations, Don frequently speaks on
submetering topics at major industry conferences. He can be
reached at 800.334.3666 or visit
www.emon.com.
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