(30 million gals/yr) Why Water Conservation? Wide range o

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WATER, WATER, EVERYWHERE
Water Supply and Usage
41th Annual Conference and Technology
Exhibition July 25-29, 2004
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Presented By

• Tom Muratore, Executive Vice President, H2O
  Applied Technologies
• Bob Loranger, Director, Facilities, TUFTS-New
  England Medical Center

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Water, Water, Everywhere

• Source Assessment
• Treatment
• Distribution
• Conservation Reduce Requirements

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Source Assessment

• Clean know where your supply comes from
• Quality know the chemistry of the water
• Reliable
• city based
• - non-potable well

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Treatment

• Potable Chlorine, Chlorine Dioxide, Softener
• Plant
• Boiler
• Cooling Tower
• Hi-Purity DI/Reverse Osmosis
• - Central Sterile, OR, Research, Dialysis

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Distribution

• Emergency Are Plans in Place?
• Disaster Preparation Alternate supply,
• domestic support, 18-24 hr backup
• Mitigation
• Recovery know how systems will react when water
  supply comes back

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Water Conservation

• Facility Type Assessment
• Benchmark Facility
• Mass Balance
• Conservation Plan

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Water Balance Hospitals Research Facilities
Domestic 25 (10 million gals/yr)
Non-Domestic 75 (30 million gals/yr)
Cooling Towers Boilers/Chillers Food Services
(Kitchen) Operating Room Sterile Processing
(Autoclaves) Radiology (Film Proc) Analytical
Labs Pure Water Systems (RO/Stills) Medical
Air/Vacuum Irrigation
Sinks Showers Toilets/Urinals
Typical Water Saving Opportunity A 25 Reduction
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Why Water Conservation?

• Wide range of water-using equipment in hospitals
• Relatively easy to improve equipment efficiency
• Excellent savings

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What Water Conservation Is NOT

• Black Box
• Off-the-shelf solution
• Limited to bathrooms

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What Is Water Conservation?

• Reduce, Reuse, Recycle, Replace
• Reduce flow or frequency
• Replace with water-efficient models
• Reuse once-through water
• Proven method to reduce operating expenses
• Most solutions based on
• Simple engineering principles
• Existing equipment specs/plumbing code
• Off-the-shelf retrofits

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Engineered Products Systems
Water Reuse Reverse Osmosis Units Stills Water
for Injection Air Handling Unit
Condensate Domestic Water Reduction Toilets/Urina
ls Sinks Showers Water Supply/System Use
Analysis Cooling Towers Condenser Water Chilled
Water Non-Potable Supply Irrigation Steam System
Non-Domestic Water Reduction Central Sterile
Equipment Vacuum Pumps/Air Compressors Radiology
Equipment Radiation Oncology Operating Room
Equipment Ambulatory Surgery Food Service
Area Refrigeration Equipment Bio
Reactors Analytical/Lab Equipment Instrument
Washers Cage/Cart Washers Laundry Boiler Blowdown
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Ways to Reduce Water Usage
Reduce
Reuse
Recycle
Replace
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Benchmarking

• H2O Applied Technologies has conducted
  engineering audits at hundreds of Healthcare
  facilities, resulting in a comprehensive
  Benchmarking study
• The study with data from over 250 hospitals was
  presented at the 39th Annual ASHE Conference
  Technology Exhibition, July 2002
• This standard is used to show facilities where
  their water use should be, based on size and
  shape, and what opportunities exists to bring
  them in line with best practices in water
  conservation.
• This study is available upon request from H2O
  Applied Technologies

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Water Use Profile Impact
on Best Practice Factors

• Type of Facility ( Specialty)
• - Major Teaching with Research
• - Major Teaching Hospital
• - City Based General Hospital
• - Community Based General
• Regional Weather Impact
• Local Steam, Chilled Water
• Demographics

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Conservation Opportunities

• Domestic
• Replace 3.5 gpf with 1.6 gpf in HT Areas
• Reduce sink flow
• Repair leaky fixtures
• Waterless Urinals
• Replace old shower heads
• Process Equipment
• Replace water cooled equipment
• Use alternate source of water for cooling
• Recover waste water and reuse
• Make water using equipment more efficient

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Conservation Opportunities

• Plant Operations
• Install non-potable well
• Reuse CT/Boiler Blowdown
• Zero Landscaping
• Recover condensate and reuse
• Eliminate water-cooled equipment
• Reduce Consumption by 30
• Benchmark
• Set Goal
• Develop WCM Plan
• Implement Plan

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Why Water Conservation?

• Wide range of water-using equipment in hospitals
• Relatively easy to improve equipment efficiency
• Excellent savings

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Facility Managers Perspective
Motivation -- what is our incentive? Understandin
g -- where is water used? Who cares? Who has
the time? Where do we get the funds to
implement?
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Facility Managers Perspective Motivation
A painless way to reduce usage and costs -- no
staff reductions -- no reduction in
material/service Sustainable Savings Third
party can do the work Facility Manager can take
the credit No need to divert staff from more
important things
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Facility Managers Perspective Understanding

• Where is the Opportunity?
• The no brainers showers, toilets, faucets -
  been there, done that
• Toilets, etc dont excite the CFO
• Process equipment
• Who controls the equipment?
• How can we effect change?
• No matter what your location, water rates are
  increasing and supplies becoming an issue

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Facility Managers Perspective Who Cares?
Answer No one. New Question How do we get the
CFO to care? New Answer 40 ROI or operating
expense reduction without a capital investment
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Facility Managers Perspective Who has the Time?
My staff is too busy complying with the new
Environment of Care standards and continuing
operations. Exactly. Let someone else do the
work (corollary its ok to let other people make
money if your facility benefits, too)
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Facility Managers Perspective Where Do We Get
the Funds?
Capital Dollars are scarce and must compete
against program Operating budgets are getting
cut Off-balance sheet financing (i.e. pay back
installed conservation measures from savings)
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Creative NEW Funding Approach

• Utility Expense Reduction Program
• Requires NO Capital
• Treated as an Operating Expense
• 5-Year Program
• Savings Fund Program
• MV Every Year

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Questions and Answers

• Call Tom Muratore, 617-574-1192
• E-mail tmuratore_at_h2oappliedtech.com
• Benchmarking Study on Water Usage
• available upon request