Healthcare

Boston Medical Center

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Enhancing the patience experience at the highest possible efficiency.

Established following the merger of two hospital systems in 1996, Boston Medical Center (BMC) provides comprehensive inpatient, outpatient and emergency care across a variety of medical specialties in the heart of the city’s historic South End. To address challenges associated with the merger’s resulting “split” campus configuration while also tackling necessary updates to its facilities, BMC recently kicked off a four-year, clinical campus-wide redesign project. The project, slated to yield at least $25 million in annual cost savings upon completion, includes several construction initiatives aimed to streamline operational efficiencies as well as notably reduce energy consumption.

“Our goal is to enhance our patient experience by consolidating our services, while ensuring we are operating at the highest possible efficiency,” said Mike Canning, senior director of facilities at BMC. “This meant addressing several facilities issues we inherited from the hospital merger, including those in which energy efficiency could be improved.”

In addition to consolidations, expansions and general equipment upgrades within the BMC operating room suites and emergency, urgent care, radiology, NICU and intensive care departments, the project stipulated a multi-phase mechanical system retrofit initiative throughout the BMC campus. The BMC project team approached consulting-specifying engineering firm Engineered Design Solutions regarding a solution to replace old steam radiators that were part of a larger boiler/chiller system, and with recommendations from Stebbins Duffy Inc., Engineered Design Solutions specified a network of fan coil units from International Environmental Corp. (IEC).

“Of primary importance was identifying a cost-effective, low-maintenance HVAC solution that could be easily installed in phases within occupied buildings,” said Jack Nelson, principal of Engineered Design Solutions.   “BMC also wanted to make sure that the system would operate as quietly as possible, as well as be able to accommodate a low water pressure drop.”

A total of 84 IEC fan coils – including 68 Vertical Classic Series (FXC), 10 Horizontal Hideway with Plenum Series (CPY) and 6 Vertical Classic Hideaway Series (FHC) units – were specified for the initial phase of the mechanical system retrofit project. Slated for installation in exam, intake and inpatient rooms, the units would provide a total of 150,815 btus of heating and 102,593 btus of cooling capacity once integrated with the existing boiler/chiller system.

All units were additionally specified with an electronically commutated motor (ECM) to regulate airflow and thus minimize sound during operation, with proportional control, special circuitry and fins per inch (FPI) to provide the necessary low water pressure drop at the required water flow rate for year-round heating and cooling.

“The integrated EC motors ensured that the units, which would be located in patient rooms and other areas requiring minimal operational sound, would function virtually undetected while providing a comfortable indoor temperature for occupants,” said Nelson.

Mechanical contracting firm EMCOR Group, Inc. began installing the IEC units on the Dowling Building’s 7th, 8th and 9th floors in mid-May of 2014. This followed work earlier in the spring by general contractor Wise Construction to open pertinent walls and remove soffits and steam lines associated with the original HVAC system. After this was completed, EMCOR oversaw the coring of holes for the new piping system, and installed the hot and chilled water mains. The complete seven-phase construction process, which occurred simultaneously on all three floors to allow for convenient access to the HVAC system from all angles, included an average of 15 IEC fan coil units per phase

“We were working with an aggressive project timeline, including at one point needing to accommodate the Memorial Day weekend, around which time it was planned to install a large number of the units,” explained Ed Tremblay, head technician and project manager at EMCOR. “This meant that every aspect of the HVAC installation needed to run smoothly.”

EMCOR Group coordinated with Stebbins Duffy to warehouse the complete shipment of IEC units, which were specially designed with extensions on both sides of the fan coil cabinet to accommodate piping and controls. Both the design and the warehousing enabled EMCOR to pre-fabricate the piping off the coils, as well as install the control and isolation valves, ahead of time.

“We had three guys working on the pre-fab on an ongoing basis for about a month, which definitely helped keep us on schedule,” Tremblay said. This made it possible for us to easily just drop in and install the fan coil units as we needed them.

According to Stacie Suh, engineering account executive at Stebbins Duffy, IEC’s ability to provide a robust and flexibly designed solution equated to the BMC project’s ultimate success.

“With this kind of flexibility, we were confident to recommend the IEC units, which easily fit the specific requirements of the project,” Suh said.

The complete mechanical system retrofit project, which remained ongoing throughout the renovation at-large, was completed in August of 2014. Since that time, BMC experienced more even, comfortable heating during the winter, and expects similar functionality in the fan coil units’ cooling mode throughout the new system’s first official summer in operation.

“There was a noticeable difference in the quieter, more even heat compared to the old steam system over the winter,” said Tremblay.

“We are pleased with the success of this project – from unit design and delivery, through installation and operation – and anticipate future opportunities with BMC as a result,” said Suh.