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Designing Green Health Facilities

Juhwan Noh, MD
Dongchun Shin, MD, PhD

Department of Preventive Medicine,

Institute of Environmental Research,
Yonsei University Healthcare System
Korea Society for Green Hospitals

2018.04.12 Yonsei University Healthcare System

Contents
• Greening Leadership in Yonsei
University Health System (YUHS)

• Academic leadership by the Korea

Society for Green Hospitals(KSGH)

2018.04.12 Yonsei University Healthcare System

1. Yonsei University Health System

2018.04.12 Yonsei University Healthcare System

 Yonsei University Health System (YUHS)
as the first modern hospital in Korea
Chejungwon, 1885 Severance Hospital, 1900 Severance Hospital, 1962

Severance Hospital, 2017

“The history of Yonsei University Health System

is the history of medicine in Korea.”
Yonsei University Health System(YUHS) was founded in
1885 as the first modern medical institution in Korea by
the American medical missionary, Dr. Horace N. Allen.

2018.04.12 Yonsei University Healthcare System

 YUHS as one of the largest
hospitals in Korea
1. Severance
Hospital
➢ Cancer Center
➢ Rehabilitation
Hospital
➢ Cardiovascular
Hospital
➢ Eye & ENT Hospital
➢ Children’s Hospital
2. Dental Hospital
2018.04.12 Yonsei University Healthcare System
3. Gangnam
Severance Hospital
➢ Cancer Hospital
➢ Spine Hospital
➢ Dental Hospital
4. Yongin Severance
Hospital
5. Wonju Severance
Christian Hospital
YUHS as one of the largest hospital in
Korea

3,362 beds 14,410 outpatients/day 3,069 inpatients/day

8,286 employees 64,087 cases of

(1,554 physicians) operations/year

2018.04.12 Yonsei University Healthcare System

 2. Green Severance

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2018.04.12 Yonsei University Healthcare System
2018.04.12 Yonsei University Healthcare System
Green Hospital Program in YUHS
Established TFT comprising each relevant sector for leadership

Implement BEMS(Building Energy Management System) based on IT system

Eliminate all mercury-containing medical devices and minimize other toxic chemicals

Introduce green purchasing guidelines

Adequate water and waste treatment and reuse

2018.04.12 Yonsei University Healthcare System

1) Leadership TFT leader : Prof. Dong-Chun Shin
(Chair, Green Severance Committee,
Purchasing Severance Hospital)

Building Promotion

Green
Severance
TFT
Institute for
Facility Environmental
Research

General
affairs

- Affiliated with department

of preventive medicine
- Academic advisory group
- Conducting research

2018.04.12 Yonsei University Healthcare System

2) Building Energy Management System
(BEMS)
• Real-time monitoring and analyzing for energy
• Ongoing management for greenhouse gas and energy savings,
using based on IT system
• Power-saving programs in cooling and heating facilities
• Save 10% of energy consumption

2018.04.12 Yonsei University Healthcare System

2) BEMS

Power-saving
BEMS LED Solar light
sensors

• Power-saving • LED in the parking • Solar light powered • Power-saving

programs in cooling lots street lamp sensors in restrooms
and heating facilities • Number : 544 • Number : 8 • Number : 200
• Save 10% of energy • Save about 60,000 • Save about 500 • Save about 50,000
consumption dollars every year dollars every year dollars every

2018.04.12 Yonsei University Healthcare System

Light Emitting Diode (LED)

• 3,330 LEDs in general wards

saves 130 G-Wh/year

• 144 LEDs in auditorium

saves 8 G-Wh/year

• 880 LEDs in lounge

saves 327.5 G-Wh/year

• 1,302 LEDs in the lobby of children’s Hospital

saves 460.6 G-Wh/year

2018.04.12 Yonsei University Healthcare System

3) GHG Management
• Power-saving programs
• Cooling and heating facilities
Items GHG reduction
Temperature Maintenance
3,085tons CO2-eq/year
Summer: 26~8℃/ Winter: 20~3℃
Cooling and heating system control 947tons CO2-eq/year
Boiler Washing 742tons CO2-eq/year

• Other facilities
Items GHG reduction
Escalator 84tons CO2-eq/year
PC/ Lighting Control 566tons CO2-eq/year

2018.04.12 Yonsei University Healthcare System

3) GHG Management
• High Efficient Equipment
Items GHG reduction
Motor & Electric transformer 947ton CO2-eq/year
Eco-pully 538ton CO2-eq/year
Low energy glass 2,123ton CO2-eq/year

• Solar power generation

Items GHG reduction
Solar power plant(20kW) on the rooftop
15ton CO2-eq/year
Outdoor lamp(60kW × 7ea)

2018.04.12 Yonsei University Healthcare System

4) Chemicals
• Mercury-free sphygmomanometers
• Among 239 mercury blood pressure measuring devices,
205 were replaced with mercury-free alternative from 2012.

• PVC-free ID bands (Tyvek)

• Recyclable
• No hazardous gas
when incinerated
• Cost reduction
by 74%

2018.04.12 Yonsei University Healthcare System

4) Chemicals
• Low VOCs and Eco-friendly
building materials

2018.04.12 Yonsei University Healthcare System

 5) Water & Waste
• Recycling Water System (since 2005)
Used water from sink in lavatory
Amount of waste water by source
Treatment process includes
Recycled water generated
Recycled water quality
Water quality measurement monitoring
Activated carbon replacement
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Waste Water Management System
Treatment for water reuse Toilets Gardening
534,000L per day (Lavatories)
261,000L per day (Patient-care-related rooms & Laboratory)
Catalytic oxidation, filtration, disinfection
360,000L per day (Approximately $ 164,265 saved in 2016)
YUHS’s standard (stricter than national standard/ Act)
2 times a year (by Institute of Environmental Research)
4 times a year
Yonsei University Healthcare System
5) Water & Waste
Management process of medical waste

Hospital Transportation Incineration

Data Data

Data Data
query Transmission

Ministry of Korea Environment Local Office of

Environment Corporation Environment
2018.04.12 Yonsei University Healthcare System
Green Severance Festival

2018.04.12 Yonsei University Healthcare System

Energy Saving Poster

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The Green Management Project
• Supported by the government
• Ministry of Environment
• Korea Environment Industry & Technology Institute
• Global Green Management Excellence Awards

2018.04.12 Yonsei University Healthcare System

Global Green & Healthy
Hospitals Network
• Member of GGHH: GGHH Connect Asia-Pacific region

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Hero Award
at the CleanMed 2017 Conference

2018.04.12 Yonsei University Healthcare System

3. Korea Society for Green Hospitals

2018.04.12 Yonsei University Healthcare System

2018.04.12 Yonsei University Healthcare System
2018.04.12 Yonsei University Healthcare System
Second Global Green and Healthy Sharing country experiences on greening health
Hospitals Asia Conference systems

2018.04.12 Yonsei University Healthcare System

2018.04.12 Yonsei University Healthcare System
2018.04.12 Yonsei University Healthcare System
2018.04.12 Yonsei University Healthcare System
Challenges so far
• Low level of understanding even among healthcare workers
-> More promotion and sharing information

• Primarily concentrating on energy section

-> Leadership with environmentally comprehensive view

• Lack of research – low level of interests among academics

-> Stimulate research activities through KSGH

• Lack of data to analyze(e.g. indoor air quality)

2018.04.12 Yonsei University Healthcare System

Plan for Research on Energy Saving

• Building energy saving strategy

using actual data of existing Building

2018.04.12 Yonsei University Healthcare System

 Big
TEXT
❖ Purpose : Study on Energy efficiency method
data

Energy Saving
Net
TEXT Sensor
TEXT
work A. Data Collect-Analyze
Energy
B. Energy Efficiency Assessment
IoT
C. Energy Monitoring
D. Equipment Control

Smart Energy
TEXT TEXT
Plug Meter

Data driven Software Solution

➢ 3years

➢ YUHS
➢ Yonsei University (Center for Sustainable Buildings)
2018.04.12 Yonsei University Healthcare System
Plan for New Green Hospital Construction
(Yongin Dongbaek Severance Hospital)

1. Period 2017. 6. 1 ~ 2019. 12. 31

2. Building area/Beds 11,087.19㎡/ 755 beds

3. Scale Thirteen stories above ground and four below

2018.04.12 Yonsei University Healthcare System
Yongin Dongbaek Green Hospital

• Natural ventilation

• Indoor environment

management

• Green space

2018.04.12 Yonsei University Healthcare System

Yongin Dongbaek Green Hospital

• Prevention of heat loss

• Improvement of indoor air

• Air conditioning system

• Building lighting control

• BEMS(Building Energy

Management System)

2018.04.12 Yonsei University Healthcare System

Yongin Dongbaek Green Hospital

• Power saving

• Cost reduction

• Green house gas reduction

< Photovoltaic generating facility (10KVA) >

2018.04.12 Yonsei University Healthcare System

Vision

More than green hospital movement!

2018.04.12 Yonsei University Healthcare System
Thank you for your attention

2018.04.12 Yonsei University Healthcare System