Healthcare Design - November 2017 - 105
9/10
simple microgrid systems involving solar panels and batteries. Besides providing emergency
backup power, microgrids offer a sustainable and
lower-cost supplement to externally generated
electricity. Drawing on experiences with this technology in Rwanda, Mazzetti recently designed
energy systems for a facility in Northern California that will be one of that state's first microgridequipped hospitals.
A less obvious but no less important lesson involves the operability of mechanical systems. In
Rwanda, the relative shortage of resources, including highly trained engineers, limits the ability to
maintain complex systems. In North America, that
ability is usually taken for granted, but maybe it
shouldn't be. For example, many LEED-certified
facilities with complex designs operate less efficiently than seemingly inferior, 50-year-old systems because they weren't properly commissioned
and don't operate as designed. Presented with
systems that appear overly complex, engineers
frequently look for workarounds and overrides,
creating a solution that's more workable for them
but less efficient than it should be. For this reason, facility designers and operators should look
beyond energy efficiency alone to seek the most
efficient and operable design. If one system is designed to improve efficiency by 35 percent but also
is much more complex, a more basic system yielding only 25 percent more efficiency could be the
better long-term option.
Perhaps the biggest lesson from Rwanda for
Western healthcare facilities is to simplify designs
whenever possible. Don't reflexively assume that
more complexity is always better. Instead, architects and engineers should focus on what's necessary and appropriate for the context; then they can
apply a combination of mechanical and passive
systems, as the teams did in Rwanda, to create facilities that not only are healthy and safe but costeffective and sustainable.
In some cases, this might require reviewing
codes and standards in North America with an eye
toward energy and resource conservation. As such
efforts take root, planners in this country may increasingly recognize the virtue of solutions born in
Africa from necessity.
Arash Guity, PE, LEED AP, CEM, is associate principal and
mechanical/energy engineer at Mazzetti (San Francisco).
He can be reached at A R A S H G @ M A Z Z E T T I . C O M . Kelly Doran, OAA, RAIC, is senior director of East Africa
programs for MASS Design Group (Kigali, Rwanda).
He can be reached at K D O R A N @ M A S S G R O U P. O R G .
NOVEMBER 2017
105
http://modularts.com
http://modularts.com
Healthcare Design - November 2017
Table of Contents for the Digital Edition of Healthcare Design - November 2017
Healthcare Design - November 2017
Contents
Editorial
From the Publisher
Show Talk
Photo Tour
Photo Tour
Maine Stage
Preserving an Icon
Magic Moment
Time to Shine
All Together Now
Operations Delivering a New Experience
Engineering Lessons From Rwanda
Product Spotlight Outdoor Furniture
The Center
Aia-Aah
Project Watch
Product Gallery
Face Time
Healthcare Design - November 2017 - Healthcare Design - November 2017
Healthcare Design - November 2017 - Cover2
Healthcare Design - November 2017 - 1
Healthcare Design - November 2017 - 2
Healthcare Design - November 2017 - Contents
Healthcare Design - November 2017 - 4
Healthcare Design - November 2017 - 5
Healthcare Design - November 2017 - 6
Healthcare Design - November 2017 - 7
Healthcare Design - November 2017 - 8
Healthcare Design - November 2017 - Editorial
Healthcare Design - November 2017 - 10
Healthcare Design - November 2017 - 11
Healthcare Design - November 2017 - 12
Healthcare Design - November 2017 - From the Publisher
Healthcare Design - November 2017 - Show Talk
Healthcare Design - November 2017 - 15
Healthcare Design - November 2017 - Photo Tour
Healthcare Design - November 2017 - 17
Healthcare Design - November 2017 - 18
Healthcare Design - November 2017 - 19
Healthcare Design - November 2017 - 20
Healthcare Design - November 2017 - 21
Healthcare Design - November 2017 - 22
Healthcare Design - November 2017 - 23
Healthcare Design - November 2017 - 24
Healthcare Design - November 2017 - 25
Healthcare Design - November 2017 - Photo Tour
Healthcare Design - November 2017 - 27
Healthcare Design - November 2017 - 28
Healthcare Design - November 2017 - 29
Healthcare Design - November 2017 - 30
Healthcare Design - November 2017 - 31
Healthcare Design - November 2017 - 32
Healthcare Design - November 2017 - Maine Stage
Healthcare Design - November 2017 - 34
Healthcare Design - November 2017 - 35
Healthcare Design - November 2017 - 36
Healthcare Design - November 2017 - 37
Healthcare Design - November 2017 - Preserving an Icon
Healthcare Design - November 2017 - 39
Healthcare Design - November 2017 - 40
Healthcare Design - November 2017 - 41
Healthcare Design - November 2017 - Magic Moment
Healthcare Design - November 2017 - 43
Healthcare Design - November 2017 - 44
Healthcare Design - November 2017 - 45
Healthcare Design - November 2017 - 46
Healthcare Design - November 2017 - 47
Healthcare Design - November 2017 - 48
Healthcare Design - November 2017 - 49
Healthcare Design - November 2017 - 50
Healthcare Design - November 2017 - 51
Healthcare Design - November 2017 - 52
Healthcare Design - November 2017 - 53
Healthcare Design - November 2017 - 54
Healthcare Design - November 2017 - 55
Healthcare Design - November 2017 - Time to Shine
Healthcare Design - November 2017 - 57
Healthcare Design - November 2017 - 58
Healthcare Design - November 2017 - 59
Healthcare Design - November 2017 - 60
Healthcare Design - November 2017 - 61
Healthcare Design - November 2017 - 62
Healthcare Design - November 2017 - 63
Healthcare Design - November 2017 - 64
Healthcare Design - November 2017 - 65
Healthcare Design - November 2017 - 66
Healthcare Design - November 2017 - 67
Healthcare Design - November 2017 - 68
Healthcare Design - November 2017 - 69
Healthcare Design - November 2017 - 70
Healthcare Design - November 2017 - 71
Healthcare Design - November 2017 - 72
Healthcare Design - November 2017 - 73
Healthcare Design - November 2017 - All Together Now
Healthcare Design - November 2017 - 75
Healthcare Design - November 2017 - 76
Healthcare Design - November 2017 - 77
Healthcare Design - November 2017 - 78
Healthcare Design - November 2017 - 79
Healthcare Design - November 2017 - 80
Healthcare Design - November 2017 - 81
Healthcare Design - November 2017 - 82
Healthcare Design - November 2017 - 83
Healthcare Design - November 2017 - 84
Healthcare Design - November 2017 - 85
Healthcare Design - November 2017 - 86
Healthcare Design - November 2017 - 87
Healthcare Design - November 2017 - 88
Healthcare Design - November 2017 - 89
Healthcare Design - November 2017 - 90
Healthcare Design - November 2017 - Operations Delivering a New Experience
Healthcare Design - November 2017 - 92
Healthcare Design - November 2017 - 93
Healthcare Design - November 2017 - 94
Healthcare Design - November 2017 - 95
Healthcare Design - November 2017 - 96
Healthcare Design - November 2017 - 97
Healthcare Design - November 2017 - 98
Healthcare Design - November 2017 - 99
Healthcare Design - November 2017 - Engineering Lessons From Rwanda
Healthcare Design - November 2017 - 101
Healthcare Design - November 2017 - 102
Healthcare Design - November 2017 - 103
Healthcare Design - November 2017 - 104
Healthcare Design - November 2017 - 105
Healthcare Design - November 2017 - Product Spotlight Outdoor Furniture
Healthcare Design - November 2017 - 107
Healthcare Design - November 2017 - The Center
Healthcare Design - November 2017 - 109
Healthcare Design - November 2017 - 110
Healthcare Design - November 2017 - Aia-Aah
Healthcare Design - November 2017 - 112
Healthcare Design - November 2017 - 113
Healthcare Design - November 2017 - 114
Healthcare Design - November 2017 - 115
Healthcare Design - November 2017 - 116
Healthcare Design - November 2017 - Project Watch
Healthcare Design - November 2017 - 118
Healthcare Design - November 2017 - 119
Healthcare Design - November 2017 - 120
Healthcare Design - November 2017 - 121
Healthcare Design - November 2017 - 122
Healthcare Design - November 2017 - 123
Healthcare Design - November 2017 - 124
Healthcare Design - November 2017 - 125
Healthcare Design - November 2017 - 126
Healthcare Design - November 2017 - Product Gallery
Healthcare Design - November 2017 - 128
Healthcare Design - November 2017 - 129
Healthcare Design - November 2017 - 130
Healthcare Design - November 2017 - 131
Healthcare Design - November 2017 - 132
Healthcare Design - November 2017 - 133
Healthcare Design - November 2017 - 134
Healthcare Design - November 2017 - 135
Healthcare Design - November 2017 - Face Time
Healthcare Design - November 2017 - Cover3
Healthcare Design - November 2017 - Cover4
https://www.nxtbook.com/emerald/healthcaredesign/202410
https://www.nxtbook.com/emerald/healthcaredesign/2024QA
https://www.nxtbook.com/emerald/healthcaredesign/202409
https://www.nxtbook.com/emerald/healthcaredesign/202408
https://www.nxtbook.com/emerald/healthcaredesign/20240607
https://www.nxtbook.com/emerald/healthcaredesign/202405
https://www.nxtbook.com/emerald/healthcaredesign/202404
https://www.nxtbook.com/emerald/healthcaredesign/202403
https://www.nxtbook.com/emerald/healthcaredesign/20240102
https://www.nxtbook.com/emerald/healthcaredesign/202312
https://www.nxtbook.com/emerald/healthcaredesign/202311
https://www.nxtbook.com/emerald/healthcaredesign/202310
https://www.nxtbook.com/emerald/healthcaredesign/202309
https://www.nxtbook.com/emerald/healthcaredesign/202308
https://www.nxtbook.com/emerald/healthcaredesign/20230607
https://www.nxtbook.com/emerald/healthcaredesign/202305
https://www.nxtbook.com/emerald/healthcaredesign/202304
https://www.nxtbook.com/emerald/healthcaredesign/202303
https://www.nxtbook.com/emerald/healthcaredesign/20230102
https://www.nxtbook.com/emerald/healthcaredesign/202212
https://www.nxtbook.com/emerald/healthcaredesign/202211
https://www.nxtbook.com/emerald/healthcaredesign/202210
https://www.nxtbook.com/emerald/healthcaredesign/202209
https://www.nxtbook.com/emerald/healthcaredesign/202208
https://www.nxtbook.com/emerald/healthcaredesign/20220607
https://www.nxtbook.com/emerald/healthcaredesign/202205
https://www.nxtbook.com/emerald/healthcaredesign/202204
https://www.nxtbook.com/emerald/healthcaredesign/202203
https://www.nxtbook.com/emerald/healthcaredesign/20220102
https://www.nxtbook.com/emerald/healthcaredesign/202112
https://www.nxtbook.com/emerald/healthcaredesign/202111
https://www.nxtbook.com/emerald/healthcaredesign/202110
https://www.nxtbook.com/emerald/healthcaredesign/202109
https://www.nxtbook.com/emerald/healthcaredesign/202108
https://www.nxtbook.com/emerald/healthcaredesign/202106
https://www.nxtbook.com/emerald/healthcaredesign/202105
https://www.nxtbook.com/emerald/healthcaredesign/healthcare-design-april-2021
https://www.nxtbook.com/nxtbooks/healthcaredesign/202103
https://www.nxtbook.com/nxtbooks/healthcaredesign/20210102
https://www.nxtbook.com/nxtbooks/healthcaredesign/202012
https://www.nxtbook.com/nxtbooks/healthcaredesign/202011
https://www.nxtbook.com/nxtbooks/healthcaredesign/202010
https://www.nxtbook.com/nxtbooks/healthcaredesign/202009
https://www.nxtbook.com/nxtbooks/healthcaredesign/202008
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200607
https://www.nxtbook.com/nxtbooks/healthcaredesign/202005
https://www.nxtbook.com/nxtbooks/healthcaredesign/202004
https://www.nxtbook.com/nxtbooks/healthcaredesign/202003
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201912
https://www.nxtbook.com/nxtbooks/healthcaredesign/201911
https://www.nxtbook.com/nxtbooks/healthcaredesign/201910
https://www.nxtbook.com/nxtbooks/healthcaredesign/201909
https://www.nxtbook.com/nxtbooks/healthcaredesign/201908
https://www.nxtbook.com/nxtbooks/healthcaredesign/20190607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201905
https://www.nxtbook.com/nxtbooks/healthcaredesign/201904
https://www.nxtbook.com/nxtbooks/healthcaredesign/201903
https://www.nxtbook.com/nxtbooks/healthcaredesign/201902
https://www.nxtbook.com/nxtbooks/healthcaredesign/201901
https://www.nxtbook.com/nxtbooks/healthcaredesign/201812
https://www.nxtbook.com/nxtbooks/healthcaredesign/201811
https://www.nxtbook.com/nxtbooks/healthcaredesign/201810
https://www.nxtbook.com/nxtbooks/healthcaredesign/201809
https://www.nxtbook.com/nxtbooks/healthcaredesign/201808
https://www.nxtbook.com/nxtbooks/healthcaredesign/20180607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201805
https://www.nxtbook.com/nxtbooks/healthcaredesign/201804
https://www.nxtbook.com/nxtbooks/healthcaredesign/201803
https://www.nxtbook.com/nxtbooks/healthcaredesign/201802
https://www.nxtbook.com/nxtbooks/healthcaredesign/201801
https://www.nxtbook.com/nxtbooks/healthcaredesign/201712
https://www.nxtbook.com/nxtbooks/healthcaredesign/201711
https://www.nxtbook.com/nxtbooks/healthcaredesign/201710
https://www.nxtbook.com/nxtbooks/healthcaredesign/201709
https://www.nxtbook.com/nxtbooks/healthcaredesign/201708
https://www.nxtbook.com/nxtbooks/healthcaredesign/201706
https://www.nxtbook.com/nxtbooks/healthcaredesign/201705
https://www.nxtbook.com/nxtbooks/healthcaredesign/201704
https://www.nxtbook.com/nxtbooks/healthcaredesign/201703
https://www.nxtbook.com/nxtbooks/healthcaredesign/201702
https://www.nxtbook.com/nxtbooks/healthcaredesign/201701
https://www.nxtbook.com/nxtbooks/healthcaredesign/201612
https://www.nxtbook.com/nxtbooks/healthcaredesign/201611
https://www.nxtbook.com/nxtbooks/healthcaredesign/201610
https://www.nxtbook.com/nxtbooks/healthcaredesign/201609
https://www.nxtbook.com/nxtbooks/healthcaredesign/201608
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201605
https://www.nxtbook.com/nxtbooks/healthcaredesign/201604
https://www.nxtbook.com/nxtbooks/healthcaredesign/201603
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201512
https://www.nxtbook.com/nxtbooks/healthcaredesign/201511
https://www.nxtbook.com/nxtbooks/healthcaredesign/201510
https://www.nxtbook.com/nxtbooks/healthcaredesign/201509
https://www.nxtbook.com/nxtbooks/healthcaredesign/201508
https://www.nxtbook.com/nxtbooks/healthcaredesign/201506
https://www.nxtbook.com/nxtbooks/healthcaredesign/201505
https://www.nxtbook.com/nxtbooks/healthcaredesign/201504
https://www.nxtbook.com/nxtbooks/healthcaredesign/201503
https://www.nxtbook.com/nxtbooks/healthcaredesign/201501
https://www.nxtbook.com/nxtbooks/healthcaredesign/201412
https://www.nxtbook.com/nxtbooks/healthcaredesign/201411
https://www.nxtbook.com/nxtbooks/healthcaredesign/201410
https://www.nxtbook.com/nxtbooks/healthcaredesign/201409
https://www.nxtbook.com/nxtbooks/healthcaredesign/201408
https://www.nxtbook.com/nxtbooks/healthcaredesign/201407
https://www.nxtbook.com/nxtbooks/healthcaredesign/201405
https://www.nxtbook.com/nxtbooks/healthcaredesign/201404
https://www.nxtbook.com/nxtbooks/healthcaredesign/201403
https://www.nxtbook.com/nxtbooks/healthcaredesign/201401
https://www.nxtbook.com/nxtbooks/healthcaredesign/201312
https://www.nxtbook.com/nxtbooks/healthcaredesign/201311
https://www.nxtbook.com/nxtbooks/healthcaredesign/201310
https://www.nxtbook.com/nxtbooks/healthcaredesign/201309
https://www.nxtbook.com/nxtbooks/healthcaredesign/201308
https://www.nxtbookmedia.com