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October 08 www. bus- ex. com 91 St. Francis Health System Another major project at the facility is a joint venture with the W. K. Warren Foundation, which founded the St. Francis system in 1960 and today directly owns most of the medical offi ce facilities in the system. All the main campus facilities are run from a central physical plant that provides electrical, heating and cooling services. There, an ice vault will be installed that will enable the facility to use off- peak electricity capacity to chill water, which will then be stored in the vault until it is needed during the day. The $ 30 million project has an expected payback period of seven years, based largely on the differential in electric power rates between daytime peak hours and evening rates. The project is feasible, Butler says, because of the size of the system and because the warm climate requires cooling services year- round. That effort is the biggest part of a larger push to increase energy savings through activities such as installing thousands of more effi cient light fi xtures and better regulating motors that operate around the clock. That project and others emphasize the importance of facilities management and improvements to the operation of the system. " I spent a long time on the operations side, so I know what they're trying to achieve in terms of reducing costs and delivering more services even as revenues go down. I'm a fi rm believer that facilities can be a part of the answer for the future of healthcare. Everyone here understands how important it is to have the right facilities at the right time in the right place, whether it's anything from parking garages to a big enough emergency room."

92 www. bus- ex. com October 08 Healthyoutlook Christina Ayers, director of the Office for a Healthy Environment at Cleveland Clinic, one of the top five healthcare providers in the US, speaks to Ruari McCallion about sustainable improvement in the built and operating environment