Mahmood Akther PDF

Dont design me something I cant build
and
dont build me something I cant maintain
AGENDA:
Bio - 2 Minutes
Examples of few active projects - 3 minutes
Cost of deadly downtime 5 minute

MEP maintainability & accessibility issues on
few projects-10 minutes
Solutions - 5 minutes
Questions

and
MAHMOOD AKTHER
MEP Consultant / Function Manager
makhter23@yahoo.com ; sakhter@zfp.com
25+ Years of Global design and construction management experience in Building

design and Urban Planning - Healthcare and Data Centers in the USA and MENA region
Location served: USA ( ~ 40 States), Cairo, Philippines, Dubai and Saudi Arabia
Overall Healthcare facilities and Tier III + Data Centers engineered : ~ 7500 Bed /
2 Million sft of Raised Floor
Largest Healthcare facility engineered 4000 Bed Medical City
Education: The Wharton School of Business, USA

University of Wisconsin, Madison, USA
Present : Head of MEP / Technology Engineering at www.zfp.com
an A/E firm of 2400 personnel

and

and
4000 BED (8 Million m2)

MEDICAL CITY
1
.

and
1000 BED MEDICAL CITY Housing 1.1 Million m2

and
WORK
HOME

and
Specialty Hospital

and
Physician Offices,
Private Wards, ICU & Operating Theaters

and

and
DEADLY DOWNTIME COSTS:

USA hospitals pay an estimated $1.6B each year
The highest cost for a single event was more than $1.7 million
500 Bed Hospital spends more than $5M in a year in unplanned outages
Almost two out of five (40 percent) global healthcare organizations have experienced an unplanned
outage in the past 12 months at a cost of $400,000 per incident.
On average, healthcare organizations have lost 57 hours to unplanned downtime over
the past 12 months.
Security Breaches: Nearly one in five (19 percent) global healthcare organizations
have suffered at a cost of $800,000 per incident.
Data Loss: Nearly one in three (28 percent) global healthcare organizations has
experienced data loss in the past 12 months at a total cost of nearly $ 1 Million per incident
Unplanned data center downtime cost healthcare organizations $600,000 per incident
in 2013
To be sure, the cost of an unplanned outage goes behind finances IT affects life.

and
MEP Mechanical (Patient Comfort, Cooling, Ventilation)

Electrical (Power, Lighting, Patient safety/Comfort)
Plumbing (Water supply, Sterilization and Hygiene) and
Technology (Privacy, Safety, Fire, Cameras and Access control, EMR..) etc.
MEP is the largest block of cost that determines project schedule and success
MEP systems are greater than 45% of the overall construction cost
MEP determines Patient Satisfaction, Physicians preference to use the location and the
Patient cost
Hospital ranking from Cancer to Urology Centers are determined by its structures,
process and outcomes - uptime, accuracy of records, On Time services !

and
Few examples of Deadly downtime

and
Typical Layout
Roof Mechanical Room

and
1
.

and
Roof Mounted Chillers

prime source of cooling
1
.

and
Car Radiators
Chillers Primary
source of cooling
Chillers are also surrounded by

car radiators - to minimize ambient
temperature for chillers to perform

and
Chillers are housed

with Temporary Roof
to minimize direct sun

and
150,000 m2 FACILITY
Construction cost $ 400 million
A view of overall Temporary Structure

and
Car Radiators
Water Pipe
Radiators are water cooled to minimize air temperature

Surrounding chillers
The temporary structure of roof and wall surrounding chillers
designed for temporary use are permanent for many years!!
The above were provided by the owner to minimize chiller
compressors getting burnt out

and
Car Radiators

and
Air coolers are provided

to blow cold air to chillers

and
Air coolers are provided

to blow cold air to chillers

and
Cable tray open to outside is non weather proof and non

accessible from floor
Cable tray on floor are non weather proof and cables get wet in
rain creating hazardous conditions

and
Potential source of Electrocution,

Non Enclose breaker

and
Disconnect switch for a

main control panel not accessible

and
Passage thru the corridor not

available to cross over

and
Passage thru the corridor not

available to cross over

and
15kV Oil filled transformer

requires pit to drain-Non
code/ EPA compliance

and
Centrifugal Chillers 5000 tons Each

and
The leakage result of lack of

maintenance-Reason no access

and
HVAC unit and Electrical Panels are

exposed to water-Non Code Compliance
& Potential source of Electrocution

and
Critical valves not accessible-Cat walk not

available-Higher downtime increased
operating expense.

and
Expansion Joints not accessible-Increased

downtime, Higher operating expense

and
No access for maintenance-Higher downtime, Increased

operating expense

and
Lack of Maintenance shall only result

in big replacement costs

and
Solution : It works
It starts with Change in developer/ owner approach when selecting the A/E
The cost of proactive solutions are tiny when compared to downtime , loss of brand name along
with increased capital and operating cost not counting loss of patient comfort and selection of
physician preferred location
Health care is a niche and not a commodity
Engineering Health Care is a skill profession - functions follow form and not the other way round
Don't treat engineering health care as a commodity
Hire team of engineers who have successful health care experiences - they are not the cheapest!
Life matters and so does engineering MEP systems for OR, ICU, ER , Trauma centers - it saves life
or otherwise
Contract engineers directly and monitor if the team sold are indeed assigned to the project
Hire MEP contractor separate from the General contractor

and
Solution : It works
Request prove of systems/ equipments accessibility and maintainability - 3D / BIM model of utility
rooms and above ceiling are required
Request design evaluation by Commissioning agents and hospital operators

and

and
THANK YOU
MAHMOOD AKTHER
MEP Consultant / Function Manager
makhter23@yahoo.com ; sakhter@zfp.com
+ 966 55 318 4135, +1 312 968 9888

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Dont design me something I cant build

Cost of deadly downtime 5 minute

Dont design me something I cant build

25+ Years of Global design and construction management experience in Building

Education: The Wharton School of Business, USA

Dont design me something I cant build

Dont design me something I cant build

4000 BED (8 Million m2)

Dont design me something I cant build

1000 BED MEDICAL CITY Housing 1.1 Million m2

Dont design me something I cant build

Dont design me something I cant build

Dont design me something I cant build

Dont design me something I cant build

Dont design me something I cant build

DEADLY DOWNTIME COSTS:

Dont design me something I cant build

MEP Mechanical (Patient Comfort, Cooling, Ventilation)

Dont design me something I cant build

Few examples of Deadly downtime

Dont design me something I cant build

Dont design me something I cant build

Dont design me something I cant build

Roof Mounted Chillers

Dont design me something I cant build

Chillers are also surrounded by

Dont design me something I cant build

Chillers are housed

Dont design me something I cant build

A view of overall Temporary Structure

Dont design me something I cant build

Radiators are water cooled to minimize air temperature

Dont design me something I cant build

Dont design me something I cant build

Air coolers are provided

Dont design me something I cant build

Air coolers are provided

Dont design me something I cant build

Cable tray open to outside is non weather proof and non

Dont design me something I cant build

Potential source of Electrocution,

Dont design me something I cant build

Disconnect switch for a

Dont design me something I cant build

Passage thru the corridor not

Dont design me something I cant build

Passage thru the corridor not

Dont design me something I cant build

15kV Oil filled transformer

Dont design me something I cant build

Centrifugal Chillers 5000 tons Each

Dont design me something I cant build

The leakage result of lack of

Dont design me something I cant build

HVAC unit and Electrical Panels are

Dont design me something I cant build

Critical valves not accessible-Cat walk not

Dont design me something I cant build

Expansion Joints not accessible-Increased

Dont design me something I cant build

No access for maintenance-Higher downtime, Increased

Dont design me something I cant build