Six overarching goals constitute the foundations for the New Karolinska Solna project:
- Healthcare, research and education must be so integrated that they effectively support the development and dissemination of new knowledge for the care of seriously ill and injured patients.
- The project must create attractive, caring environments with high architectural values, both within and adjacent to the hospital.
- The care processes must be rationalized and the utilization of resources optimized.
- As far as possible, the project must employ general solutions that permit the continual development of activities.
- The hospital and its activities must be given a clear, prioritized role in the city.
- The project must work on the basis of a sustainability perspective at all levels
The final goal, “the project must work on the basis of a sustainability perspective at all levels” contains three sub-categories:
- Minimizing supplied energy
- Creating environmentally adapted support systems
- Optimization of cost on the basis of life cycle perspective
In a report submitted to The Stockholm City Council in November 2007 they outlined these goals in terms of the “hospital as part of a long-term, sustainable society.” This includes environmental control within the project, transportation, the physical landscape, sustainable solutions for building materials and the building as a whole, as well as minimizing emissions.
Here, I am going to look at the aspect of minimizing emissions. This is where there is a great level of interest in understanding how to implement systems and infrastructure that will allow for hospitals that significantly decrease energy demand compared to their predecessors. It was my understanding, before I began the research for this Valle, that the projections for the new Karolinska Solna showed that it would use 5x less energy than the typical Pacific Northwest hospital — an astounding difference. How are they able to achieve such low energy use? Are there practices that perhaps we could learn from, and potentially adopt in our future hospitals?
I met with the mechanical engineers on the project, from ÅF to try to understand the energy use projections for the New Karolinska Solna University Hospital project a little more in depth.
The first major outcome of this meeting was a confirmation of the difference in energy use. Their projections are, in-fact, very low. They have achieved this in a variety of ways, which I describe below. Two overarching goals drove the decisions for the systems of this project. First, the systems should be robust and secure. Second, the systems should be flexible and adaptable. That is, a change in one area should not disrupt another area of the hospital. Notably, ÅF is designing all of the systems: mechanical, electrical, plumbing. Therefore, integration of systems is happening from the initial design phase.
[Their presentation included specific information about specific strategies that aimed to achieve these outcomes. After analyzing these strategies, I will post another entry summarizing my comments from that discussion.]
I also presented the work that I have been doing with Mike Hatten at Solarc in Eugene Oregon. We have been looking at different strategies for reducing energy consumption in Pacific Northwest hospitals. Recently, Mike put together some data that showed accumulative strategies that met today’s 2030 challenge goal of reducing the energy consumption by 50% of current “average” energy use — a very admirable achievement and difficult goal to attain. It is, however, really interesting to show this data to these Swedish mechanical engineers. Their new hospital project projects to use 2.5x less energy than the most progressive model that we have simulated in our research project.
I think that this really opens a point of conversation. Why is our most progressive strategy 2.5x more energy consumptive than a project that is being proposed here in Stockholm? It seems like this is either a difference in calculation method or a difference in regulations. Whatever is causing this discrepancy, it is significant. And it may open a window into understanding the difference between energy use in Scandinavia and the US. Why are these numbers so vastly different?
This difference is so significant that even our most “progressive” hospital model uses more energy than the current Karolinska hospital, which ÅF is using as their benchmark for comparison. ÅF’s point of view is that the existing hospital uses a lot of energy, and they are hoping to significantly change that in the new facility. That comparison is demonstrated in this graphic: 
I would really like to understand where the differences are coming from — especially if they are coming purely from the design of the architecture and systems. This is especially important because I am looking to Sweden as a model of energy efficient design, so I really want to understand this issue at its core. I will continue to work with ÅF to look into this topic, so I will hopefully uncover some answers to these questions.