AEDG for Small Hospitals and Healthcare Facilities

The AEDG for Small Hospitals and Healthcare Facilities is the sixth in the 30% Advanced Energy Design Guide (AEDG) series designed to provide recommendations for achieving 30% energy savings over the minimum code requirements of ANSI/ASHRAE/IESNA Standard 90.1-1999.

“The recommendations in the Small Hospitals and Healthcare Facilities Guide provide good design practices for integrating energy efficiency in a healthcare environment, while maintaining indoor air quality and required airflow and pressurization relationships,” Shanti Pless, chair of committee that wrote the guide, said.

The Guide focuses on small healthcare facilities up to 90,000 square feet in size, including acute care facilities, outpatient surgery centers, critical access hospitals, and inpatient community hospitals. These buildings have intensive heating and cooling systems, which the Guide covers extensively; additionally, other important energy saving measures such as daylighting are included.

“The energy efficiency recommendations in the Guide were developed based on design experiences from members of a project committee made up of healthcare facilities design professionals, combined with the insight gained from modeling the energy performance of these specific recommendations,” Pless said.

Some tips that the Guide offers include:

  • Providing an unoccupied air flow and temperature setback for spaces that are not used 24 hours a day, such as surgery suites;
  • Installing high efficiency condensing boilers with an outdoor air temperature reset schedule for all climate zones to address the high amounts of reheat energy used by such facilities to control humidity;
  • Carefully laying out lighting design to meet recommended lighting power density by space type;
  • Maximizing the use of daylighting and daylighting-responsive controls through both side lighting and top lighting strategies in all space types that do not have air change requirements;
  • Installing an insulated thermal envelope, with additional recommendations to address air barriers and continuous insulation strategies.

The recommendations allow contractors, consulting engineers, architects, and designers to achieve advanced levels of energy savings easily without having to resort to detailed calculations or analyses.

Also, case studies provide examples of advanced hospital and healthcare facility designs that demonstrate the flexibility offered in achieving advanced energy savings such as the 30% goal of the Guide.

The AEDG series has been developed in collaboration with these partnering organizations: ASHRAE, the American Institute of Architects (AIA), the Illuminating Engineering Society of North America (IES), the U.S. Green Building Council (USGBC), and the U.S. Department of Energy (DOE). Since the Guides first began to be offered in early 2008, more than 200,000 have been downloaded. Other books in the series deal with small office and retail buildings, K-12 school buildings, highway lodging and small warehouse and self storage buildings.

For a free copy of the latest AEDG, send an e-mail to with the words “AEDG Healthcare” in the subject line. For other versions of these guides, visit


Enjoyed this article?

Please consider subscribing to our RSS feed!

Other posts by

This post currently has one response.

  1. Sourabh says:

    Dear Sir,

    Can you please specify the cooling requirements required for the healthcare facilities/equipments.

    Does such equipments require a special cooling units?what is the requirement for level of filtration & the temperature to be maintained.

    Please help.


Add New Comment

You can use these tags: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>