American Medical Center

Mangilao, Guam

• Notable Features

  • 16,000 SF Medical Clinic

  • Procedure Room

  • Laboratory

  • Pharmacy

• Best Value Design Elements

  • 63 kW roof mounted photovoltaics system funded by USDA Rural grant

  • Photovoltaic pole lights at parking lights

  • High efficiency VRF AC system, low flow plumbing fixtures, and lighting system

  • Standby Power System

American Medical Center opened their second family clinic in 2015 in the village of Mangilao, Guam. The clinic provides essential healthcare services to the residents on the east side of Guam. It also serves as an emergency care facility for patients waiting for emergency medical response transiting from the Guam Memorial Hospital located on the west side of Guam. The clinic has greatly improved the healthcare service quality and availability for the east side communities on the island of Guam.

InSynergy Engineering, Inc. provided the mechanical, plumbing, electrical, and telecommunication design work for the new clinic. The systems were designed to meet healthcare facility standards while being environmentally friendly with reliable, high performance, energy efficient systems.

The mechanical system consists of a high efficiency variable refrigerant flow air conditioning (VRF AC) system with a separate dedicated outside air system. These systems provide ventilation required for healthcare facilities and independent comfort controls for each zone of the clinic. The plumbing system consists of potable water storage, booster pump system, ultraviolet disinfection system, high efficiency hot water heating system, and low flow plumbing fixtures.

The electrical system includes a 480V electrical distribution system with roof-mounted photovoltaic system, and on-site standby power generator. The interior and exterior lighting systems are comprised of high performance fluorescent and LED fixtures. Parking lot lighting utilizes photovoltaic powered pole lights with batteries which were provided cost free to the client from a grant from the United States Department of Agriculture (USDA) Rural Development Programs. To further the sustainability, a 63 kW grid-tide roof-mounted photovoltaic system generates on-site renewable energy for the clinic and supplies surplus power back to the utility company.

The telecommunications system consists of interior data and a voice distribution system supporting the IT systems for the various departments and patient health care services.

Kaiser Permanente

various locations statewide, HAWAII

Some of our featured projects with Kaiser Permanente include the following:

Kaiser Regional UPS Upgrades, Various Locations Statewide, Hawaii

Our firm provided the mechanical, electrical, and fire protection engineering design work to evaluate and upgrade the UPS systems at a total of eight (8) facilities on Oahu, Maui and the Island of Hawaii. Kaiser and the AE team visited all listed facilities to determine UPS requirements for their replacements. The eight facilities include: Moanalua Medical Center, Dole Cannery, Mapunapuna, Ala Moana, Waipio and Ko’olau (Oahu); Maui Lani Elua Clinic (Maui); and Kailua-Kona Medical Office (Hawaii). Our scope of work included determining electrical and mechanical requirements for power and AC systems for consolidating UPS equipment, providing new UPS, lighting inverters, panelboards, electrical distribution systems, and modifications of ductwork.

Kaiser Moanalua Renovation & Expansion, Honolulu, Hawaii -

This facility was constructed in several phases from 1982 to 1984, consiting of 3 primary wings: a 4 level, 58,200 sf nursing wing, a 4 level 107,028 sf clinic wing with a lower level basement, and a 214,523 sf  5 level ancillary services building.  The total current gross floor area of the complex is approximately 379,751 sf.  In 2003, we prepared a study to assess the condition and capacities of the existing mechanical and electrical system infrastructure, and developed a mechanical and electrical master plan to accommodate the addition of a new 5 level, 139,800 SF tower, renovation of approximately 83,600 SF of the existing hospital, and renovations and upgrades to the central plant. Our specific scope of work for this project included assessment of the HVAC, plumbing, electrical, fire alarm, fire sprinkler, medical gas and med gas alarm, emergency power, LAN and telecom systems for current and anticipated upgrades. Our study also provided recommendations for the existing hospital to comply with current JCAHO guidelines and to improve operations and energy efficiency. Our scope of work included plumbing and medical gas systems, new central chilled water AHU, new ventilation exhaust systems, fire sprinkler expansion systems, central plant improvements, lighting, emergency power distribution and new emergency generator system. Estimated Cost: $29 million.

Kaiser Mapunapuna HVAC System Master Plan Study, Honolulu Hawaii

Kaiser wanted to look at the overall Mapunapuna Clinic facility and inspect all HVAC equipment from AHUs down to air distribution and controls. Known issues included lack of controls, cold and warm zones that developed seasonally, and aging equipment that may have been nearing the end of service life. Their goal was to have a long-range plan for the HVAC system serving their Mapunapuna Clinic facility to follow. We conducted field surveys and discussions with facility engineering support services and reviewed an existing test and balance report as part of our assessment. We documented system configuration, condition, and the issues that were identified. We formulated and summarized our immediate and long-term recommendations for mechanical and electrical upgrades, including a cost estimate, in pre-final and final reports.

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Tripler Army Medical Center

HONOLULU, HAWAII

Tripler Army Medical Center is a 600 bed, 2,000,000 sf facility which serves the armed forces in the Pacific Area. We have worked on renovation and repair projects since 1978 for this facility and we are extremely familiar with the entire complex.

We have completed the following projects at this facility:

• Relocation of the existing boiler plant including a phasing plan to minimize steam outages during construction

• Provision for elevator shunt trip breakers throughout the hospital

• Renovation of various offices including, accounting, administration, and security command

• Renovation of the Pathology Lab, Room 2H202

• Drug Test Lab Renovations, Building 40

• Repair Isolation/Ventilation Rooms

• Replaced water heater exhaust stacks, Buildings 102, 224, and 300

• Modification to EMCS controls and piping, Central Plant

• Replace plumbing/chillers in four buildings

• Installation of three boilers

• Preparation of master plan for chilled water and hot water piping distribution systems

• Fire sprinkler system evaluation and design for various departments and floors

• Development of service maintenance and repair contracts for 13 mechanical systems, electrical systems and equipment

• Reviewed approximately 600 mechanical and 300 electrical plans for Package 3 Construction

• Renovation of Building 660 Washer and Sterilizer

• Evaluation of fire shutters for the Pharmacy

• Repair Elevators 1 – 4 in Wing A

• Relocation of fire sprinkler systems in the morgue

• Provide new nitrogen generator for Building 40 Exterior Shed

• Evaluation of Day Tank Vent

• Provide fire alarm and protection system for Building 141

• Repair of steam hot water tank

• Repair of nurse stations and breakrooms

• Modification of fire sprinkler layouts for dining room and kitchen areas

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The Queen's Medical Center

HONOLULU, HAWAII

In order to accommodate the growing need for emergency healthcare services, the Queen’s Medical Center took action by authorizing the design and construction of a new $10,000,000 emergency services ward.  The emergency services relocation involved renovating 25,000 sf of existing office space into an emergency ward which included fully equipped critical and trauma rooms, exam rooms, fast track triage area, a psychological disorder ward, dedicated infectious isolation rooms and waiting areas, and nursing stations.

As part of their ongoing facility improvement program, we recently designed the renovation of their entire chiller plant which included replacing two 1,000-ton chillers with two 1,350-ton high efficiency chillers, each equipped with VFD compressors.  A major system re-engineering was implemented to convert the old primary constant-flow chill water distribution loop to a new primary secondary variable flow chill water loop.  This conversion allowed the central plant to increase or decrease chill water flow based on actual cooling requirements.  These renovations resulted in an annual energy savings of $180,500.

Other renovation projects include:

• OR Upgrade and Renovation, Queen Emma Tower, 3rd Floor

• Replace Boiler Plant

• New Linear Accelerator

• Renovation of the air conditioning system for the main lobby

• Hot Water Study for POB 1, POB 2 & Central Plant

• Pauahi Tower Service Elevator Upgrade

• Renovation of Iolani 1 and Kinau 1

• Iolani 2 and 3 Renovation

• New MRI Unit Addition

• Diagnostics Lab, 4th Floor, Nalani Wing

• Grease Interceptor Study

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