Leveraging Infrastructure and Imaging to Maximize Act 129 IncentivesOctober 5, 2017

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PPL Electric Utilities Corporation Coverage Area

Siemens Success with Act 129

To date, Siemens has assisted it’s Pennsylvania customers inobtaining roughly $2M of Act 129 incentives.

• PPL Service Territory • Harristown Development Corp $1,236,000

• PECO Service Territory: Platinum Partner Award• LaSalle University $300,000• Main Line Health System $139,500• Montgomery County Community College $139,500• Thomas Jefferson University Hospital $120,000

• MetEd Territory• Good Samaritan Hospital $75,082

• First Energy Corp Territory• York Hospital $93,000

Total Energy Management - This is the new competitive advantage.

43%of Fortune 500 companies committed to renewable energy or sustainability

targets as of 2016.

Internal challenges reduce efficiency.

Budget Allocation

In-House Resources

Lack of Transparency

Expertise & Training

Defining & Achieving Sustainability Targets

Disparate internal groups create hidden costs. All share common goals.

Common Goals

Operational EfficiencyCost ReductionSustainabilityEnergy EfficiencyTransparencyResiliency

Procurement Sustainability/Compliance

FacilitiesManagement

IT & BusinessIntelligence

EnergyManagement

Senior Leadership

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Total Energy Management is where best practices intersect

Reduce:Drive down energy consumption in order to reduce costs and the environmental impact of your organization.

Data-Driven Optimization:Continuously analyze and optimize your building(s) and the improvement actions you’ve taken to be more precise and effective with your investment decisions.

Procure:Manage the energy purchasing process as a way to lower total energy spend, mitigate risks and meet sustainability targets.

Produce:Generate and store energy on-site so that you are less reliant on the grid and have a more sustainable energy-mix.

…to achieve long-term business goals through continuous improvement and innovative financial solutions.

Consume sparingly.

Ensure your infrastructure consumes only the energy it needs.

• Reduce total carbon emissions through efficiency measures

• Minimize energy spend by only consuming what is necessary

• Extend equipment lifecycle by analytics & services to optimize usage

Spend wisely.

Ensure you purchase energy at a competitive price.

• Reduce the complexity of managing energy spend• Mitigate the risk of volatile costs• Ensure accuracy in utility spend• Strategize in response to dynamic tariff structures

Strengthen reliability with energy production and storage strategies.

• Energy independence & resilience• Ensure facility uptime• Access to clean, reliable energy sources• Reduce operational costs • Alignment with corporate sustainability goals • Enhance public perception

Generate responsibly.

Analyze continuously.

Protect your investments through continuous optimization.

• Maximize effectiveness of servicing and upgrading equipment

• Supplement in-house resources through data & analytics

• Continuous monitoring & Predictive Analytics to identify improvement opportunities

• Ease of decision making throughtransparency

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Healthcare Executives - Key Business Imperatives

Financial challenges (e.g. access to capital, supply chain, reimbursements)

Governmental mandates Patient safety and quality Personnel shortages (esp. nursing) Patient satisfaction Access to care Physician-hospital relations Population health management Technology Reorganizations (e.g. mergers,

acquisitions, restructuring, partnerships)

Triple Aim Goals: Enhance the patient experience; Improve health of thepopulation; and Reduce per capita cost of health care

Community Based Care Acute Care Post Acute Care

Patient Home Physician Clinic/MOB

Diagnostic Imaging Center Outpatient Lab

Academic Medical Center Campus Inpatient Rehab Center Outpatient Rehab Center

Skilled Nursing Facility (SNF)

The IHN - Continuum of Care

CCRC

Urgent Care Center Ambulatory Procedure Center Home CareCommunity Hospital(s)

Giving Patients Control of Their Room

ShadesHVAC Lighting

Creating the Perfect Surgical Suite

BACnet/IP E3

HVAC

Lighting

DXR controller Control environment at precise times

Environment adjusted to conditions specific by surgeon – automatically, in advance

Post procedure adjustments to improve patient outcomes

Integration with key clinical systems

Consistency and quality

Reduced clinical workload

Energy management

Using Health Data to Control the EnvironmentImproving Patient Outcomes and Hospital Results

Patient Condition or Procedure

Epic/Cerner/etc.

Disease type: X

Disease –Room Setting Algorithm

Shorter Recovery Time

Higher Survival RatesReimbursements & Cost Management

TRABlinds

IBMSDesigo

APPLICATIONS

NORTHBOUND INTEGRATION

SOUTHBOUND INTEGRATION

R&D Focus: Efficient designSaving cost and improving reliability

New CT Introduction - SOMATOM go

The concept: Further reduce the “footprint” for a CT scanner

• Minimize siting requirements• Minimize electrical burden • Minimize room cooling• Minimize downtime• Deliver maximum clinical

capabilities

Major advancements further improve scanner efficiency

Images/courtesy St. Luke’s CDI Chesterfield, MO

Dramatically reduced room coolingCompetitive 64 slice CTs range from 28,00 BTU/hr to >40,000 BTU/hrSOLUTION: SOMATOM go requires only 17,743 BTU/hr

Optimized electrical consumption Competitive 64 slice CTs range from 70 – 150 kVA requiredSOLUTION: SOMATOM go.Up requires ≤50 kVA

Optimized imaging chainCompetitive CT scanners with small generators struggle with image quality, especially for obese patientsSOLUTION: SOMATOM go uses an optimized chain of premium technologies: Stellar Integrated detector, 3D anti-scatter grid, ultra-thin tabletop and second generation dose reduction softwareTHE RESULT: Outstanding Image quality and low dose studies for all patients, see lumbar spine study for obese patient (left).

Siemens Environment Health & Safety Program

Artis one

• Minimum of 20% less energy consumption*

• Complete Artis one systems and their components can be returned and refurbished

• More than 97 % of the material used can be returned to the flow of recyclable materials

*Compared to former floor systems

Environmental value

Ysio

Environmental value

• Energy demand per patient decreased by typically more than 20% (compared to AXIOM Aristos MX/VX)

• Digital radiography: No film processing necessary

• Less floor space for higher patient throughput*

Environmental value

SOMATOM Definition Edge

• Average energy savings of 30% for standard examinations1)

• Increased dose efficiency of up to 25%

• Reduced detector stand-by energy consumption of approx. 70%

• Reduced energy consumption for system cooling of approx. 40%1)

1) In comparison to SOMATOM Sensation 64

Environmental value

• Better energy efficiency with new workflow technology Dot and Tim 4G

• Zero Helium boil-off• Green Cooling Package:

With automatic adaption to cooling requirements to decrease energy consumption for cooling by up to 50%

• Energy savings of typically 38% (compared to AXIOM Iconos R200 with equal workload)

• Digital radiography and fluoroscopy: No film processing necessary

• Less floor space: Radiography and fluoroscopy in one room

Luminos dRFMAGNETOM Aera

Environmental value

Source: Siemens Environmental Portfolio Element No. 11324 Source: Siemens Environmental Portfolio Element No. 11304 Source: Siemens Environmental Portfolio Element No. 11316 Source: Siemens Environmental Portfolio Element No. 11306 Source: Siemens Environmental Portfolio Element No. 11303

MRI – Lower operating costs with Eco-Power

Save 30% energy in stand-by mode• Monitors liquefaction of helium• Controls cold head

Savings Opportunities: 4 Areashospital operations, equipment, building & infrastructure

Building Optimization Hospital Operations Equipment

Asset Optimization• Technology updates• Improved allocation of equipment• Optimized maintenance strategy• Labor productivity

Clinical Outcomes• Improved patient pathways• Reduced readmission rate• Reduced length of stay

Workflow Optimization• Improved patient scheduling

concept• Dose reduction program• Improved staff and machine

utilization

Quality Level• Standardization of care • Introduction of risk management

system• Improved skill set of staff• JCAHO for fire & safety

Clinical Benefits• Reduced number of rescans• Less staff binding time• Elimination of clinical procedures

Operational Benefits• Shorter exam duration• Less energy consumption of

medical equipment• Less time for equipment care

Building Automation• Improved HVAC systems• Improved water management• Reduced energy consumption of

buildings

IT Control Systems• Automated security & access

control system• Automated lab solutions• Data center energy management

Hospital Infrastructure

Energy Management• Improved distribution of energy

via smart grids• Optimized in-house power

generation system• Introduction of energy storage

solutions

Parking Management• IT based entry control• Automated central control system

Bundled cost savings opportunity, with one responsible partner

Hospital / Room Layout• Workflow and design optimized

layout• Smart rooms• Optimized staff allocation

Financial Benefits• Increased number of exams• Reduced requirements for

construction

Ecological Footprint• Waste reduction program

Building Automation• Green Lab solutions• Chilled water efficiency system • Integrated building systems

Reliability/Resiliency• Cogeneration /

Combined Heat & Power• Small Thermal Power• Microgrids• Energy Storage

Contact Information

Steven B. WagmanNational Healthcare Business Leader, Building Performance & Sustainability

Siemens Industry, Building Technologies1450 Union Meeting RoadBlue Bell, PA 19422

Mobile: +1 610 329 2180

E-mail:steven.wagman@siemens.com