Breaking the Like-for-Like Cycle when Aligning Capital Planning with Energy Strategy

Despite publishing energy master plans and Energy and Conservation Demand Management (ECDM) roadmaps, many hospitals continue replacing boilers, air handling units, imaging systems, and condensers on a like-for-like basis. This webinar explored why this occurs and how governance structures, capital approval processes, and ownership models can influence outcomes. This Greening Health Care session shared practical frameworks for embedding energy considerations into capital planning, redevelopment projects, and procurement decisions—helping healthcare organizations align infrastructure investments with long-term energy and sustainability goals. Timestamps: 00:00 Intro 02:16 The 2030 challenge 03:50 Strategic energy management 06:05 Panel introduction 07:00 What is the like-for-like cycle? 13:24 The planning structure 14:14 LIJMC - Low carbon transition plan 20:48 Infrastructure renewal funding 30:37 From capital plan to better decision-making 40:20 Low carbon alternatives 45:28 Poll results 46:00 Building the business case 58:04 Next steps