Joshua Powell-Littler
Project Manager and Mechanical EngineerAffiliated Engineers, Inc (AEI)Project Manager and Professional Engineer with 9 years of experience delivering complex mechanical systems for healthcare, laboratories, and thermal plant facilities. His design background includes new construction, renovations, and interior fit-outs, with expertise in hydronic piping, ductwork and air distribution, fire protection, HVAC system design, energy modeling, and sustainable design. On the WakeMed Raleigh program, Josh serves as the mechanical design engineer for the Central Energy Plant (CEP) Expansion and the in-hospital steam-to-heating-hot-water conversion, supporting a staged, fiscally responsible conversion off of high pressure steam.
E02 – Old and New: An Owner’s Perspective on Decarbonizing Healthcare Campuses
Healthcare organizations are increasingly recognizing that “first, do no harm” extends beyond patient care to include the environmental impact of the …Healthcare organizations are increasingly recognizing that “first, do no harm” extends beyond patient care to include the environmental impact of the campuses that support it. This creates growing tension between delivering high-quality care, reducin…Healthcare organizations are increasingly recognizing that “first, do no harm” extends beyond patient care to include the environmental impact of the campuses that support it. This creates growing tension between delivering high-quality care, reducing carbon emissions, and remaining fiscally responsible. This session brings together MD Anderson, WakeMed, and their engineering partners to share real-world drivers, strategies, and lessons learned f…Healthcare organizations are increasingly recognizing that “first, do no harm” extends beyond patient care to include the environmental impact of the campuses that support it. This creates growing tension between delivering high-quality care, reducing carbon emissions, and remaining fiscally responsible. This session brings together MD Anderson, WakeMed, and their engineering partners to share real-world drivers, strategies, and lessons learned from decarbonizing both new and existing healthcare campuses. Through contrasting case studies, presenters will examine how organizational goals, regulatory pressures, resiliency planning, and long-term operational needs shaped different decarbonization pathways. Topics include aligning decarbonization with mission and capital planning; evaluating all-electric versus hybrid systems; phasing upgrades in occupied facilities; and addressing grid reliability and operational impacts. The session emphasizes practical takeaways, highlighting what worked, what didn’t, and how early decisions influenced cost, constructability, and long-term performance without compromising patient care.Show MoreClick the title to see all detailsShow More
