This paper aims to review the state of the art technologies for the energy efficiency within the hospitals sector. Hospitals are liable for an unstable amount of energy demand and joint emissions, because of their 24/7 nature of operation and hence resulting larger energy consumption than a typical commercial building. Additionally, they need high quality and warranted supplies of electricity. Due to increased energy demand and therefore the depletion of existing fossil fuel based sources, it is required to use the energy more efficient.

People spend most of their time inside buildings, and buildings are responsible for approximately one third of total direct and indirect energy-related worldwide carbon emissions. Likewise, buildings in the U.S. account for about 40% of total U.S. energy consumption. Future building development will be driven not only by emerging challenges such as vulnerability to a changing climate and resource scarcity, but also by disruptive innovations and societal changes.

The built environment accounts for approximately forty percent of the total energy consumption in developed countries. Because buildings have a long life, the greatest opportunity for energy reduction in the built environment will come from energy conservation in the existing building stock. An overview of the policy challenges presented by the built environment, with an emphasis on existing facilities, is accompanied by a discussion of specific technologies that may have the potential to reduce energy use.