ACHR News
search
Ask ACHR NEWS AI
cart
facebook twitter instagram linkedin youtube
  • Sign In
  • Subscribe
  • Sign Out
  • My Account
ACHR News
  • NEWS
    • Breaking News
    • New HVAC Products
    • Featured Products
    • Manufacturer Reports
    • HVAC Data
    • Legislation
    • ACHR NEWS Centennial
  • RESIDENTIAL
    • Air Conditioners
    • Furnaces
    • Residential Heat Pumps
    • Ductless
    • Residential IAQ
    • Testing, Monitoring, Tools
    • Components & Accessories
  • COMMERCIAL
    • Air Handlers
    • Rooftop Units
    • Chillers and Cooling Towers
    • Commercial Heat Pumps
    • Boilers and Hydronics
    • VRF/Ductless
    • Commercial IAQ
  • REFRIGERATION
    • Refrigerants
    • Refrigerant Regulations
    • Leak Management
  • CONTRACTOR PRO
    • Geothermal
    • Homeowner Study
    • VRF and VRV Ductless
    • Unitary Trends
  • EDUCATION
    • Training and Education
    • Business Management
    • Service and Maintenance
    • Continuing Education
    • Market Research >
      • HVAC Brand Awareness Report
      • VRV, VRF, VRVZ Report
      • Unitary Trends Report
      • Water Heat Professionals Report
    • Webinars
    • Sponsor Insights
    • eProducts Info
    • White Papers
  • EVENTS
    • HVAC Contractor Forum
    • Industry Events and Webinars
  • MEDIA
    • Videos
    • AHR Expo 2025 Videos
    • Podcasts >
      • ACHR News Podcast
      • HARDI Podcasts
      • AHR Expo Podcasts
      • ACCA Podcasts
    • Interactive Spotlights
    • Quizzes
    • eBooks
    • HVAC Talkback
  • HVAC GROUP
    • ACHR NEWS >
      • Current Issue
      • Digital Edition
      • Subscribe
    • Distribution Trends
    • SNIPS NEWS >
      • Join SNIPS NEWS
    • Engineered Systems News >
      • Join ES News
    • HVACR Directory
    • Contests
    • Newsletters
    • Contact
    • Advertise
    • My Account
NewsHVAC Light Commercial MarketIndoor Air QualityVentilationCommercial Indoor Air QualityDuct Products

Healthcare Applications Can Benefit From Direct Outdoor Air Systems

Dedicated outdoor air systems are designed to improve ventilation and indoor air quality

By Joanna R. Turpin
United CoolAir Install.

SIGNIFICANT INCREASE: United CoolAir has been offering DOAS equipment since 2006, and the company has seen a significant increase in their use in healthcare settings. (Courtesy of United CoolAir)

June 28, 2021
✕
Image in modal.

If there is one thing we’ve learned since the start of the pandemic, it’s the importance of proper IAQ — particularly adequate ventilation. According to the Centers for Disease Control and Prevention (CDC), viral particles — including SARS-CoV-2, the virus that causes COVID-19 — spread between people more readily indoors, where the concentration of viral particles is often higher than outdoors. Ventilation mitigation strategies can reduce viral particle concentration, which is important because the lower the concentration, the less likely viral particles can be inhaled into the lungs or make contact with eyes, noses, or mouths.

Proper ventilation is particularly vital in health care settings, including waiting rooms, clinics, assisted living facilities, and labs, where many patients are already ill and there is greater potential for illness to spread to other patients. By employing a ventilation strategy such as a dedicated outdoor air system (DOAS), conditioned fresh air can be brought into the building, thus improving IAQ and ensuring a safer environment.

“DOAS is important for any occupied space, but healthcare presents a different environment, because there is more potential for infection.”
— Brad Dunn
Vice president of marketing and sales
United CoolAir

How a DOAS Works

A DOAS contains two kinds of equipment, explained Nick Pearce, application engineer at Greenheck. A ventilation unit supplies 100% outdoor air to a space, while air handling units heat or cool recirculated space air. Using this equipment together ensures that space temperature and humidity are maintained across a wide range of outdoor conditions, which improves IAQ and occupant comfort.

Greenheck RV DOAS.

FLEXIBLE INSTALLATION: Greenheck’s RV DOAS offers installation flexibility when structural concerns prevent rooftop placement. (Courtesy of Greenheck)

Greenheck ventilation units condition and dehumidify 100% outdoor air before providing that air to the space for ventilation. Air handling units, which operate independently of the ventilation unit, then heat or cool recirculated space air. Greenheck ventilation units are available in a variety of configurations with different cooling and heating options, with or without energy recovery, and optional powered exhaust fans.

For example, Greenheck’s RV and RVE models feature 2-inch double-wall construction and R13 foam-injected insulation. The model RV does not include energy recovery, while the model RVE includes a total enthalpy energy recovery wheel. The factory-programmed, -wired, and -tested controller can operate as a stand-alone unit or integrate with a BMS. An optional inverter compressor provides precise temperature and humidity control at reduced sound levels and saves energy by improving part load efficiency by 15% to 20%, said Pearce.

“One major benefit of a DOAS is direct humidity control,” he said. “The ventilation unit dehumidifies the entering outdoor air, allowing for extremely tight control of space humidity levels. Research shows that viruses have the most difficulty surviving in 40% to 60% relative humidity, which a DOAS can maintain across a wide range of outdoor conditions. For this reason, a DOAS is a great option in health care applications and other humidity-critical spaces. Significant energy savings can also be achieved with a DOAS because the air handling units cycle off as conditions allow, reducing energy consumption and utility costs.”

United CoolAir has been offering DOAS equipment since 2006, and the company has seen a significant increase in their use in health care settings, said Brad Dunn, vice president of marketing and sales at United CoolAir. The company offers dozens of DOAS configurations, including packaged, split, air cooled, water-cooled, and water-source heat pump (WSHP), which can be incorporated into both existing and new applications. Regardless of the type, the overall strategy is to provide fresh outside air treated by their unit and deliver room-neutral air at low dew points.

Looking for quick answers on air conditioning, heating and refrigeration topics? Try Ask ACHR NEWS, our new smart AI search tool. Ask ACHR NEWS →

“DOAS is important for any occupied space, but health care presents a different environment, because there is more potential for infection,” he said. “All health care settings will benefit from using DOAS and improving ventilation because ventilation can provide fresh air that is filtered and conditioned through the main cooling/heating system. This gives people more clean air to breathe by changing out the indoor air with fresh air from outdoors.”

Daikin Applied SmartSource DOAS.

WATER SOURCE: Daikin Applied’s SmartSource DOAS can be applied to any water-sourced HVAC system, including Daikin water-cooled VRVs and WSHPs. (Courtesy of Daikin Applied)

Daikin Applied offers a DOAS WSHP, which can be applied to any water-sourced HVAC system, including Daikin water-cooled VRV and WSHP systems, said Jeff Empie, applied air engineer at Daikin Applied. The DOAS easily integrates into other Daikin systems, so space conditioning terminal units such as WSHPs can be downsized and optimized for space loads.

“The Daikin DOAS WSHP has a vertical configuration for easy install in mechanical rooms and is designed to condition ventilation airflow from a wide range of entering outdoor conditions to a tightly controlled, user-defined supply air condition,” he said. “Daikin’s DOAS WSHP uses SmartBoost Heat Technology™, which eliminates the need for pre-heat when entering air temperatures are as low as 0°F. The patented heating technology uses modulating hot gas reheat combined with an electronic expansion valve to control accuracy of discharge air temperature to +/-1°F.”

Health care applications require treated fresh air intake to the occupied space, and the Daikin DOAS WSHP provides up to 100% outside air, filtered and conditioned to meet the duct static pressure set point, building static pressure set point, and carbon dioxide set point or occupied space temperature set point, added Empie.

 

When And Where To Use a DOAS

A DOAS is ideal for any job where a large quantity of outside ventilation air is needed, said Empie. Given the focus on IAQ as a result of the pandemic, awareness of ventilation has increased significantly, he said, leading to DOASs being incorporated into a wide variety of applications.

“In terms of the investment, the majority of applications requiring 100% outside air use expensive rooftop units, which can be difficult to service. They also require roof space and extensive ductwork,” he said. “The Daikin DOAS WSHP can be installed in a mechanical room, does not need to be designed to withstand extreme weather, and is a much more cost-effective solution.”

Daikin’s DOAS WSHP is primarily designed for new construction, however, it can also be used for retrofits. Adding a DOAS to an existing facility may be challenging, though, as it could include tapping into ductwork or integrating into control systems that aren’t complementary, said Empie. Otherwise, installation for the DOAS WSHP is similar to a typical WSHP.

A DOAS can be used in virtually all buildings, both existing and new builds, and its air handling units can take multiple forms, including chilled beams, packaged rooftop units, WSHPs, VRF cassettes, fan coils, and PTAC units, said Pearce. If an application requires tight control of temperature and humidity levels, then a DOAS is a great fit, he said, and it is flexible from an application standpoint, as the ventilation unit can serve one single space or multiple spaces and multiple floors.

“End users may not be familiar with a DOAS, but contractors should explain the tight control of space temperature and humidity that a DOAS provides, which translates into improved occupant comfort,” said Pearce. “Contractors should also mention the operational cost savings that are achieved with a DOAS.”

Installing contractors should understand that since a DOAS contains two kinds of equipment, installation and startup may take longer, as each individual piece of equipment must be individually commissioned to ensure proper system operation, said Pearce. And as noted earlier, for retrofits of existing systems, ductwork may post a challenge.

“The ventilation unit of a DOAS can be ducted either directly to the space(s) served or directly to the air handling units,” he said. “Existing ductwork may require modifications to be compatible with both kinds of equipment in a DOAS setup.”

The regular maintenance for a DOAS is similar to other outdoor air systems but will vary depending on the installation, how often the system is used, and the cleanliness of the air, said Pearce. Routine maintenance for a DOAS typically includes cleaning or replacing filters, inspecting and cleaning coils and condensate drain pans, lubricating motor bearings, and inspecting unit components to verify proper operation.

While the pandemic in the U.S. may be ebbing, the focus on the role ventilation plays in a healthy indoor environment will likely continue for years to come. As Empie noted, COVID has forced specifying engineers and contractors to relook at how they are solving outside air and filtration needs, and a DOAS can be the solution for many applications.

Pearce agrees that COVID has heightened the interest in DOAS across all types of applications, including health care, because these systems provide outdoor air directly to the space(s) served. This dilutes the concentration of indoor contaminants, including infectious COVID particles, thus minimizing the spread of COVID via airborne transmission.

“Now more than ever, there is growing public awareness of the positive impact that building ventilation has on the health of building occupants,” said Pearce. “The desire and need for proper building ventilation will remain post-pandemic, and a DOAS is an effective and efficient way to provide this ventilation air.”

KEYWORDS: Dedicated Outdoor Air System (DOAS) health and HVACR Hospital HVAC Indoor Air Quality Products

Share This Story

Looking for a reprint of this article?
From high-res PDFs to custom plaques, order your copy today!

 

Tn joanna 2017
Joanna Turpin is a Senior Editor at The ACHR NEWS. She can be contacted at 248-786-1707 or joannaturpin@achrnews.com. Joanna has been with BNP Media since 1991, first heading up the company’s technical book division before moving over to The ACHR NEWS, where she frequently writes about refrigerants and commercial refrigeration. She obtained her bachelor’s degree in English from the University of Washington and worked on her master’s degree in technical communication at Eastern Michigan University.

Recommended Content

JOIN TODAY
To unlock your recommendations.

Already have an account? Sign In

  • HVAC-enrollment

    The Trades Are Back: HVACR Programs See Nearly 30% Enrollment Spike

    A new wave of future technicians is entering the pipeline.  
    News
    By: Matt Jachman
  • 2025 Top 40 Under 40

    2025 Top 40 Under 40 HVACR Professionals List

    The 11th annual Top 40 Under 40 list highlights those...
    HVAC Residential Market
    By: Hannah Belloli-Oster
  • LG Ductless Mini-Split Systems

    The 9 Types of Heat Pumps

    As the U.S. moves toward electrification, heat pumps are...
    Ground Source Heat Pumps
    By: Joanna R. Turpin
Subscription Center
  • Create an Account
  • Start a Subscription
  • Manage My Account
  • Sign Up for Newsletters
  • Visit Customer Service
  • Update Preferences

More Videos

Sponsored Content

Sponsored Content is a special paid section where industry companies provide high quality, objective, non-commercial content around topics of interest to The News audience. All Sponsored Content is supplied by the advertising company and any opinions expressed in this article are those of the author and not necessarily reflect the views of The News or its parent company, BNP Media. Interested in participating in our Sponsored Content section? Contact your local rep!

close
  • Piggy Bank
    Sponsored byWatercress Financial

    Energy Prices, Inflation, and HVAC: What Today’s Homeowners Care About

  • Refrigerated Food
    Sponsored bySolstice Advanced Materials

    R-455A Refrigeration: A Cold Storage Solution for the Future

  • Airex Rooftop Units
    Sponsored byAirex Manufacturing Inc

    Consolidating Roof Penetrations: A Growing Trend in Multifamily HVAC Design

Popular Stories

Trade groups challenge EPA refrigerant rule

HVACR Trade Groups Challenge EPA Refrigerant Rule in Federal Court

heat-pump-tech-customer.jpg

DOE Updates $8.8B Home Energy Rebate Program Guidance

Lovato-refrigerant-rooftop_AC_Units_.jpg

When Refrigerants Change, So Do the Contactors

HVAC-Price-Increase-graphic

HVAC Price Increase List: July 2026

Martin Hoover

ACCA Leadership Shakeup: Barton James Out, Hoover Named Interim CEO

View The ACHR NEWS
Centennial Anniversary Timeline

The ACHR News Timeline Chart
Submit a Letter
Submit a letter to our editors.

Events

November 6, 2025

Next-Gen Data Center Cooling: HVAC Innovation and Real-World Solutions

On Demand As AI workloads and high-density computing push traditional cooling methods to their limits, the data center industry is accelerating the adoption of next-generation HVAC technologies.

July 28, 2026

How Top Home Services Companies Turn Every Conversation Into Predictable Revenue

In this webinar, we'll outline how top contractors are turning every conversation into predictable revenue by coaching every comfort advisor visit, not just the ones a manager rides along on.

View All Submit An Event

Poll

Summer Staff

Are you fully staffed for the summer season?
View Results Poll Archive

Products

BNI Mechanical/Electrical Square Foot Costbook, 2026 Edition

BNI Mechanical/Electrical Square Foot Costbook, 2026 Edition

See More Products
Designing Systems Using A2L Refrigerant - Free Webinar - 7/22/2026

Related Articles

  • A customer interfaces with 75F’s Central Control Unit.

    Smaller Buildings Can Benefit From Building Automation Systems

    See More
  • Aprilaire at AHR Expo 2019 - The ACHR News

    Aprilaire Says HVAC Contractors Can Benefit From Selling IAQ

    See More
  • Mark Menzer

    How the HVACR Industry Can Benefit From the Carbon Fee and Dividend Act

    See More

Related Products

See More Products
  • HVACR-Troubleshooting-Fundamentals-Cover-Image-One-Sheet.jpg

    HVACR Troubleshooting Fundamentals - Refrigeration & Air Flow Systems Training Package for Instructors & Service Managers

  • HVACR Troubleshooting Fundamentals Cover Image One Sheet.jpg

    HVACR Troubleshooting Fundamentals: Refrigeration and Air Flow Systems - Student Text

  • Uncomplicating The Heat Pump: Refrigeration & Air Flow Systems DVD

See More Products

Events

View AllSubmit An Event
  • September 30, 2025

    HVAC Pumping Systems for Commercial Building Applications

    On Demand Join us for an exclusive webinar on the latest advancements in parallel commercial HVAC pumping solutions designed to simplify installation and improve system efficiency.
View AllSubmit An Event

Related Directories

  • Daikin Applied

    A wholly owned subsidiary of Daikin Industries Ltd., Daikin Applied delivers engineered advanced HVAC technology for commercial, industrial and institutional customers with knowledgeable application expertise.
  • Greenheck

    Fans and ventilators, kitchen ventilation systems, dampers, louvers, energy recovery ventilators, make-up air, lab exhaust, dedicated outdoor air systems, indoor air handlers, rooftop units.
  • United CoolAir Corp.

    United CoolAir manufactures 1 to 90 ton "All-Indoor" Modular HVAC Solution systems for Commercial and Industrial Cooling as well as 100% Outside Air applications 200CFM to 25,000CFM.
×

Sign Up. Stay Informed.

The #1 trusted source for the HVACR industry since 1926

SUBSCRIBE
  • RESOURCES
    • Advertise
    • Contact Us
    • Advisory Board
    • Classifieds
    • Submit a Letter
    • Directories
    • Store
  • ACCOUNT CENTER
    • Create an Account
    • Start a Subscription
    • Manage My Account
    • Sign Up for Newsletters
    • Visit Customer Service
    • Update Preferences
  • SERVICES
    • Marketing Services
    • Reprints
    • Market Research
    • List Rental
    • Survey/Respondent Access
  • STAY CONNECTED
    • LinkedIn
    • Facebook
    • Instagram
    • YouTube
    • X (Twitter)
  • PRIVACY
    • PRIVACY POLICY
    • TERMS & CONDITIONS
    • DO NOT SELL MY PERSONAL INFORMATION
    • PRIVACY REQUEST
    • ACCESSIBILITY

Copyright ©2026. All Rights Reserved BNP Media, Inc. and BNP Media II, LLC.

Design, CMS, Hosting & Web Development :: ePublishing