Displacement Ventilation Emergence in Healthcare (DiVE)

A Research and Engagement Initiative to Advance Superior Indoor Environmental Quality while Enhancing Climate Action & Reducing Cost

Project Objectives

Updates

The Displacement Ventilation Emergence in Healthcare (DiVE) initiative is a multi-year and multi-phase research and engagement project focused on advancing the use of displacement ventilation (DV) in healthcare facilities across Canada. DV systems deliver low-velocity, cool air near floor level and allow it to rise naturally with thermal plumes, carrying contaminants upward and away from the breathing zone—thereby improving air quality, reducing energy use, and enhancing infection control when compared with conventional mixing ventilation (MV).
DV has been proven internationally across multiple building types including healthcare and remains underutilized in Canada with only three healthcare examples.  DiVE aims to remove the knowledge and policy barriers that inhibit adoption, unlocking a triple win for patient health, climate action, and cost effectiveness.  
As a means to unlock the benefits of DV, the specific objectives and deliverables of the project include the following:
Summarize state of the art of DV in healthcare in a Technology Profile
Build upon past research using Computation Fluid Dynamic (CFD) modeling to compare the exposure to aerosols from infected parties for MV vs DV
Increase understanding of energy and carbon savings potential of DV compared to MV
Explore regulatory pathways to streamline code-compliance process for DV
Build awareness, capability, and confidence among parties required for implementation, including designers, facility operators, and health authority decision-makers
If you are interested in supporting this initiative or have any questions please email alex@swordfernstrategic.com or sign up for the mailing list HERE.

Project Phases

The main phases of the project, which are concurrent and overlapping, are outlined below.

Phase 1: Pre-Research – Technology Profile

The first phase of the scope culminates in a Technology Profile intended to accurately, comprehensively and rigorously capture the state of the art of this technology including documenting the benefits, successful examples, and degree of application in Canada and elsewhere.  In addition, the Technology Profile will help to clarify and resolve where possible some of the current uncertainties, which include clarity regarding what is known versus uncertain with respect to appropriate ventilation rates for DV, energy and carbon savings potential associated with DV, and code/regulatory pathways to enable broader application of DV.

Phase 2: Core Research – CFD Modelling and Research Support

This study will directly compare how DV and MV affect people’s exposure to infectious aerosols, such as those that can spread respiratory viruses. Using computer models (CFD) validated by lab testing, the research team will simulate how coughs and normal breathing spread tiny droplets in different hospital rooms. The goal is to figure out how DV can achieve equal or better infection control with less energy use.

The study will also explore which hospital spaces—like waiting rooms, nursing stations, labs, or cafeterias—are good candidates for DV. Results will lead to design guidance and tools to help engineers and architects apply DV confidently, and may support future updates to Canadian and U.S. ventilation standards.

Key Technical Questions Being Investigated:
  • Comparing Infection Risk
    • The team will analyze how droplets that contain viruses move and settle in rooms with each ventilation type. The goal is to estimate how much virus a person might inhale and compare the resulting infection risk between DV and MV systems.
  • Finding the Ideal Ventilation Rate
    • More airflow isn’t always better—too much or too little can both worsen comfort or infection risk. The study will identify the “sweet spot” ventilation rate that maintains both comfort and low exposure under real-world conditions where the number of people and their body heat vary.
  • Testing Ceiling vs. Wall Air Outlets
    • Traditional DV uses low wall diffusers, but these can be expensive or impractical. Researchers will test whether modified ceiling diffusers—placed slightly lower—can achieve similar results by letting clean air rise gently around each person.
  • Avoiding Airflow “Lock-Up”
    • In some cases, excess heat from equipment or sunlight can stop air from rising properly, trapping contaminants. The study will model how much heat gain is acceptable before DV performance drops and explore fixes such as radiant panels or adjusted supply air temperatures.
  • Integrating Heating and Cooling Systems
    • The team will examine how radiant panels and small supply-air temperature adjustments affect both comfort and infection spread, and whether low-cost options can perform well.
  • Addressing Washroom Airflows
    • Because hospital washrooms often pull air from patient rooms, the study will test ways to prevent this from interfering with DV airflow patterns.
  • Adapting to Other Hospital Areas
    • Finally, the research will assess whether insights from other building types can apply to specialized hospital spaces (like sterile processing areas or waiting rooms) and identify what unique factors need to be considered.

The interim and final research reports will consolidate the findings from the CFD modeling.

Expected Outcomes:

Phase 3: Post-Research – Awareness, Education & Engagement Sessions

A series of workshops, webinars, and presentations will be delivered throughout the phases of the project.  The purpose of these sessions will vary and include increasing awareness of DV, gaining input from design professionals regarding barriers to application of DV in healthcare, and providing education regarding how to apply to DV.

The sessions will be tailored to suit specific audiences and their aspirations.  For example, design professionals may be most interested in understanding energy and carbon savings potential of DV and how to apply DV, whereas IPAC professionals may be most interested in understanding the nuances of how performance was established with respect to exposure to aerosols from infected parties for mixing vs. displacement ventilation.

 

Resources

 

Webinars and Training Events

Displacement Ventilation: Rethinking Indoor Air for Health and Climate

On September 25, 2025 we learned how displacement ventilation (DV) offers a healthier, low-carbon alternative to conventional mixing systems.

After explaining the basics of this underutilized ventilation strategy, our panel of presenters from the Displace Ventilation Emergence in Health Care (DiVE) research and engagement project shared about the benefits, barriers, opportunities and future pathways toward making DV the new default in hospital ventilation.

This webinar was part of the Canadian Coalition for Green Health Care’s Preparing Canada’s Health Care Buildings for Net-Zero project, made possible with investment from the Government of Canada’s Low Carbon Economy Implementation Readiness Fund.

Call To Action

The DiVE project is in progress and welcomes participation from a wide diversity of perspectives.  Below are some ways you can take action and some specific needs of the project that you may be able to support.

Sign up for our Distribution List 

Sign up to receive updates 

Sign up to participate

The project can benefit from a diversity of perspectives and levels of prior experience and expertise with DV.  If you feel called to participate in some form, please complete the Expression of Interest form linked below.

Complete an EOI to participate 

Submit Project Request

There is an opportunity for a mutually beneficial relationship between active projects (both new construction or major renovation) whereby the DiVE team can offer some support to a project that is interested in exploring DV as a strategy within the early planning and design stage of the project (ideally as early as possible).  At a minimum, one of the DiVE technical representatives can participate in at least one meeting with such project teams.   If there is sufficient alignment between project goals and timeline, it may be possible for the DiVE team to play a more significant role in supporting the project.  These project-specific explorations can also support the DiVE project goals.

Request project support 

Project Team

Alex Hutton

Founding Principle, Swordferd Strategic Sustainability

DiVE Project Manager

Greg Allen

Senior Associate, Rivercourt Engineering Inc

DiVE Technical Lead

Sabah Ali

Energy & Emissions Project Manager, Vancouver Coastal Health

DiVE Technical Contributor

Tariq Amlani

Health Sector Leader, Mechanical Engineer, Stantec

DiVE Partner and Technical Contributor

Project Collaborators & Participants

A significant and growing number of individuals and organizations have contributed to the DiVE draft deliverables to date.  Please complete this Expression of Interest (EOI) form to join our “Coalition of the Willing.” 

Project Partners and In-Kind Supporters

Project Funders