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This NexusCon 2025 presentation digs into what really happens when you modernize automation in occupied, mission-critical healthcare buildings. Jim Meacham and Mike Wang of Altura, joined by Tyler Lee, Controls Project Manager at McCarthy, walk through two medical office buildings migrated to an open, Niagara-based enterprise BAS.
They cover the realities of upgrading systems that have been “Frankensteined” over decades—multiple vendors, vintages, and undocumented dependencies—while keeping ORs, procedure rooms, and pharmacies operational. Rather than theory, this is a field-level look at cutovers, coordination, and the tradeoffs required to make open systems work in the real world.
Behind the paywall, you’ll hear what broke, what surprised the team, and how they adapted in real time. The presenters unpack lessons on operator engagement, overnight cutovers, unreliable COV implementations, firmware failures across hundreds of controllers, and why some “modern” tech (like flow meters) added risk instead of value. They explain how simplifying field logic, standardizing data models, and pushing intelligence to the supervisory layer enabled scale, resilience, and future flexibility.
If you’re responsible for modernizing existing buildings—especially in healthcare—this recording shows what it actually takes to future-proof a BAS without blowing up operations.
Watch the full recording inside Nexus Pro →
This NexusCon 2025 presentation digs into what really happens when you modernize automation in occupied, mission-critical healthcare buildings. Jim Meacham and Mike Wang of Altura, joined by Tyler Lee, Controls Project Manager at McCarthy, walk through two medical office buildings migrated to an open, Niagara-based enterprise BAS.
They cover the realities of upgrading systems that have been “Frankensteined” over decades—multiple vendors, vintages, and undocumented dependencies—while keeping ORs, procedure rooms, and pharmacies operational. Rather than theory, this is a field-level look at cutovers, coordination, and the tradeoffs required to make open systems work in the real world.
Behind the paywall, you’ll hear what broke, what surprised the team, and how they adapted in real time. The presenters unpack lessons on operator engagement, overnight cutovers, unreliable COV implementations, firmware failures across hundreds of controllers, and why some “modern” tech (like flow meters) added risk instead of value. They explain how simplifying field logic, standardizing data models, and pushing intelligence to the supervisory layer enabled scale, resilience, and future flexibility.
If you’re responsible for modernizing existing buildings—especially in healthcare—this recording shows what it actually takes to future-proof a BAS without blowing up operations.
Watch the full recording inside Nexus Pro →

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This is a great piece!
I agree.