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Economic Landscape

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Richard Moon. rmoon_at_tka-architects.com. ... Suk-King Yiu. suk-king.yiu_at_hok.com. The Transformation . Jersey Shore University Medical Center. Neptune. Feasibility ... – PowerPoint PPT presentation

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Title: Economic Landscape


1
Green Guide for Health Care
Creating High Performance Healing Health Care
Facilities
A voluntary, self-certifying toolkit for
harnessing best practices in the health care
industry.
welcome
2
Healthcare Construction Boom
background
Source 2007 McGraw-Hill Construction Healthcare
Green Building SmartMarket Report
3
Healthcare Green Construction Boom?
Increase in Health Care Green Building Over Time
Projected Green Building Market Value
Source McGraw-Hill Construction, 2007
Source McGraw-Hill Construction Research
Analytics, 2007
background
Source 2007 McGraw-Hill Construction Healthcare
Green Building SmartMarket Report
4
Hippocratic Oath
  • From the modern version
  • I will prevent disease whenever I can, for
    prevention is preferable to cure.

5
Long ownership mean owners realize life cycle
implications of their construction choices.
1
24/7 operations with patients in place require
intensive coordination and redundancy of all
services at all times.
2
Health care facilities are often multiple
building campuses of varying ages, conditions,
systems
3
The design and operation of health care buildings
is highly regulated with intense economic and
life safety oversight
4
Operational issues, such as mercury elimination,
have defined industrys environmental stewardship
5
design attributes
overview
6
Construction frequently occurs within or adjacent
to occupied buildings (where health is fragile,
or steadiness of hand required)
6
Infection Control Risk Assessment (ICRA)
protocols to minimize the impacts of construction
on occupants demonstrate leadership to the wider
sustainable building industry
7
Healthcare construction managers can evolve a
rigorous, sustainable set of practices for the
healthcare industry that may inform wider
construction practice
8
construction attributes
overview
7
1998 American Hospital Association U.S. EPA
Memorandum of Understanding
1 Virtual elimination of mercury-containing waste
from healthcare facilities waste streams by
2005 2 Reduce total waste volume by 33 by
2005, and by 50 by 2010 3 Identify hazardous
substances for pollution prevention and waste
reduction opportunities, including hazardous
chemicals persistent, bioaccumulative, and
toxic pollutants.
8
Hospitals for a Healthy Environment (H2E) (now
forming part of Practice Greenhealth) Founded in
1998, H2E is a voluntary program that educates
health care professionals about pollution
prevention opportunities in hospitals
healthcare systems, noting environmental public
health benefits in addition to reducing costs
associated with waste disposal.
Successes to Date
97 of hospitals have implemented mercury
reduction/ elimination programs
72 of hospitals have inventoried and replaced
mercury-containing devices
80 of hospitals have implemented a waste
reduction policy for all waste types
source 2005 AHA/H2E Survey (Note percentages
refer to survey respondents)
9
2002 ASHE Green Healthcare Construction Guidance
Statement
Protect the immediate health of building
occupants. Protect the health of the surrounding
local community. Protect the health of the
global community and natural resources.
1
2
3
strategies
overview
10
  • Chapter 1.2 Environment of Care
  • the built environment has a profound effect on
    health, productivity, and the natural
    environment
  • Recognizes health cares primary mission to
    first, do no harm - and enhanced patient
    environment, employee effectiveness, and resource
    stewardship.
  • Systems Sustainable Design
  • Referenced tools GGHC, LEED
  • Interdisciplinary design teams
  • Site selection and development
  • Natural light views of nature
  • Thermal lighting control
  • Acoustical control
  • Waste minimization
  • Water quality and conservation
  • Energy conservation
  • Indoor air quality

11
  • Void in the marketplace of health care specific
    green building tool
  • Core content transfer from existing tools (e.g.,
    LEED) but need to tailor for healthcare
  • Explicit health-based focus
  • Sensitivity to an over-regulated sector ?
    voluntary best practices with no certification
    thresholds
  • Reinforces integrated design as essential
  • Bridges design construction with operational
    considerations

12
Section / Category Name
Pre-Req. / Max. Total
LEED HC
1 Integrated Design 2 Sustainable Sites 3
Water Efficiency 4 Energy Atmosphere 5
Materials Resources 6 Environmental
Quality 7 Innovation Design Process
2 - 0 1 - 21 1 - 6 3 - 21 2 - 21 3 - 24 0 -
4 12 - 97
1 - 6 1 - 16 1 - 5 3 - 19 2 - 14 3 - 17 NA 11
- 77
construction section
public comment draft
13
Section / Category Name
Pre-Req. / Total Points
1 Integrated Operations Education 2
Sustainable Sites Management 3 Transportation
Operations 4 Facilities Management 5
Chemical Management 6 Waste Management 7
Environmental Services 8 Food Service 9
Environmentally Preferable Purchasing 10
Innovation in Operation
1 - 2 0 - 9 0 - 5 6 - 39 3 -
5 3 - 6 0 - 8 0 - 14 2 - 19 0 -
7 15 - 114
operations section
14
GGHC Credit Organization
Intent
Health Issues
Credit Goals
Documentation
Reference Standards
Technologies Strategies
15
geographic distribution Green Guide for Health
Care Website Registrants
GGHC Website Registration
gghc website registrant growth
top ten countries with international website
registrants
  1. Canada
  2. Australia
  3. United Kingdom
  4. India
  5. France
  1. Malaysia
  2. Argentina
  3. Brazil
  4. South Africa
  5. Portugal

Release GGHC Version 2.2
  • 18,000 website registrants
  • every state in the U.S.
  • every Canadian Province
  • 500 new registrants/month
  • 100 countries

Release GGHC Version 2.1 Pilot
Release GGHC Version 2.0 Pilot
registration
overview
Last updated April 2008
16
geographic distribution Green Guide for Health
Care Registered Projects
green guide project growth
148 registered projects 36,000,000 sf 34 states 4
Canadian provinces 7 countries
Current as of January 2007
Current as of April 2008
project
overview
17
Leadership in Energy Environmental Design
A voluntary, consensus-based standard for
developing high-performance, sustainable buildings
LEED-New Construction LEED-Existing
Buildings LEED-Commercial Interiors LEED-Core
Shell LEED-Homes LEED-Neighborhood Development
(Pilot)
Schools Retail New Construction (Pilot) Retail
Commercial Interiors (Pilot) Healthcare (Public
comment) Campus (Under development) Labs (Under
development)
Dollard Discovery Health Center LEED v2.0
Certified
www.usgbc.org
18
  • Sample LEED Certified Health Care Projects
  • Boulder Community Foothills Hospital (CO)
    LEED Silver
  • British Columbia Cancer Institute (BC)
    LEED-Canada Gold
  • Jewish Hospital Medical Center South (KY)
    LEED Silver
  • OHSU Center for Health and Healing (OR) LEED
    Platinum
  • Parrish Medical Center (FL) LEED Silver
  • Providence Newberg Medical Center (OR) LEED
    Gold

340 LEED registered health care 3 of total
registered projects 31 LEED certified health
care 2 of total certified projects
As of April 2008
19
LEED for Healthcare Mission Statement
LEED for Healthcare supports sustainable
planning, design, and construction of healthcare
facilities by adapting the U.S. Green Building
Councils LEED to respond to the unique set of
opportunities and challenges presented by the
healthcare sector. By affirming healthcares
fundamental mission of first, do no harm, LEED
for Healthcare recognizes the profound impact of
the built environment on the health of occupants,
local communities, and global ecology and
encourages design strategies that enhance the
healing environment for patients, healthy and
productive work environments for staff, and
responsible ecological stewardship.
20
USGBC-GGHC Memorandum of Understanding
  • September 2007
  • Work together on tools, educational programs and
    other activities to support green health care
    building.
  • Jointly develop health care-related resource
    materials, education and training events
  • Jointly identify a prioritized research agenda
  • Continue to collaborate on developing future
    health care-related green building tools

21
Monthly Newsletter Calendar Webinars through
Practice Greenhealth on construction related
sustainable design topics
registration
overview
22
project participation and the Forum
  • What Peer-to-peer forum to discuss issues and
    strategies
  • Who Health care project participants
  • - Health care facility project teams
  • - Contracted design teams (architects,
    engineers, interior designers, etc)
  • - Green Guide Steering Committee
  • - Not vendor reps
  • Where online at www.GGHC.org

project
overview
23
project registration is easy
  • Registration is all on line
  • No cost
  • No minimum point threshold
  • No obligation
  • No disclosure of project names or information
    without permission

project
overview
24
a. Download a copy b. Register a project c. Sign
on to the forum d. Donate to the Green Guide
www.gghc.org
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