© 2008 GGHC

welcome

A voluntary, self-certifying toolkit for harnessing best practices in the health care

industry.

Creating High Performance Healing Health Care Facilities

Green Guide for Health Care™

© 2008 GGHC

Healthcare Construction Boom

backgroundSource: 2007 McGraw-Hill Construction Healthcare Green Building SmartMarket Report

© 2008 GGHC

Healthcare Green Construction Boom?

background

Increase in Health Care Green Building Over Time

Source: McGraw-Hill Construction Research & Analytics, 2007

Projected Green Building Market Value

Source: McGraw-Hill Construction, 2007

Source: 2007 McGraw-Hill Construction Healthcare Green Building SmartMarket Report

© 2008 GGHC

From the modern version:

“I will prevent disease whenever I can, for prevention is preferable to cure.”

Hippocratic Oath

© 2008 GGHC

The design and operation of health care buildings is highly regulated with intense economic and life safety oversight

Health care facilities are often multiple building campuses of varying ages, conditions, systems

24/7 operations with patients in place require intensive coordination and redundancy of all services at all times.

Long ownership mean owners realize life cycle implications of their construction choices.

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overviewdesign attributesOperational issues, such as mercury elimination, have defined industry’s environmental stewardship

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Construction frequently occurs within or adjacent to occupied buildings (where health is fragile, or steadiness of hand required)

overviewconstruction attributes

Infection Control Risk Assessment (ICRA) protocols to minimize the impacts of construction on occupants demonstrate leadership to the wider sustainable building industry

Healthcare construction managers can evolve a rigorous, sustainable set of practices for the healthcare industry that may inform wider construction practice

© 2008 GGHC

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.

© 2008 GGHC

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 Date97% of hospitalshave implemented mercury reduction/ elimination programs

72% of hospitalshave inventoried and replaced mercury-containing devices

80% of hospitalshave implemented a waste reduction policy for all waste types

source: 2005 AHA/H2E Survey (Note: percentages refer to survey respondents)

© 2008 GGHC

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.

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overviewstrategies

2002 ASHE Green Healthcare Construction

Guidance Statement

© 2008 GGHC

Chapter 1.2 Chapter 1.2 Environment of CareEnvironment of Care “…the built environment has a profound effect on health, productivity, and the natural environment…”

Recognizes health care’s 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

© 2008 GGHC

• 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

© 2008 GGHC

constructionsection

1 – Integrated Design2 – Sustainable Sites3 – Water Efficiency4 – Energy & Atmosphere5 – Materials & Resources

6 – Environmental Quality7 – Innovation & Design Process

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412 - 97

Section / Category Name Pre-Req. / Max. Total LEED HC

1 - 6

1 - 161 -

53 - 192 - 143 - 17

NA11 - 77

public comment draft

© 2008 GGHC

operationssection

1 – Integrated Operations & Education2 – Sustainable Sites Management3 – Transportation Operations4 – Facilities Management5 – Chemical Management6 – Waste Management7 – Environmental Services8 – Food Service9 – Environmentally Preferable Purchasing10 – Innovation in Operation

1 - 20 - 90 - 56 - 393 - 53 - 60 - 80 - 142 - 190 - 7

15 - 114

Section / Category Name Pre-Req. / Total Points

© 2008 GGHC

Intent

Documentation

Health Issues

Reference Standards

Credit Goals

Technologies & Strategies

GGHC Credit Organization

© 2008 GGHC

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

GGHC Website Registration

Last updated April 2008

GGHC Website Registrant Growth

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Release GGHCVersion 2.0 Pilot

Release GGHCVersion 2.1 Pilot

Release GGHCVersion 2.2

gghc website registrant growth

geographic distributionGreen Guide for Health Care Website Registrants

overviewregistration

1. Canada2. Australia3. United Kingdom4. India5. France

6. Malaysia7. Argentina8. Brazil9. South Africa10.Portugal

top ten countries with international website registrants

© 2008 GGHC

Current as of January 2007

geographic distributionGreen Guide for Health Care Registered Projects

overviewproject

148 registered projects36,000,000 sf34 states4 Canadian provinces7 countries

green guide project growth

Current as of April 2008

© 2008 GGHC

Leadership in Energy & Environmental Design

A voluntary, consensus-based standard for developing high-performance, sustainable buildings

Dollard Discovery Health CenterLEED® v2.0 Certified

LEED-New ConstructionLEED-Existing BuildingsLEED-Commercial InteriorsLEED-Core & ShellLEED-Homes LEED-Neighborhood Development (Pilot)

Schools Retail: New Construction (Pilot)Retail: Commercial Interiors (Pilot)Healthcare (Public comment)Campus (Under development)Labs (Under development)

www.usgbc.org

© 2008 GGHC

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 care3% of total registered projects31 LEED certified health care2% of total certified projects

As of April 2008

© 2008 GGHC

LEED for Healthcare Mission Statement

LEED for Healthcare supports sustainable planning, design, and construction of healthcare facilities by adapting the U.S. Green Building Council’s LEED® to respond to the unique set of opportunities and challenges presented by the healthcare sector.

By affirming healthcare’s 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.”

© 2008 GGHC

USGBC-GGHCMemorandum of Understanding

September 2007September 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

© 2008 GGHC overviewregistration

Monthly Newsletter

Calendar

Webinars through Practice Greenhealth

on construction related sustainable

design topics

© 2008 GGHC

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

overviewproject

project participation and the Forum

© 2008 GGHC

• Registration is all on line• No cost• No minimum point threshold • No obligation • No disclosure of project names or

information without permission

project registration is easy

overviewproject

© 2008 GGHC

a. Download a copy

b. Register a project

c. Sign on to the forum

d. Donate to the Green Guide

www.gghc.org