1. HEALTHCARE & LEED
EB Healthcare ConnectionsEB Healthcare Connections
March 4, 2009March 4, 2009
Presenter: Andy Marolt, Assoc. AIA, CSI, CCS, LEED APPresenter: Andy Marolt, Assoc. AIA, CSI, CCS, LEED AP
2. Why Sustainability for
Healthcare Projects?
““Green hospitals are healthier for the patients,Green hospitals are healthier for the patients,
doctors, and nurses; use less energy anddoctors, and nurses; use less energy and
water; and have less of an impact on thewater; and have less of an impact on the
environment”environment”
--US Green Building Council--US Green Building Council
3. Principles of Sustainable
Construction
Reduce resource consumptionReduce resource consumption
Reuse resourcesReuse resources
Use recyclable resourcesUse recyclable resources
Protect natureProtect nature
Eliminate toxinsEliminate toxins
Apply life-cycle costingApply life-cycle costing
Focus on qualityFocus on quality
4. For Who?
A Healthier Healing Environment…
““Green hospitals seek to reduce use of andGreen hospitals seek to reduce use of and
exposure to toxic chemicals and provide aexposure to toxic chemicals and provide a
healthier healing environment.”healthier healing environment.”
--Adele Houghton,--Adele Houghton,
Project Manager,Project Manager,
Green Guide for Healthcare (GGHC)Green Guide for Healthcare (GGHC)
5. For Who?
A Competitive Edge…
“…“…many hospitals are managing to lowermany hospitals are managing to lower
energy bills, reduce waste and achieveenergy bills, reduce waste and achieve
healthier indoor air quality.”healthier indoor air quality.”
--Adele Houghton,--Adele Houghton,
Project Manager,Project Manager,
Green Guide for Healthcare (GGHC)Green Guide for Healthcare (GGHC)
6. Facility Goals for Sustainability
Provide a safe and comfortable workProvide a safe and comfortable work
environment for hospital staff oftenenvironment for hospital staff often
working under high stress situations.working under high stress situations.
Improve quality of patient care!Improve quality of patient care!
7. Structuring Sustainability –
The Rating Systems…
LEED-NCLEED-NC
Green Guide for Healthcare (GGHC)Green Guide for Healthcare (GGHC)
Kaiser Permanente Eco-ToolkitKaiser Permanente Eco-Toolkit
BREEAMBREEAM
Green GlobesGreen Globes
And others….And others….
9. LEED for New Construction…
Sustainable SitesSustainable Sites
Water EfficiencyWater Efficiency
Energy and AtmosphereEnergy and Atmosphere
Materials and ResourcesMaterials and Resources
Indoor Environmental QualityIndoor Environmental Quality
Innovation in DesignInnovation in Design
Certification Levels: Certified, Silver, Gold, PlatinumCertification Levels: Certified, Silver, Gold, Platinum
10. Sustainable Sites
Prereq 1Prereq 1 Construction Activity Pollution PreventionConstruction Activity Pollution Prevention
Credit 1Credit 1 Site SelectionSite Selection
Credit 2Credit 2 Development Density & Community ConnectivityDevelopment Density & Community Connectivity
Credit 3Credit 3 Brownfield RedevelopmentBrownfield Redevelopment
Credit 4.1Credit 4.1 Alternative TransportationAlternative Transportation, Public Transportation Access, Public Transportation Access
Credit 4.2Credit 4.2 Alternative TransportationAlternative Transportation, Bicycle Storage & Changing Rooms, Bicycle Storage & Changing Rooms
Credit 4.3Credit 4.3 Alternative TransportationAlternative Transportation, Low-Emitting & Fuel Efficient, Low-Emitting & Fuel Efficient
VehiclesVehicles
Credit 4.4Credit 4.4 Alternative TransportationAlternative Transportation, Parking Capacity, Parking Capacity
Credit 5.1Credit 5.1 Site DevelopmentSite Development, Protect or Restore Habitat, Protect or Restore Habitat
Credit 5.2Credit 5.2 Site DevelopmentSite Development, Maximize Open Space, Maximize Open Space
Credit 6.1Credit 6.1 Stormwater DesignStormwater Design, Quantity Control, Quantity Control
Credit 6.2Credit 6.2 Stormwater DesignStormwater Design, Quality Control, Quality Control
Credit 7.1Credit 7.1 Heat Island EffectHeat Island Effect, Non-Roof, Non-Roof
Credit 7.2Credit 7.2 Heat Island EffectHeat Island Effect, Roof, Roof
Credit 8Credit 8 Light Pollution ReductionLight Pollution Reduction
Total Possible Points: 14Total Possible Points: 14
11. Water Efficiency
Credit 1.1Credit 1.1 Water Efficient LandscapingWater Efficient Landscaping, Reduce by 50%, Reduce by 50%
Credit 1.2Credit 1.2 Water Efficient LandscapingWater Efficient Landscaping, No Potable Use, No Potable Use
or No Irrigationor No Irrigation
Credit 2Credit 2 Innovative Wastewater TechnologiesInnovative Wastewater Technologies
Credit 3.1Credit 3.1 Water Use ReductionWater Use Reduction, 20%, 20%
Credit 3.2Credit 3.2 Water Use ReductionWater Use Reduction, 30%, 30%
Total Possible Points: 5Total Possible Points: 5
12. Energy and Atmosphere
Prereq 1Prereq 1 Fundamental Commissioning of the BuildingFundamental Commissioning of the Building
Energy SystemsEnergy Systems
Prereq 2Prereq 2 Minimum Energy PerformanceMinimum Energy Performance
Prereq 3Prereq 3 Fundamental Refrigerant ManagementFundamental Refrigerant Management
Credit 1Credit 1 Optimize Energy PerformanceOptimize Energy Performance
Credit 2Credit 2 On-Site Renewable EnergyOn-Site Renewable Energy
Credit 3Credit 3 Enhanced CommissioningEnhanced Commissioning
Credit 4Credit 4 Enhanced Refrigerant ManagementEnhanced Refrigerant Management
Credit 5Credit 5 Measurement & VerificationMeasurement & Verification
Credit 6Credit 6 Green PowerGreen Power
Total Possible Points: 17Total Possible Points: 17
13. Materials and Resources
Prereq 1Prereq 1 Storage & Collection of RecyclablesStorage & Collection of Recyclables
Credit 1.1Credit 1.1 Building Reuse,Building Reuse, Maintain 75% of Existing Walls, Floors & RoofMaintain 75% of Existing Walls, Floors & Roof
Credit 1.2Credit 1.2 Building ReuseBuilding Reuse, Maintain 95% of Existing Walls, Floors & Roof, Maintain 95% of Existing Walls, Floors & Roof
Credit 1.3Credit 1.3 Building ReuseBuilding Reuse, Maintain 50% of Interior Non-Structural Elements, Maintain 50% of Interior Non-Structural Elements
Credit 2.1Credit 2.1 Construction Waste ManagementConstruction Waste Management, Divert 50% from Disposal, Divert 50% from Disposal
Credit 2.2Credit 2.2 Construction Waste ManagementConstruction Waste Management, Divert 75%, Divert 75%
Credit 3.1Credit 3.1 Materials ReuseMaterials Reuse, 5%, 5%
Credit 3.2Credit 3.2 Materials ReuseMaterials Reuse, 10%, 10%
Credit 4.1Credit 4.1 Recycled ContentRecycled Content, 10% (post-consumer + ½ pre-consumer), 10% (post-consumer + ½ pre-consumer)
Credit 4.2Credit 4.2 Recycled ContentRecycled Content, 20% (post-consumer + ½ pre-consumer), 20% (post-consumer + ½ pre-consumer)
Credit 5.1Credit 5.1 Regional MaterialsRegional Materials, 10% Extracted, Processed & Manufactured, 10% Extracted, Processed & Manufactured
Credit 5.2Credit 5.2 Regional MaterialsRegional Materials, 20% Extracted, Processed and Manufactured, 20% Extracted, Processed and Manufactured
Credit 6Credit 6 Rapidly Renewable MaterialsRapidly Renewable Materials
Credit 7Credit 7 Certified WoodCertified Wood
Total Possible Points: 13Total Possible Points: 13
14. Indoor Environmental Quality
Prereq 1Prereq 1 Minimum IAQ PerformanceMinimum IAQ Performance
Prereq 2Prereq 2 Environmental Tobacco Smoke (ETS) ControlEnvironmental Tobacco Smoke (ETS) Control
Credit 1Credit 1 Outdoor Air Delivery MonitoringOutdoor Air Delivery Monitoring
Credit 2Credit 2 Increased VentilationIncreased Ventilation
Credit 3.1Credit 3.1 Construction IAQ Mgt PlanConstruction IAQ Mgt Plan, During Construction, During Construction
Credit 3.2Credit 3.2 Construction IAQ Mgt PlanConstruction IAQ Mgt Plan, Before Occupancy, Before Occupancy
Credit 4.1Credit 4.1 Low-Emitting MaterialsLow-Emitting Materials, Adhesives & Sealants, Adhesives & Sealants
Credit 4.2Credit 4.2 Low-Emitting MaterialsLow-Emitting Materials, Paints & Coatings, Paints & Coatings
Credit 4.3Credit 4.3 Low-Emitting MaterialsLow-Emitting Materials, Carpet Systems, Carpet Systems
Credit 4.4Credit 4.4 Low-Emitting MaterialsLow-Emitting Materials, Composite Wood & Agrifiber Products, Composite Wood & Agrifiber Products
Credit 5Credit 5 Indoor Chemical & Pollutant Source ControlIndoor Chemical & Pollutant Source Control
Credit 6.1Credit 6.1 Controllability of SystemsControllability of Systems, Lighting, Lighting
Credit 6.2Credit 6.2 Controllability of SystemsControllability of Systems, Thermal Comfort, Thermal Comfort
Credit 7.1Credit 7.1 Thermal ComfortThermal Comfort, Design, Design
Credit 7.2Credit 7.2 Thermal ComfortThermal Comfort, Verification, Verification
Credit 8.1Credit 8.1 Daylight & ViewsDaylight & Views, Daylight 75% of Spaces, Daylight 75% of Spaces
Credit 8.2Credit 8.2 Daylight & ViewsDaylight & Views, Views for 90% of Spaces, Views for 90% of Spaces
Total Possible Points: 15Total Possible Points: 15
15. Innovation and Design Process
Credit 1.1Credit 1.1 Innovation in DesignInnovation in Design
Credit 1.2Credit 1.2 Innovation in DesignInnovation in Design
Credit 1.3Credit 1.3 Innovation in DesignInnovation in Design
Credit 1.4Credit 1.4 Innovation in DesignInnovation in Design
Credit 2Credit 2 LEED AccreditedLEED Accredited
ProfessionalProfessional
Total Possible Points: 5Total Possible Points: 5
16. EB LEED-Registered Projects
Gundersen Lutheran Medical CenterGundersen Lutheran Medical Center
Expansion; La Crosse, WisconsinExpansion; La Crosse, Wisconsin
Gundersen Lutheran Stukins BuildingGundersen Lutheran Stukins Building
Renovation; La Crosse, WisconsinRenovation; La Crosse, Wisconsin
21. What is GGHC?
““The Green Guide For Healthcare is aThe Green Guide For Healthcare is a self-self-
certifyingcertifying best practices toolkit; such as, itbest practices toolkit; such as, it
does not provide achievement leveldoes not provide achievement level
threshold rankings.”threshold rankings.”
--Green Guide for Healthcare v2.2--Green Guide for Healthcare v2.2
22. What are the GGHC Principles?
Protecting the immediate health of theProtecting the immediate health of the
building occupantsbuilding occupants
Protecting the health of the surroundingProtecting the health of the surrounding
communitycommunity
Protecting the health of the globalProtecting the health of the global
community and natural resourcescommunity and natural resources
--Green Guide for Healthcare v2.2--Green Guide for Healthcare v2.2
23. Integrated Design (required)
Integrated Design ProcessIntegrated Design Process
Health Mission Statement and ProgramHealth Mission Statement and Program
36. Current EB GGHC Projects
Kaiser Permanente San Leandro MedicalKaiser Permanente San Leandro Medical
Center Template Hospital; San Leandro,Center Template Hospital; San Leandro,
CaliforniaCalifornia
Kaiser Permanente Portland WestsideKaiser Permanente Portland Westside
Medical Center; Hillsboro, OregonMedical Center; Hillsboro, Oregon