A Conversation with Healthy Homes Experts Kevin Kennedy, Joe Medosch, and Larry Zarker
Homeowners are asking for healthier homes. They’re buying the latest technologies in indoor air quality (IAQ) improvements. But YOU go into these homes every day–and you have an opportunity to flex your expertise and gain homeowners’ trust on this important issue. How can you bring more value to your customers and address the real, underlying causes of poor indoor air quality?
In this webinar, join Pearl and three prominent healthy homes experts to learn how you can support your customers’ journeys to healthier homes, starting today.
View More Webinars from Pearl:
https://pearlcertification.com/webinars
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About Us
Pearl Certification documents efficiency and solar
installations to provide investment-grade documentation
which helps the home appraise for more – with Pearl
Contractor installations as the contributing factor! Pearl
works with an elite group of contractors in HVAC, solar and
home performance. Our national partners include the
Department of Energy, ENERGY STAR®, National
Association of Realtors, and the Appraisal Institute. Pearl
Certified homes are appraising and selling for 5% more on
average.
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About our Sponsor
The Building Performance Association is a membership-
driven 501(c)6 industry association dedicated to
advancing the home and building performance industry.
Built upon three decades of experience, the Association
is well-positioned to provide industry support through
key areas including advocacy, education, programs,
networking, publications, and community.
We represent almost 10,000 members who work to
deliver improved energy efficiency, health, safety, and
environmental performance to people in their homes
across the United States and Canada. For more
information, please visit www.Building-Performance.org.
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Joe Medosch
Healthy Building Scientist
Hayward Score
www.HaywardScore.com
jmedosch@haywardscore.com
Kevin Kennedy
Program Director
Environmental Health Program
Children’s Mercy Kansas City
kkennedy@cmh.edu
Larry Zarker
Chief Executive Officer
Building Performance Institute
lzarker@bpi.org
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Today
• 8 Healthy Home “Keep It” principles and what they mean to you and your business
• Introduction to the NEW Healthy Housing Principles reference guide
• Understand the difference between the Healthy Housing Principles certificate and the
Healthy Home Evaluator certification
• What consumers are looking for
• Overview on IAQ devices and how they help solve problems
• What do the research findings tell us about how homes affect occupant health?
• How virtual assessments can build confidence with consumers
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Certificates of Knowledge
Building Science
Principles
Healthy Housing
Principles
BPI Healthy Home
Evaluator Professional
Certification
At Least One BPI Core
Certification Prerequisite
Energy AuditorQC InspectorMF Building Analyst
Core BPI Certifications
Building Analyst
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Pass the Healthy Housing Principles exam
and Earn 8 CEUs
Request Information at bpi.org/HHPinfo
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• HVAC Technicians/Office Staff
• Insulation/Air Sealing Technicians
• Home Performance Contractors
• Community Health Workers
• Public Health Workers
• In-Home Nurses
• Nurse Practitioners
• Utility Program Representatives
• Home Inspectors
• Realtors
• Parent Teacher Advocacy
• Students
• Technical High School
• Community College
• University
Healthy Housing Principles
Target Audiences
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People’s activities and daily behavior have a
major impact on the indoor environmental
quality of their home
All homes are supposed to be designed and
built for people to occupy
People don’t manage their health problems in a
hospital, they manage their health in their home
Many people have unique health issues that
can be impacted by their home
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Asthma is a common and serious environmental disease
Asthma prevalence (as a percent of
population) in children in the U.S. (0-17)
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In 2009, researchers found that the direct cost
of asthma is about $3,259 per person each year.
The cost of Asthma is HIGH in the U.S.
$50.1 billion
$56 billion
$5.9 billion
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New report- Lots of households
have healthy home concerns
Healthy Home Remodeling: Consumer Trends and Contractor
Preparedness, 2019. Elizabeth La Jeunesse, Joint Center for Housing
Studies of Harvard University
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Healthy Home Remodeling: Consumer Trends and Contractor Preparedness, 2019.
Elizabeth La Jeunesse, Joint Center for Housing Studies of Harvard University
New report- Lots of households have healthy home
concerns, but especially younger homeowners
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Healthy Home Remodeling: Consumer Trends and Contractor Preparedness, 2019.
Elizabeth La Jeunesse, Joint Center for Housing Studies of Harvard University
Indoor air quality, pests and safety are major concerns
of those thinking about upgrading their home
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Healthy Home Remodeling: Consumer Trends and Contractor Preparedness, 2019.
Elizabeth La Jeunesse, Joint Center for Housing Studies of Harvard University
Health symptoms were a major driver for people’s
motivation to invest in healthy home
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Because of SARS-CoV2 / COVID19 and
shelter-in-place, now more than ever-
Homeowners are looking to invest in
their homes:
• Better indoor air quality
• Performance in their home
- Heating / cooling systems
- Making their home quieter
- Improving comfort
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Keep It Principles
Air Sealing
Air Sealing
Air Sealing
Air Sealing
Air Sealing
Repairs & Homeowner education
Air Sealing
You can do EE and HH at the same time.
Energy Efficient Measures
Insulation
Exhaust fans
Healthy Outcomes
• Reduce Contaminant pathways
• Reduce Allergen & asthma triggers
• Reduce Pest entry points
• Improves comfort
Greatest health savings opportunity
• Improves ventilation
• Reduces moisture
• Improved durability
Makes for happy, healthy comfortable users
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• Pests’ health effects on occupants
• How pests enter homes
• Integrated pest management (IPM)
The reference guide is full of valuable
information you can apply immediately
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• What are contaminants?
• Where do contaminants come from and how do
contaminants impact health?
• Effective strategies for eliminating contaminants
It provides information anyone can
apply in their own home, even you!
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• Common home safety risks
• An unsafe home’s effect on occupants
• Simple and smart strategies for preventing home injuries
The guide can help you explain
complex information to your clients
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• The health effects of poor ventilation
• Air leakage and circulation in homes
• Strategies for ventilation and air filtration in homes
It includes links to additional information
for those who want to learn more
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• The importance of comfort to long-term health
• How air sealing and insulation can make homes healthier
• Why energy efficiency and home performance are healthy
home principles
The guide provides basic explanations
of the health impacts of housing
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• What needs to be maintained—inside and outside of a home
• How maintenance supports up to three other principles of a
healthy home
• Potential home contaminants that require maintenance
• Checklist for maintaining a home
It will be a resource every professional
will want to have on their shelf
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Here’s an example of
why a holistic
approach is necessary
Moisture/water
intrusion
Mold
Asthma exacerbation
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From, “Care for Your Air” @ www.epa.gov/iaq
The Healthy Home Principles
applied in homes represent an
expansion of house as a system
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More holistic
More comprehensive
Consumers want help to
make sure their home is
healthy and safe
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The home walk through should now include a visual
assessment of housing health and safety risks
Use your 5 best assessment tools-
Look
Listen
Smell
Touch
Taste
Looking in new locations
for exposure concerns
Communicate with your
client about best healthy
home practices
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There are some misunderstood challenges
with health data collection and its use
• Anyone can educate and advocate about the poor
housing conditions that are known health hazards
• Association is not causation - connecting
environmental conditions to direct health impacts
is a high bar. Focus on environmental improvement
• Be familiar with the research that supports any
recommendations for home interventions.
• Seek training that provides new science and
evidence-based recommendations
For any risk and liability issues, always seek the advice of your legal counsel
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The World Has Changed
To A New Normal-
SARS COV-2 new image
Home Assessments
are Virtual
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We need to develop new ideas for effective virtual visits
• Consider having a list of talking points
of a checklist, maybe even a script
• Consider sending photos to the client
ahead of time
• Photos should be of you and/or the
team, what they look like,
• And, maybe what they look like in PPE
• How long will the work take?
• How many times will you need to visit
the home?
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Virtual Assessment Walk-through
and data collection
• Your client can be guided through their home
• Address their concerns and questions first
• The walk-through teaches the client about
their home and its systems- a great teacher!
• You can take screen shots of issues
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Virtual home report and
education discussion
•Email your recommendations
ahead of a virtual visit
•Send healthy home education-
discuss healthy home literature,
focus on their concerns from the
walk-through
•Provide healthy home action plan
with top 5 recommendations
•Less time for your staff needed to
prepare
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Are there things your client can show you remotely?
Virtual / Remote engagement
• Engauges and educates the occupant
• Reduce the time needed for the assessment
• Allows non-technician to complete taskes
• In most cases – SOMEONE WILL VISIT THE HOME
• DOES NOT REPLACE THE ASSESSMENT
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Social interaction will need to
involve a whole new level of trust
• Speak clearly and with a friendly
tone – you’re wearing a mask
• Wear uniforms or have work IDs
prominently displayed
• Emphasize courtesy and respect
• Clearly communicate your purpose
and ask if this time is still good for
your client
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Measure Its
• Temperature- ambient and surface (IR)
• Moisture Bulk and Vapor (Relative Humidity RH)
• Dew Point Temperature
• Combustion gases (natural gas, methane and propane
• Carbon Monoxide (CO) including low levels
• Water temperature
• Pressure and flow (manometer and flow devices)
• Particulates
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Measure Its
• Temperature- ambient and surface (IR)
• Moisture Bulk and Vapor (Relative Humidity RH)
• Dew Point Temperature
• Combustion gases (natural gas, methane and propane
• Carbon Monoxide (CO) including low levels
• Water temperature
• Pressure and flow (manometer and flow devices)
• Particulates
BPI training partners provide a wide range of trainings
on basic and advanced diagnostics
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Inside the house
PressurizingDepressurizing
Blower Door To blower door or not to blower door
• Why are you at this house?
• Does anyone have any respiratory issues
- Asthma or
- Allergies
• Impact client comfort or well being?
• Not a one “touch” visit.
• Can you complete the evaluation
without using a blower door?
• Did you visually inspect - Crawl space
- Attic
- Duct system
Contaminant Pathway Measurement Device
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Virtual or Remote Diagnostics
Govee Temperature and Rh monitor and datalogger
Send to occupant. Place in different rooms, maybe move them every few days.
You arrive and read the data via Bluetooth (set it up before you sent it)
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24/7 Air Handler w High MERV Filter
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2) Return drop modification
w/ turning vanes
4”, 20”x 25” MERV 13 filter
2
After
1) Using existing 1” pleated filter
1
Before
Source: Linda Wigington
CASE STUDY: Indoor Air Quality Interventions
Chris Guignon, evolveEA
Dylos particles ≥0.5 μm
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Sensor Integration CENTRAL AIR CONTROLLER
To control HVAC system fan during air quality
events and ensure regular circulation
OTHER EQUIPMENT
Automatically triggers ventilation or filtration
during AQ events
Indoor Stand
Alone Device
AH Control
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What are the Healthy Home Business Opportunities?
Aging in Place Elderly
Assessments to Prevent
Trips and Falls
Asthma and Respiratory
Infection Trigger
Assessments in Homes
CDC: Costs for falls to Medicare in 2015
totaled over $31 billion with a $30,000
cost for hospital stay.
Aetna estimates a cost of $800
for emergency room visits and
$8,800 for hospital stays.
Post Surgery Recovery in
the Home: A Greater
Likelihood of Infection
Hospitals are penalized financially
for repeat admissions, so they have
an interest in keeping their
customers well at home.
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What are the Healthy Home Business Opportunities?
Medicaid Starting to
Reimburse for the Healthy
Home Assessment
Utility Programs
Focusing on Comfort,
Health and Safety + E.E.
Eliminating Major Trip and
Fall Hazards in Homes
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What are the Healthy Home Business Opportunities?
Health Specialists
• Local Allergy and Asthma Treatment Centers
• Immunologists
• Ear, Nose and Throat Specialists
• Pulmonologists
• Pediatric Physicians
• General Practitioners
• Local Hospitals (Community Investment)
Local Government
• Public Health Agencies
• Certified Lead Paint Abatement Contractor
• Licensed Mold Remediation Service Provider
• Become a Certified Radon Tester
• Federal/State Certification for Asbestos Remediation
Educators
• Provide Information to Parent/Teacher Assns.
Care Givers
• In-home Nurses and Care Givers
Media
• Provide Case Studies to Local TV, Radio and Newspapers
• Participate in Social Media Sites Relating to Health Issues
• Build a Strong Web Site with Credible Information
• Engage SEO/SEM and Lead Generation Consultants
Shows
• Bridal Shows
• Pet Shows (differentiate from the home & garden crowd)
Real Estate Professionals
• Realtors, Appraisers, and Inspectors
• Lenders
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Conclusion
• COVID-19 has changed the way that people view health and their home
environment
• More people are searching for ways to protect their health in their homes
• Visual observation and diagnostic testing support your findings and builds
trust with customers
• Educate your employees on evidence-based problem solving
• Virtual assessments are here and improve productivity
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Joe Medosch
Healthy Building Scientist
Hayward Score
www.HaywardScore.com
jmedosch@haywardscore.com
Kevin Kennedy
Program Director
Environmental Health Program
Children’s Mercy Kansas City
kkennedy@cmh.edu
Thank You
Larry Zarker
Chief Executive Officer
Building Performance Institute
lzarker@bpi.org