HEALTHCARE & LEED

EB Healthcare Connections EB Healthcare Connections

March 4, 2009March 4, 2009

Presenter: Andy Marolt, Assoc. AIA, CSI, CCS, LEED APPresenter: Andy Marolt, Assoc. AIA, CSI, CCS, LEED AP

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 and doctors, and nurses; use less energy and water; and have less of an impact on the water; and have less of an impact on the environment”environment”

--US Green Building --US Green Building CouncilCouncil

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 quality Focus on quality

For Who?A Healthier Healing Environment…

“ “Green hospitals seek to reduce use of and Green hospitals seek to reduce use of and exposure to toxic chemicals and provide a exposure to toxic chemicals and provide a healthier healing environment.”healthier healing environment.”

--Adele Houghton,--Adele Houghton,

Project Manager,Project Manager,

Green Guide for Healthcare Green Guide for Healthcare (GGHC)(GGHC)

For Who?A Competitive Edge…

“… “…many hospitals are managing to lower many hospitals are managing to lower energy bills, reduce waste and achieve energy 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 Green Guide for Healthcare (GGHC)(GGHC)

Facility Goals for Sustainability

Provide a safe and comfortable work Provide a safe and comfortable work environment for hospital staff often environment for hospital staff often working under high stress situations.working under high stress situations.

Improve quality of patient care!Improve quality of patient care!

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….

US Green Building Council’sLEED Rating System

LEED for New Construction…

Sustainable SitesSustainable Sites Water EfficiencyWater Efficiency Energy and Atmosphere Energy 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

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

Water Efficiency

Credit 1.1 Credit 1.1 Water Efficient LandscapingWater Efficient Landscaping, Reduce by 50%, Reduce by 50% Credit 1.2 Credit 1.2 Water Efficient LandscapingWater Efficient Landscaping, No Potable Use, No Potable Use

or No Irrigationor No Irrigation Credit 2 Credit 2 Innovative Wastewater TechnologiesInnovative Wastewater Technologies Credit 3.1 Credit 3.1 Water Use ReductionWater Use Reduction, 20%, 20% Credit 3.2 Credit 3.2 Water Use ReductionWater Use Reduction, 30%, 30%

Total Possible Points: 5Total Possible Points: 5

Energy and Atmosphere Prereq 1 Prereq 1 Fundamental Commissioning of the Building Fundamental Commissioning of the Building

Energy SystemsEnergy Systems Prereq 2 Prereq 2 Minimum Energy PerformanceMinimum Energy Performance Prereq 3 Prereq 3 Fundamental Refrigerant ManagementFundamental Refrigerant Management Credit 1 Credit 1 Optimize Energy PerformanceOptimize Energy Performance Credit 2 Credit 2 On-Site Renewable EnergyOn-Site Renewable Energy Credit 3 Credit 3 Enhanced CommissioningEnhanced Commissioning Credit 4 Credit 4 Enhanced Refrigerant ManagementEnhanced Refrigerant Management Credit 5 Credit 5 Measurement & VerificationMeasurement & Verification Credit 6 Credit 6 Green PowerGreen Power

Total Possible Points: 17Total Possible Points: 17

Materials and Resources Prereq 1 Prereq 1 Storage & Collection of RecyclablesStorage & Collection of Recyclables Credit 1.1 Credit 1.1 Building Reuse, Building Reuse, Maintain 75% of Existing Walls, Floors & RoofMaintain 75% of Existing Walls, Floors & Roof Credit 1.2 Credit 1.2 Building ReuseBuilding Reuse, Maintain 95% of Existing Walls, Floors & Roof, Maintain 95% of Existing Walls, Floors & Roof Credit 1.3 Credit 1.3 Building ReuseBuilding Reuse, Maintain 50% of Interior Non-Structural Elements, Maintain 50% of Interior Non-Structural Elements Credit 2.1 Credit 2.1 Construction Waste ManagementConstruction Waste Management, Divert 50% from Disposal, Divert 50% from Disposal Credit 2.2 Credit 2.2 Construction Waste ManagementConstruction Waste Management, Divert 75%, Divert 75% Credit 3.1 Credit 3.1 Materials ReuseMaterials Reuse, 5%, 5% Credit 3.2 Credit 3.2 Materials ReuseMaterials Reuse, 10%, 10% Credit 4.1 Credit 4.1 Recycled ContentRecycled Content, 10% (post-consumer + ½ pre-consumer), 10% (post-consumer + ½ pre-consumer) Credit 4.2 Credit 4.2 Recycled ContentRecycled Content, 20% (post-consumer + ½ pre-consumer), 20% (post-consumer + ½ pre-consumer) Credit 5.1 Credit 5.1 Regional MaterialsRegional Materials, 10% Extracted, Processed & Manufactured, 10% Extracted, Processed & Manufactured Credit 5.2 Credit 5.2 Regional MaterialsRegional Materials, 20% Extracted, Processed and Manufactured, 20% Extracted, Processed and Manufactured Credit 6 Credit 6 Rapidly Renewable MaterialsRapidly Renewable Materials Credit 7 Credit 7 Certified WoodCertified Wood

Total Possible Points: 13Total Possible Points: 13

Indoor Environmental Quality Prereq 1Prereq 1 Minimum IAQ PerformanceMinimum IAQ Performance Prereq 2Prereq 2 Environmental Tobacco Smoke (ETS) ControlEnvironmental Tobacco Smoke (ETS) Control Credit 1 Credit 1 Outdoor Air Delivery MonitoringOutdoor Air Delivery Monitoring Credit 2 Credit 2 Increased VentilationIncreased Ventilation Credit 3.1 Credit 3.1 Construction IAQ Mgt PlanConstruction IAQ Mgt Plan, During Construction, During Construction Credit 3.2 Credit 3.2 Construction IAQ Mgt PlanConstruction IAQ Mgt Plan, Before Occupancy, Before Occupancy Credit 4.1 Credit 4.1 Low-Emitting MaterialsLow-Emitting Materials, Adhesives & Sealants, Adhesives & Sealants Credit 4.2 Credit 4.2 Low-Emitting MaterialsLow-Emitting Materials, Paints & Coatings, Paints & Coatings Credit 4.3 Credit 4.3 Low-Emitting MaterialsLow-Emitting Materials, Carpet Systems, Carpet Systems Credit 4.4 Credit 4.4 Low-Emitting MaterialsLow-Emitting Materials, Composite Wood & Agrifiber Products, Composite Wood & Agrifiber Products Credit 5 Credit 5 Indoor Chemical & Pollutant Source ControlIndoor Chemical & Pollutant Source Control Credit 6.1 Credit 6.1 Controllability of SystemsControllability of Systems, Lighting, Lighting Credit 6.2 Credit 6.2 Controllability of SystemsControllability of Systems, Thermal Comfort, Thermal Comfort Credit 7.1 Credit 7.1 Thermal ComfortThermal Comfort, Design, Design Credit 7.2 Credit 7.2 Thermal ComfortThermal Comfort, Verification, Verification Credit 8.1 Credit 8.1 Daylight & ViewsDaylight & Views, Daylight 75% of Spaces, Daylight 75% of Spaces Credit 8.2 Credit 8.2 Daylight & ViewsDaylight & Views, Views for 90% of Spaces, Views for 90% of Spaces

Total Possible Points: 15Total Possible Points: 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 Accredited LEED Accredited

Professional Professional

Total Possible Points: 5Total Possible Points: 5

EB LEED-Registered Projects

Gundersen Lutheran Medical Center Gundersen Lutheran Medical Center Expansion; La Crosse, WisconsinExpansion; La Crosse, Wisconsin

Gundersen Lutheran Stukins Building Gundersen Lutheran Stukins Building Renovation; La Crosse, WisconsinRenovation; La Crosse, Wisconsin

LEED On-Line

LEED Letter Templates

LEED Certification

Project registration (fee)Project registration (fee) LEED workshopsLEED workshops LEED On-line siteLEED On-line site Credit interpretation requests (CIR’s)Credit interpretation requests (CIR’s) LEED Letter Templates and Supporting LEED Letter Templates and Supporting

DocumentsDocuments Submit to USGBC for review (fee)Submit to USGBC for review (fee) Certification!!!Certification!!!

Green Guide for Healthcare (GGHC)

What is GGHC?

““The Green Guide For Healthcare is a The Green Guide For Healthcare is a self-self-certifyingcertifying best practices toolkit; such as, it best practices toolkit; such as, it does not provide achievement level does not provide achievement level threshold rankings.”threshold rankings.”

--Green Guide for Healthcare v2.2--Green Guide for Healthcare v2.2

What are the GGHC Principles?

Protecting the immediate health of the Protecting the immediate health of the building occupantsbuilding occupants

Protecting the health of the surrounding Protecting the health of the surrounding communitycommunity

Protecting the health of the global Protecting the health of the global community and natural resourcescommunity and natural resources

--Green Guide for Healthcare v2.2--Green Guide for Healthcare v2.2

Integrated Design (required)

Integrated Design ProcessIntegrated Design Process Health Mission Statement and ProgramHealth Mission Statement and Program

Sustainable Sites

Water Efficiency

Energy and Atmosphere

Materials and Resources

Environmental Quality

Innovation and Design Process

Integrated Operations & Transportation Operations

Energy Efficiency

Water Conservation

Chemical & Waste Management

Environment: Services & Preferable Purchasing

Innovation in Operation

Current EB GGHC Projects

Kaiser Permanente San Leandro Medical Kaiser Permanente San Leandro Medical Center Template Hospital; San Leandro, Center Template Hospital; San Leandro, CaliforniaCalifornia

Kaiser Permanente Portland Westside Kaiser Permanente Portland Westside Medical Center; Hillsboro, OregonMedical Center; Hillsboro, Oregon

END OF PRESENTATIONEND OF PRESENTATION