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2008 GGHC welcome

A voluntary, self-certifying toolkit for harnessing

best practices in the health care industry.

Creating High Performance HealingHealth Care Facilities

Green Guidefor Health Care

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welcome

2008 GGHC

Healthcare Construction Boom

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

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2008 GGHC

Healthcare Green Construction Boom?

background

Increase in Health Care GreenBuilding Over Time

Source: McGraw-Hill ConstructionResearch & Analytics, 2007

Projected Green BuildingMarket Value

Source: McGraw-Hill Construction, 2007

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

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2008 GGHC

From the modern version:

I will prevent disease

whenever I can, for

prevention is preferable

to cure.

Hippocratic Oath

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2008 GGHC

The design and operation of health care buildings is

highly regulated with intense economic and lifesafety oversight

Health care facilities are often multiple building

campuses of varying ages, conditions, systems

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

Long ownership mean owners realize life cycleimplications of their construction choices.

1

2

3

4

overviewdesign attributes

Operational issues, such as mercury elimination,have defined industrys environmental stewardship

5

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2008 GGHC

6

7

8

Construction frequently occurs within oradjacentto occupied buildings (where health is fragile, or

steadiness of hand required)

overviewconstruction attributes

Infection Control Risk Assessment (ICRA) protocolsto minimize the impacts of construction on occupants

demonstrate leadership to the wider sustainable

building industry

Healthcare construction managers can evolve arigorous, sustainable set of practices for the

healthcare industry that may inform widerconstruction practice

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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 by33% by 2005, and by 50% by 2010;

3 Identify hazardous substances

for pollution prevention and wastereduction opportunities, including

hazardous chemicals & persistent,

bioaccumulative, and toxic

pollutants.

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Hospitals for a HealthyEnvironment (H2E)(now forming part of Practice Greenhealth)

Founded in 1998, H2E is a voluntaryprogram that educates health careprofessionals about pollution prevention

opportunities in hospitals & healthcaresystems, noting environmental & publichealth benefits in addition to reducingcosts associated with waste disposal.

Successes to Date

97% 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)

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Protect the immediate

health of building

occupants.

Protect the health of thesurroundinglocalcommunity.

Protect the health of theglobal communityand natural resources.

1

2

3

overviewstrategies

2002 ASHE Green Healthcare

Construction Guidance Statement

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Chapter 1.2Environment 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 enhancedpatient environment, employeeeffectiveness, and resource stewardship.

Systems & Sustainable DesignReferenced 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

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2008 GGHC

Void in the marketplace of health care specific green building tool Core content transfer from existing tools (e.g., LEED) but needto tailor for healthcare

Explicit health-based focus

Sensitivity to an over-regulated sector voluntary best practiceswith no certification thresholds

Reinforces integrated design as essential

Bridges design & construction with operational considerations

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2008 GGHC

construction

section

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 - 412 - 97

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

1 - 6

1 - 16

1 - 5

3 - 19

2 - 14

3 - 17

NA11 - 77

public comment

draft

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2008 GGHC

operations

section

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 Purchasing10 Innovation in Operation

1 - 2

0 - 9

0 - 5

6 - 39

3 - 5

3 - 6

0 - 8

0 - 14

2 - 190 - 7

15 - 114

Section / Category Name Pre-Req. / Total Points

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2008 GGHC

Intent

Documentation

Health Issues

Reference Standards

Credit Goals

Technologies & Strategies

GGHC CreditOrganization

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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

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

20000

Nov-03

Jan-04

Mar-04

May-04

Jul-04

Sep-04

Nov-04

Jan-05

Mar-05

May-05

Jul-05

Sep-05

Nov-05

Jan-06

Mar-06

May-06

Jul-06

Sep-06

Nov-06

Jan-07

Mar-07

May-07

Jul-07

Sep-07

Nov-07

Jan-08

Mar-08

Release GGHC

Version 2.0 Pilot

Release GGHC

Version 2.1 Pilot

Release GGHC

Version 2.2

gghc website registrant growth

geographic distributionGreen Guide for Health Care Website Registrants

overviewregistration

1. Canada

2. Australia

3. United Kingdom

4. India5. France

6. Malaysia

7. Argentina

8. Brazil

9. South Africa10.Portugal

top ten countries with internationalwebsite registrants

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2008 GGHC

Current as of January 2007

geographic distributionGreen Guide for Health CareRegistered Projects

overviewproject

148 registered projects

36,000,000 sf

34 states

4 Canadian provinces

7 countries

green guide project growth

Current as of April 2008

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2008 GGHC

Leadership in Energy & Environmental Design

A voluntary, consensus-basedstandard for developing high-

performance, sustainable buildings

Dollard Discovery Health Center

LEED v2.0 Certified

LEED-New Construction

LEED-Existing Buildings

LEED-Commercial

InteriorsLEED-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)

www.usgbc.org

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2008 GGHC

Sample LEED CertifiedHealth Care Projects

Boulder Community FoothillsHospital (CO) LEED Silver

British Columbia Cancer Institute(BC) LEED-Canada Gold

Jewish Hospital Medical CenterSouth (KY) LEED Silver

OHSU Center for Health andHealing (OR) LEED Platinum

Parrish Medical Center (FL)LEED Silver

Providence Newberg MedicalCenter (OR) LEED Gold

340 LEED registered health care

3% of total registered projects31 LEED certified health care

2% of total certified projectsAs of April 2008

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2008 GGHC

LEED for HealthcareMission Statement

LEED for Healthcare supports sustainable planning,design, and construction of healthcare facilities byadapting the U.S. Green Building Councils LEED torespond to the unique set of opportunities andchallenges 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 ofoccupants, local communities, and global ecology and

encourages design strategies that enhance the healingenvironment for patients, healthy and productive workenvironments for staff, and responsible ecological

stewardship.

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2008 GGHC

USGBC-GGHCMemorandum of Understanding

September 2007

Work together on tools, educational programsand 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

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2008 GGHC overviewregistration

Monthly Newsletter

Calendar

Webinars throughPractice Greenhealth

on construction

related sustainable

design topics

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2008 GGHC

What: Peer-to-peer forum to discuss issues andstrategies

Who: Health care project participants:

- Health care facility project teams

- Contracted design teams (architects,

engineers, interior designers, etc)

- Green Guide Steering Committee

- Notvendor reps

Where: online at www.GGHC.org

overviewproject

project participation and the Forum

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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

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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