HEALTHCARE & LEED
EB Healthcare ConnectionsEB Healthcare Connections
March 4, 2009March 4, 2009
Presenter: Andy Marolt, As...
Why Sustainability for
Healthcare Projects?
““Green hospitals are healthier for the patients,Green hospitals are healthier...
Principles of Sustainable
Construction
 Reduce resource consumptionReduce resource consumption
 Reuse resourcesReuse res...
For Who?
A Healthier Healing Environment…
““Green hospitals seek to reduce use of andGreen hospitals seek to reduce use of...
For Who?
A Competitive Edge…
“…“…many hospitals are managing to lowermany hospitals are managing to lower
energy bills, re...
Facility Goals for Sustainability
 Provide a safe and comfortable workProvide a safe and comfortable work
environment for...
Structuring Sustainability –
The Rating Systems…
 LEED-NCLEED-NC
 Green Guide for Healthcare (GGHC)Green Guide for Healt...
US Green Building Council’s
LEED Rating System

LEED for New Construction…
 Sustainable SitesSustainable Sites
 Water EfficiencyWater Efficiency
 Energy and Atmosphere...
Sustainable Sites
 Prereq 1Prereq 1 Construction Activity Pollution PreventionConstruction Activity Pollution Prevention
...
Water Efficiency
 Credit 1.1Credit 1.1 Water Efficient LandscapingWater Efficient Landscaping, Reduce by 50%, Reduce by 5...
Energy and Atmosphere
 Prereq 1Prereq 1 Fundamental Commissioning of the BuildingFundamental Commissioning of the Buildin...
Materials and Resources
 Prereq 1Prereq 1 Storage & Collection of RecyclablesStorage & Collection of Recyclables
 Credit...
Indoor Environmental Quality
 Prereq 1Prereq 1 Minimum IAQ PerformanceMinimum IAQ Performance
 Prereq 2Prereq 2 Environm...
Innovation and Design Process
 Credit 1.1Credit 1.1 Innovation in DesignInnovation in Design
 Credit 1.2Credit 1.2 Innov...
EB LEED-Registered Projects
 Gundersen Lutheran Medical CenterGundersen Lutheran Medical Center
Expansion; La Crosse, Wis...
LEED On-Line

LEED Letter Templates

LEED Certification
 Project registration (fee)Project registration (fee)
 LEED workshopsLEED workshops
 LEED On-line si...
Green Guide for Healthcare
(GGHC)

What is GGHC?
““The Green Guide For Healthcare is aThe Green Guide For Healthcare is a self-self-
certifyingcertifying bes...
What are the GGHC Principles?
 Protecting the immediate health of theProtecting the immediate health of the
building occu...
Integrated Design (required)
 Integrated Design ProcessIntegrated Design Process
 Health Mission Statement and ProgramHe...
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 MedicalKaiser Permanente San Leandro Medical
Center Template Hosp...
END OF PRESENTATIONEND OF PRESENTATION

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Eb Healthcare & Leed

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Eb Healthcare & Leed

  1. 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. 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. 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. 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. 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. 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. 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…. 
  8. 8. US Green Building Council’s LEED Rating System 
  9. 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. 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. 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. 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. 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. 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. 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. 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 
  17. 17. LEED On-Line 
  18. 18. LEED Letter Templates 
  19. 19. 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 SupportingLEED Letter Templates and Supporting DocumentsDocuments  Submit to USGBC for review (fee)Submit to USGBC for review (fee)  Certification!!!Certification!!! 
  20. 20. Green Guide for Healthcare (GGHC) 
  21. 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. 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. 23. Integrated Design (required)  Integrated Design ProcessIntegrated Design Process  Health Mission Statement and ProgramHealth Mission Statement and Program 
  24. 24. Sustainable Sites 
  25. 25. Water Efficiency 
  26. 26. Energy and Atmosphere 
  27. 27. Materials and Resources 
  28. 28. Environmental Quality 
  29. 29. Innovation and Design Process 
  30. 30. Integrated Operations & Transportation Operations 
  31. 31. Energy Efficiency 
  32. 32. Water Conservation 
  33. 33. Chemical & Waste Management 
  34. 34. Environment: Services & Preferable Purchasing 
  35. 35. Innovation in Operation 
  36. 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 
  37. 37. END OF PRESENTATIONEND OF PRESENTATION 
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