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Webinar Presentation: Gain the Trust and Business of Homeowners Seeking Healthier Homes

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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Webinar Presentation: Gain the Trust and Business of Homeowners Seeking Healthier Homes

  1. 1. 1
  2. 2. 2 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.
  3. 3. 3 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.
  4. 4. 4 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
  5. 5. 5 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
  6. 6. 6 bpihomeowner.org/blog But that house was over 100 years old…
  7. 7. 7 Then we bought a house that was just 30 years old. What could possibly go wrong?
  8. 8. 8 See Anything Wrong With This Built-in Bookcase?
  9. 9. 9 Remove Trim Remove Bookcase Expose the Drywall Expose Batts Expose Framing
  10. 10. 10 Heat Pump Slab Sloped Toward Corner Water Test for Confirmation Seepage After 3” Rain Deluge
  11. 11. 11
  12. 12. 12 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
  13. 13. 13 Announcing…
  14. 14. 14
  15. 15. 15 Pass the Healthy Housing Principles exam and Earn 8 CEUs Request Information at bpi.org/HHPinfo
  16. 16. 16 • 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
  17. 17. 17 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
  18. 18. 18 Asthma is a common and serious environmental disease Asthma prevalence (as a percent of population) in children in the U.S. (0-17)
  19. 19. 19 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
  20. 20. 20 Occupant Health Benefits of Residential Energy Efficiency
  21. 21. 21 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
  22. 22. 22 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
  23. 23. 23 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
  24. 24. 24 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
  25. 25. 25 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
  26. 26. 26 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
  27. 27. 27 The Reference Guide Covers the Eight Healthy Home Principles
  28. 28. 28 The reference guide describes why each principle is important
  29. 29. 29 It provides detailed, evidence-based explanations of home issues
  30. 30. 30 • 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
  31. 31. 31 • 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!
  32. 32. 32 • 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
  33. 33. 33 • 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
  34. 34. 34 • 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
  35. 35. 35 • 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
  36. 36. 36 Here’s an example of why a holistic approach is necessary Moisture/water intrusion Mold Asthma exacerbation
  37. 37. 37 Moisture/ water intrusion Structural damage
  38. 38. 38 Structural damage Pests Deteriorated lead paint/ lead poisoning Fire Injuries
  39. 39. 39 Pests Pesticides Asthma & allergy exacerbation
  40. 40. 40 Pesticides
  41. 41. 41
  42. 42. 4242 From, “Care for Your Air” @ www.epa.gov/iaq The Healthy Home Principles applied in homes represent an expansion of house as a system 42 More holistic More comprehensive Consumers want help to make sure their home is healthy and safe
  43. 43. 43 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
  44. 44. 44 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
  45. 45. 45 The World Has Changed To A New Normal- SARS COV-2 new image Home Assessments are Virtual
  46. 46. 46 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?
  47. 47. 47 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
  48. 48. 48 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
  49. 49. 49 Last revised: 4/8/2020 Virtual Workflow for Virtual Home Assessment Contact family to notify family that their appointment will be TH Patient Home (Not in person) EH Coordinator Patient and Caregiver Provide needed information for TeleHealth (TH) Patient Home visit Provider - (What is the provider role? Should it be the PCP?) Access Representative (Needed?) Live Pre-registration Live Transfer to Pre-Registration Live Pre-registration Send Audio/ Visual meeting invitation Send Clinic Document Invitations Complete Electronic Clinical Forms Check for completed Electronic Clinical Forms Join Meeting Intake *Check-In Perform TH Patient In Home visit Complete Depart and Medication Reconcilliation Complete Documentat ion * Send Registration information to Amanda Davidson if TH Patient Home is not complete *Register and check in patient Engage in TH Patient in Home visit * Send Registration information to Amanda Davidson if not TH Patient Home is not complete Schedule TH Patient Home in Cerner Postal Mail Depart, Support Controlled Substance Prescription Schedule Follow Up. Report off CA/RN info for Controlled Substance Prescriptions and/or Depart paperwork to patient if not on portal * Join Meeting /Intake Report-off to provider; activate Social Work Consult if applicable eLink to Pre-Registration/External TEAMS Download Link Virtual M/R Verbiage Social Work Notify patient/ provider of Social Work plan Communicate Visit Plan with RN Audio Visual evaluation before or after provider visit OR phone call follow up at later time Complete documentation Schedule Before TH Patient Home in location Reschedule In Person -TH Patient Home Connect Audio/Visual with Social Work Patient Discuss Clinical Web Form Expectations *Check-In if phone visit or CA/Nurse is not assiting with visit Identify patient to be scheduled for TH Patient Home Visit Collect background information on home from community sources Healthy Home Assessor or Evaluator Postal Mail Depart, SSchedule Follow Up. Report-off to provider; activate Social Work Consult if applicable Notify patient/ provider of Social Work plan Review Case information with EHealth Coord. and Provider Consider developing a workflow diagram indicating the activities in sequence with roles and responsibilities
  50. 50. 50 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
  51. 51. 51 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
  52. 52. 52 www.haywardscore.com/tool Free 72,670 Scores
  53. 53. 53 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
  54. 54. 54 Moisture Meter IR Thermometer The Basics Thermo-hygrometer Dew Point Temperature Combustible gas meter Carbon Monoxide Detector Multi-Gas Detectors BPI-1200 Smoke Generator Air Current Tester
  55. 55. 55 2222222 Moisture meter and IR Infrared Cameras
  56. 56. 56 Diagnostics – Advanced Indoor Air Measurements Particulate Counters Chemicals & VOC Sampling Devices
  57. 57. 57 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
  58. 58. 58 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
  59. 59. 59 Contaminant Pathway Measurement Device
  60. 60. 60 -50 Pa 35.2 Pa Input Ch. B not used Contaminant Pathway Measurement Device 50.2 Pa
  61. 61. 61 The Occupant is the IAQ Receptor
  62. 62. 62 COVID-19 Zappers CAUTION
  63. 63. 63 Consumer IAQ Monitors Trend Indicators Shiny Objects -
  64. 64. 64 Multiple devices Personal PM 2.5 Bluetooth Radon Bluetooth 4G 4G WiFi WiFi WiFi
  65. 65. 65 Consumer IAQ Monitors Blood Test Results IAQ Monitor Results
  66. 66. 66 Consumer IAQ Monitors Trend Indicators at that time in that location
  67. 67. 67 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)
  68. 68. 68 buildingdoctors.com
  69. 69. 69 totalhomeperformance.com
  70. 70. 70 ecoperformancebuilders.com ERV / HRV
  71. 71. 71 minnicks.com virtual assessments
  72. 72. 72 Air Handler Intervention Source: Linda Wigington CASE STUDY: Indoor Air Quality Interventions Chris Guignon, evolveEA
  73. 73. 73 24/7 Air Handler w High MERV Filter 73 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
  74. 74. 74 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
  75. 75. 75 Sensor Integration OVERTURE CONNECTED IAQ SYSTEM + PM 2.5 tVOC CO2 Humidity Temperature Kitchen ERV / HRV
  76. 76. 76 Sensor Integration
  77. 77. 77 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.
  78. 78. 78 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
  79. 79. 79 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
  80. 80. 80 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
  81. 81. 81 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
  82. 82. 82 Thank You Amy Beley Amy.Beley@pearlcertificationcom Katie Arnoff karnoff@buildingperformance.org

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