Introducing green concepts in the healthcare facilities can help address National issues like infection, epidemics, handling of bio-medical waste, water efficiency, energy efficiency, reduction in fossil fuel use for commuting, consumer waste and in general conservation of natural resources. Most importantly, these concepts can enhance patients' health, recovery and well-being. Against this background, the Indian Green Building Council (IGBC) has launched 'IGBC Green Healthcare rating system®. The rating system addresses the following aspects: Indoor Environmental Quality Sanitisation & Hygiene Water Conservation Energy Efficiency Building Materials and Resources Site Selection & Planning IGBC Green Healthcare Facilities Rating System is designed for District Hospital, Clinics, Private Hospitals and Medical Institutions.

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Presentation
on
Green Healthcare Facilities

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Green Healthcare Facilities
 Green building
 A green building is one which uses less water, optimises energy
efficiency, conserves natural resources, generates less waste and
provides healthier spaces for occupants, as compared to a
conventional building
 Green Healthcare Facility would address following additional
features
 Provides healing environment for faster recovery
 Reduces Hospital Acquired Infections (HAI)
GNRC, Guwahati IGBC Gold

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National Benefits
 Reduces resource consumption (Power & water)
 Would address sustainability aspects in
healthcare facilities
 Augments the healthcare policies of the country
 Minimises Hospital Acquired Infections
 Ultimately enhances public health

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Benefits in Green Hospitals
 Intangible benefits*
 Enhanced Daylight
 Faster recovery by 15%
 Reduces the patient stay by 41%
 Connectivity with the nature
 Reduces patient stay by 8.5%
 Improved health & hygiene
 Better infection control
 Tangible benefits
 Energy savings : 30-40%
 vis-à-vis ECBC Code
 Water savings : 20-30%
 As compared to Uniform plumbing code
Reference- * World Green Building Council
Max Super speciality, Bhatinda IGBC Gold
Max Super speciality, Delhi IGBC Gold

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Few Green Hospitals Certified by IGBC
Name of the hospital Location
Rating
Achieved
1 Kohinoor Hospital Mumbai Platinum
2
Max Super Speciality Hospital,
A Unit of Balaji Medical Diagnostic & Research Centre
N Delhi Gold
3 Govt. Mohan Kumaramangalam Medical College & Hospital Salem Gold
4 Max Super Speciality Hospital Bhatinda Gold
5 Max Super Speciality Hospital Dehradun Gold
6 Max Super Speciality Hospital Mohali Gold
7 ESI Hospital Bangalore Silver
8 Max Super Speciality Hospital
Shalimarbagh
N Delhi
Gold
9 Sir Hurkisondas Nurrotamdas Hospital and Research Centre Mumbai Gold
10 Ruby Hall Clinic Pune Gold
11 GNRC Institute of Medical Sciences - Phase 1 Guwahati Gold
12 Jaypee Medical Centre Noida Gold

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Key Green Features
Green Healthcare Facilities

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#1. Healing Architecture
 Creating a therapeutic environment for faster recovery
 Elements of Healing Architecture
 Connectivity with nature
 Daylight
GNRC, Guwahati IGBC Gold Certified
ESI, Bangalore IGBC Silver

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Healing Architecture
 Elements of Healing Architecture
 Colour psychology
Kohinoor Hospital, Mumbai IGBC Platinum

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# 2. Occupant & Patient Centric Design
 Acoustical Comfort
 Lower Reverberation Time (RT) in critical areas
 Ergonomics
 Height of shelves, depth, ease of approach
 Availability of Basic Services
 ATM, Restaurants, Supermarket
Ergonomically comfortable beds Ramp for easy access ,
Sanghamitra Hospital Ongole

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 Controlling Hospital Acquired Infection
 Dilution
 Minimum Air changes as per ASHRAE 170
 Higher in critical areas
 Filtration to minimise infections
 Two levels in critical areas
 Pressurization
 Positive in sterile rooms, catheterization room, clean work,
room
#3. Infection Control…

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 Antibacterial Surfaces
 Copper based surfaces,
 Bacteriostatic coatings
 Purification
 Germicidal/ UV lamps in AHUs
#3. Infection Control
Purification Techniques: PHIAntibacterial surfaces: CU+ certified
Purification Techniques: UVGI lamps

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# 4. Isolation Room
 Isolation room design
 10 % of the total Inpatient bed
capacities
 To reduce the risk of Hospital
Acquired Infections (HAI)
 HEPA filters to treat stale air
before exhausting it to the
external environment
 HEPA class:
 Filtration levels > 99.995 %
Sir HN Reliance Hospital, Mumbai IGBC Gold

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 Sanitation Design & Cleaning Practices
 Based on Centre for Disease Control
 Frequent cleaning of high touch surfaces
 Bed rails, telephone, toilet seat, toilet flush handle, inner door knob
 Solid & Liquid Bio-medical waste management
 Encourage automated Waste Management System for
biomedical waste
 Human intervention in collecting & segregating waste reduces by
90%
#5. Sanitisation & Hygiene..

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Step 1: Segregation at room level
Step 2: Pneuamtic Tube
(front end) System at each
ward
Step 3: Pneuamtic Tube
(last end) system at
Common waste
collection
Step 4: Waste collected
send to the authorized
vendors
Automated Solid Waste Management- Process
Sir HN Reliance Hospital, Mumbai IGBC Gold

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 Reduce
 Water Efficient Fixtures
 Dual flush system, Aerators, Waterless urinal
 As per UPC, India
 Reuse
 Waste Water Treatment
 Landscaping & Flushing purposes
 Recharge
 Rain water Harvesting
 Water Monitoring & Metering
#6. Water Conservation
Sprinkler system Drip Irrigation
Waterless Urinal
Ruby Hall Clinic, Pune IGBC Gold

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 IGBC Rated Hospitals
 Ranging from 185-275 kWh/sq.m/year
 Reference standard ECBC
 30-40% energy savings possible
 Efficient air-conditioning design
 500-600 sqft/TR
 Building Management System
 Efficient Envelope
 Efficient equipment
 New technologies
#7. Energy Efficiency
Jaypee Medical Centre, Noida IGBC Gold

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 Encourage installation of Renewable Energy System
 Solar, Wind, Geothermal
 Few Hospitals have implemented
#8. Renewable Energy
Wind Mills Suzlon, IGBC Platinum
Building Integrated photovoltaic PUMA Store, IGBC Platinum

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 Microclimate within the hospital need to be addressed
 Vegetation, High reflective paints, Roof garden, vertical gardens
 Visitors would experience better ambience
#9. Heat Island Mitigation
Waterless
Urinal
Vegetation in AIIMS Delhi
Vegetation on Roof

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 Hospitals & medical institutions can
help in spreading awareness on green
 Signages
 Celebration of World Green Building
Week: September 3rd week
 Periodical awareness programs
 Benefits
 Building will continue to be operated as
green
 Ensure participation of occupants
#10. Green Education

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IGBC Green Healthcare Facilities Rating
Ruby Hall Clinic IGBC- Gold
 Launched on 6 October 2016 during Green Building at Mumbai
 Rating system developed under chairmanship of Dr Chandrashekhar,
Former Chief Architect, Ministry of Health &FW, Govt. of India

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IGBC Green Healthcare Rating System –
Focus Areas
 A holistic approach towards sustainability
 Focus on aspects such as:
 Indoor Environmental Quality & Wellbeing
 Sanitisation & Hygiene
 Energy Efficiency
 Water Conservation
 Materials & Resources
 Site Selection & Planning

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Scope of Rating
 New & Existing Healthcare Facilities
 Community Health Centre
 District Hospitals
 Private Hospitals
 Nursing Homes, Super-Speciality Hospitals
 Medical Institutions
Certification Level
Credits
(New Healthcare
Facilities)
Credits
(Existing Healthcare
Facilities)
Certified 50-59 45-53
Silver 60-69 54-62
Gold 70-79 63-71
Platinum 80-100 72-90

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Weightage

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IGBC Certification Process

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THANK YOU!