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Integrative Design 
for Health 
A systematic approach to promoting 
health, wellness, and occupant 
experience
Green building today 
Many “health-intended” 
prerequisites and credits but: 
• No systematic prioritization process 
• No documentation of intended 
outcomes 
• No direct role for health professionals
LEED v4 
An integrative approach to 
designing for energy and water.
Source: John Boecker, Building as an Organism More: Education@USGBC
Source: John Boecker, Building as an Organism More: Education@USGBC
Source: John Boecker, Building as an Organism More: Education@USGBC
Need 
Provide an integrative process for health, 
wellness, and occupant experience.
Inspiration 
Health Impact Assessment
HIA in the United States 
US Environmental Protection Agency
HIA Elements 
1. Screening 
2. Scoping 
3. Assessment 
4. Recommendations 
5. Reporting 
6. Monitoring and evaluation
Hope SF 
San Francisco Public Housing Redevelopment
#1: Population Needs 
Assessment 
• Population: Health for whom? 
• Needs: What health challenges? 
• Assessment: What process? 
What expertise?
Source: US EPA (2013)
#2: Prioritize Strategies 
Dozens of opportunities: 
• Location and transportation 
• Site design 
• Energy & Atmosphere 
• Indoor environmental quality 
• Materials & Resources 
• Pilot Credits
Many Health-intended LEED Credits 
100% 
90% 
80% 
70% 
60% 
50% 
40% 
30% 
20% 
10% 
0% 
EBOM NC Core & Shell Schools ND CI Healthcare 
Percent of credits that mention health 
and wellness 
Health in rating systems intent 
Health in Reference Guide 
More: See Trowbridge on Insight.gbig.org
New Credits & Criteria 
Create new tools within established 
rating systems, starting with Enterprise 
Green Communities and LEED
Ramp 
Recognizing Good, Better, and Best 
process and performance
Good 
1. “DIY” population needs assessment 
2. Systematic prioritization of strategies
Better 
1. Consultation with health professionals 
2. Robust population needs assessment 
3. Systematic prioritization of strategies
Best 
1. Full integration of health professionals 
2. Robust population needs assessment 
3. Systematic prioritization of strategies 
4. Commissioned implementation 
5. Coordinated monitoring and 
verification
More 
Explore 
Insight.gbig.org 
Contact 
cpyke@usgbc.org 
Follow 
@chrispyke

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Integrative Design for Health A systematic approach to promoting health, wellness, and occupant experience

  • 1. Integrative Design for Health A systematic approach to promoting health, wellness, and occupant experience
  • 2. Green building today Many “health-intended” prerequisites and credits but: • No systematic prioritization process • No documentation of intended outcomes • No direct role for health professionals
  • 3. LEED v4 An integrative approach to designing for energy and water.
  • 4. Source: John Boecker, Building as an Organism More: Education@USGBC
  • 5. Source: John Boecker, Building as an Organism More: Education@USGBC
  • 6. Source: John Boecker, Building as an Organism More: Education@USGBC
  • 7. Need Provide an integrative process for health, wellness, and occupant experience.
  • 9. HIA in the United States US Environmental Protection Agency
  • 10. HIA Elements 1. Screening 2. Scoping 3. Assessment 4. Recommendations 5. Reporting 6. Monitoring and evaluation
  • 11. Hope SF San Francisco Public Housing Redevelopment
  • 12. #1: Population Needs Assessment • Population: Health for whom? • Needs: What health challenges? • Assessment: What process? What expertise?
  • 13. Source: US EPA (2013)
  • 14. #2: Prioritize Strategies Dozens of opportunities: • Location and transportation • Site design • Energy & Atmosphere • Indoor environmental quality • Materials & Resources • Pilot Credits
  • 15. Many Health-intended LEED Credits 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% EBOM NC Core & Shell Schools ND CI Healthcare Percent of credits that mention health and wellness Health in rating systems intent Health in Reference Guide More: See Trowbridge on Insight.gbig.org
  • 16. New Credits & Criteria Create new tools within established rating systems, starting with Enterprise Green Communities and LEED
  • 17. Ramp Recognizing Good, Better, and Best process and performance
  • 18. Good 1. “DIY” population needs assessment 2. Systematic prioritization of strategies
  • 19. Better 1. Consultation with health professionals 2. Robust population needs assessment 3. Systematic prioritization of strategies
  • 20. Best 1. Full integration of health professionals 2. Robust population needs assessment 3. Systematic prioritization of strategies 4. Commissioned implementation 5. Coordinated monitoring and verification
  • 21. More Explore Insight.gbig.org Contact cpyke@usgbc.org Follow @chrispyke