GREEN HOSPITAL: The Khoo Teck Puat Hospital Experience

1. Green Hospital
The Khoo Teck Puat Hospital Experience
20 October 2017

2. • Early experimentation in Alexandra Hospital
• Planning for Khoo Teck Puat Hospital
• System-wide Blue Print
• Our Approach, Outcomes
• What Works
• Next Steps
Outline

3. Land Area
(km2)
719.9
Population
(‘000)
5612.3
Life Expectancy 82.9
Singapore
(FY2016)
659 beds
Annual admissions 41,841
Average length of stay 5.1 days

4. EARLY EXPERIMENTATION
ALEXANDRA HOSPITAL
Mrs Rosalind Tan
Retired Occupational Therapist
Chief Gardener, Khoo Teck Puat Hospital

5. Alexandra Hospital
(Common and Unique Spaces)
Pavement lined with plants
Welcoming entrance
Butterfly Trail
Marshland for BirdsMedicinal GardenFragrant Garden

6. Alexandra Hospital
(Public Education on Environment)
Butterfly Information Corner

7. Alexandra Hospital
(Start of all things Green)
Waste segregation
Composting Getting rid of Styrofoam
Sensors in Toilets
Recycling

8. 1. Extending the treatment of
current diseases to disease
prevention and promotion of
positive health; empowering
patients to take control over
the factors that influence their
health
2. Creating a healthy workplace
for staff
3. Building strong partners for
public health in the
communities
4. Ensuring a Healthy and
Sustainable organization

9. PLANNING FOR
KHOO TECK PUAT HOSPITAL

10. Focus Group Discussions Soliciting Views from Volunteers
Dialogues with Stakeholders(Grassroots and Residents)
Planning for KTPH
Designing Space from Stakeholders’ Perspectives

11. • Making Yishun a great place to
Live, Work and Play
• Connecting with agencies to
discuss design possibilities for
Yishun Pond and integration with
Yishun Park
Support from Government Agencies

12. Design Preference
• Connected to neighbourhood
• Architectural solutions
• Modernising traditional designs
• Greenery preferred
• Ease/low cost of maintenance
• A public park for community
Mr Fred Kent
Founder, Project of Public Spaces
Guru of Placemaking
Staff planting trees 3 years before
KTPH’s completion

13. High Touch
Warm, reassuring
Healing
Environment
Hospital within a garden,
garden within a hospital
Tranquil, restful
Patient Space
Quiet moments
Thinking through decisions
Placemaking
Health promoting space
for staff, patients and the
community
Energy-Efficient
30% less energy used
Natural ventilation, overhangs, high ceilings
Solar & wind power
Irrigating from Yishun Pond
Caring for the
Environment

14. 5 Nos. of Heat
Pumps System
KTPH’s Green Building Features
(Energy Conservation)
Renewable ResourcesSolar Panels Skylight
Re-channelling of airLED lights

15. 5 Nos. of Heat
Pumps System
KTPH’s Green Building Features
(Water Conservation)
Pond water for usage Drip irrigation Rain sensors
Condensate waterEfficient water features

16. Hospital Design
(To encourage users to climb stairs)

17. Volunteer-owned rooftop. Thrice-weekly Farmer’s Market
Winning in Competition
Farms on Every Rooftop

18. Our Aim: 8 types. 100 species each.
52 Flowering Plants 50 Fruit Trees93 Butterflies 51 Vegetables
100 Fishes 70 Birds 100 Medicinal Plants 26 Dragonflies

19. Taipei Tzu Chi Hospital
Learn from Others. Apply Quickly.

20. SYSTEM-WIDE BLUEPRINT

21. Green and Healthy Blueprint

22. Reduce Waste
Refuse. Reduce. Reuse. Recycle.
Build & Purchase Green
A tropical, responsive façade design
with sustainable procurement policy.
Conserve Resources
Energy-efficient system design and
usage of renewable energy
to offset carbon footprint.
Guiding Principles:
Enhance the Natural Environment
A Hospital in a Garden,
a Garden in a Hospital.
A healing environment that engages the
senses of sight, sound, scent and touch.
System Wide Green and Healthy Blueprint

23. OUR APPROACH

24. Awareness
& Influence
Leverage
Partnership
Measure
Impact
Objective
Green Committee
3rd Green Committee
Chairman : Head of Department, Mr Chin Yew Leong
Co-Chairman : Manager, Ms Eileen Koh

25. The 4 Rs Approach
Refuse. Reduce. Re-use. Recycle.
Refuse packaging Reduce plastics Re-use materials Recycle materials

26. The Do-It-Yourself-Movement
(Since 2016)
Staff learning to repairCorporate workbench
Dressing up our Recycling Corner

27. Creating Awareness
(Within KTPH)
Clear Waste DayOperation Clean Up Clean and Green Week

28. Singapore World Water Day (2011, 2014, 2015)
Supporting Movement
(At National Level)

29. Community & Home Eye
Screening Service
(CHESS)
Nurse-Led Perioperative
Care of Patients for Cataract
Surgery under Topical
Anaesthesia
Cataract Surgery under
Regional Anaesthesia
Cataract CPR Kit
Standardized
Post-Operation
Medical Pack
Reducing Usage of Resources
(A Clinical Example)

30. Reducing Usage of Resources
(An Operational Example)
(As Is) Continual Washing (To Be) Productivity Washing
(As Is) Clean water for
first wet wash
(To Be) Recycled water for
first wet wash

31. Using Safer Chemicals and Products
Eco-friendly chemicals No mercury devices
Monitoring of flammables CAP Accreditation

32. Segregating Wastes
Recycling Bins along Common Corridors
Self-Sorting Stations at our Foodcourt

33. Transportation
Home Visits Wellness Centres
Telemedicine Promoting alternatives

34. OUTCOMES

35. Reducing Wastes
1400
1450
1500
1550
1600
1650
1700
1750
FY2015 FY2016 FY2017
(Normalised)
1720
1597
1537
WeightofGeneralWaste(Tons)WeightofRecycledWaste(Tons)
0
50
100
150
200
250
FY2015 FY2016 FY2017
(Normalised)
127
152
220

36. Electricity Consumption Over the Years
ElectricityConsumption(kWh)(millions)
31
31.2
31.4
31.6
31.8
32
32.2
32.4
32.6
FY2015 FY2016 FY2017 (Normalised)
31.6
32.5
31.9

37. Water Consumption Over the Years
162000
164000
166000
168000
170000
172000
174000
176000
178000
180000
182000
FY2015 FY2016 FY2017
(Normalised)
181219
169660
175200
90000
92000
94000
96000
98000
100000
102000
104000
FY2015 FY2016 FY2017
(Normalised)
102100
99000
94800
VolumeofNewWater(CuM)
VolumeofPortableWater(CuM)

38. 2010
Community
in Bloom
(Platinum)
Skyrise
Greenery
Award
Emerson
Cup
2011
Design & Health
International
Academy Awards
Design Award for
Healthcare Facility
and Building of the
Year
FuturArc Green
Leadership Award
LIAS Awards of
Excellence (Gold)
World Best Rooftop
Award
BCA Universal
Design Award
President’s Design
Award Singapore
2009
BCA Green
Mark
(Platinum)
2012
Certificate of
Recognition
for Landscape
Excellence
Assessment
Framework
2013
Community in
Bloom
(Platinum)
Best Practice in
Environment
Friendly
Hospital Team
Work
2014
Best Community
Garden
Water Efficient
Building (Gold)
2015
PUB Watermark
Award

39. WHAT WORKS FOR US

40. Leadership by Example. Implementation.
Senior leaders picking litter and drying sink counter
Weaving green culture into operations and corporate branding

41. Repeat Message 10,000 times

42. NEXT STEPS

43. Engage Our Community
Advocate Use of Lesser Resources
Publishing cookbooks that advocates < 8 ingredients
Meatless Monday

44. Green Purchasing

45. Thank You
tan.yen@ktph.com.sg