MBBS, MBA, PhD, LLB
SENIOR FACULTY IMS, DAVV, INDORE
What is Green Hospital?
A Green hospital is one which enhances patient well being,
aids in curative process while utilizing natural resources in
an efficient environment friendly manner.
• The Green Hospital is defined as a hospital that has taken the initiative to do the one or more of
the following:
• choose an environmentally friendly site,
• utilizes sustainable and efficient designs,
• uses green building materials and products,
• thinks green during construction and keeps the greening process going.
• A Green Hospital is constructed around a facility that recycles, reuses materials, reduces waste,
and produces cleaner air.
• Reduce co2 generation
• GOGREEN HOSPITAL
• The green hospital movement began years ago following the U.S. Green Building
Council (USGBC)’s release of their Leadership in Energy and Environmental
Design (LEED) standards for building construction.
• Although initial cost to adopt green practices might be higher but they are the best
investment in your facility.
• Green hospitals have been shown to reduce long-term energy costs.
• Moreover, green hospital design has been linked to better patient outcomes and staff
retention
• In the past few years, a number of newly constructed and renovated hospital buildings
have strived for and received LEED certification.
Green Hospital promotes the following :
•Sustainable building materials
•Products free of mercury, latex, PVC
•Energy and water conservation
•Tools and resources for environmentally preferable
purchasing
•Greener cleaners
•Integrated pest management
•Waste Reduction and Recycling
•Green Electronics
•Managing pharmaceuticals
•Environmentally Preferable Medical Waste Treatment
and Disposal
Green Building vs. Conventional Building
External Appearance: Both look alike
Functionality: Same
Differences
Conserve natural resources.
Concern for human comfort, indoor
environment & productivity.
BENEFITS OF GREEN BUILDINGS
Tangible benefits
Energy savings : 40-50%
Water savings : 20-30%
Intangible benefits
All good aspects associated to
green
Better Indoor ambience
Day lighting & views
improved health and
productivity
CAN A BUILDING HELP YOU CURE.?
Research shows patient recovery much faster
Connectivity to outside environment.
Better Daylight and Views.
Healing benefits for patients.
Better Indoor Air Quality
No sick building syndrome.
Regular CO2 monitoring.
Increased fresh air ventilation.
FOCUS AREAS FOR GREEN HOSPITAL DESIGN
Lighting
Indoor Air quality - Passive and Active measures
Green house keeping
Clean and Green interior building materials
Gardens and landscape
Waste management
disposal of pharmaceuticals
Sound reduction
SITE SELECTION
What should we look out for?
A virgin like location which puts the least pressure on the environment…
•Clean Air
•Clean Water
•Clean soil
•Bio diversity is not disturbed
•Enhances Public Health by protecting wetlands, agricultural land and open
spaces.
LIGHTING
Hospital design should maximize day
light
optimize artificial lighting
requirement
Light that enhances proper and true
to life vision
Should be soothing to eyes
BENEFITS OF DAY LIGHTING
AND VIEWS IN HOSPITAL
Positive effect on patients
Enhance health and well being of patients
Reduces stress level of employees
Combats seasonal affective disorder or winter depression
Improves facility’s overall operational efficiency.
RECCOMENDED LIGHTING
LEVELS FOR HOSPITALS
DESIGN ASPECTS
To enhance Natural lighting
Glazing facades
Translucent skylights with
soothing colors
Transparent and operable
opening to green courtyards
Ledge seating at windows.
INDOOR AIR QUALITY
Restoring and safeguarding Health is the main purpose of Health
care facilities indoor environment quality is critical to Green
Hospitals.
DO’s for Good Indoor Environment
• Use indoor species of plants which produces oxygen and reduces
indoor pollutants from air.
• Improve fresh air by providing courtyard spaces with native and
adaptive plant species free from allergic effects.
OUTDOOR FRESH AIR REQUIREMENTS
HEAT ISLAND
• What
• Cause
• Less water & less vegetation
• Urbanization
• Building & building material
• Structure
• Surface
• Clouding & precipitation
Impact
• Increase energy consumption
• Green house gas emission
• Compromise human health & comfort
• Impaired water quality
Creating green roofs/ roof top
gardens
Use high- reflectant roofing
Insulators
Rapid Cooling Technology
Optimum Air Conditioning
MITIGATION OF HEAT ISLAND EFFECT
Present Best Practices
Green Roofs & Walls
GREEN HOUSE KEEPING
What is “Green Cleaning”?
-Products and services that reduce the health and environmental
impacts compared to similar products and services used for the
same purpose.
Not just chemicals, it includes various components such as:
Chemicals
Parking Space
Entrance Matting
Micro Fiber
Recycling and waste reduction
Water and Energy conservation
Liners
Procedures ,Training , Work loading and Scheduling
Communications
Recycle Programs/Waste Reduction/Conservation
Equipment and Custodial Hardware
Filters
Paper
Ice Melter
Pest Management
CLEAN AND GREEN INTERIOR BUILDING
MATERIAL
The Risk:
Patients and staff are exposed to a host of pathogenic
germs and toxins that enter the hospital through the
medium of large number of infected patients.
Green Practices:
Ensure the property of repelling or resisting growth of the
pathogenic germs and bacteria in interior surfaces.
Use Copper based interior material for touch surfaces in
hospitals.
Use indoors or floorings that do not emit/absorb/release
indoor pollutants such as VOC and dust.
Sick Building / Building Related Illnesses
Normally contracted through water aerosols and confined spaces
(Centrally Air-Conditioned Buildings)
HVAC Ducting
Shower Heads
Cooling Towers
Leads to a pneumonia like condition , Legionnaires Disease which
is fatal since it is diagnosed and treated like pneumonia
What does the Guide look out for?
Among other things….
•Simpler plumbing designs
•Insulating the ducts with hygroscopic material and renewal
•Design of all tanks
•Biocide regime
GARDENS AND LANDSCAPES
An aesthetic delight that
promotes wellness of
patients in hospital.
Research studies show that
recuperation from stress is
faster and complete when
patients are exposed to
natural settings than any
other form of built
environment.
Sound Reduction
Why is this important?
Noise is a well documented source of stress in health care
settings.
Research finds that in hospitals that reduced
noise levels led to
better patient satisfaction
sleep improvement, and
lowered Blood Pressure
What does the Guide look out for?
Among other things….
Provide building occupants with a healing environment free
of noise.
Locating patient rooms away from any source of noise
Quite air-conditioning
Insulation in the walls that prevents noise
Indoor Chemical Contaminant
Reduction
Reduce and eliminate the use and improper
disposal of chemical hazards and toxic
materials within the health care facility to
safeguard the health of building occupants.
Sanitary Sewer,
Hand Hygiene,
Sterilization,
High Level Disinfection,
Laboratory & Radiology
Pharmaceutical Minimization
Management and Disposal.
Minimize and proper management and disposal of
pharmaceuticals.
Formulary review process to characterize
hazardous pharmaceuticals to develop & implement
policy for
receipt
handling
storage
labeling
transport and end disposal.
Regulated Medical Waste
Reduction
Facility policy for regulated medical waste
disposal.
Segregate all non medical waste before
incineration.
Alternate method to treat Medical Waste
Environment Friendly Cleaning
•Minimize exposure of building occupants and
cleaning personnel to potentially hazardous
chemical, biological and particulate
contaminants
•For all chemicals- avoid/minimize the
aerosols
•Minimize atomizing chemicals
•Use toggle top bottles or spray chemicals
onto clothes
•Reduce use of virgin paper in janitorial paper
•Use microfiber based cleaning equipment
which :
•Cut chemical waste up to ; 80%
•Increase performance up to 6 times
•Reduce labor up to 70 %
Providence Newberg Medical Centre, Oregon,
USA,A Case Study
LEED NC Gold - First Gold Rated Green
Hospital in the world.
Built-in area : 1,75,000 square feet
Actual benefits achieved :-
26 % energy savings
50 % reduction in water consumption for
landscaping
Better indoor air quality
No sick building syndrome
100 % outside air; 100% exhaust
Reduction in floor-to-floor height
Reduced envelop cost
Heat reclaim system with VAV
Higher efficiency than conventional systems
Day Lighting
Healing benefits for patients
Patient recovery faster
Kohinoor Hospital, Mumbai
LEED NC Platinum - First Platinum
Rated Green Hospital in India
Built-in area : 2,27,432 sq.ft
Benefits achieved :
35 % Energy Savings
Green Power from Wind Mills
Solar hot-water generation
Better Indoor Air Quality
Regular CO2 monitoring
Increased fresh air ventilation
No sick building syndrome
Day Lighting
Healing benefits for patients
Patient Recovery Faster
BENEFITS ACHIEVED BY GREEN
HOSPITALS
Better Indoor air quality.
20-40% energy savings.
35-40% water savings.
Good day lighting.
No sick building syndrome.
Faster patient recovery.
List of few green hospital in India
References:-
• Google
• Wikipedia
• Slideshare.com
