presenters

Walt Vernon, PE, LEED AP

Principal, Mazzetti & Associates
Scott Slotterback
National Program Lead for Project
Development Support and Review, Kaiser
Permanente
Adele Houghton, Assoc. AIA, LEED AP
Pilot Project Coordinator,
Green Guide for Health Care
A self-certifying guidance document for
harnessing best practices in the health care
industry.
welcome
 Integrated Design Process
Architects Use cross discipline decision making
Engineers
Interior Designers
starting early in the design process &
Builders & continuing throughout to maximize
Contractors interrelationships between systems.
Integrated design process
Group
Facility managers
purchasing
Administrators winning organizations
Medical Staff
Patients solutions Support services
How green is my facility?
benchmark
strategies
overview
 2002 ASHE Green Healthcare
Construction Guidance Statement
Protect the immediate
1 health of building
occupants.
2 Protect the health of the
surrounding local
community.
3 Protect the health of the
global community
and natural resources.
strategies
overview
 Center for Maximum Potential Building
Convener Systems, www.cmpbs.org
Sponsors Merck Family Fund, www.merckff.org
Hospitals for a Healthy Environment,
www.h2e-online.org
NYS Research and Energy
Development Authority,
www.nyserda.org
sponsors
 Gail Vittori (Convener), CMPBS; Austin, TX
Mike Gallivan, Turner Construction; Boston, MA
Robin Guenther, AIA, Guenther5 Architects; New York NY
Tom Lent, Healthy Building Network; Berkeley, CA
Robert Loranger, New England Medical Ctr; Boston, MA
Brendan Owens, US Green Building Council; Washington, DC
Clark Reed, US EPA Energy Star; Washington, DC
Greg Roberts, AIA, Watkins Hamilton Ross; Houston, TX
Kim Shinn, PE, TLC Engineers; Nashville, TN
Scott Slotterback, Kaiser Permanente; Oakland, CA
Al Sunseri, PhD, ASHE; Chicago, IL
steering Walt Vernon, PE, Mazzetti & Associates; San Francisco, CA
committee Janet Brown, Hospitals for a Healthy Environment; Amherst, MA
Steve Guttmann, PE, Guttmann & Blaevoet; San Francisco, CA
Jamie Harvie, PE, Institute for a Sustainable Future; Duluth, MN
Craig Kneeland, NYSERDA; Albany, NY
Ray Pradinuk, AIBC, Stantec Architecture; Vancouver, BC
Alan Traugott, CJL Engineering; Moon Township, PA
Lorissa MacAllister, Assoc AIA, Progressive AE; Grand Rapids, MI
Jerry Smith, ASLA, Karlsberger; Columbus, OH
Robert Moroz, AIA Healthcare Facilities Consultation & Planning; Austin, TX
contributors
overview
 ASHE Green Healthcare Construction
Guidance Statement (2002)
LEED® Green Building Rating System
Labs 21 Environmental Performance
Criteria
Australia Green Building Council’s
Green Star
reference New York City High Performance
documents Building Guidelines
Savings by Design Healthcare Model
(Pacific Gas & Electric)
AIA Guidelines for Healthcare
Construction
contributors
overview
The Green Guide for Health Care seeks to reward
those organizations that voluntarily steward the
environment in the interests of human health.
It also creates incentive for the healthcare and
related industries to change their practices, build
sustainable environments, and enhance their overall
accountability and performance.
industry
tool
 LEED® for Health Care
What is the relationship between the Green Guide for
Health Care and the LEED-NC Application Guide for
Health Care?
•Overlap between GGHC Steering Committee and Application Guide
for Health Care
• USGBC representative on the Green Guide Steering Committee
• Green Guide for Health Care is a foundational document for
LEED®-HC
•LEED Health Care projects will be able to transition to LEED-HC for
no charge.
• Exploring partnership opportunities between GGHC and LEED
industry
tool
Section / Category Name Pre-Req. / Max. Total
1 – Integrated Design 2- 2
2 – Sustainable Sites 1 - 18
3 – Water Efficiency 1- 7
4 – Energy & Atmosphere 3 - 19
5 – Materials & Resources 2 - 24
6 – Indoor Environmental Quality 2 - 22
7 – Innovation 0- 4
11 - 94
construction
manual
Section / Category Name Pre-Req. / Max. Total
1 – Integrated Operation 4- 8
2 – Energy Conservation 3 - 18
3 – Water Conservation 1- 8
4 – Chemical Management 1- 5
5 – Waste Management 1- 6
6 – Environmental Services 0- 9
7 – Environmental Purchasing 0 - 11
8 – Innovation 0- 7
10 - 72
operations
manual
 Intent
Health Issues
Credit Goals
Documentation
Reference Standards
Technologies & Strategies
organization
 registration growth
6,000+
Pilot 2.0 launch
Begin pilot
project tracking
2,000+
registration
overview
Current as of October 2005
 geographic distribution
Green Guide for Health Care Pilot 2.0
6,200+ website registrations
•every state in the U.S.
•300 in Canada
•63 other countries
Registrants on the Green Guide Website by Country
source: NASA ESIP funded project (Mission to Planet Earth Education Series)
registration
overview
Current as of October 2005
 pilot growth
growth profession
Begin pilot project
tracking
pilot
overview
Current as of October 2005
 registered projects
Green Guide for Health Care Pilot 2.0
65 pilot projects
19,800,000 sf
23 states, 6 countries Current as of October 2005
6,200 website registrants
pilot
overview
 pilot projects
Current as of September 2005
pilot
overview
10 Most Popular Credits
SS c-1: Site Selection (34 Pilots
SS c-4: Alternative Transportation: Bikes and Public Transportation
(32 Pilots)
SS c-8: Light Pollution Reduction (32 Pilots)
SS c-9: Connection to the Natural World: Places of Respite (28 Pilots)
EA c-1: Optimize Energy Performance: 5% (27 Pilots)
MR c-2: Construction Waste Management (29 Pilots)
MR c-5: Regional Materials: 10% (27 Pilots)
EQ c-3: Construction IAQ Management (34 Pilots)
EQ c-4: Low-Emitting Materials: Adhesives & Sealants, Wall &
Ceiling Finishes, Flooring (29 Pilots)
EQ c-5: Chemical and Pollutant Source Control (31 Pilots)
10 most popular credits
pilot update
Green Guide for Health Care
pilot case studies
pilot
case study
 Sustainable Sites
Kaiser Modesto
Porous Paving
•Installed on the parking lots and roads
•Drains into soil below paving
•Eliminates the site’s impact on city storm water
infrastructure.
•First cost premium to install porous paving
•Eliminated the fees associated with connecting to
the municipal water system
•Avoided the cost of installing an on-site
stormwater piping system
•Speed-up environmental review of project
• Significant cost savings overall
pilot
case study
 Materials & Resources
Kaiser Permanente
Replacing Vinyl Flooring
•Kaiser Permanente policy: Avoid PVC/vinyl plastic
•Alternative materials: Nora Rubber, Stratica
•Less than a five year payback
Advantages
•Do not leach toxins
•Do not require waxing or and stripping
•Stratica/Rubber has better traction than VCT
•Stratica /Rubber is more stain resistant than VCT
•Stratica /Rubber creates improved acoustics than VCT
pilot
case study
Photo credit: Getty Images/Archphoto/Amtico International
 Materials & Resources
Kaiser Permanente
Replacing Vinyl Flooring
Result
•Fewer toxic fumes in the hospital
•Less maintenance saves labor costs
•No need to close off sections of the hospital for cleaning.
•Fewer slips and falls
•Savings in worker compensation
pilot
case study
Photo credit: Getty Images/Archphoto/Amtico International
Indoor Environmental Quality
Kaiser Permanente
Low-VOC Interior Finishes
•Kaiser Permanente is developing standard policy
•Low-VOC finishes are being tested for:
•Spreadability
•Cleanability
•Coverage
•Less than a five year payback
Advantages
•Protects construction workers and building
occupants from respiratory distress
pilot
case study
 Integrated Design
Salem Community Hospital
Rendering courtesy of Westlake Reed Leskosky
• Planning for future expansion
• Green Team: Architect, Engineers, Facility
Management and department stakeholders
• First order of business: Long-term
strategic planning and translation into the pilot
case study
design
Energy & Atmosphere
Dell Children’s Hospital
Combined Cooling, Heating, and
Power Plant
• Partnership between Seton Healthcare Network
and Austin Energy
• Services the new 470,000 sf replacement Dell
Children’s Hospital
Services to the hospital
• Energy
• Chilled water for air conditioning
• Steam
Services to the surrounding development
•Chilled water for commercial air conditioning
pilot
case study
Rendering courtesy of Karlsberger
 Water Efficiency
Palomar Pomerado Replacement Hospital
Planning for Water Efficiency
A project in schematic design integrates water efficiency strategies into the
design process.
Possible Water Strategies
•Dual-flush toilets
•Collect coil condensate
•Secondary drain system for select lavatories, sinks, showers
•Minimize or eliminate chemicals in condenser water treatment, reducing
cooling tower “bleed” and basin filter “blowdown”
•Use municipally provided reclaimed water
•Flow meters in the water supply and drain systems
Possible Uses for Reclaimed Water
•Cooling tower makeup water and “blowdown”
•Irrigation Graphic courtesy of CO Architects
pilot
case study
 Indoor Environmental Quality
Wellspring Medical Center
Places of Respite and
Connection to the Outdoors
•Kmart converted into a health clinic
and health and wellness retail.
•Large interior gardens and skylights
bring sunlight into the space.
•Natural ventilation in public areas in
good weather through the main central
garden
•Secondary inaccessible garden with Image courtesy of Clark/Kjos Architects
views from all sides. Provides privacy
to the tenant spaces.
pilot
case study
 Indoor Environmental Quality
Wellspring Medical Center
Image courtesy of Clark/Kjos Architects
•Entrance garden plaza with a water feature recharged with rainwater.
•Materials are being carefully selected to keep with the mission of a "healthy and
pilot
healing" environment.
case study
 OHSU
a GGHC pilot
Project Details:
Portland, OR
360,000 sf
New acute care hospital
Architect: Perkins + Will
Interiors: Peterson Kolberg Architect
MEP: Mazzetti & Associates
Landscape: Murase
pilot
process
Photograph courtesy of Perkins + Will
 OHSU
water efficiency
•Storm water retention tank is set up for
landscape irrigation (SS c-6, WE c-1)
•Automatic sensors for all water fixtures (WE c-3)
•Sterilizer waste water conservation (WE c-4)
•Water consumption monitoring (WE c-4)
•Began the process of converting the chilled
water infrastructure from constant to variable flow
(WE c-4)
pilot
process
 OHSU
efficient lighting
•Daylight harvesting in stairwells and perimeter
corridors integrated into the lighting system
(EA c-1, EQ c-8)
•Perimeter corridors on all but patient floors to
take maximum advantage of daylighting
(EA c-1, EQ c-8)
•Handrails with low power diode lighting
fixtures lasting 100,000 hours (EA c-1)
•100,000 hour induction lamps in the parking
areas (SS c-8)
•East-West orientation (EA c-1, EQ c-8)
pilot
Photograph courtesy of Perkins + Will
process
 OHSU
HVAC design
•Naturally ventilated (convection) enclosed
staircase (EA c-1)
•Night setback controls for air conditioning in
areas that do not operate 24/7 (EA c-1)
•Fan system minimizes loss of static pressure,
including static regain calculations (EA c-1)
•Low energy fans (EA c-1, EQ c-9)
•Extensive power monitoring (EA c-5)
pilot
process
But what does this do for the CEO?
1. Personnel shortages
2. Reimbursement
3. Malpractice Insurance
4. Government mandates
5. Physician-Hospital Relations
6. Capacity
7. Care for the uninsured
8. Patient Safety
9. Technology
10. Patient Satisfaction
pilot registration is easy
• Registration is all on line
• No cost
• No minimum point threshold
• No obligation
• No disclosure of project names or
information without permission
pilot
overview
Pilot participation and the Forum
What: Peer-to-peer forum to discuss issues and
strategies
Who: Health care project participants:
- Health care facility project teams
- Contracted design teams (architects,
engineers, interior designers, etc)
- Green Guide Steering Committee
- Not vendor reps
Where: online at www.GGHC.org
pilot
overview
VERSION 2.1 PILOT
SEPTEMBER 2005
www.gghc.org
a. Download or purchase a copy
b. Register a project
c. Sign on to the forum