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Green Healthcare Institutions Health, Environment, and Economics: Workshop Summary Appendix A Workshop Agenda GREEN HEALTHCARE INSTITUTIONS: HEALTH, ENVIRONMENT, AND ECONOMICS Sponsored by the Roundtable of Environmental Health Sciences, Research, and Medicine January 10, 2006 8:30 a.m. Welcome and Opening Remarks Paul G. Rogers, J.D. Roundtable chair 8:40 a.m. Remarks and Charge to Participants Howard Frumkin, M.D., Dr.P.H. Roundtable member 8:55 a.m. Green Building and Health Agendas: Points of Convergence Craig Zimring, Ph.D. Professor of Architecture Georgia Institute of Technology SESSION I: CURING THE “GREEN” WAY: STORIES OF SUSTAINABLE HEALTHCARE FACILITIES Scope: Currently, there are only a select number of case studies of healthcare facilities that are being built “green.” This session sets the stage for further discussion by examining two case studies in order to understand the decision-making process involved, the research data to support the case, and the health outcomes (if monitored). Moderator: Barbara M. Alving, M.D., Acting Director of National Center for Research Resources (NCRR)

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Green Healthcare Institutions Health, Environment, and Economics: Workshop Summary 9:15 a.m. The Green Guide for Health Care—A Tool for High-Performance Healing Environments Robin Guenther, AIA Architect Guenther 5 Architects 9:35 a.m. Building Green and Integrating Nature: Rikshospitalet University Hospital in Oslo, Norway Knut Bergsland, AIA Senior Advisor Hospital Planning Department SINTEF Health Research 10:00 a.m. General Discussion 10:20 a.m. Break SESSION II: THE CASE FOR GREEN BUILDINGS PART I: ECONOMICS, ETHICS, AND EMPLOYMENT Scope: This session will consider some of the benefits for building green by looking at research data in economics and the social sciences. The main question centers around how industry and society value buildings both in the short- and long-term. Moderator: Alexis Karolides, M.Arch. Roundtable member 10:50 a.m. The Financial Implications of Health and Productivity Gains in Green Commercial, Public, and Education Buildings Gregory Kats, M.B.A. Principal Capital E 11:20 a.m. Building Green and Ethics John Poretto, B.S. President Sustainable Business Solutions

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Green Healthcare Institutions Health, Environment, and Economics: Workshop Summary 11:50 a.m. Staff Retention: Can a Healthy Environment Make a Difference? George Bandy II Sustainable Programs Manager Interface, Inc. 12:20 p.m. General Discussion 12:45 p.m. Lunch SESSION III: THE CASE FOR GREEN BUILDINGS II: HEALTH Scope: This session will look at the current state of the knowledge of the linkages between building green and human health. Through presentations and discussions, the roundtable will gain a better understanding of the state of the research and the research gaps. Moderator: Henry Hatch, Lt General (Ret), Chief of Engineers and Commander of the U.S. Army Corps of Engineers, and Chair, NRC Board on Infrastructure and the Constructed Environment and the Federal Facilities Council 2:00 p.m. Design Principles in Healthy Building Anthony Bernheim, FAIA, LEED AP Principal, Green Design, SMWM Architecture Planning + Urban Design 2:20 p.m. Building-Related Health Effects: What Do We Know? Ted Schettler, M.D., M.P.H. Science Director Science and Environmental Health Network 2:50 p.m. The Relationship Between Environmental Design and Patient Medical Outcomes Judy Heerwagen, Ph.D. Environmental Psychologist J.H. Heerwagen & Associates, Inc. 3:15 p.m. The Fable Hospital: A Business Case for Better Building Derek Parker, FAIA, RIBA, FACHA Chairman Anshen and Allen Architects, Inc.

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Green Healthcare Institutions Health, Environment, and Economics: Workshop Summary 3: 45 p.m. Discussion 4:10 p.m. Break SESSION IV: RECOMMENDATIONS FOR FUTURE RESEARCH: WHAT DO WE NEED TO KNOW? Scope: Continuation of the discussion from sessions II and III by discussing the research needs for the area of building green and human health. Moderator: Russell Perry, AIA, LEED AP, Principal, SmithGroup 4:30 p.m. General Discussion 5:30 p.m. Adjourn January 11, 2006 8:30 a.m. Welcome Back SESSION V: THE PROCESS OF CHANGE Moderator: Nancy L. Hughes, RN, M.H.A., Director, Center for Occupational and Environmental Health, American Nurses Association 8:55 a.m. Framing the Process: Institutional Change to Greening a Campus Bahar Armaghani, B.S., LEED AP Project Manager/Quality Assurance Coordinator Facilities Planning and Construction University of Florida 9:25 a.m. The Conflict Between Growth and Going Green: The Experience at Emory Wayne Alexander, M.D., Ph.D. R. Bruce Logue Professor and Chair Emory University School of Medicine 9:40 a.m. General Discussion 10:05 a.m. Break

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Green Healthcare Institutions Health, Environment, and Economics: Workshop Summary SESSION VI: CHAMPIONS FOR CHANGE Moderator: Roger Bulger, M.D., Roundtable member 10:35 a.m. Implementing the Decision to Build Green in University Medical Centers Roger Oxendale, M.B.A. President and CEOPresident and CEO Children’s Hospital of Pittsburgh 11:05 a.m. Building Green on a Large Scale Scott Slotterback, M.S. Senior Project Manager Kaiser Permanente National Facilities Services Project Administration Group 11:35 a.m. General Discussion 12:05 p.m. Final Summation Howard Frumkin, M.D., Dr.P.H. Roundtable member 12:20 p.m. Adjourn