Green Healthcare Institutions Health, Environment, and Economics: Workshop Summary (2007) / Chapter Skim
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2 Sustainable Healthcare Facilities
2 Sustainable Healthcare Facilities
Pages 6-17
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From page 6... ...
The information provided is drawn from the insights and experience of the presenters, and some of the current standards and best practices being implemented in green healthcare institutions today. GREEN BUILDING AND HEALTH AGENDAS: POINTS OF CONVERGENCE Because modern healthcare facilities are large consumers of resources, they provide an opportunity to make changes or reduce the consumption of these resources.
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From page 7... ...
Similar to the green agenda, the DQS agenda advances social and economic goals, but it focuses on using design to improve quality and safety outcomes, such as error and infection reduction, staff turnover, length of stay, and patient and family satisfaction. In this agenda, design is viewed as a tool that can affect healthcare outcomes for patients, staff, and the institution as a whole.
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Zimring recommended additional research in the area of evidence-based design to understand how hospital design affects health. In conclusion, he described the green agenda as encompassing ecological health on multiple scales.
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SOURCE: Energy Information Administration, 1995 Commercial Buildings Energy Consumption Survey. 1-1 ventilation, and interior environments.
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The October 2003 issue of Metropolis magazine was entitled "Architects Pollute," and placed a large share of the responsibility for contributing to global warming on the shoulders of architects. An article within the issue asserted that architects and the construction industry are responsible for half of America's energy consumption and half of its greenhouse gas emissions produced by burning coal, gasoline, and other fossil fuels (Hawthorne, 2003)
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The Dollard Health Center construction strategies included high-reflectance roofing, reliance on local and regional recycled-content low-emitting materials, and elimination of polyvinyl chloride in finish materials and plumbing. By using ground source heat pumps, energy demand was reduced by 42 percent and onsite fossil fuel combustion was eliminated.
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developed the Green Healthcare Construction Guidance Statement, which articulated the need to protect health on three scales: building occupants, the surrounding local community, and the global community and resources (ASHE, 2002)
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Hospitals are owned by the state and run as trusts, inpatients do not pay for their stay, and physicians are employed by the hospital. Rikshospitalet University hospital in Oslo has 1.5 million square feet of floor space and is located next to woodlands with views of the city and the Oslo fjord, noted Bergsland.
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From page 14... ...
Because the site is sloping and saucer shaped, it effectively hides the substantial building structure; big volumes can be hidden in the bottom of the saucer and make the hospital appear as a 3- to 4-story building, while it actually is 6 to 7 stories high. The hospital sits on 87 acres of land, the footprint for the entire construction is 430,560 square feet, and the main building is 322,920 square feet, noted Bergsland.
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1 sUstAinAble HeAltHCARe fACilities FIGURE 2-2 The village structure of the main street at Rikshospitalet aids recognition and facilitates way finding. Integrated art serves as a stress reducer.
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The hospital is accessible by public transportation. Oslo city authorities extended an existing rail track when the hospital was planned, and today connections to central Oslo run every eight minutes.
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A preliminary study on the effects of hospital design on patient attitudes, activity patterns, productivity, and staff morale at the Rikshospitalet was performed in 2004. The results showed that people liked the building because it was interesting and nonfrightening, and they thought the main street was perfect for interaction (Bergsland, 2005)
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