Sustainable Healthcare Architecture

"With this book, Robin Guenther and Gail Vittori show us how
critical our green building mission is to the future of human
health and secures a lasting legacy that will continue to challenge
and focus the green building movement, the healthcare industry, and
the world for years to come."

--From the Foreword by Rick Fedrizzi, President, CEO and
Founding Chair, U.S. Green Building Council

INDISPENSABLE REFERENCE FOR THE FUTURE OF SUSTAINABLE
HEALTHCARE DESIGN

Written by a leading healthcare architect named one of Fast
Company's 100 most creative people in business and a
sustainability expert recognized by Time magazine as a Green
Innovator, Sustainable Healthcare Architecture, Second
Edition is fully updated to incorporate the latest sustainable
design approaches and information as applied to hospitals and other
healthcare facilities. It is the essential guide for architects,
interior designers, engineers, healthcare professionals, and
administrators who want to create healthy environments for
healing.

Special features of this edition include:

• 55 new project case studies, including comparisons of key
  sustainability indicators for general and specialty hospitals,
  sub-acute and ambulatory care facilities, and mixed-use
  buildings

• New and updated guest contributor essays spanning a range of
  health-focused sustainable design topics

• Evolving research on the value proposition for sustainable
  healthcare buildings

• Profiles of five leading healthcare systems and their unique
  sustainability journeys, including the UK National Health Service,
  Kaiser Permanente, Partners HealthCare, Providence Health &
  Services, and Gundersen Health System

• Focus on the intersection of healthcare, resilience, and a
  health promotion imperative in the face of extreme weather
  events

• Comparison of healthcare facility-focused green building rating
  systems from around the world

Sustainable Healthcare Architecture, Second Edition is an
indispensable resource for anyone interested in the design,
construction, and operation of state-of-the-art sustainable
healthcare facilities.

Auteur

ROBIN GUENTHER, FAIA, LEED AP, a principal with Perkins +
Will in New York City, is a leader in the design of sustainable,
high-performance healing environments.

GAIL VITTORI, LEED Fellow, co-director of the Center for
Maximum Potential Building Systems in Austin, Texas, is a pioneer
in green building protocols, policies, and prototypes.

Résumé
"With this book, Robin Guenther and Gail Vittori show us how critical our green building mission is to the future of human health and secures a lasting legacy that will continue to challenge and focus the green building movement, the healthcare industry, and the world for years to come."
From the Foreword by Rick Fedrizzi, President, CEO and Founding Chair, U.S. Green Building Council INDISPENSABLE REFERENCE FOR THE FUTURE OF SUSTAINABLE HEALTHCARE DESIGN

Written by a leading healthcare architect named one of Fast Company's 100 most creative people in business and a sustainability expert recognized by Time magazine as a Green Innovator, Sustainable Healthcare Architecture, Second Edition is fully updated to incorporate the latest sustainable design approaches and information as applied to hospitals and other healthcare facilities. It is the essential guide for architects, interior designers, engineers, healthcare professionals, and administrators who want to create healthy environments for healing.

Special features of this edition include:

• 55 new project case studies, including comparisons of key sustainability indicators for general and specialty hospitals, sub-acute and ambulatory care facilities, and mixed-use buildings
• New and updated guest contributor essays spanning a range of health-focused sustainable design topics
• Evolving research on the value proposition for sustainable healthcare buildings
• Profiles of five leading healthcare systems and their unique sustainability journeys, including the UK National Health Service, Kaiser Permanente, Partners HealthCare, Providence Health & Services, and Gundersen Health System
• Focus on the intersection of healthcare, resilience, and a health promotion imperative in the face of extreme weather events
• Comparison of healthcare facility-focused green building rating systems from around the world
  Sustainable Healthcare Architecture, Second Edition is an indispensable resource for anyone interested in the design, construction, and operation of state-of-the-art sustainable healthcare facilities.

Contenu

Foreword xiii

Acknowledgments xv

Key Sustainability Indicators and Infographic xvii

PART 1 CONTEXT 1

CHAPTER 1 DESIGN AND STEWARDSHIP 3

INTRODUCTION 3

THE CASE FOR STEWARDSHIP 4

SUSTAINABLE DEVELOPMENT 7

THE PROFESSION OF ARCHITECTURE 7

THE ETHICAL CHALLENGE FOR DESIGNERS 10

ECOLOGICAL DESIGN 10

CLEANER PRODUCTION 11

THE PATRICK H. DOLLARD DISCOVERY HEALTH CENTER 12

LIFE CYCLE THINKING 14

CRADLE-TO-CRADLE DESIGN 16

LIVING BUILDINGS 17

ESSAY

LIVING BUILDINGS AND A RESTORATIVE FUTURE by Jason F. McLennan 18

CONCLUSIONTHE NEXT GENERATION 21

CHAPTER 2 THE BUILT ENVIRONMENT AND HUMAN HEALTH 23

INTRODUCTION 23

THE GLOBAL IMPACTS OF THE BUILT ENVIRONMENT 24

CLIMATE CHANGE AND PUBLIC HEALTH 25

ESSAY

WHERE WE HEAL: THE IMPORTANCE OF HEALTHCARE BUILDINGS TO

OUR HEALTH AND THE PLANET'S by Aaron Bernstein, MD 27

URBAN PLANNING AND PUBLIC HEALTH 28

SPRAWL AND AIR QUALITY 31

SMART GROWTH AND HEALTHY CITIES 32

ACTIVE DESIGN 33

ESSAY

ACTIVE DESIGN: CONVERGING DESIGN EFFORTS TO PROMOTE ENVIRONMENTAL SUSTAINABILITY AND ADDRESS TODAY'S LEADING CAUSES OF DEATH
by Karen K. Lee, MD and Joyce S. Lee 34

AIR POLLUTION 36

WATER POLLUTION AND SCARCITY 38

GAVIOTAS HOSPITAL 40

INDOOR AIR QUALITY 41

CONCLUSIONTHE FUTURE 41

CHAPTER 3 ENVIRONMENT AND MEDICINE 45

INTRODUCTION 45

THE STATE OF HEALTH IN THE WORLD 46

ENVIRONMENTAL HEALTH 47

ECOLOGICAL MEDICINE 49

PROTEA HEALTH 52

HEALTHCARE AND THE ENVIRONMENT 54

ESSAY

TRANSFORMING HEALTHCARE by Gary Cohen 55

THE PRECAUTIONARY PRINCIPLE 59

MEDICINE'S ROLE IN ENVIRONMENTAL IMPROVEMENT 59

CONCLUSION 60

CHAPTER 4 NATURE AND HEALING 65

INTRODUCTION 65

THE TRADITION OF NATURE AND HEALING 66

THE THERAPEUTIC SPA MOVEMENT 66

NATURE RECONSIDERED 67

BIOPHILIA 68

BIOPHILIC DESIGN PRINCIPLES 69

URBANIZATION AND NATURE 70

LANDSCAPE PERCEPTION 70

HEALING LANDSCAPE 70

SIDNEY AND LOIS ESKENAZI HOSPITAL AND HEALTH CAMPUS 72

SUSTAINABLE LANDSCAPE 78

CONCLUSION 79

PART 2 ACTUALIZING THE VISION 81

CHAPTER 5 IMPROVING PERFORMANCE 83

INTRODUCTION 83

TOOLS AND METRICS 84

LESSONS LEARNED FROM PIONEERS 95

POST OCCUPANCY EVALUATIONPROVIDENCE NEWBERG MEDICAL CENTER 96

POST OCCUPANCY EVALUATIONDELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS 97

RESOURCE EFFICIENCY 98

ESSAY

ENERGY STAR®: IT'S NOT JUST A SCORE; IT'S A GOAL AND A STRATEGY by Clark Reed 101

LEGACY SALMON CREEK 104

ENERGY END USE MONITORING 105

ESSAY

TARGETING 100! by Heather Burpee and Joel Loveland 105

THE TOXIC-FREE HOSPITAL 119

ESSAY

THE PBT-FREE CHALLENGE by Tom Lent 121

TOOLS FOR DESIGNERS AND SPECIFIERS TO DE-SELECT TOXICANTS 124

VISUALIZING THE PATH AHEAD 125

CONCLUSION 126

CASE STUDIES

01 Dell Children's Medical Center of Central Texas, Austin, TX 127

02 OHSU Center for Health and Healing, Portland, OR 131

03 Peace Island Medical Center, Friday Harbor, San Juan Island, WA 134

04 Sherman Hospital, Elgin, IL 137

05 Kiowa County Memorial Hospital, Greensburg, KS 139

06 Kohinoor Hospital, Mumbai, India 141

07 T…