"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.
Foreword xiii
Acknowledgments xv
Key Sustainability Indicators and Infographic xvii
PART 1 CONTEXT 1 (80)
Chapter 1 Design And Stewardship 3 (20)
Introduction 3 (1)
The Case For Stewardship 4 (3)
Sustainable Development 7 (1)
The Profession Of Architecture 7 (3)
The Ethical Challenge For Designers 10 (1)
Ecological Design 10 (1)
Cleaner Production 11 (1)
The Patrick H. Dollard Discovery Health 12 (2)
Center
Life Cycle Thinking 14 (2)
Cradle-To-Cradle Design 16 (1)
Living Buildings 17 (1)
Essay
Living Buildings And A Restorative 18 (3)
Future
Jason F. McLennan
Conclusion-The Next Generation 21 (2)
Chapter 2 The Built Environment And Human 23 (22)
Health
Introduction 23 (1)
The Global Impacts Of The Built 24 (1)
Environment
Climate Change And Public Health 25 (2)
Essay
Where We Heal: The Importance Of 27 (1)
Healthcare Buildings To Our Health And
The Planet's
Aaron Bernstein
Urban Planning And Public Health 28 (3)
Sprawl And Air Quality 31 (1)
Smart Growth And Healthy Cities 32 (1)
Active Design 33 (1)
Essay
Active Design: Converging Design 34 (2)
Efforts To Promote Environmental
Sustainability And Address Today's
Leading Causes Of Death
Karen K. Lee
Joyce S. Lee
Air Pollution 36 (2)
Water Pollution And Scarcity 38 (2)
Gaviotas Hospital 40 (1)
Indoor Air Quality 41 (1)
Conclusion-The Future 41 (4)
Chapter 3 Environment And Medicine 45 (20)
Introduction 45 (1)
The State Of Health In The World 46 (1)
Environmental Health 47 (2)
Ecological Medicine 49 (3)
Protea Health 52 (2)
Healthcare And The Environment 54 (1)
Essay
Transforming Healthcare 55 (4)
Gary Cohen
The Precautionary Principle 59 (1)
Medicine's Role In Environmental 59 (1)
Improvement
Conclusion 60 (5)
Chapter 4 Nature And Healing 65 (16)
Introduction 65 (1)
The Tradition Of Nature And Healing 66 (1)
The Therapeutic SPA Movement 66 (1)
Nature Reconsidered 67 (1)
Biophilia 68 (2)
Biophilic Design Principles 69 (1)
Urbanization And Nature 70 (1)
Landscape Perception 70 (1)
Healing Landscape 70 (2)
Sidney And Lois Eskenazi Hospital And 72 (6)
Health Campus
Sustainable Landscape 78 (1)
Conclusion 79 (2)
PART 2 ACTUALIZING THE VISION 81 (162)
Chapter 5 Improving Performance 83 (78)
Introduction 83 (1)
Tools And Metrics 84 (11)
Lessons Learned From Pioneers 95 (3)
Post Occupancy Evaluation-Providence 96 (1)
Newberg Medical Center
Post Occupancy Evaluation-Dell 97 (1)
Children's Medical Center Of Central
Texas
Resource Efficiency 98 (3)
Essay
Energy Star®: It's Not Just A 101 (3)
Score; It's A Goal And A Strategy
Clark Reed
Legacy Salmon Creek 104 (1)
Energy End Use Monitoring 105 (1)
Essay
Targeting 100! 105 (14)
Heather Burpee
Joel Loveland
The Toxic-Free Hospital 119 (2)
Essay
The Pbt-Free Challenge 121 (3)
Tom Lent
Tools For Designers And Specifiers To 124 (1)
De-Select Toxicants
Visualizing The Path Ahead 125 (1)
Conclusion 126 (1)
Case Studies
01 Dell Children's Medical Center of 127 (4)
Central Texas, Austin, TX
02 OHSU Center for Health and Healing, 131 (3)
Portland, OR
03 Peace Island Medical Center, Friday 134 (3)
Harbor, San Juan Island, WA
04 Sherman Hospital, Elgin, IL 137 (2)
05 Kiowa County Memorial Hospital, 139 (2)
Greensburg, KS
06 Kohinoor Hospital, Mumbai, India 141 (3)
07 The Dyson Centre for Neonatal Care, 144 (2)
Royal United Hospital, Bath, England
08 St. Mary's Hospital Sechelt 146 (2)
Addition, Sechelt, BC, Canada
09 New Karolinska Solna University 148 (3)
Hospital, Stockholm County, Sweden
10 UCSF Medical Center at Mission Bay, 151 (3)
San Francisco, CA
11 Lucile Packard Children's Hospital 154 (7)
at Stanford, Palo Alto, CA
Chapter 6 Measuring Value 161 (24)
Introduction 161 (1)
Healthcare And The Triple Bottom Line 162 (1)
The Economics Of Sustainable Healthcare 163 (3)
Essay
Leed Certified Hospitals: Perspectives 166 (8)
On Capital Cost Premiums And
Operational Benefits
Breeze Glazer
Robin Guenther
Gail Vittori
Trading Capital Cost For Operational 174 (3)
Savings
Crossing The Capital-Operations Chasm: 175 (1)
Providence Health & Services
Can Sustainable Hospitals Bend The 176 (1)
Health Care Cost Curve?
The Social Value Of Sustainable Healthcare 177 (6)
Dell Children's Medical Center Of 178 (2)
Central Texas Post-Occupancy Evaluation
The Living Building Financial Study 180 (3)
Conclusion 183 (2)
Chapter 7 Lessons From Health Systems 185 (58)
United Kingdom's National Health Service 185 (6)
Guy's Hospital Tower, London 191 (2)
Case Studies
12 Mittal Children's Medical Centre, 193 (3)
London, United Kingdom
13 The Bluestone Unit, Craigavon Area 196 (3)
Hospital, Craigavon, Northern Ireland
14 New South West Acute Hospital, 199 (3)
Enniskillen, Northern Ireland
System Profile: Partners Healthcare 202 (7)
15 The Lunder Building, Massachusetts 209 (3)
General Hospital, Boston, MA
16 Spaulding Rehabilitation Hospital, 212 (3)
Boston, MA
System Profile: Providence Health & 215 (2)
Services
Providence Newberg: Five Lessons Learned 217 (2)
17 Providence Newberg Medical Center, 219 (2)
Newberg, OR
18 Providence St. Peter Hospital, 221 (3)
Olympia, WA
System Profile: Gundersen Health System 224 (4)
19 Gundersen LaCrosse Hospital Addition 228 (3)
System Profile: Kaiser Permanente 231 (3)
Kaiser Permanente's Journey To 234 (2)
Sustainability
20 Small Hospital, Big Idea Competition 236 (7)
PART 3 SUSTAINABLE HEALTHCARE TODAY 243 (98)
Chapter 8 Global Survey 245 (96)
Case Studies
21 Akershus University Hospital, 245 (7)
Loreskog, Norway
22 Butaro Hospital, Burera District, 252 (5)
Rwanda
23 Deventer Ziekenhuis, Deventer, The 257 (3)
Netherlands
Trias Energetica 260 (3)
24 First People's Hospital, Shunde 263 (5)
District, Foshan City, Guangdong
Province, People's Republic of China
25 Hospital Universitario San Vincente 268 (4)
de Paul, Rionegro, Colombia
26 Khoo Teck Puat Hospital, The 272 (6)
Republic of Singapore
27 Portadown Health and Care Centre, 278 (6)
Portadown, Northern Ireland
28 REHAB Centre for Spinal Cord and 284 (7)
Brain Injuries, Basel, Switzerland
29 Reina Sofia Foundation Alzheimer 291 (6)
Centre, Ensanche de Vallecas, Madrid,
Spain
30 The New Royal Children's Hospital, 297 (7)
Melbourne, Victoria, Australia
31 Rush University Medical Center, 304 (10)
Chicago, IL
32 Salam Centre for Cardiac Surgery, 314 (1)
Soba (Khartoum), Sudan
33 Santa Lucia University General 315 (7)
Hospital, Cartagena, Spain
34 St. Bartholomew's and The Royal 322 (7)
London Hospitals, London, England
35 Swedish Medical Center, Issaquah, WA 329 (4)
Ten Lessons Learned 333 (2)
36 Ysbyty Aneurin Bevan (Aneurin Bevan 335 (6)
Hospital), Ebbw Vale, Blaenau Gwent,
Wales
PART 4 VISIONING THE FUTURE 341 (94)
Chapter 9 Toward A New Language Of Form 343 (56)
Introduction 343 (1)
The Development Of The Modern Hospital 344 (4)
Rikshospitalet-Radiumhospitalet Medical 348 (13)
Centre
Doubling Daylight 351 (10)
Case Studies
37 Martini Hospital, Groningen, The 361 (4)
Netherland
38 Arras Hospital Centre, Arras, 365 (3)
Nord-Pas-de-Calais, France
39 Pediatric and Cardiac Center of the 368 (3)
Innsbruck University Clinic, Innsbruck,
Austria
40 Helsingør Psychiatric Clinic, 371 (4)
Helsingør (Elsinore), Denmark
41 Rhine Ordinance Barracks Medical 375 (3)
Center Replacement, Kaiserslautern,
Germany
42 Ng Teng Fong General Hospital and 378 (3)
Jurong Community Hospital, The Republic
of Singapore
43 Nanaimo Regional General Hospital 381 (3)
Emergency Department Addition, Nanaimo,
BC, Canada
44 Seattle Children's Bellevue Clinic, 384 (2)
Bellevue, WA
45 Pictou Landing Mi'Kmaq Community 386 (4)
Health Centre, Trenton, Nova Scotia,
Canada
46 Kenya Women's and Children's 390 (2)
Wellness Centre, Nairobi, Kenya
47 Tata Medical Centre Cancer Hospital, 392 (3)
Kolkata, India
48 CBF [Centre pour le Bien-etre des 395 (4)
Femmes] Women's Health Centre,
Ouagadougou, Burkina Faso
Chapter 10 Creating The 399 (36)
Twenty-First-Century Hospital
Introduction 399 (2)
Twenty-First-Century Healthcare 401 (11)
Conclusion 412 (2)
Case Studies
49 The Ubuntu Centre, Zwide Township, 414 (3)
Port Elizabeth, South Africa
50 Jubilee Gardens Health Centre and 417 (2)
Library, London, England
51 Old Town Recovery Center, Portland, 419 (3)
OR
52 Waldron Health Centre, Lewisham, 422 (4)
South London, England
53 Mirebalais National Teaching 426 (3)
Hospital, Mirebalais, Haiti
54 Embassy Medical Center, Colombo, Sri 429 (3)
Lanka
55 All Ukrainian Health Protection 432 (3)
Centre for Mothers and Children, Kiev,
Ukraine
Index 435
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