PLANNING OF GREEN HOSPITALS

by A C Verma Distinguished Fellow Institute of Hospital Engineers (India)

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PREVIEW
GREEN HOSPITAL WHAT & WHY? GREEN HOSPITAL RATING SYSTEMS GREEN HOSPITAL - PLANNING PROCESS GREEN DESIGN INTERVENTIONS SUSTAINING GREEN HOSPITAL - STRATEGIC PLANNING

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GREEN HOSPITAL- WHAT & WHY?

THE VERY FIRST REQUIREMENT OF A HOSPITAL IS THAT IT SHOULD DO NO HARM TO THE SICK
- FLORENCE NIGHTINGALE
(1820-1910)
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WHAT IS A GREEN HOSPITAL?

A HIGH PERFOMANCE HEALING ENVIRONMENT

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CONVENTIONAL VS GREEN HOSPITALS

CONVENTIONAL
- FOCUS ON STYLISTIC FORM - TOXIC MATERIALS - ENERGY GUZZLER - RESOURCES INEFFICIENT - PATIENTS COMFORTS
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GREEN
- SENSIBLE & INTELLIGENT FORM - ECO-FRIENDLY MATERIALS - ENERGY OPTIMISATION - RESOURCES-EFFICIENT - PATIENTS COMFORTS - BALANCE-SHEET FRIENDLY

GREEN HOSPITALS WHY?

DOES IT MAKE BUSINESS SENSE?
1. HOSPITALS ARE HEALTH CARE PROVIDERS

BOUND TO PROTECT FROM ITS NEGATIVE IMPACTS

- HEALTH OF PATIENTS - HEALTH OF SURROUNDING COMMUNITY - HEALTH OF GLOBAL COMMUNITY
2.

BETTER HEALING ENVIRONMENT PROVIDE BETTER INDOOR ENVIRONMENTAL QUALITY

- HIGHER INFECTION CONTROL
- FASTER PATIENTS RECOVERY/ HIGHER PATIENTS TURNOVER - SHORTER STAY OF PATIENTS / LESSER HOSPITAL BILLS

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3. RESOURCES EFFICIENCY
-

LESSER ENERGY BILLS,WATER TAXES,SEWAGE CESS

LESS MATERIALS WASTAGE LESSER DRAIN ON NEIGHBOURHOODS SCARCE RESOURCES

4. REDUCTION IN OPERATING COSTS

IMPROVED BOTTOMLINE CHEAPER TREATMENT TO PATIENTS

5. ENHANCED RELIABILITY OF SYSTEMS / ENHANCED LIFE OF ASSETS 6. STRICT ENFORCEMENT OF CODE COMPLIANCE THRO THIRD PARTY VALIDATION 7. ENHANCED CUSTOMER SATISFACTION 8. MARKETING / PR TOOL - ECO-FRIENDLY IMAGE 9. CORPORATE SOCIAL RESPONSIBILITY 1O. INCREMENTAL COST PAY BACK PERIOD : 3-4 YEARS
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GREEN

HOSPITALS

PIONEERS

KOHINOOR HOSPITAL, MUMBAI - LEED PLATINUM FORTIS HOSPITAL, NEW DELHI GRIHA 3 STAR MAX BALAJI, NEW DELHI LEED GOLD ROCKLAND HOSPITAL, MANESAR - EIA HARYANA GOLD CARE INSTITUTE OF MEDICAL SCIENCES, AHEMDABAD LAZARUS SUPER-SPECIALITY HOSPITAL, HYDERABAD
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GREEN BUILDING VS GREEN HOSPITAL

GREEN HOSPITAL = GREEN BUILDING +++

WHO CRITERIA
SEVEN CLIMATE-FRIENDLY ELEMENTS :
ENERGY EFFICIENCY GREEN BUILDING DESIGN ALTERNATE ENERGY GENERATION ALTERNATIVE FUEL-BASED TRANSPORTATION SUSTAINABLY GROWN LOCAL FOODS WASTE REDUCTION WATER CONSERVATION

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GGHC CRITERIAS
GGHC CONSTRUCTION CREDITS + GGHC OPERATIONS CREDITS
-

INTEGRATED OPERATIONS & EDUCATION SUSTAINABLE SITES MANAGEMENT TRANSPORT OPERATIONS CHEMICAL MANAGEMENT WASTE MANAGEMENT ENVIRONMENTAL SERVICES FOOD SERVICE ENVIRONMENTAL PREFERABLE PURCHASING INNOVATIONS IN OPERATIONS

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GREEN HOSPITAL RATING SYSTEMS

GREEN GUIDE FOR HEALTHCARE USA LEED FOR HEALTHCARE USGBC LEED INDIA NEW CONSTUCTION IGBC GRIHA - MNRE

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GREEN HOSPITAL PLG PROCESS

HOSP CONCEPTUAL PLG DECIDE GREEN RATING SYSTEM FEASIBILTY OF GREEN CRITERIAS
GREEN CONCEPTS

ADDL FINANCE / RESOURCES REQUIREMENT

INCLUDE GREEN CRITERION IN ARCHITECTURAL DESIGN BRIEF PREPARE HOSPITAL CONCEPTUAL DESIGN REGISTER WITH RATING AGENCY
HOSPITAL ENGG. DESIGN

ARCHITECTURAL DESIGN DEVELOPMENT

HOSPITAL SERVICES DESIGN

DESIGN OPTIMIZATION TO MEET GREEN CRITERIAS

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SUBMISSION OF DOCUMENTATION/ APPROVAL OF DOCUMENTATION FOR RATING LEVEL HOSPITAL CONSTRUCTION VERIFICATION & VALIDATION OF QUANTITATIVE & QUALITATIVE CRITERIAS GREEN CERTIFICATION O & M GREEN RATING GREEN MANPOWER

O & M POLICIES & DOCUMENTATION SUBMISSION/APPROVAL OF O & M DOCUMENTATION FOR GREEN RATING IMPLEMENTATION OF O & M CRITERION REGULAR VERIFICATION/VALIDATION OF O & M CRITERIAS GREEN HOSPITAL ( LIFE-CYCLE BASIS)

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GREEN DESIGN INTERVENTIONS

EFFICIENCY

SITE SELECTION BUILDING DESIGN EFFICIENT LIGHTING DESIGN EFFICIENT HVAC : NATURAL VENTILATION EFFICIENT WATER MGMT. GREEN ENERGY-EFFICIENT CONTROLS EFFICIENT EQPT PLANNING RENEWABLE ENERGY

QUALITY

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8.

INTEGRATED DESIGN APPROACH

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9. OPTIMIZATION

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CASE STUDY FORTIS HOSPITAL

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CASE STUDY FORTIS HOSPITAL

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CASE STUDY FORTIS HOSPITAL

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SUSTAINING GREEN HOSPITALS STRATEGIC PLANNING

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SUSTAINING GREEN HOSPITALS STRATEGIC PLANNING

SUSTAINABILITY OF A GREEN HOSPITAL
DEPENDS ON

TOP MANAGEMENT COMMITMENT

KEY ISSUES INVOLVED IN STRATEGIC PLANNING :
1. 2. 3. GREEN FEASIBILTY AT CONCEPTUAL STAGE ORGANIZING ADDITIONAL FINANCE ENGAGING COMPETENT GREEN TEAM ARCHITECT, ENGG. SERVICES CONSULTANTS, INTERIOR DESIGNER, PROJECT MANAGER, GREEN QUALIFIED CONTRACTORS. 4. ENERGY-EFFICIENT EQUIPMENT PLANNING 5. PLG. OF GREEN MANPOWER 6. GREEN FLEET MANAGEMENT 7. GREEN SUPPLY CHAIN MANAGEMENT 8. CREATING GREEN AWARENESS AMONG STAFF, PATIENTS ATTENDANTS, OPD PATIENTS & VISITORS 9. SUSTAINING GREEN RATING OVER LIFE CYCLE BASIS 10. MARKETING A GREEN IMAGE HospiArch'12 DELHI 11. SUSTAINABILITY REPORT TO TOP MGMT.

CONCLUSION
HOSPITAL ARCHITECTURE IS NO LONGER SIMPLY AN ARCHITECTS JOB OR HOSPITAL ENGG. SERVICES A BACKROOM OPERATION.
GREEN HOSPITAL IS BECOMING A STRATEGIC MANAGEMENT TOOL FOR THE HOSPITAL MANAGEMENT.

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The Future depends on what you do today - Mahatma Gandhi

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