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waterindependenceAchieving Water Independence in Buildings: Navigating the Challenges of Water Reuse in Oregon (2009)

Central City Concern’s report, Achieving Water Independence in Buildings, explains water reuse strategies and what current Oregon regulations allow. Their approach helped achieve statewide rainwater and greywater allowances in Oregon and may offer guidance for those in other states wishing explore the possibilities of water reuse in buildings and those wishing to reform limiting regulation.

builtenvironmentThe Built Environment and Health: 11 Profiles of Neighborhood Transformation (2009)

Funded by: Centers for Disease Control and Prevention, Division of Emergency and Environmental Health Services (EEHS), National Center for Environmental Health (NCEH). 65pp. Prevention Institute considered seven key aspects of the built environment that appear to be central to reducing health disparities: 1) Activity-promoting Environments; 2) Nutrition-promoting Environments; 3) Housing; 4) Transportation; 5) Environmental Quality; 6) Availability of safe, health-promoting or unsafe, unhealthy products; and, 7) Aesthetic/Ambiance: Well-maintained, appealing, clean environment.

cleaningCleaning in Healthcare Facilities: Reducing human health effects and environmental impacts (2009)

Health Care Research Initiative, by Pia Markkanen, ScD, Margaret Quinn ScD, Catherine Galligan, MSc, Anila Bello, ScD. 40 pp. Developed by the research team at the Sustainable Hospitals Project, Lowell Center for Sustainable Production at the University of Massachusetts Lowell, this paper summarizes the main health and environmental impacts related to conventional surface cleaning, describes a systems approach for designing and implementing healthier and environmentally friendlier cleaning strategies for the healthcare sector, and indicates areas where future research and policy initiatives are needed.

ecohealthThe Eco-Health Footprint Guide: Measuring Your Organizations Impact on Public Health and the Environment, Version 1.2 (2009)

Global Health and Safety Initiative, by Michael Berg, Michelle Lapinski, Gail Vittori and Mike Wallace. 16 pp. This free downloadable hyperlinked Guide was created to assist organizations in getting started with the process of collecting data and measuring their ecological footprint. This Guide is a basic introduction to the Eco-Health Footprint and provides the reader with a business case, step-by-step approach, and key footprinting concepts and resources. It also highlights issues specific to the healthcare industry and cites examples and case studies of footprinting among healthcare institutions.

energysmarthospitalsEnergy Smart Hospitals: Creating Energy Efficient High Performance Hospitals (2009)

In EnergySmart Hospitals and the Hospital Energy Alliance, the Department of Energy (DOE) is promoting the resources, tools, and strategies that our nation’s hospitals must have to identify clear pathways to cost and energy savings through efficient and renewable energy technology applications for both new and existing facilities. They author a series of reports and publications relevant to both new buildings and retrofits.

futurefabricThe Future of Fabric (2007)

Healthy Building Network, Healthcare Research Collaborative. Julie Silas, Jean Hansen, Tom Lent. 32 pp.
This report alerts health care practitioners, architects, designers and the fabric industry itself to the potential hazards associated with fabric and to spur the development and use of safer alternatives. It provides a brief history of fabrics; a summary of some of the key chemicals of concern found in fabrics that have been developed and marketed to meet the high performance demands of key contract markets, including health care; an overview of standards and certification programs governing fabric; and examples of some of the innovative efforts.

greenerhospitalsGreener Hospitals: Improving Environmental Performance (2003)

Edited by: Environment Science Center, with support of Bristol-Myers Squibb. 128 pp.
This manual provides practical advice to help healthcare facilities improve their environmental management systems and performance. By clearly outlining the benefits of sharing best practices and developing formal environmental management systems, this document assists healthcare facilities in meeting the rising expectations of regulators and their local communities.

Greening Healthcare: Ideas for Your Campus (2008)

Physicians for Social Responsibility. Lauren Zajac, 8 pp. This short report is full of resources to assist hospital green teams in improving environmental performance of the hospital environment.

greenteamsGreen Teams: Engaging Employees in Sustainability (2009)

Published through Climatebiz. 21 pp. Deborah Fleischer, the president of Green Impact, explores and outlines the 10 best practices for bringing all your employees on board with your company’s sustainability projects.

Health Care at the Crossroads: Guiding Principles for the Development of the Hospital of the Future (2008)

43 pp. The Joint Commission. This report seeks to address broad issues relating to the provision of safe, high-quality health care. It features a section on “Being Green.”

healthcareguidebookHealthcare Energy Guidebook (2004)

The American Society of Healthcare Engineering (ASHE). This guidebook profiles the U.S. healthcare market on size and energy-related characteristics and provides energy benchmarking data that can be used to make meaningful comparisons between healthcare facilities. The intent of the guidebook is to provide assessment of practices, methodologies, and technologies being applied for the purpose of improving energy efficiency in hospitals.

healthybusinessHealthy Business Strategies for Transforming the Toxic Chemical Economy (2006)

Clean Production Action. Companies eliminate toxic chemicals and thrive. Business leaders create value through healthy products. The report features six case studies of manufacturers and customers (including Kaiser Permanente) who have adopted the precautionary principle, redesigned products, and discovered that it’s good for business!

Healthy Hospitals, Healthy Planet, Healthy People: Addressing Climate Change in Healthcare Settings (2009)

28 pp. World Health Organization and Health Care Without Harm. This discussion draft is the first step in a project aimed at addressing the climate footprint of the health sector. The World Health Organization’s (WHO) has asked member states to develop “programmes for health systems that will contribute to reducing their own greenhouse gas emissions”. The paper begins to define a framework for analyzing and addressing the health sector’s climate footprint — including identifying seven aspects of a climate-friendly hospital. It also draws on a series of examples from around the world that demonstrate that the health sector is indeed already beginning to provide leadership in this most important area of concern to the global community.

herdreportHealth Environments Research and Design Journal, Sustainable Design Issue (Summer 2009)

Robin Guenther, Guest Editor. This issue of HERD includes the following editorials and research reports on sustainable healthcare:

Incentivizing the Daylit Hospital: The Green Guide for Health Care Approach

Ray Pradinuk, MBAIC. Daylight remains the most-asked-for/least-delivered aspect of the caregiver work environment in North American hospitals. In Europe, essentially the same care practices continue to be accommodated in daylit building configurations. This article chronicles the methodology developed for incentivizing and calculating daylight achievement in the Green Guide for Health Care (GGHC), which has been adapted in the soon to be released LEED for Healthcare.

Demystifying First Cost Green Building Premiums in Health Care
(see description in business case studies below).

Going Green: A New Design Imperative
Jaynelle F. Stichler

Evidence-Based Design and Stewardship of Our Limited Resources
D. Kirk Hamilton FAIA

Sustainable Architecture for Health: A Mindset Shift
Guest Editorial: Robin Guenther FAIA
Available by subscription and purchase only.

High Performance Hospital Partnerships: Reaching the 2030 Challenge and Improving the Health and Healing Environment (2009).

Heather Burpee, Joel Loveland, Michael Hatten, Stan Price. University of Washington Integrated Design Lab. 25 pp. This paper documents that new hospitals in the United States can greatly increase their value to their owners by reducing energy by 75% and increased environmental quality for patients and staff.

leedndreportLEED-ND Report on Public Health and the Built Environment (2006).

The report was prepared for the U.S. Green Building Council (USGBC), the Congress for the New Urbanism (CNU) and the Natural Resources Defense Council (NRDC) to assist with the preparation of a rating system for neighborhoods called LEED-ND (Leadership in Energy and Environmental Design for Neighborhood Development). The report was made possible with support from the U.S. EPA and the Centers for Disease Control. 137pp.

This resource comprehensively summarizes the state of the practice on the relationship between public health and the built environment. This is the first report that not only summarizes the impact of the built environment on public health topics but also discusses how this information can be translated into positive changes to the built environment.

livingplanetLiving Planet Report (2008)

WWF, Zoological Society of London, and Global Footprint Network. 48 pp. This report includes the continuously updated Living Planet Index, used to map out the state of the world’s ecosystems, and our Ecological Footprint. The 2008 report also examines the impact of our consumption of the Earth’s water resources and our growing vulnerability to water scarcity, which now affects over 50 countries on this planet.

materialhealthMaterial Health. A mass balance and ecological footprint analysis of the NHS in England and Wales (2004)

Oxford: Best Foot Forward. This research and development project set out to determine the mass balance and ecological footprint of the NHS in England and Wales, and is an important first step toward quantifying the environmental impact of the delivery of health care services by the NHS. It highlights areas which can be most readily tackled, and has served to move towards a more sustainable future.

nhsreportThe NHS Carbon Reduction Strategy (2008–9)

UK National Health Service Sustainable Development Unit. These two reports, Saving Carbon, Improving Health and Fit For the Future-Low Carbon Scenarios 2030 set an ambition for the healthcare industry to help drive change towards a low carbon society. The strategy shows the scale of reduction in carbon required for the NHS to progress towards the Climate Change Act requirements and recommends key actions for the NHS to become a leading sustainable and low carbon organization.

Northwest Guide to Pollution Prevention by the Healthcare Sector (2004)

Pacific Northwest Pollution Prevention Resource Center (PPRC). This web-based resource guide to pollution prevention contains links to local and regional pollution prevention resources on most of the topics highlighted in the Green Guide for Health Care Operations section. View online.

researchagendaA Research Agenda for Advancing Patient and Environmental Health and Safety in the Health Care Sector (2009)

Health Care Research Collaborative, by Susan Kaplan, JD, Peter Orris, MD, MPH, Rachel Machi, 36 pp. This paper focuses on research within the health care sector in the U.S. centering on patient, worker and environmental health and safety (“the three safeties”). It describes the Health Care Without Harm / Global Safety and Health Initiative (HCWH/GHSI) Research Collaborative, from whose work this Research Agenda was developed. It identifies research priorities in the near- and long-term at the intersection of the three safeties.

flooringreportResilient Flooring and Chemical Hazards: A Comparative Analysis of Vinyl and Other Alternatives for Health Care (2008)

Healthcare Research Collaborative, Healthy Building Network, Health Care Without Harm, Global Health and Safety Initiative, and the University of Illinois Chicago School of Public Health. 56 pp. This report addresses resilient flooring, evaluating potential health impacts of vinyl flooring and the leading alternatives (synthetic rubber, polyolefin and linoleum) currently in the health care marketplace. The study inventories chemicals incorporated as contents in each of the four material types or involved in their life cycle as feedstocks, intermediary chemicals, or emissions.

© 2019 Green Guide for Health Care