2010 Program Completion Form Registered Providers are responsible for reporting to the AIA/CES the names of ALL AIA members.

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1 2010 Program Completion Form Registered Providers are responsible for reporting to the AIA/CES the names of ALL AIA members. Healthcare 201 Sustainability in the Healthcare Sector Program Title (same as on Form A) B100 A10104 AIA Knowledge Provider Number Program Number (same as on Form A) Provider Name Name of Person submitting this report: Phone number: Date of Program Completion: September 7, 2010 City/State: Participants at this program: (Please print or type) AIA Member AIA Member Number or Name of Participant Yes or No Non-member s 1. Yes No 2. Yes No 3. Yes No 4. Yes No 5. Yes No 6. Yes No 7. Yes No 8. Yes No 9. Yes No 10. Yes No 11. Yes No 12. Yes No 13. Yes No 14. Yes No 15. Yes No Return this form by 5pm ET the day after your program to: tamzinhowerton@aia.org or (fax). * Non-members who require a certificate please contact tamzinhowerton@aia.org.

2 Healthcare 201: Sustainability in the Healthcare Sector Presenter Michael Pavelsky, AIA, LEED AP BD+C Sustainability Director, The Sheward Partnership, LLC Healthcare 201 Committee Member Tushar Gupta, AIA, NCARB Principal and Senior Project Designer, WHR Architects 2

3 AIA/CES Compliance Statement AIA Knowledge is a Registered Provider with The American Institute of Architects Continuing Education Systems. Credit earned on completion of this program will be reported to CES Records for AIA members. Certificates of Completion for non- AIA members are available on request. Please complete Form B provided in your webinar handout package and return to the or fax listed. This program is registered with the AIA/CES for continuing professional education. As such, it does not include content that may be deemed or construed to be an approval or endorsement by the AIA of any material of construction or any method or manner of handling, using, distributing, or dealing in any material or product. Questions related to specific materials, methods, and services will be addressed at the conclusion of this presentation. 3

4 AIA/CES Learning Objectives 1. Identify important tools needed for a successful sustainable healthcare project. 2. Identify challenges confronting sustainable healthcare design. 3. Understand d significant ifi opportunities for sustainable healthcare design. 4. Understand how to successfully integrate sustainability into healthcare facilities. 4

5 Agenda What healthcare institutions are interested in today around sustainability? Overview of Tools to Track Sustainability Metrics Tracking Sustainability in Healthcare Upgrades & Renovations Challenges associated with Sustainability in Healthcare Opportunities for integration of Sustainability in Healthcare Building Green without Certification? Market Shifts Future Trends in Healthcare Sustainability Case Studies Questions / Discussion 5

6 Have you worked on a LEED project? Yes No 6

7 What Healthcare Institutions are Interested in Today: Built Environment Sustainability Waste Reduction Energy Conservation Housekeeping Policies Upgrading Existing Facilties 7

8 Tracking Tools: Healthcare Sustainability Metrics New Construction & Major Expansions LEED 2009 for New Construction Certification Release of LEED for Healthcare Rating System Green Guide for Healthcare Rating System Energy Star Portfolio Manager Tracking Green Globes 8

9 Have you worked on a Green Globes project? Yes No 9

10 LEED 2009 for New Construction Rating System Predominant LEED Rating System for healthcare projects seeking certification Revised version released in April 2009; in addition to LEED Online version 3.0 Stringent project team inclusiveness Anticipated update in

11 11

12 Have you worked on a healthcare project seeking LEED certification? Yes No 12

13 Release of LEED for Healthcare Rating System Original Draft version released in 2007 Currently available for second public comment period; deadline dli Sunday, September 5 th No pilot process as typical with other LEED Rating Systems Anticipated full release GreenBuild

14 14

15 Have you utilized the Green Guide for Healthcare system? Yes No 15

16 Green Guide for Healthcare Rating System First sustainable design toolkit integrating enhanced environmental and health principles and practices into the planning, design, construction, operations and maintenance of healthcare facilities Originally released in 2004 Design and construction specific tracking tools 16

17 17

18 LEED Certified Health Care Facilities as of December 2004 Certified Silver Gold 18 Platinum

19 LEED Certified Health Care Facilities as of April 2010 Certified Silver Gold 19 Platinum

20 Energy Star Portfolio Manager Tracking Free energy tracking tools provided by US EPA Energy Star Portfolio Manager Energy Star Target Finder Risk loss of tool based on lacking data from healthcare facilities Proving the financial case althcare 20

21 21

22 Green Globes Strong market sector in Canada Slower to get started in United States, lobbying to preclude green building legislation l being written mandating LEED Generates healthy competition asp 22

23 23

24 Tools to Track Healthcare Sustainability Metrics: Upgrades & Minor Renovations LEED for 2009 for Commercial Interiors LEED for Existing Buildings: Operations & Maintenance 24

25 LEED for 2009 for Commercial Interiors Rating System designed for commercial office space Adaptability to healthcare institutions Lighting Potable water conservation Acoustics Indoor environmental quality 25

26 26

27 LEED for Existing Buildings: Operations & Maintenance Energy Star rating of 69 is challenging for most healthcare facilities to achieve April 2009 revision i removed Commissioning i i prerequisite it Free project registration for all previously certified LEED for New Construction, LEED for Schools, and LEED for Core & Shell projects Occupancy rate required for certification lowered from 75% to 50% 27

28 28

29 Sustainability in Healthcare - Challenges Perception Lack of Knowledge Perceived and Actual Cost 29

30 Sustainability in Healthcare - Opportunities Energy Efficiency Expanded campus environmental programs Improved indoor air quality Improved patient recovery times 30

31 Tracking & Publishing Energy Savings: How to Prove Financial Return on Investment Energy Manager position becoming prevalent Quarterly energy analysis reported to C-suite Exploration of alternative energy options Grant & Stimulus funding spurs growth Rising cost of energy in all areas of the world 31

32 Survey Patients & Staff to Gather Metrics: How to Prove the Health Benefits Partner with organization to survey & compile data Expand upon typical patient exit survey to include questions about thermal comfort, lighting, housekeeping, food, etc. Tracking of patient & employee injuries Shorter length of stay = increased patients 32

33 Building Green Without Certification Why not all healthcare facilities are interested The power of certifying a facility Design, construction and post-occupancy questions without t diligent tracking mechanism in place 33

34 Susquehanna Health Campus Expansion Williamsport, PA Designed to LEED-NC 2009 Standards Energy Modeling completed with various scenarios Extensive research by owner into LEED 34

35 Highland Health Center Gastonia, SC Designed to LEED-NCv2.2 Standards Focus on energy saving strategies Future expansion capabilities integrated 35

36 Other Perspectives Construction Managers Architects 36

37 Healthcare Markets Moving in the Direction of Sustainability Medical Office Buildings Community Health Centers Senior Housing Communities Healthcare Fit-Outs 37

38 Healthcare Center IV Riddle Memorial Hospital Media, PA Seeking LEED-CS v2.0 Gold Certification 78,000 SF MOB $25 Million 38

39 Healthcare Center IV Riddle Memorial Hospital Media, PA 39

40 Healthcare Center IV Riddle Memorial Hospital Media, PA 40

41 The Rothman Institute Medical Office Building Egg Harbor Township, NJ Seeking LEED-NCv2.2 Certification EPAct 2005 incentives 30,000 SF $4 Million 41

42 The Rothman Institute Medical Office Building Egg Harbor Township, NJ 42

43 Atlanticare Medical Center Oncology Center Egg Harbor Township, NJ LEED-NCv2.2 Gold Certified Upgraded interior finishes to improve IAQ Vegetated roof system: stormwater, patient views 40,000 SF 43

44 The image cannot be displayed. Your computer may not have enough memory to open the image, or the image may have been corrupted. Restart your computer, and then open the file again. If the red x still appears, you may have to delete the image and then insert it again. Atlanticare Medical Center Oncology Center Egg Harbor Township, NJ 44

45 Community Health Center Spectrum Health Services Haddington Community Health Center Philadelphia, PA 45

46 Community Health Center Spectrum Health Services Haddington Community Health Center Philadelphia, PA 46

47 Senior Housing & Assisted Living Kendal at Longwood Cottage Residences Kennett Square, PA 47

48 Senior Housing & Assisted Living Kendal at Longwood Cottage Residences Kennett Square, PA 48

49 Healthcare Fit-Outs Abington Memorial Hospital PET/CT Scan Abington, PA 49

50 Acute Care Hospital Anne Arundel Medical Center Annapolis, MD 50

51 Acute Care Hospital Jersey Shore University Medical Center Neptune, NJ IMAGES COURTESY OF WHR ARCHITECTS 51

52 1970 s 1950 s 1960 s 1940 s 1990 s 1990 s 1930 s 1990 s Existing Site Plan 52

53 Master Facility Plan Concept Diagram 53

54 Proposed Site Plan Proposed Site Plan 54

55 356,000 Total Addition Square Footage IMAGES COURTESY OF WHR ARCHITECTS Proposed Design Southwest Aerial View 55

56 IMAGES COURTESY OF WHR ARCHITECTS Southwest View 56

57 Acute Care Hospital Jersey Shore University Medical Center Neptune, NJ 57

58 Acute Care Hospital Jersey Shore University Medical Center Neptune, NJ 58

59 Acute Care Hospital Jersey Shore University Medical Center Neptune, NJ 59

60 Acute Care Hospital Jersey Shore University Medical Center Neptune, NJ 60

61 Future Treads in Healthcare Sustainability Shrinking Reimbursement Healthcare Reform Tie Sustainability to Reduced Operating Expenses Improved Patient Recovery Times = More Patients 61

62 Questions Push *1 on your telephone key pad to comment or ask your question. OR 1. Click on Q&A on the menu bar. This will open the Q&A panel. 2. Type your question in the upper section and then click Ask. You ll receive confirmation that your question was received and only you and the presenters will see your question. Submitted questions will be answered verbally as time allows. 62

63 Thank you for joining us for Healthcare 201: Sustainability in the Healthcare Sector Presenter Michael Pavelsky, AIA, LEED AP BD+C Sustainability Director, The Sheward Partnership, LLC Healthcare 201 Committee Member Tushar Gupta, AIA, NCARB Principal and Senior Project Designer, WHR Architects 63

64 Join Us for the Upcoming Webinars Visit for more information and to register. 64

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