MBBS, MBA, PhD, LLB

SENIOR FACULTY IMS, DAVV, INDORE

A Green hospital is one which enhances patient well being,

aids in curative process while utilizing natural resources in

an efficient environment friendly manner.

• The Green Hospital is defined as a hospital that has taken the initiative to do the one or more of

the following:

• choose an environmentally friendly site,

• utilizes sustainable and efficient designs,

• uses green building materials and products,

• thinks green during construction and keeps the greening process going.

• A Green Hospital is constructed around a facility that recycles, reuses materials, reduces waste,

and produces cleaner air.

• Reduce co2 generation

• GOGREEN HOSPITAL

What is Green Hospital?

• The green hospital movement began years ago following the U.S. Green Building

Council (USGBC)’s release of their Leadership in Energy and Environmental Design (LEED) standards for building construction.

• Although initial cost to adopt green practices might be higher but they are the best investment in your facility.

• Green hospitals have been shown to reduce long-term energy costs.

• Moreover, green hospital design has been linked to better patient outcomes and staff retention

• In the past few years, a number of newly constructed and renovated hospital buildings

have strived for and received LEED certification.

Green Hospital promotes the following : •Sustainable building materials •Products free of mercury, latex, PVC•Energy and water conservation •Tools and resources for environmentally preferable purchasing •Greener cleaners •Integrated pest management •Waste Reduction and Recycling •Green Electronics •Managing pharmaceuticals •Environmentally Preferable Medical Waste Treatment and Disposal

Green Building vs. Conventional Building

External Appearance: Both look alike

Functionality: Same

Differences

Conserve natural resources.

Concern for human comfort, indoor

environment & productivity.

BENEFITS OF GREEN BUILDINGS Tangible benefits

Energy savings : 40-50%

Water savings : 20-30%

Intangible benefits

All good aspects associated to

green

Better Indoor ambience

Day lighting & views

improved health and

productivity

CAN A BUILDING HELP YOU CURE.?

Research shows patient recovery much faster

Connectivity to outside environment.

Better Daylight and Views.

Healing benefits for patients.

Better Indoor Air Quality

No sick building syndrome.

Regular CO2 monitoring.

Increased fresh air ventilation.

FOCUS AREAS FOR GREEN HOSPITAL DESIGN

Lighting

Indoor Air quality - Passive and Active measures

Green house keeping

Clean and Green interior building materials

Gardens and landscape

Waste management

disposal of pharmaceuticals

Sound reduction

What should we look out for?

A virgin like location which puts the least pressure on the environment…

•Clean Air

•Clean Water

•Clean soil

•Bio diversity is not disturbed

•Enhances Public Health by protecting wetlands, agricultural land and openspaces.

SITE SELECTION

LIGHTING

Hospital design should maximize day light

optimize artificial lighting requirement

Light that enhances proper and true to life vision

Should be soothing to eyes

BENEFITS OF DAY LIGHTING AND VIEWS IN HOSPITAL

Positive effect on patients

Enhance health and well being of patients

Reduces stress level of employees

Combats seasonal affective disorder or winter depression

Improves facility’s overall operational efficiency.

RECCOMENDED LIGHTING LEVELS FOR HOSPITALS

DESIGN ASPECTS

To enhance Natural lighting

Glazing facades

Translucent skylights with soothing colors

Transparent and operable opening to green courtyards

Ledge seating at windows.

INDOOR AIR QUALITY

Restoring and safeguarding Health is the main purpose of Health care facilities indoor environment quality is critical to Green Hospitals.

DO’s for Good Indoor Environment

• Use indoor species of plants which produces oxygen and reduces indoor pollutants from air.

• Improve fresh air by providing courtyard spaces with native and adaptive plant species free from allergic effects.

OUTDOOR FRESH AIR REQUIREMENTS

HEAT ISLAND

• What

• Cause

• Less water & less vegetation

• Urbanization

• Building & building material

• Structure

• Surface

• Clouding & precipitation

• Increase energy consumption

• Green house gas emission

• Compromise human health & comfort

• Impaired water quality

Impact

Use high- reflectant roofing

MITIGATION OF HEAT ISLAND EFFECT

Creating green roofs/ roof top

gardens

Insulators

Rapid Cooling Technology

Optimum Air Conditioning

Present Best PracticesGreen Roofs & Walls

GREEN HOUSE KEEPING

What is “Green Cleaning”?

-Products and services that reduce the health and environmental impacts compared to similar products and services used for the same purpose.

Not just chemicals, it includes various components such as:

Chemicals Parking Space Entrance Matting Micro Fiber Recycling and waste reduction Water and Energy conservation Liners Procedures ,Training , Work loading and Scheduling Communications Recycle Programs/Waste Reduction/Conservation Equipment and Custodial Hardware Filters Paper Ice Melter Pest Management

CLEAN AND GREEN INTERIOR BUILDING MATERIAL

The Risk:

Patients and staff are exposed to a host of pathogenic germs and toxins that enter the hospital through the medium of large number of infected patients.

Green Practices:

Ensure the property of repelling or resisting growth of the pathogenic germs and bacteria in interior surfaces.

Use Copper based interior material for touch surfaces in hospitals.

Use indoors or floorings that do not emit/absorb/release indoor pollutants such as VOC and dust.

Normally contracted through water aerosols and confined spaces

(Centrally Air-Conditioned Buildings)

HVAC Ducting

Shower Heads

Cooling Towers

Leads to a pneumonia like condition , Legionnaires Disease which

is fatal since it is diagnosed and treated like pneumonia

What does the Guide look out for?

Among other things….

•Simpler plumbing designs

•Insulating the ducts with hygroscopic material and renewal

•Design of all tanks

•Biocide regime

Sick Building / Building Related Illnesses

GARDENS AND LANDSCAPES

An aesthetic delight that

promotes wellness of

patients in hospital.

Research studies show that

recuperation from stress is

faster and complete when

patients are exposed to

natural settings than any

other form of built

environment.

Why is this important?

Noise is a well documented source of stress in health care

settings.

Research finds that in hospitals that reduced

noise levels led to

better patient satisfaction

sleep improvement, and

lowered Blood Pressure

What does the Guide look out for?

Among other things….

Provide building occupants with a healing environment free

of noise.

Locating patient rooms away from any source of noise

Quite air-conditioning

Insulation in the walls that prevents noise

Sound Reduction

Reduce and eliminate the use and improper

disposal of chemical hazards and toxic

materials within the health care facility to

safeguard the health of building occupants.

Sanitary Sewer,

Hand Hygiene,

Sterilization,

High Level Disinfection,

Laboratory & Radiology

Indoor Chemical Contaminant Reduction

Management and Disposal.

Minimize and proper management and disposal of

pharmaceuticals.

Formulary review process to characterize

hazardous pharmaceuticals to develop & implement

policy forreceipt

handling

storage

labeling

transport and end disposal.

Pharmaceutical Minimization

Facility policy for regulated medical waste

disposal.

Segregate all non medical waste before

incineration.

Alternate method to treat Medical Waste

Regulated Medical Waste Reduction

•Minimize exposure of building occupants andcleaning personnel to potentially hazardouschemical, biological and particulatecontaminants

•For all chemicals- avoid/minimize theaerosols

•Minimize atomizing chemicals

•Use toggle top bottles or spray chemicalsonto clothes

•Reduce use of virgin paper in janitorial paper

•Use microfiber based cleaning equipmentwhich :

•Cut chemical waste up to ; 80%

•Increase performance up to 6 times

•Reduce labor up to 70 %

Environment Friendly Cleaning

Providence Newberg Medical Centre, Oregon,

USA,A Case Study LEED NC Gold - First Gold Rated Green

Hospital in the world.

Built-in area : 1,75,000 square feet

Actual benefits achieved :-

26 % energy savings

50 % reduction in water consumption for landscaping

Better indoor air quality

No sick building syndrome

100 % outside air; 100% exhaust

Reduction in floor-to-floor height

Reduced envelop cost

Heat reclaim system with VAV

Higher efficiency than conventional systems

Day Lighting

Healing benefits for patients

Patient recovery faster

Kohinoor Hospital, Mumbai

LEED NC Platinum - First Platinum Rated Green Hospital in India

Built-in area : 2,27,432 sq.ft

Benefits achieved :

35 % Energy Savings

Green Power from Wind Mills

Solar hot-water generation

Better Indoor Air Quality

Regular CO2 monitoring

Increased fresh air ventilation

No sick building syndrome

Day Lighting

Healing benefits for patients

Patient Recovery Faster

BENEFITS ACHIEVED BY GREEN HOSPITALS

Better Indoor air quality.

20-40% energy savings.

35-40% water savings.

Good day lighting.

No sick building syndrome.

Faster patient recovery.

List of few green hospital in India

References:-• Google

• Wikipedia

• Slideshare.com