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Integrative Design for HealthA systematic approach to promoting health, wellness, and occupant experience
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Green building todayMany “health-intended” prerequisites and credits but:• No systematic prioritization
process• No documentation of intended
outcomes• No direct role for health
professionals
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LEED v4An integrative approach to designing for energy and water.
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Source: John Boecker, Building as an Organism More: Education@USGBC
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Source: John Boecker, Building as an Organism More: Education@USGBC
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Source: John Boecker, Building as an Organism More: Education@USGBC
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NeedProvide an integrative process for health, wellness, and occupant experience.
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InspirationHealth Impact Assessment
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HIA in the United StatesUS Environmental Protection Agency
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HIA Elements1. Screening2. Scoping3. Assessment4. Recommendations5. Reporting6. Monitoring and evaluation
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Hope SF San Francisco Public Housing Redevelopment
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#1: Population Needs Assessment• Population: Health for whom? • Needs: What health
challenges?• Assessment: What process?
What expertise?
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Source: US EPA (2013)
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#2: Prioritize StrategiesDozens of opportunities:• Location and transportation• Site design• Energy & Atmosphere• Indoor environmental quality• Materials & Resources• Pilot Credits
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EBOM NC Core & Shell
Schools ND CI Healthcare
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Health in rating systems intentHealth in Reference Guide
Many Health-intended LEED Credits
More: See Trowbridge on Insight.gbig.org
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New Credits & CriteriaCreate new tools within established rating systems, starting with Enterprise Green Communities and LEED
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RampRecognizing Good, Better, and Best process and performance
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Good1. “DIY” population needs
assessment2. Systematic prioritization of
strategies
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Better1. Consultation with health
professionals 2. Robust population needs
assessment 3. Systematic prioritization of
strategies
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Best1. Full integration of health
professionals 2. Robust population needs
assessment 3. Systematic prioritization of
strategies4. Commissioned implementation5. Coordinated monitoring and
verification