1. Joel Kreisberg, DC, MA DrKreisberg@teleosis.org Executive Director of the Teleosis Institute www.teleosis.org Creating Healthy Buildings: How Does Building Design Minimize Harm to Air and Water Quality, Protect Natural Ecosystems and Make Business Sense?

2. Green Health Care Green Health Care is medicine that does no harm to people and the global environment. Green Health Care is medicine that does no harm to people and the global environment. Green Health Care is more sustainable then high-tech hospital- based medicine. Green Health Care is more sustainable then high-tech hospital- based medicine. Green Health Care can be more equitably distributed. Green Health Care can be more equitably distributed. With Green Health Care we achieve sustainable levels of personal and Global health and vitality.

3. Primary Health Care Participation Participation Participation of the population in health decision making: moving towards and interaction between people and professionals. Participation of the population in health decision making: moving towards and interaction between people and professionals. Equity Equity People have the right to health care and inequalities in health and health status are unacceptable. People have the right to health care and inequalities in health and health status are unacceptable. Intersectorial collaboration Intersectorial collaboration Adopting an understanding of health as being something created in the social domain. Adopting an understanding of health as being something created in the social domain. MacDonald, J (2005) Environments for Health MacDonald, J (2005) Environments for Health

4. Green Health Care Worldview Public Health Public Health Medicine Environmental Health Environmental Health GH C

5. Green Health Care Environmental Health Advocate Sustainable Medicine Green Clinic Green Health Care

6. A Green Medical Clinic Green Clinic Green Health Care

7. Principles of Green Buildings Protecting the immediate health of the building occupants Protecting the immediate health of the building occupants Protecting the health of the surrounding community Protecting the health of the surrounding community Protecting the health of the global community and natural resources Protecting the health of the global community and natural resources Green Guide for Health Care Green Guide for Health Care

8. Rationale for Green Health Facilities Green building design is more then just energy savings. It takes into consideration Green building design is more then just energy savings. It takes into consideration Financial gains Financial gains Improved patient outcomes Improved patient outcomes Better staff health Better staff health Reduced turnover Reduced turnover Reduced environmental impact Reduced environmental impact www.practicegreenhealth.org www.practicegreenhealth.org

9. Costs Savings A cost benefit analysis of green buildings in CA determined that “a minimal upfront investment of 2% of construction costs typically yields life- cycle savings of over ten times the initial investment A cost benefit analysis of green buildings in CA determined that “a minimal upfront investment of 2% of construction costs typically yields life- cycle savings of over ten times the initial investment When the cost of environmental pollution is taken into account, the LEED certified building only costs 1% more then traditional building When the cost of environmental pollution is taken into account, the LEED certified building only costs 1% more then traditional building Packard Foundation Packard Foundation

10. Impact of the Built Environment on Occupants Staff Staff Reduces sick-building syndrome Reduces sick-building syndrome Improves air quality- reducing employee absenteeism Improves air quality- reducing employee absenteeism Patients Patients Decrease length of stay for occupants with sunlight rooms Decrease length of stay for occupants with sunlight rooms

11. Integrated Design Early close collaboration among architects, engineers, contractors, construction managers and operators and medical staff results in better- functioning green building at lower costs. Early close collaboration among architects, engineers, contractors, construction managers and operators and medical staff results in better- functioning green building at lower costs. Reducing the overall footprint of building resources Reducing the overall footprint of building resources

12. Environmentally Sensitive Operations Americans spend over %90 of their time indoors. Americans spend over %90 of their time indoors. Thousands of chemicals and biological pollutants are found indoors. (EPA) Thousands of chemicals and biological pollutants are found indoors. (EPA) Use of nontoxic cleaning products Use of nontoxic cleaning products

13. Opportunities %68 or respondents agree that green hospitals “have a marketing or public relations advantage over comparable conventional hospitals.” %68 or respondents agree that green hospitals “have a marketing or public relations advantage over comparable conventional hospitals.” %56 agree that green hospitals “are more desirable to patients then standard facilities.” %56 agree that green hospitals “are more desirable to patients then standard facilities.” %49 believe that going green “would give their hospital a competitive edge over conventional hospitals in their service area. %49 believe that going green “would give their hospital a competitive edge over conventional hospitals in their service area. “Where Building Owners, End Users, and AEC Professionals Stand on Sustainability and Green Building,” Building Design + Construction, Nov. 200&) “Where Building Owners, End Users, and AEC Professionals Stand on Sustainability and Green Building,” Building Design + Construction, Nov. 200&)

14. Incentives Foundation grants and state initiatives Foundation grants and state initiatives Providence Newberg Medical Center- Green design shortened the payback period by 14 months Providence Newberg Medical Center- Green design shortened the payback period by 14 months Pennsylvania Energy Development Authority Pennsylvania Energy Development Authority www.depweb.state.pa.us www.depweb.state.pa.us Pennsylvania Energy Harvest Grant Program Pennsylvania Energy Harvest Grant Program www.depweb.state.pa.us/energy www.depweb.state.pa.us/energy Sustainable Development Fund Grant Program Sustainable Development Fund Grant Program Reinvestment Fund Reinvestment Fund www.trfund.com www.trfund.com

15. Sustainable Medicine Precaution Lifestyle PreventionWellness Healthy Built Environment

16. A Green Clinic Reduce the environmental impact of the office. Reduce the environmental impact of the office. Conserve resources Conserve resources Reduce waste Reduce waste Monitor environmental performance Monitor environmental performance

17. Green Clinic Assessment Our comprehensive audit covers: Our comprehensive audit covers: Solid Waste Reduction & Recycling Solid Waste Reduction & Recycling Energy Conservation Energy Conservation Water Conservation Water Conservation Pollution Prevention Pollution Prevention Medical Technology & Services Medical Technology & Services Healthy People Healthy People

18. Benefits of Green Health Care Reduced operating costs Reduced operating costs A safer and healthier clinical environment for clients and staff A safer and healthier clinical environment for clients and staff Stronger workplace culture based on values of prevention, wellness, and environmental responsibility Stronger workplace culture based on values of prevention, wellness, and environmental responsibility Recognition as leaders in Green Health in your community Recognition as leaders in Green Health in your community

19. Teleosis Institute www.teleosis.org Practice Green Health www.practicegreenhealth.org Find Out More