MBBS, MBA, PhD, LLB

SENIOR FACULTY IMS, DAVV, INDORE

 What is Green Hospital?
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
• 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
 SITE SELECTION
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 open

spaces.
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

Impact
• Increase energy consumption
• Green house gas emission
• Compromise human health & comfort
• Impaired water quality
 Creating green roofs/ roof top
gardens

Use high- reflectant roofing

Insulators

Rapid Cooling Technology

Optimum Air Conditioning

MITIGATION OF HEAT ISLAND EFFECT

Present Best Practices
Green 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.
Sick Building / Building Related Illnesses

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
 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.
Sound Reduction
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
Indoor Chemical Contaminant
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
Pharmaceutical Minimization

Management and Disposal.

Minimize and proper management and disposal of
pharmaceuticals.

Formulary review process to characterize

hazardous pharmaceuticals to develop & implement
policy for
receipt
handling
storage
labeling
transport and end disposal.
Regulated Medical Waste
Reduction

Facility policy for regulated medical waste

disposal.

Segregate all non medical waste before

incineration.

 Alternate method to treat Medical Waste

Environment Friendly Cleaning
•Minimize exposure of building occupants and
cleaning personnel to potentially hazardous
chemical, biological and particulate
contaminants
•For all chemicals- avoid/minimize the
aerosols
•Minimize atomizing chemicals
•Use toggle top bottles or spray chemicals
onto clothes

•Reduce use of virgin paper in janitorial paper

•Use microfiber based cleaning equipment
which :
•Cut chemical waste up to ; 80%
•Increase performance up to 6 times
•Reduce labor up to 70 %
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