GREEN HOSPITAL

in GBC perspectives

Environmental thinking concern in

Hospital for healthy people and planet

NANING ADIWOSO

Technical Guidance on Specific Hospital

Jakarta, 12 14 September 2012
BACKGROUND
Drivers of growth for the Healthcare Sector
Increase in Population, up to 9 billions in 2012

Shift in demographics, dominated by young bracket generation and

expected increase geriatric generation in 2016, so it will
creating more in preventive, curative and geriatric care
Increase in incidence of lifestyle - related diseases ; obesity, diabetics, cardiovascular,
oncology
Increase in incidence of bad air quality diseases ; influenza, swine flu

Rising Literacy ; Growing general awareness, patient preferences and better utilization

Medical Tourism

Insurance coverage

Tax benefits; Lower direct taxes, higher

depreciation on medical equipment
 BENEFITS
Better paradigms in Hospital/Healthcare design changes can cut
infection rates, lower physician errors, improve staff performance
and make all the difference in delivering care
OFFICES SCHOOLS HOSPITALS RETAIL

20%
2-16%
BETTER TEST
EARLIER INCREASE
PRODUCTIVITY IN SALES PER
PERFORMANCE DISCHARGE
INCREASE
SQUARE FOOT

Image from USGBC

 APPROACHES
GREEN approaches when designing the healthcare

SOCIAL
HEALTH ENVIRONMENT ECONOMIC
CULTURE
PRODUCTIVITY

planning design construction commissioning - operation

How Can a Hospital Achieve the challenge?

In order to achieve a 60% reduction in energy use, an entire re-evaluation of
many of the architectural systems, building systems and mechanical systems
must take place
Approaching also from
Characteristic of Future Patients

Informed and educated on the latest treatment

trends and options
They are technology and information savvy
Most of their care will be provided outside of the
hospital.
Patients will be more health focused
Their care should be personal, dignified, and
private.
Site Development & Landscaping
Was the hospital sited with consideration for alternative
transportation, storm water management, urban development
and reducing any impact on the surrounding environment ?
Accessibility for every need
Aging Society

Disable

Emergency

Slope Differential

Corridor or Transitional Space

Connecting Room
 Water Efficiency
Is the hospital water efficient, taking advantage of landscaping,
water use reduction and innovative waste water use?
 Energy and Air Pollution
What has the hospital done to reduce energy consumption and
atmospheric pollution, including CFC reduction, renewable energy, or
even alternative power ?
 Materials and Resources
Does the hospital use recycled building material and resources,
local material or certified wood ? Or cutting-edge technology
(such as nanotechnology) is already accepted in daily ?
 Contaminants by product
Does the hospital have a program for reduction of toxics such as
mercury and PVC (which can leach toxic plasticizers into fluids
in every drip bag and tubing)?
 Contaminants by human transfer
Problem : unwashed staff Hands, low hand washing compliance has strong
causal link with contact transmission of infection, education inadequate and
transient
Indoor Air Quality
related to material selection

What has the hospital done

to improve IAQ through
increased ventilation and
incorporating low-VOC
paints, adhesives, and
materials to avoid off
gassing of formaldehyde,
toluene and other
carcinogenic compounds?
Indoor Air Quality
related to building envelope

What steps have taken to

create comfortable
temperatures and to enhance
day lighting and natural
ventilation ?
 Green Team and Leadership
Trained Staff Commitment and Action Plan
Well Educated Staff Networking and Collaboration
Certification of Competency Hungry to learn more
 Procurement
Does the hospital seek out recycled paper, water efficient laundering,
energy efficient equipment or other green product ?
 Purchasing

Does the hospital has ability to

track an use sustainable
furniture and to avoid landfills at
the end of its life through the
use of donations to other
nonprofit organizations ?
 Hospital Food Service
Do patient and staff meals include fresh, local and organic foods - collaborating with local
farms to serve seasonal fruits and vegetables and are finding other ways to cut food
production costs
How about their food service manual Nutrition
How about their standard equipments and utensils ?
 Waste Management
Does the hospital have a program to segregate medical waste, and
pharmaceutical disposal ? How about general waste from furniture,
equipment that are no longer needed?
 Eliminate
the Incineration Progressively

Source reduction

Proper segregation

Use the alternative disposal system such autoclave or microvawes

Preferential purchasing selecting vendor

selecting product and their packaging

Good operating practice

 Green Cleaning
Does the hospital use cleaning products that do not release hazardous
chemicals?
Are staff trained in their use?
 Laundry Services
Heating water temperatures in excess
of 160F, or using chemical
formulations that allow for hygienically
cleaning linen at low temperatures;

Increasing pH levels

Oxidizing and Ozonizing to deactivate

bio-burdens

Drying and Ironing at temperatures

greater than 180F

Storage solution
 Amenities Services
Hygienically Textiles

Policies with Suppliers

Management with 3rd Party

Inventory Management Services

Linen Consumption Tracking

Online Ordering
 ICT Supports
Transformation in Medical Record

Online and Accurate Procedures

Reduce Contamination since Free

Hand

Cloud Computing with more high and

safety data storage

Connectivity from everywhere

Efficiency in all daily arrangement

 Healing and Therapeutic Gardens
Does the hospital have healing gardens where patients, staff and
visitors can reflect, relieve stress and reconnect to the nature? Are
there green roofs?
Does the landscaping use native plants, which reduce water
consumption and the use of pesticides?
 Transport surrounding
Provision of car parking to encourage and recognize developments
that limit the facilities provided for cars
Provision of cyclist facilities commuting mass-transport to promote
the use of bicycles and transport modes of low environmental impact
There can more
sophisticated in
certain types of
Hospital
 Children Hospital
Friendly Environment

No Stressful Medical Procedures

Spending more time in Outdoors

Interaction with Nature

Recreation but Specification

Flexible and Effective Approach

Acute Patient Hospital
Zoning for Special Treatment

Isolation with Special Attention

In-Patient and Out-Patient Focus

Closely with The Specialist

Separate Nurse and Patient

Controls

Simple Procedures for Effortless

Decision
 Specialized
Surgical Hospital
Patient Centered Design

Have Specialized Selection Site for

their Research

Specialized Design, Facilities and

Treatment

Characteristic of Patients

Characteristic of Procedures

Quality and Safety

Environmental thinking is mandatory
Great designerask, listen and provide the needed
understanding to achieve the answers to the client
Good hospital design explains the designs
interaction with the patient hopes and need for
function.
Great doctors .always hear human needs,
required function and clients hopes and aspirations.
Great doctors in good hospital transforms
people and the environment surrround them.
 THANK YOU
Jl. RC Veteran No.3A 1, Tanah Kusir
Pesanggrahan Bintaro, Jakarta Selatan
Tel. 021-7343077; Fax. 021-7343133
Email: Info@gbcindonesia.org
Web : www.gbcindonesia.org