Herd: Health Environments Research & Design Journal, 2008
Healthcare buildings are intimately interwoven with the human experience. As such, they express s... more Healthcare buildings are intimately interwoven with the human experience. As such, they express societal values around health and healing, wellness and disease. The healthcare sector and its practitioners have a legacy of coupling individual health and public health-and of honoring the sanctity of environmental health. However, its buildings have become largely distanced from these values. Resetting the design and regulatory parameters that shape these significant civic structures is both urgent and necessary in light of contemporary global environmental and public health realities. A coordinated research agenda is an essential part of this pursuit. While by no means exhaustive, this paper presents important research topics intimately tied to these 21st-century environmental and public health challenges.Research ContextAs contextual underpinnings for research into sustainable healthcare design, construction, and operations, the precautionary principle and life-cycle multiscale thinking are points of alignment:The Precautionary Principle: "Where there are threats of serious or irreversible damage, lack of full scientific certainty shall not be used as a reason for postponing cost-effective measures to prevent environmental degradation" (United Nations, 1992).In many cases environmental degradation leads to direct or indirect public health burdens. For instance, a polluted stream can contaminate drinking water; air pollution can lead to more asthma cases. Many of the products and systems incorporated into today's buildings have not been tested for their environmental or health impact. However, the built environment plays a significant role in determining environmental and public health. According to the U.S. Environmental Protection Agency, the U.S. population, on average, spends 90% of its time indoors, where there is direct exposure to these potentially polluting products. Building construction consumes more materials by weight than any other industry in the United States (Horvath, 2004) and constitutes 25% to 40% of the national solid waste stream annually (Whole Building Design Guide, 2007). Recognizing the scale of the building industry's involvement in environmental degradation and its associated public health burden, both the Green Guide for Health Care and the U.S. Green Building Council have adopted the Precautionary Principle as a guiding principle, as have numerous other healthcare systems and environmental health organizations.Life Cycle and Multiscale Thinking: Building-related decisions have consequences both inside and outside the building walls. For example, the choice of grid-connected fuel sources (e.g., coal, natural gas, wind, photovoltaics) results in vastly different environmental and health impact profiles.The Green Guide for Health Care addresses life cycle and multiscale thinking by basing its voluntary credits on three scales:1. Protecting the immediate health of building occupants2. Protecting the health of the surrounding community3. Protecting the health of the global community and natural resourcesVerifying the impact of sustainable practices on several scales ensures that healthcare institutions realize their related missions of providing a healing environment inside the facility and to safeguard natural resources and the environment outside the facility. Toxic chemicals procured and used by healthcare institutions in the course of clinical care and facilities operations can result in the decline of environmental systems and public health even when they are far removed from the waste source, if they are improperly disposed of. Based on the research of 119 pilot projects representing more than 30 million square feet of construction, the Green Guide for Health Care found that connecting sustainable design practices and human health was instrumental in establishing these practices' relevance to the healthcare industry. Since the Green Guide's release in 2003, many healthcare institutions have made the connection between stewardship of the environment and stewardship of the community outlined in their mission statements. …
Introduction: Nowadays several rating systems exist for the evaluation of the sustainability of b... more Introduction: Nowadays several rating systems exist for the evaluation of the sustainability of buildings, but often their focus is limited to environmental and efficiency aspects. Hospitals are complex constructions in which many variables affect hospital processes. Therefore, a research group has developed a tool for the evaluation of sustainability in healthcare facilities. Methodology: The paper analyses social sustainability issues through a tool which evaluates users' perception from a the quality and well-being perspective. It presents a hierarchical structure composed of a criteria and indicators system which is organised through a weighing system calculated by using the Analytic Network Process. Results and discussion: The output is the definition of a tool which evaluates how Humanisation, Comfort and Distribution criteria can affect the social sustainability of a building. Conclusion: Starting from its application, it is evident that the instrument enables the improvement of healthcare facilities through several design and organisational suggestions for achieving healing and sustainable architectures.
's (SECO) recent initiative, Sustainability in Public Facilities, provides technical support and ... more 's (SECO) recent initiative, Sustainability in Public Facilities, provides technical support and incentives to maximize the efficient and economical use of 0 " resources, including renewable energy technologies, in state facilities. " Legislative Directives Resource conservation, economic soundness, as well as enhanced human health and productivity, can be achieved by implementing sustainable design principles. Reflecting these benefits, a number of mandates are already in place.
Significant progress has been made to identify environmentally preferable materials and products ... more Significant progress has been made to identify environmentally preferable materials and products for most of the CSI divisions, with the notable exception of Divisions 15 and 16, specifically relating to plumbing and electrical materials. Indeed, a review of BuildingGreen’s GreenSpec for Division 15 – Mechanical lists nine manufacturers, six representing vitrified clay pipe
A fundamental distinction in the nature of technologies--solar or otherwise--hinges on their abil... more A fundamental distinction in the nature of technologies--solar or otherwise--hinges on their ability to become components in what might be called industrial ecosystems. Much of this potential depends on their inherent capacity to be integrative with other technologies verges resource conserving in and of themselves. In ecological terms, the cycling of essential elements in the biosphere is an indicator of life's basic need for materials and its responsibility to ensure continual material flows. Energy conservation is essentially the result of highly efficient systems working together, rather than as disparate machines optimized for a single purpose. Largely because human processes are viewed as individual machines rather than as integrative systems, the dominant anthropocentric world view holds a distorted, one-sided perspective of metabolic activities. The resulting integrative paralysis threatens the capacity of the human species to sustain life as we know it.
Foreword. Acknowledgments. Introduction. PART 1 CONTEXT. CHAPTER 1 Design and Stewardship. CASE S... more Foreword. Acknowledgments. Introduction. PART 1 CONTEXT. CHAPTER 1 Design and Stewardship. CASE STUDY. University of Wisconsin Cancer Center, Johnson Creek, Wisconsin. ESSAYS. Less Is Better BILL VALENTINE, FAIA. Life Cycle Design: Toward an Ecology of Mind PLINY FISK III, MArch, MLArch. Restoring Our Buildings, Restoring Our Health, Restoring the Earth. BOB BERKEBILE, FAIA. CASE STUDIES. BC Cancer Agency Research Center, Vancouver, British Columbia. Deventer Ziekenhuis, Deventer, Netherlands. CHAPTER 2 The Built Environment and Human Health. ESSAY. Good Places-Good Health RICHARD JACKSON, MD, MPH, AND MARLON MAUS, MD, MPH. CASE STUDY. Gaviotas Hospital, Las Gaviotas, Colombia. ESSAY. Good Air, Good Health ANTHONY BERNHEIM, FAIA. CASE STUDIES. Fachkrankenhaus Nordfriesland, Bredstedt, Germany. University of Arkansas for Medical Sciences College of Public Health, Little Rock, Arkansas. CHAPTER 3 Environment and Medicine. ESSAY. The Recovery of the Sacred in Healthcare in the Ecologic...
INTRODUCTION Nowadays several rating systems exist for the evaluation of the sustainability of bu... more INTRODUCTION Nowadays several rating systems exist for the evaluation of the sustainability of buildings, but often their focus is limited to environmental and efficiency aspects. Hospitals are complex constructions in which many variables affect hospital processes. Therefore, a research group has developed a tool for the evaluation of sustainability in healthcare facilities. METHODOLOGY The paper analyses social sustainability issues through a tool which evaluates users' perception from a the quality and well-being perspective. It presents a hierarchical structure composed of a criteria and indicators system which is organised through a weighing system calculated by using the Analytic Network Process. RESULTS AND DISCUSSION The output is the definition of a tool which evaluates how Humanisation, Comfort and Distribution criteria can affect the social sustainability of a building. CONCLUSION Starting from its application, it is evident that the instrument enables the improvement...
Materials for workshops as part of a seminar series providing practical information to ensure exe... more Materials for workshops as part of a seminar series providing practical information to ensure exemplary stewardship of human and environmental resources in Texas' public buildings. It includes an overview and background of the entire program, as well as a program outline with case studies and reference materials for each of the 6 sessions: Climactic Design and Daylighting, Efficient HVAC (heating, ventilation, and air conditioning), Indoor Air Quality and Building Commissioning, Sustainable Building Materials, Water and Landscaping, and Construction/Office Recycling.
HERD: Health Environments Research & Design Journal, 2009
This study assesses the extent of “first-cost green building construction premiums” in the health... more This study assesses the extent of “first-cost green building construction premiums” in the healthcare sector based on data submitted by and interviews with 13 current LEED-certified and LEED-registered healthcare project teams, coupled with a literature survey of articles on the topics of actual and perceived first-cost premiums associated with green building strategies. This analysis covers both perceived and realized costs across a range of projects in this sector, leading to the following conclusions: Construction first-cost premiums may be lower than is generally perceived, and they appear to be independent of both building size and level of “green” achievement; projects are using financial incentives and philanthropy to drive higher levels of achievement; premiums are decreasing over time; and projects are benefiting from improvements in health and productivity which, although difficult to monetize, are universally valued.
Over the past five years, a remarkable confluence of unprecedented healthcare construction and gr... more Over the past five years, a remarkable confluence of unprecedented healthcare construction and green building tools and programs tailored for the healthcare sector have created a bold vision of what a 21st Century hospital can be. Informed by the fundamental precept of "first, do no harm", this quiet revolution is shaping the way hospitals and other healthcare facilities are planned, designed, constructed and operated.
HERD: Health Environments Research & Design Journal, 2008
Healthcare buildings are intimately interwoven with the human experience. As such, they express s... more Healthcare buildings are intimately interwoven with the human experience. As such, they express societal values around health and healing, wellness and disease. The healthcare sector and its practitioners have a legacy of coupling individual health and public health-and of honoring the sanctity of environmental health. However, its buildings have become largely distanced from these values. Resetting the design and regulatory parameters that shape these significant civic structures is both urgent and necessary in light of contemporary global environmental and public health realities. A coordinated research agenda is an essential part of this pursuit. While by no means exhaustive, this paper presents important research topics intimately tied to these 21st-century environmental and public health challenges.Research ContextAs contextual underpinnings for research into sustainable healthcare design, construction, and operations, the precautionary principle and life-cycle multiscale thinking are points of alignment:The Precautionary Principle: "Where there are threats of serious or irreversible damage, lack of full scientific certainty shall not be used as a reason for postponing cost-effective measures to prevent environmental degradation" (United Nations, 1992).In many cases environmental degradation leads to direct or indirect public health burdens. For instance, a polluted stream can contaminate drinking water; air pollution can lead to more asthma cases. Many of the products and systems incorporated into today's buildings have not been tested for their environmental or health impact. However, the built environment plays a significant role in determining environmental and public health. According to the U.S. Environmental Protection Agency, the U.S. population, on average, spends 90% of its time indoors, where there is direct exposure to these potentially polluting products. Building construction consumes more materials by weight than any other industry in the United States (Horvath, 2004) and constitutes 25% to 40% of the national solid waste stream annually (Whole Building Design Guide, 2007). Recognizing the scale of the building industry's involvement in environmental degradation and its associated public health burden, both the Green Guide for Health Care and the U.S. Green Building Council have adopted the Precautionary Principle as a guiding principle, as have numerous other healthcare systems and environmental health organizations.Life Cycle and Multiscale Thinking: Building-related decisions have consequences both inside and outside the building walls. For example, the choice of grid-connected fuel sources (e.g., coal, natural gas, wind, photovoltaics) results in vastly different environmental and health impact profiles.The Green Guide for Health Care addresses life cycle and multiscale thinking by basing its voluntary credits on three scales:1. Protecting the immediate health of building occupants2. Protecting the health of the surrounding community3. Protecting the health of the global community and natural resourcesVerifying the impact of sustainable practices on several scales ensures that healthcare institutions realize their related missions of providing a healing environment inside the facility and to safeguard natural resources and the environment outside the facility. Toxic chemicals procured and used by healthcare institutions in the course of clinical care and facilities operations can result in the decline of environmental systems and public health even when they are far removed from the waste source, if they are improperly disposed of. Based on the research of 119 pilot projects representing more than 30 million square feet of construction, the Green Guide for Health Care found that connecting sustainable design practices and human health was instrumental in establishing these practices' relevance to the healthcare industry. Since the Green Guide's release in 2003, many healthcare institutions have made the connection between stewardship of the environment and stewardship of the community outlined in their mission statements. …
A planning tool is proposed integrating the use of indigenous technologies as the basis for susta... more A planning tool is proposed integrating the use of indigenous technologies as the basis for sustainable development in the building sector. The use of physical land planning procedures combined with the spatial recording of the base resources used for indigenous technologies brings together two vital study areas for ecological land planning and community economic development Due to the space allocated for this paper, only the materials component of the housing sector in a seven county area of Central Texas is discussed. 1. RESOURCE PLANNING 1.1 Planning Assumptions
... We have a further responsibil-ity to give back to the community, and, as leaders in healthcar... more ... We have a further responsibil-ity to give back to the community, and, as leaders in healthcare, sustainable building is one way that we can fulfill that responsibility” (Children's-Pittsburgh, Oxendale). ... Roger Oxendale Page 13. ...
Herd: Health Environments Research & Design Journal, 2008
Healthcare buildings are intimately interwoven with the human experience. As such, they express s... more Healthcare buildings are intimately interwoven with the human experience. As such, they express societal values around health and healing, wellness and disease. The healthcare sector and its practitioners have a legacy of coupling individual health and public health-and of honoring the sanctity of environmental health. However, its buildings have become largely distanced from these values. Resetting the design and regulatory parameters that shape these significant civic structures is both urgent and necessary in light of contemporary global environmental and public health realities. A coordinated research agenda is an essential part of this pursuit. While by no means exhaustive, this paper presents important research topics intimately tied to these 21st-century environmental and public health challenges.Research ContextAs contextual underpinnings for research into sustainable healthcare design, construction, and operations, the precautionary principle and life-cycle multiscale thinking are points of alignment:The Precautionary Principle: "Where there are threats of serious or irreversible damage, lack of full scientific certainty shall not be used as a reason for postponing cost-effective measures to prevent environmental degradation" (United Nations, 1992).In many cases environmental degradation leads to direct or indirect public health burdens. For instance, a polluted stream can contaminate drinking water; air pollution can lead to more asthma cases. Many of the products and systems incorporated into today's buildings have not been tested for their environmental or health impact. However, the built environment plays a significant role in determining environmental and public health. According to the U.S. Environmental Protection Agency, the U.S. population, on average, spends 90% of its time indoors, where there is direct exposure to these potentially polluting products. Building construction consumes more materials by weight than any other industry in the United States (Horvath, 2004) and constitutes 25% to 40% of the national solid waste stream annually (Whole Building Design Guide, 2007). Recognizing the scale of the building industry's involvement in environmental degradation and its associated public health burden, both the Green Guide for Health Care and the U.S. Green Building Council have adopted the Precautionary Principle as a guiding principle, as have numerous other healthcare systems and environmental health organizations.Life Cycle and Multiscale Thinking: Building-related decisions have consequences both inside and outside the building walls. For example, the choice of grid-connected fuel sources (e.g., coal, natural gas, wind, photovoltaics) results in vastly different environmental and health impact profiles.The Green Guide for Health Care addresses life cycle and multiscale thinking by basing its voluntary credits on three scales:1. Protecting the immediate health of building occupants2. Protecting the health of the surrounding community3. Protecting the health of the global community and natural resourcesVerifying the impact of sustainable practices on several scales ensures that healthcare institutions realize their related missions of providing a healing environment inside the facility and to safeguard natural resources and the environment outside the facility. Toxic chemicals procured and used by healthcare institutions in the course of clinical care and facilities operations can result in the decline of environmental systems and public health even when they are far removed from the waste source, if they are improperly disposed of. Based on the research of 119 pilot projects representing more than 30 million square feet of construction, the Green Guide for Health Care found that connecting sustainable design practices and human health was instrumental in establishing these practices' relevance to the healthcare industry. Since the Green Guide's release in 2003, many healthcare institutions have made the connection between stewardship of the environment and stewardship of the community outlined in their mission statements. …
Introduction: Nowadays several rating systems exist for the evaluation of the sustainability of b... more Introduction: Nowadays several rating systems exist for the evaluation of the sustainability of buildings, but often their focus is limited to environmental and efficiency aspects. Hospitals are complex constructions in which many variables affect hospital processes. Therefore, a research group has developed a tool for the evaluation of sustainability in healthcare facilities. Methodology: The paper analyses social sustainability issues through a tool which evaluates users' perception from a the quality and well-being perspective. It presents a hierarchical structure composed of a criteria and indicators system which is organised through a weighing system calculated by using the Analytic Network Process. Results and discussion: The output is the definition of a tool which evaluates how Humanisation, Comfort and Distribution criteria can affect the social sustainability of a building. Conclusion: Starting from its application, it is evident that the instrument enables the improvement of healthcare facilities through several design and organisational suggestions for achieving healing and sustainable architectures.
's (SECO) recent initiative, Sustainability in Public Facilities, provides technical support and ... more 's (SECO) recent initiative, Sustainability in Public Facilities, provides technical support and incentives to maximize the efficient and economical use of 0 " resources, including renewable energy technologies, in state facilities. " Legislative Directives Resource conservation, economic soundness, as well as enhanced human health and productivity, can be achieved by implementing sustainable design principles. Reflecting these benefits, a number of mandates are already in place.
Significant progress has been made to identify environmentally preferable materials and products ... more Significant progress has been made to identify environmentally preferable materials and products for most of the CSI divisions, with the notable exception of Divisions 15 and 16, specifically relating to plumbing and electrical materials. Indeed, a review of BuildingGreen’s GreenSpec for Division 15 – Mechanical lists nine manufacturers, six representing vitrified clay pipe
A fundamental distinction in the nature of technologies--solar or otherwise--hinges on their abil... more A fundamental distinction in the nature of technologies--solar or otherwise--hinges on their ability to become components in what might be called industrial ecosystems. Much of this potential depends on their inherent capacity to be integrative with other technologies verges resource conserving in and of themselves. In ecological terms, the cycling of essential elements in the biosphere is an indicator of life's basic need for materials and its responsibility to ensure continual material flows. Energy conservation is essentially the result of highly efficient systems working together, rather than as disparate machines optimized for a single purpose. Largely because human processes are viewed as individual machines rather than as integrative systems, the dominant anthropocentric world view holds a distorted, one-sided perspective of metabolic activities. The resulting integrative paralysis threatens the capacity of the human species to sustain life as we know it.
Foreword. Acknowledgments. Introduction. PART 1 CONTEXT. CHAPTER 1 Design and Stewardship. CASE S... more Foreword. Acknowledgments. Introduction. PART 1 CONTEXT. CHAPTER 1 Design and Stewardship. CASE STUDY. University of Wisconsin Cancer Center, Johnson Creek, Wisconsin. ESSAYS. Less Is Better BILL VALENTINE, FAIA. Life Cycle Design: Toward an Ecology of Mind PLINY FISK III, MArch, MLArch. Restoring Our Buildings, Restoring Our Health, Restoring the Earth. BOB BERKEBILE, FAIA. CASE STUDIES. BC Cancer Agency Research Center, Vancouver, British Columbia. Deventer Ziekenhuis, Deventer, Netherlands. CHAPTER 2 The Built Environment and Human Health. ESSAY. Good Places-Good Health RICHARD JACKSON, MD, MPH, AND MARLON MAUS, MD, MPH. CASE STUDY. Gaviotas Hospital, Las Gaviotas, Colombia. ESSAY. Good Air, Good Health ANTHONY BERNHEIM, FAIA. CASE STUDIES. Fachkrankenhaus Nordfriesland, Bredstedt, Germany. University of Arkansas for Medical Sciences College of Public Health, Little Rock, Arkansas. CHAPTER 3 Environment and Medicine. ESSAY. The Recovery of the Sacred in Healthcare in the Ecologic...
INTRODUCTION Nowadays several rating systems exist for the evaluation of the sustainability of bu... more INTRODUCTION Nowadays several rating systems exist for the evaluation of the sustainability of buildings, but often their focus is limited to environmental and efficiency aspects. Hospitals are complex constructions in which many variables affect hospital processes. Therefore, a research group has developed a tool for the evaluation of sustainability in healthcare facilities. METHODOLOGY The paper analyses social sustainability issues through a tool which evaluates users' perception from a the quality and well-being perspective. It presents a hierarchical structure composed of a criteria and indicators system which is organised through a weighing system calculated by using the Analytic Network Process. RESULTS AND DISCUSSION The output is the definition of a tool which evaluates how Humanisation, Comfort and Distribution criteria can affect the social sustainability of a building. CONCLUSION Starting from its application, it is evident that the instrument enables the improvement...
Materials for workshops as part of a seminar series providing practical information to ensure exe... more Materials for workshops as part of a seminar series providing practical information to ensure exemplary stewardship of human and environmental resources in Texas' public buildings. It includes an overview and background of the entire program, as well as a program outline with case studies and reference materials for each of the 6 sessions: Climactic Design and Daylighting, Efficient HVAC (heating, ventilation, and air conditioning), Indoor Air Quality and Building Commissioning, Sustainable Building Materials, Water and Landscaping, and Construction/Office Recycling.
HERD: Health Environments Research & Design Journal, 2009
This study assesses the extent of “first-cost green building construction premiums” in the health... more This study assesses the extent of “first-cost green building construction premiums” in the healthcare sector based on data submitted by and interviews with 13 current LEED-certified and LEED-registered healthcare project teams, coupled with a literature survey of articles on the topics of actual and perceived first-cost premiums associated with green building strategies. This analysis covers both perceived and realized costs across a range of projects in this sector, leading to the following conclusions: Construction first-cost premiums may be lower than is generally perceived, and they appear to be independent of both building size and level of “green” achievement; projects are using financial incentives and philanthropy to drive higher levels of achievement; premiums are decreasing over time; and projects are benefiting from improvements in health and productivity which, although difficult to monetize, are universally valued.
Over the past five years, a remarkable confluence of unprecedented healthcare construction and gr... more Over the past five years, a remarkable confluence of unprecedented healthcare construction and green building tools and programs tailored for the healthcare sector have created a bold vision of what a 21st Century hospital can be. Informed by the fundamental precept of "first, do no harm", this quiet revolution is shaping the way hospitals and other healthcare facilities are planned, designed, constructed and operated.
HERD: Health Environments Research & Design Journal, 2008
Healthcare buildings are intimately interwoven with the human experience. As such, they express s... more Healthcare buildings are intimately interwoven with the human experience. As such, they express societal values around health and healing, wellness and disease. The healthcare sector and its practitioners have a legacy of coupling individual health and public health-and of honoring the sanctity of environmental health. However, its buildings have become largely distanced from these values. Resetting the design and regulatory parameters that shape these significant civic structures is both urgent and necessary in light of contemporary global environmental and public health realities. A coordinated research agenda is an essential part of this pursuit. While by no means exhaustive, this paper presents important research topics intimately tied to these 21st-century environmental and public health challenges.Research ContextAs contextual underpinnings for research into sustainable healthcare design, construction, and operations, the precautionary principle and life-cycle multiscale thinking are points of alignment:The Precautionary Principle: "Where there are threats of serious or irreversible damage, lack of full scientific certainty shall not be used as a reason for postponing cost-effective measures to prevent environmental degradation" (United Nations, 1992).In many cases environmental degradation leads to direct or indirect public health burdens. For instance, a polluted stream can contaminate drinking water; air pollution can lead to more asthma cases. Many of the products and systems incorporated into today's buildings have not been tested for their environmental or health impact. However, the built environment plays a significant role in determining environmental and public health. According to the U.S. Environmental Protection Agency, the U.S. population, on average, spends 90% of its time indoors, where there is direct exposure to these potentially polluting products. Building construction consumes more materials by weight than any other industry in the United States (Horvath, 2004) and constitutes 25% to 40% of the national solid waste stream annually (Whole Building Design Guide, 2007). Recognizing the scale of the building industry's involvement in environmental degradation and its associated public health burden, both the Green Guide for Health Care and the U.S. Green Building Council have adopted the Precautionary Principle as a guiding principle, as have numerous other healthcare systems and environmental health organizations.Life Cycle and Multiscale Thinking: Building-related decisions have consequences both inside and outside the building walls. For example, the choice of grid-connected fuel sources (e.g., coal, natural gas, wind, photovoltaics) results in vastly different environmental and health impact profiles.The Green Guide for Health Care addresses life cycle and multiscale thinking by basing its voluntary credits on three scales:1. Protecting the immediate health of building occupants2. Protecting the health of the surrounding community3. Protecting the health of the global community and natural resourcesVerifying the impact of sustainable practices on several scales ensures that healthcare institutions realize their related missions of providing a healing environment inside the facility and to safeguard natural resources and the environment outside the facility. Toxic chemicals procured and used by healthcare institutions in the course of clinical care and facilities operations can result in the decline of environmental systems and public health even when they are far removed from the waste source, if they are improperly disposed of. Based on the research of 119 pilot projects representing more than 30 million square feet of construction, the Green Guide for Health Care found that connecting sustainable design practices and human health was instrumental in establishing these practices' relevance to the healthcare industry. Since the Green Guide's release in 2003, many healthcare institutions have made the connection between stewardship of the environment and stewardship of the community outlined in their mission statements. …
A planning tool is proposed integrating the use of indigenous technologies as the basis for susta... more A planning tool is proposed integrating the use of indigenous technologies as the basis for sustainable development in the building sector. The use of physical land planning procedures combined with the spatial recording of the base resources used for indigenous technologies brings together two vital study areas for ecological land planning and community economic development Due to the space allocated for this paper, only the materials component of the housing sector in a seven county area of Central Texas is discussed. 1. RESOURCE PLANNING 1.1 Planning Assumptions
... We have a further responsibil-ity to give back to the community, and, as leaders in healthcar... more ... We have a further responsibil-ity to give back to the community, and, as leaders in healthcare, sustainable building is one way that we can fulfill that responsibility” (Children's-Pittsburgh, Oxendale). ... Roger Oxendale Page 13. ...
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Papers by Gail Vittori