Indoor Air Quality and Healing Environments

6/26/2012
Course
Description
UL Environment
40119188
Indoor Air Quality and Healing
Environments
ULEHC
Speaker Name/s
Date
This program provides understanding of how
indoor air quality (IAQ) affects sustainable
building practices of healthcare and healing
environments. Further, the impact of IAQ on
healthcare construction, focusing on effective
design strategies from project concept through
construction including operations and
maintenance will be discussed. Lastly, the
program identifies building construction
resources for creating healthy indoor spaces
used for healing environments. A case study is
provided for greater understanding and
discussion.
Learning
Objectives
At the end of the this course, participants will be able to:
1. Identify 3 factors driving sustainable building
practices of healthcare facilities in the US
2. Understand the issues impacting healthcare
construction and IAQ
3. Demonstrate effective design strategies to
minimize IAQ problems and control
contaminants in healthcare environments
4. Identify building construction resources for
creating healthy healing environments
Indoor Air Quality and Healing Environments
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6/26/2012
This CEU is registered with the Interior Design Continuing Education Council (IDCEC) for continuing
education credits. This credit will be accepted by the American Society of Interior Designers (ASID),
International Interior Designers Association (IIDA), and Interior Designers of Canada (IDC).
Credit(s) earned on completion of
this course will be reported to AIA
CES for AIA members.
Certificates of Completion for both
AIA members and non-AIA
members are available upon
request.
This course is registered with AIA
CES for continuing professional
education. As such, it does not
include content that may be
deemed or construed to be an
approval or endorsement by the
AIA of any material of construction
or any method or manner of
handling, using, distributing, or
dealing in any material or product.
______________________________________
Questions related to specific materials, methods,
and services will be addressed at the conclusion
of this presentation.
The content included in not deemed or construed to be an approval or endorsement by IDCEC of any
material or construction or any method or manner of handling, using, distributing, or dealing in any
material or product
Questions related to specific materials, methods, and services should be directed to the instructor or
provider of this CEU.
This program, Indoor Air Quality and Healing Environments, is registered for 0.1 CEU value.
The IDCEC Class Code is:
•This CEU will be reported on your behalf to IDCEC and you will receive an email notification. Please
log in and complete the electronic survey for this CEU.
•Certificated of completion will be automatically issued once you have submitted the online survey for
this CEU.
•Attendees who do no belong to ASID, IIDA, or IDC and do not have a unique IDCEC number will be
provided with a Certificate of Completion from the CEU provider.
1
Patient Plan
who
2
3
sustainable building
IAQ issues
4
design strategies
5
resources
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6/26/2012
The Changing State of Healthcare
Building Functions
Number of Buildings
Inpatient
8,000
Outpatient
121,000
Total US healthcare
facilities
129,000
Total US Buildings
4,859,000
2003 Commercial Buildings
Energy Consumption Survey
Energy Information
Administration, Washington DC
GREENGUARD Environmental Institute 2009
Top Reasons for Deciding to Build Green
Attract, retain, enhance worker performance
100%
Healthcare Villages
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Enhanced staff and patient
well-being
Operational cost savings
Increased building function Being part of the healthcare
efficiency
sector that values the
environment
Most Important
Courtesy of McGraw Hill Construction Green Building Smart Market Report – Health Care
Overall
Public relations benefits of
being a green leader
High
Performance
Guidelines
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Improving facilities and their physical design…
Attracts new patients
Business
Competitiveness
54%
Improves patient
outcomes
Societal
Issues
57%
Improves staff
recruiting/retention
59%
Improves staff
effectiveness
60%
Improves patient
experience
Patient
Centered
Issues
Evidence
Based Design
Principles
74%
0%
Source: Mortenson Construction:January2012 Trends
20%
40%
60%
80%
Life as we NOW know it…
‘Highest Value, Lowest Cost’
Center for Health and Healing
Portland, Oregon
Radiant flooring
Energy reduction of 30%
Passive ventilation system
Green roofing
Day lighting
Water conservation
Low VOC finishes
On-site transportation provided
BD&C March 2012: Healthcare Construction 2012
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6/26/2012
Human Health Impacts
Asthma and Allergies
Eye Irritation, Headache, Upper Respiratory Irritation,
Nausea, Dizziness, Fatigue & Lethargy, Sore/Dry Throat,
Nose Bleed, Odor Complaints, and Memory Impairment
Infectious Diseases
Chemical Hazards
Bio Hazard Control
Airborne
Contaminants
Hospital acquired infections cause
88,000 deaths per year and cost more
than $5 Billion in care
Wenzel R, Edmond MD, The Impact of Hospital Acquired Blood Stream Infections. Emerg Inf. Dis. Mar-Apr 2001:7(174)
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6/26/2012
Children’s Hospital, Fort Worth, Texas
Unique Ventilation Requirements
Walls and
ceilings
Furniture
Textiles
Window
Coverings
Flooring
Cleaning
products
Surfacing
Materials
Jersey Shore
University Medical
Center, Neptune, NJ
Medical
Equipment
Caulks and
Sealants
GREENGUARD Environmental Institute 2009
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IAQ Considerations in the Design Phase
Site orientation and preparation
Single patient room design
Pressurization - Protective Isolation v. Infectious Isolation
Specify low-emitting materials
Use of antimicrobial textiles
Ventilation procedures
Material Considerations
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6/26/2012
Correct Pressurization and Airflow
-0.6
Pa
Outside
(0 Pa)
Closet
X
FCU
-0.5
Pa
Supply Air
Return Air
Corner Room
Individual
Bath Fan
Toilet
Area
-1.6
Pa
+0.5
Pa
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Green Guide for Health Care
A Study of Emissions: Incubators
Formaldehyde/ppb
Introduces health issues as
component of each point
80
60
40
20
0
Evidence based Design enhanced patient and staff
well-being
60
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Measured
Recommend
LEED for Healthcare 2009
IFMA and ASHE
Related to Indoor Environments and Materials:
MR Credit 5—Furniture and Medical Furnishings 1-2 pts
NO:
Urea Formaldehyde
Heavy Metals
Hexavalent Chromium plated finishes
Stain and non-stick treatments
Added Anti-microbials
Contain
Guidelines for energy use, air quality issues, and
cleaning/maintenance supplies standards
Credit attainment:
California Section 01350
GREENGUARD Children and Schools
SCS Indoor Advantage Gold
ASHE’s Green Healthcare Construction Guidance
Statement
http://www.healthybuilding.net/healthcare/ASHE_Green_Healthcare_2002.pdf
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6/26/2012
ASHRAE 62.1-2007
UL Environment Certification
Program
Low-emitting products certification
Product profiling and testing
Certification Test and monitoring
Comprehensive health-based
standard
Indoor Air Quality Standards
Requirements for
ventilation, air-cleaning
system design,
installation,
commissioning, and
operation and
maintenance.
Healthcare: ventilating
with 100% outside air,
no recirculation between
interior spaces,
dehumidification
requirements.
This concludes the American Institute of Architects
Continuing Education Systems Course.
We will now discuss UL Environment’s GREENGUARD Certifications and
provide resources for your use.
UL Environment offers environmental claim validations, multi-attribute
product certifications, environmental product declarations, indoor air
quality certification, product emissions testing, organizational
sustainability certification, and consulting
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6/26/2012
SAFETY IS EVOLVING
SO IS UL
With the definition of safety
constantly advancing, UL has
expanded our focus to include
an unparalleled breadth of
offerings. Our goal is to better
help your business meet the
shifting needs of a changing
world.
Who is UL Environment?
Knowledge Services
GREENGUARD Certification
UL Environment’s GREENGUARD Certification
Voluntary Certification Process:
Manufacturer contacts UL
Environment
Product Profiling and Testing
Full Chamber testing
Improving public health and quality of life through
healthy indoor air.
Quarterly Monitoring
Annual Retesting of Product
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6/26/2012
Why else is UL Environment valuable to you?
We are an environmental resource.
www.greenguard.org
For the world’s largest online, low-emitting product guide
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6/26/2012
www.ul.com/environment
www.greenguard.org
www.epa.gov/iaq
www.lungusa.org/air/air_indoor
www.aerias.org
Thank you.
www.UL.com/environment
www.greenguard.org
www.usgbc.org
www.sinsofgreenwashing.org
www.ashrae.org
www.nahbgreen.org
Resources for Indoor Air Quality
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6/26/2012
Questions for Discussion
1.
2.
Name the standard which clearly delineates IAQ ventilation rates.
Name three guidelines that available when considering IAQ best
practices
3. When considering healthcare design, what are the three main
considerations?
4. Are there other factors driving sustainable building practices in
Healthcare environments?
5. Why are chemical exposures so important to understand from an
IAQ perspective?
6. Antimicrobial properties are 100% effective?
T or F?
7. Proper pressurization of spaces can minimize contaminant spread.
T or F?
8. Patient outcomes are perceived to be better in facilities that are
designed effectively? T or F?
9. Use of prefabricated materials is one way to lower construction
costs without compromising quality. Tor F?
10. Sustainable Healthcare facility construction is expected to
increase in the next 5 years?
T or F?
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