Green Hospital Program

Green Building

Green HIT

Green Health & Care

Green Patient

Green Hospital of the Future What does the Green Hospital of the Future look like? What should it be able to do, what distinguishes it from today’s hospital? What contributions can it make to tomorrow’s sustainable healthcare system? These are some of the questions that the Green Hospital Program, a network alliance of hospitals, doctors, experts and industry launched by the Asklepios Hospital Group campaigning for sustainable environmental responsibility, medical care and future-oriented, eco-friendly use of energy in hospital construction, is finding answers for.

GREEN BUILDING

GREEN HEALTH & CARE GREEN PATIENT

GREEN HIT Efficency

Quality

Sustainablity

Innovation

Hospitals, from a political perspective and in society, are perceived as a focal point and a source of identity in advanced social systems. In that context, hospitals mirror the Zeitgeist of a society.

The healthcare sector worldwide is facing key challenges in the designing, planning, construction and renovation of hospitals and healthcare facilities: Climate change, increasing CO2 pollution, dwindling natural resources, rising healthcare costs, an ageing population – these are the central issues of today.

Tomorrow’s issues? Over the next thirty to fifty years the world’s population will cross the 10 billion threshold. Average life expectancy will increase across societies, global conflicts over freshwater and energy resources are likely. The quality of air and light will deteriorate, infections, allergies and disease will become more widespread.

Mega-hospitals will give way to more compact hospitals.

Innovative developments in communication and information technology, as well as in nanotechnology, will change our concept of medical care and preventive healthcare.

Prognose 2050 – hospital architecture and health

nature as therapy Home and the Health Village Nature Surrogates

Global Resource Conflicts (water/ oil / soil / forests)

water scarcity NATURAL RESOURCE DEPLETION

microsDDal hospitals aging-­‐in-­‐place

paDent rights movement

micro clinic

healing-­‐in-­‐place

Global economic downturn CARBON NEUTRAL HOSPITALS

Sustainable Health Landscapes universal design Environmental Sustainability CriDcal Care Center

bionic (roboDc) architecture

virtual medicine VIRTUAL REALITY GLOBAL DIGITAL DIVIDE

ECOHUMANISM

nano technology

telemedicine

home-­‐based ICU models

Health Culture

Interdisciplinist Strategies

biomedical waste

2000

Holographic interacDons with care providers

megahospital demoliFons / adapFve reuse

preservaDon/ conservaDon of historic healthcare architecture

6,3 Billion People 2010

BIOMASS/ Solar energy

transportable trauma centers

2020

2030

Agelessness

2040

2050

9,5 Billion People

Green HIT und Green Patient Services im R&D Project Greening the Patient Room

Home and the Health Villages

Ambient Assisted Living (AAL)

paDent rights movement

home-­‐based ICU models Nature Surrogates

healing-­‐in-­‐place

aging-­‐in-­‐place nature as therapy InteracDon with family@home

PaDent Room Hospital

Hospital

Sustainable Health Services cloud technology Environmental Sustainability CriDcal Care Center

virtual medicine

VIRTUAL REALITY GLOBAL DIGITAL DIVIDE

InteracDon Pharmacy

InteracDon Phycisican Holographic interacDons with care providers eHealth Services

Telemedicine

Demographic change

Health PrevenDon

PaDent centered care

2012

2015

2020

2030

2040

2050

Green Hospital of the Future

What implications will this have on the hospital as a healthcare facility? What does this scenario hold for a Green Hospital of the Future in ten, twenty or fifty years? Which solution scenarios need to be designed and developed today for us to be ready for tomorrow? Â The direct and indirect effects of the design and planning, implementation and operation of a Green Hospital of the Future regarding its environmental impact, the quality of its medical and health-promotion facilities and its social responsibilities all need to be analysed and assessed here, as well as finding answers to questions such as: What do patients and staff expect from a Green Hospital of the Future? How do they experience it? What experiences will they have there? What values and objectives can be taught there?

A wholistic view of all relevant aspects and an action plan based on these is needed more than ever.

The Green Hospital initiative by the Asklepios Hospital Group can offer solutions here, in cooperation with the respective key players in the healthcare system of the future. The focus will be the Green Hospital as a healthcare facility and model of quality. Â

"Indispensable for good health is an intact environment.

Together with our customers and partners, we plan and design healthcare facilities that enable us to reduce our energy consumption, protect water resources, generate renewable energy sources, improve air quality inside buildings, avoid wastage, raise staff productivity and increase patient satisfaction."

Dr. Wolfgang Sittel

Head of Corporate Architecture and Construction Asklepios Hospital Group, Founder of the Green Hospital Program

Green Hospital

The Green Hospital is a wide-ranging, multi-dimensional model of expertise that uses impact mechanisms and findings on synergies between environment and health, between technological progress and a responsible use of natural resources to develop sustainable solution scenarios and medically applicable models for hospitals and health facilities.

The Green Hospital is an initiative of Europe’s largest Group of hospitals, the Asklepios Hospital Group, and its partners in the Green Hospital Program. The approach of the model to the Green Hospital of the Future is therefore focused on health and medical care. Issues regarding energy or specific architectural and building issues are integrated in that approach.

The realization that mankind is only a part of the surrounding ecosystems and that our wellbeing depends significantly on the state it is in, represents a new awareness that is supported and promoted by a broad political, ecological and socio-cultural consensus.

The Green Hospital divides an environmentally-aware hospital into four key areas:

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Green Green Green Green

Building Healthcare Information & Technology Health & Care Patient

In each of these areas there are several action levels, interdependently connected with each other. These levels, identified in collaboration with participating doctors, experts and industry partners, hold a special significance for the development of a Green Hospital focused on sustainability.

Within each action level are the various research and competence projects. Results of these projects are rated on their achieved efficiency, quality and innovation power in relation to a Green Hospital.

If they are reviewed positively in relation to the Green Hospital’s set of objectives then those innovations and solutions will be made available to hospital construction, renovation or modernisation projects.

The Green Hospital is a quality and reference model that due to its complexity and the structure of its modular levels of impact and areas of action, its research projects and the resulting product innovations, can potentially be the model for the future of many hospitals.

Within the context of the Green Hospital, a variety of measures are developed and implemented that are future-oriented, sustainable, reliable and economical. Requisite investments would amortise within three to six years, making them ecologically meaningful and economically sound.

Green Hospital

Green Building

Green HIT

Green Health & Care

Green Patient

The Green Hospital Program is making a contribution by presenting contemporary hospitals and healthcare facilities with innovative models of efficiency and quality, as well as functional solution scenarios that in turn contribute towards achieving the following objectives in hospital construction, redevelopments, renovations or modernisation projects:

• Significant environmental benefits through environmentally and economically appropriate use of natural resources in the Green Hospital.

• Protection and promotion of human health and wellbeing in the Green Hospital. Preventive medical care.

• Future-proof design and thus a sparing use of natural resources through ecologically responsible and sustainable construction methods, based on energy-efficient technologies and the use of healthy and environmentally-friendly building materials.

Green Hospital Program The objective of the Green Hospital Program is to support and mentor hospitals so that they may meet upcoming environmental and economic challenges in hospital construction and renovation.

This is achieved by identifying sustainable solutions and providing innovative products, developed in collaboration with business, experts and doctors and tested in the field for efficiency and quality. Â The Green Hospital Program stands for collaboration and communication and has an open agenda.

All sectors of industry that support the aims and objectives of the Green Hospital may participate and actively contribute their expertise and know-how. Â The Asklepios Hospital Group as initiator and partner in the Green Hospital Program makes the appropriate hospitals and their facilities available for the implementation of various research and development projects, as well as experts and staff competence in those hospitals. Â

Green Hospital Program

All projects and actions within the program are to support the objectives of the Green Hospital in a significant way and to represent a marked environmental sustainability and a qualitative responsibility for the future of healthcare.

The focus of the program is on people and those industries that can claim to be responsibly and actively contributing to the design of the Green Hospital of the Future.

The Green Hospital Program thus stands for cooperation, sharing, communication and the exchange of knowledge, research results and developments.

Product innovations that are developed by program partners in the key areas of Green Building, Green Health & Care, Green Healthcare IT and Green Patient, are made available to hospitals and healthcare facilities that would like to use the Green Hospital as a model for a new construction or a renovation project.

"The Green Hospital initiative of the Asklepios Hospital Group and its partners in the program, view themselves as setting the pace and pavin the way for ecological sustainability in the healthcare system. The protection and welfare of the environment and of our patients are our priority.

The hospital as a healthcare institution and service center for patients and staff is, more than any other organisation predestined to assume responsibility for this and to realize the Green Hospital model of the future."

Lothar Dörr Director Green Hospital Program

Key areas and topics inside the Green Hospital Program „Effective materials have a significant effect on overall wellbeing, environmental impact and costs - especially during the construction and renovation of a hospital. In particular, high-performance floor coatings enable us to simultaneously increase hygiene and comfort.

The Green Hospital Program is a benchmark for the future of the healthcare industry and we are pleased to be able to sustainably support it, together with the program’s partners, through our range of materials, technologies and services within our EcoCommercial Building Program for environmentallyfriendly and economic construction processes."

Peter Warmbier Head of Marketing and Business Development Department of Coatings, Adhesives, Specialties for Europe, Middle East and Africa (EMEA) . Bayer MaterialScience

„Even in a Green Hospital, our primary objective remains the improvement of the recuperation process of our patients. It’s no secret that the construction of a modern hospital can contribute to this in a variety of ways: quality of light and air, selection of materials, choice of colours and many other details can assist in convalescence and as a result improve overall quality of care.

Ultimately, the Green Hospital is about living a social responsibility. Because the frugal use of scarce resources such as energy and water are also a social responsibility that we need to face up to."

Dr. Bernard gr. Broermann Founder Asklepios Hospital Group

„It is especially important that industry and business support the Green Hospital Program. This means, among other things, making investing in the improvement of sustainability in and of hospitals attractive which in turn requires far-sighted companies and managers thinking long term.

We can meet the challenges of a Green Hospital of the Future successfully only when the understanding of those responsible within the healthcare system has changed.

In future, initiatives need the support of innovative products that have the potential to improve overall existing conditions and bring about sustainable changes. The Green Hospital Program can achieve this in order to also become representative on an international scale."

Prof. Dr. Friedrich-Leopold von Stechow Stechow Management Consulting GmbH & Co. KG

„Global trends such as climate change, the ageing population and new challenges in healthcare are issues that are also of concern to the Green Hospital Program which was initiated by the Asklepios Hospital Group in order to search together with its partners in the program, for innovative and sustainable solutions.

Asklepios is aware of the enormous potential that the implementation of sustainable ideas holds. We are delighted that Philips has been invited to contribute in shaping the Asklepios Green Hospital Program. As part of the team we shall make every effort to lead the program to success."

Andreas Wente CEO Philips Germany GmbH

Key areas and topics inside the Green Hospital Program Building & Construction

Medical Quality & Care Care of Health Green Cleaning

Energy Management Material & Resources

Air Pollution & Health

Waste Management

Water Efficency

Indoor & Outdoor Environmental Quality

Light & Natural Light

Water Management

Sound & Noise & Stress

Patient Saftey & Security

Light

Health Prevention

Architecture & Design

Natural Health Management Systems Health & Wellbeing Medical Equipment Design & Material Information & Technology

Green Food & Health

Telecommunication Green Patient Services Telehealth & eHealth Services Green IT

Therapeutic Garden & Nature & Green Art Information & Motivation & Education

Green Building

Hospitals are commonly classified as large real estate with an above average consumption of a variety of resources - consuming large amounts of energy, freshwater and producing a range of waste products. A priority here is thus to conserve resources and at the same time, to free up resources that can be used elsewhere in the hospital.

Within the context of the impact level Energy Management, for example, research is to be conducted on which solution scenarios could sustainably contribute towards

 improving the energy wheel effect by 30 percent,

 reducing energy consumption by 30 percent,

 increasing the share of renewable energies in the energy supply by 30 percent.

Levels of Impact model for Green Building:

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Building Construction Energy Management Resources Light & Lighting Water Waste Management Facility Management Architecture & Design

Green Building

The following examples taken from these areas, illustrate the objectives and the approach of the Green Building as a key area.

The energy production complex illuminates the topic of primary energy including renewable energies – and the energy recovery field of expertise. The objective here is to develop highly efficient primary energy usage facilities and to integrate them into a system of renewable energies, as well as energy recovery plants. Heat-power cogenerators, or more recently fuel cell technology, are also to be addressed here.

In the use of renewable energies, the focus is on economic use – regarding both energy use itself and the development of appropriate system components, as well as their integration into the construction components of a building (window, facade, roof, foundations) and appropriate storage systems and facilities.

Another promising approach is heat recovery from expelled air and waste water.

Heat recovery from these two resources requires special structures whereby waste water and ventilation systems are constructed in compliance with hospital hygiene guidelines. Innovative projects in this area need to therefore be examined for feasibility.

Economic use of air, water and waste resources forms the focus of the environmentally-oriented concept of building technology. Topics here range from reducing the freshwater consumption of toilet fittings and sanitary ware, to air humidity and circulation rates during surgery, as well as heat recovery from air ventilation systems and night cooling of buildings.

At the core of all of this remains the need for an economic use of natural resources and to activate natural physical processes for the wellbeing of people. Progress in this area is closely aligned with hospital hygiene requirements, as well as the energy conservation objective.

Green Health & Care

The current discussion on ecologically and economically meaningful models and solutions for hospital construction and renovations to create a Green Hospital is essentially dominated by two trends today.

The first manifests in eco-certified architecture. The second attempts to anticipate the current debate on the energy revolution by way of hospital construction initiatives.

Neither approach is adequate, nor do they do justice to an urgently needed wholistic perspective of the Green Hospital.

The Green Hospital Program of the Asklepios Hospital Group and its partners goes one step further. It clearly sets a benchmark by placing the person at the centre of the Green Hospital, especially in the key areas Green Health & Care and Green Patient.

Levels of Impact model for Green Health & Care:

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Medical Care Hygiene Air Water Light & Lighting Acoustics, Noise, Stress Reduction Patient Safety Health Prevention

Green Health & Care

Healthcare facilities also must be the civic sanctuaries that survive disaster—places where people can reliably go when unforeseen needs are greatest. They are uniquely positioned to demonstrate how location, design, construction and operations are essential to a broader public health mission, underscored by disease prevention, wellness and resilient design strategies. Greening them is central to this strategy.

Redefining buildings through their life cycle as integral parts of a healthy regional ecosystem, and as environments that directly impact human health, are basic principles of green building.

Minimizing wastes, pollution, and toxics associated with the construction and operation of buildings and pursuing every opportunity to optimize indoor environmental quality are measurable performance goals. This agenda is consistent with the fundamental mission of healthcare professionals and should be reflected in their building portfolios.

“The question is whether healthcare professionals can begin to recognize the environmental consequences of our operations and put our own house in order.

This is no trivial question.“ Michael Lerner, Ph.D.

The commitment to safeguard the environment continues to grow as the link between human health and environmental quality is made clear. It is our core business to minimally impact the environment and to provide an optimum health and safe environment for our workers and our patients.

Our ecological commitment exists because we impact the environment in the process of making people well.

Lloyd Dean, MA, President and CEO Catholic Healthcare.

Green Patient

How do people perceive this Green Hospital idea? Where and how do staff and patients experience sustainable changes? What information do they receive?

How can the hospital as a healthcare facility support and advise the patient at home in future? Which services does this require?

How much ‚nature’ can there be in a hospital? What significance do light and colour play in patient wellness and the healing process? What should patient rooms look like in a Green Hospital?

Can so-called therapeutic gardens support the patient recovery process?

As part of the Green Hospital Program we have defined a key area for this that focuses on these issues.

Levels of Impact model for Green Patient:

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Light & Air & Water Wellbeing Design & Material Green Food & Health Green Patient Services Therapeutic Garden & Nature Green Art and Green Living Information & Motivation

Green HIT

This key area deals with extremely complex and closely interrelated topics.

Green Healthcare IT - taken as the platform for various healthcare scenarios, from prevention to follow-up care - requires strategic forward thinking, developing solution scenarios and putting our claims to the test.

This presupposes a willingness by all participants to engage in a dialogue.

Which is what the Green Hospital Program stands for. Though this may not always be easy or convenient, it is the only way we can build bridges of understanding between what we know today and are already doing and the challenges of the future. Green IT, for example, will be seen in the roles of operator, facilitator and instrument for potential savings in order to support the objectives of the Green Hospital.

This requires convergence and the interaction of energy networks, medical technology and IT. Likewise, the structure and organisation of medical and nursing procedures can be significantly improved through innovative IT. It can open up new savings potentials. Communication-collaboration systems instead of business trips, for example, can reduce CO2 emissions. But the focus is also on which eHealth services a hospital can and should offer in future and how are these services to be charged?

Levels of Impact model for Green Healthcare Information & Technology

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Medical Technology Management Systems Information & Technology Telecommunication TeleHealth eHealth Services Green IT

Green Alliances

The health sector is one of the most trusted and respected sections of society, and it is also one of the largest employers and consumers of energy.

We envision the health sector as a leader in integrating environmentally responsible practices into the delivery of health and care.

This presents both a responsibility and an opportunity to be an ‘early mover’ to achieve climate-neutrality in its own operations, and to demonstrate that this can go hand-in-hand with improved effectiveness and cost savings.

We also see it as an advocate in sharing information on best practices and encouraging organizations to limit their environmental footprint.

Because of its size and influence, the health sector can play a unique leadership role in mitigating the consequences of climate change. Around the world, health workers – physicians, nurses, technicians, health-care managers, and public officials – touch the lives of people at every level of society, and as such can be important agents for change in communities large and small.

Growing evidence demonstrates that health professionals are eager to do their part.

In a green health sector, minimizing negative impact on the environment would be a priority for all organizations and individuals in their day-to-day practices and at all levels of decision-making.

We recognize that our efforts to achieve a greener health sector must fit into broader societal and global actions to improve the environment.

Therefore the Asklepios Group and their partners initiate the Green Hospital Program.

Role model for the Healthcare Market

The process of change towards a Green Hospital of the Future focused on sustainability is made up of numerous projects, actions and continual adjustments. Currently no ‘masterplan’ or consistent set of guidelines exists for this.

A wholistic perspective of all the relevant aspects and an action plan based on these is now needed more than ever.

The Green Hospital Program of the Asklepios Hospital Group and its partners is here for this.

"There are more than 1,900 hospitals in Germany, providing services ranging from basic to maximum care. Over the next few years it is likely that only a few hospitals will be built according to the North American Green Building model and eligible for LEED certification.

However, numerous hospitals will be renovated, wards will be modernized and significant advancements in efficiency will be implemented. We would like to provide the motivation, as well as solution scenarios for this. Thanks to our many research projects we are able to demonstrate in what areas in future it will make sense to put the product innovations and results of the Green Hospital Program into practice. We view the program as a strategic quality and reference model which especially because of its complexity and the modular structure of its action areas, its key topics and research projects can be applied in many hospitals and healthcare facilities throughout Germany and the world.

Above all, I see great potential for the Green Hospital trademark and the Program in the geopolitically and economically important BRIC countries, as well as the African continent."

Dr. Wolfgang Sittel Head of Corporate Architecture and Construction Asklepios Hospital Group, Founder of the Green Hospital Program

Development and research projects inside the Green Hospital Program

The different solutions and future scenarios along the four key areas: Green Health & Care, Green Patient, Green Building and Green HIT of the Green Hospital Program are not only developing concept studies in these fields – for example energy supply, water, air pollution, health prevention, living and green building, green health & care, waste management – but also integrated planning and management tools, which are tested in different research and development projects in the Asklepios hospitals and facilities all over Germany.

These projects are developed in close cooperation with partners, physicians, healthcare workers, and experts in politics, science and industry and in a open dialogue with all parties which supports our Green Hospital vision and mission like universities, health organisations or insurance companies and are validated locally.

The results will serve as a model for other hospitals or healthcare institutions and can be transferred to other countries in an exemplary and innovative way.

The principles of sustainability, ecologicaly, environmentaly and economicaly are not simple catchwords but the guiding principles of these Projects.

“We are noticing the change in the healthcare system and have decided to support and mentor it by means of the Green Hospital Program, a future-oriented quality model unique in Germany and Europe.

A key aspect of this model are the industry partnerships at every stage of the value-adding chain."

Dr. Wolfgang Sittel Head of Corporate Architecture and Construction Asklepios Hospital Group, Founder of the Green Hospital Program

Contact Information: Lothar Dörr Director Green Hospital program Email: l.doerr@green-hospital.me Phone: +49 40 18 18 – 82 66 43 Mobile: +49 173 469 5767 www.greenhospital-blog.com © Green Hospital Program