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Integrative Design for HealthA systematic approach to promoting health, wellness, and occupant experience
Green building todayMany “health-intended” prerequisites and credits but:• No systematic prioritization
process• No documentation of intended
outcomes• No direct role for health
professionals
LEED v4An integrative approach to designing for energy and water.
Source: John Boecker, Building as an Organism More: Education@USGBC
Source: John Boecker, Building as an Organism More: Education@USGBC
Source: John Boecker, Building as an Organism More: Education@USGBC
NeedProvide an integrative process for health, wellness, and occupant experience.
InspirationHealth Impact Assessment
HIA in the United StatesUS Environmental Protection Agency
HIA Elements1. Screening2. Scoping3. Assessment4. Recommendations5. Reporting6. Monitoring and evaluation
Hope SF San Francisco Public Housing Redevelopment
#1: Population Needs Assessment• Population: Health for whom? • Needs: What health
challenges?• Assessment: What process?
What expertise?
Source: US EPA (2013)
#2: Prioritize StrategiesDozens of opportunities:• Location and transportation• Site design• Energy & Atmosphere• Indoor environmental quality• Materials & Resources• Pilot Credits
EBOM NC Core & Shell
Schools ND CI Healthcare
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Health in rating systems intentHealth in Reference Guide
Many Health-intended LEED Credits
More: See Trowbridge on Insight.gbig.org
New Credits & CriteriaCreate new tools within established rating systems, starting with Enterprise Green Communities and LEED
RampRecognizing Good, Better, and Best process and performance
Good1. “DIY” population needs
assessment2. Systematic prioritization of
strategies
Better1. Consultation with health
professionals 2. Robust population needs
assessment 3. Systematic prioritization of
strategies
Best1. Full integration of health
professionals 2. Robust population needs
assessment 3. Systematic prioritization of
strategies4. Commissioned implementation5. Coordinated monitoring and
verification
