9/01/2009

AIA Ohio Valley Region Convention

The Power of Design
Sustainability in Health Facility Planning: Renovate or Build New?
Peter L Bardwell

www.bardwellassociates.com

  • BardwellSustainability is more than just energy resources.
  • Driving factors
    • Efficiency
    • Safety
    • Competitiveness
  • Hospital construction cost is less than 10%, 5%+- energy. The rest is payroll.
  • NEED TO Quantify
  • Measure complexability
  • Make Hard Decisions
  • Success Measures
    • The hospital’s clinical and operational priorities come first.
    • The client comes first.
    • Operational needs must be translated into design needs.
  • Need for a better environment.
  • Increase body of research to show better environments improve life, economics.
  • Facility Guidelines Institue: Guidelines for Design and Construction of Health Care Facilities 2006. New coming out.
  • USGBC list guidelines.
  • ASHE
    • Building
    • Local Community
    • Global
  • Sustainability
    • Integrated Design
    • Site Design
    • Water
    • Energy
    • And more
  • Paradoxes
    • Near term outcomes verses long term outcomes.
    • Less we do the better reduces Carbon Footprint.
  • Long Term perspective
    • People is the cost
    • Renovations could be just a temporary band aide to long term sustainability
  • Reuse: 2 solutions in documents from 100 sustainability strategies
  • 5 approaches
    • Large scale retention of existing building systems
    • Large scale replacement of existing building systems
    • Expansion of existing facility by extending
    • Expansion of existing by replacing
    • Replacement on a new Site.
  • Decision is location dependant
    • Square footage of area effected.
    • What is the adjoining spaces.
    • Program space is only part of total space needed: backfill, mechanical.
    • After calculations of space to make renovation work may need more space than building new.
  • New construction is often the best solution.
  • Valuate to determine renovation verses new.
    • Least initial coast
    • Least long-term cost
    • Least time to occupancy
    • Least disruption
    • Increase patient satisfaction
    • Increase productivity
    • Increase retention
    • Increase market share
    • (Sustainability)
  • Client needs to score/rank what are the most important determinants of success.
    • The process is more important than the product / the results.
  • Sustainability can then have rankings within it
  • Questions the client what is sustainability
    • Determines and helps guide on how the project is sustainability.
  • Sustainability
    • More than green
    • Long term success of the organization.
    • Meet the target needs of the organization.
  • Designing Healthy Communities
  • Zoning creates separate areas of use
    • Can’t send john to get the eggs.
  • From Base Zoning
    • Strong connected communities
    • Walkable communities
  • Suburban city centers
    • Leave and extend back to center
    • Get rid of the community center
  • New leader of stuff: China
    • Want western ideas: our stuff
  • Promote
    • Convenient transportation
    • Make places waklable
    • Design social spaces
    • Support control of “bad” food processing and distribution
    • Insist on low-carbon emissions
    • Eliminate smoking in buildings
    • Create healthy strategies for Urban Contraction
  • Results
    • Better Health
    • Cleaner Cities
    • Healthy Lifestyles
    • Strong Social networks
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