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Knowledge Repository

Performance Evaluation of 32 LEED Hospitals on Operation Costs

Author(s): Sadatsafavi, H., Shepley, M. M.
As healthcare needs increase, providers strive to reduce operational costs while simultaneously increasing healthcare facility construction and renovation efforts. At the same time, certification programs such as Leadership in Energy and Environmental Design (LEED) are examples of the emerging concerns regarding the environmental impact of healthcare facilities. The authors note that the number of studies documenting the benefits of more “green” facilities is limited; however, they hypothesize that upon comparing LEED-certified hospitals with uncertified ones, the LEED facilities will prove to have lower-than-average maintenance costs.
Key Point Summary

Analysis of Credits Earned by LEED Healthcare Certified Facilities

Author(s): Golbazi, M., Aktas, C. B.
Green buildings have garnered widespread public support due to the positive impacts they are perceived to have on the environment, the economy, and society as a whole. The concept of green building design appeals to institutions because of its potential benefit for the indoor and outdoor environment as well as its potential for improving public image. As a result, there may be hospitals that become certified by the Leadership in Energy and Environmental Design (LEED) rating system but aren’t actually providing a green healthcare environment that positively influences patients and their periods of recovery. This is an important distinction since the core purpose of healthcare facilities is to improve the conditions of the sick and vulnerable, as well as society overall.
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Understanding Green Building Design and Healthcare Outcomes: Evidence-Based Design Analysis of an Oncology Unit

Author(s): Campion, N., Thiel, C. L., Focareta, J., Bilec, M. M.
The United States healthcare industry is a major part of the economy as well as a significant contributor to carbon dioxide emissions and other environmental issues. Green building design (GBD) attempts to offset environmental impacts of buildings, and recently designers have been combining GBD with evidence-based design (EBD) in order to create facilities that positively impact both the external and internal environment.
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Eight Years of Data on Residents in Small Dementia-Care Settings Suggest Functional Performance Is Maintained

Author(s): Milke, D. L., Leask, J., George, C., Ziolkowski, S.
The authors of this study note the impact of a home-like environment on the cognitive decline of dementia patients. 
Key Point Summary

Building design and performance: A comparative longitudinal assessment of a children's hospital

Author(s): Thiel, C. L., Needy, K. L., Ries, R., Hupp, D., Bilec, M. M.
The aesthetics and design of a medical treatment facility can influence energy consumption, staff performance, and patient recovery. Evidence-Based Design (EBD) has been cited in many studies as an effective way to improve healthcare outcomes and hospitals’ performance, but further investigation is needed. This is particularly true at a whole-building level, to reveal the relationship between building design and health, and to observe the performance of newer building designs, especially with regard to green healthcare buildings.
Key Point Summary

The associations between objectively-determined and self-reported urban form characteristics and neighborhood-based walking in adults

Author(s): Jack, E., McCormack, G. R.

Contributions of Environment, Comorbidity, and Stage of Dementia to the Onset of Walking and Eating Disability in Long-Term Care Residents

Author(s): Slaughter, S. E., Hayduk, L. A.
Objectives To estimate the relative effects of environment, comorbidities, stage of dementia and other variables on disability onset. Design A 1-year prospective cohort study was conducted in which the walking and eating abilities of long-term care residents were observed fortnightly. Structural equation modeling was used to assess the contributions of individual and environmental factors to the...
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Promoting walking among older adults living in retirement communities

Author(s): Rosenberg, D. E., Kerr, J., Sallis, J. F., Norman, G. J., Calfas, K., Patrick, K.
The authors tested the feasibility and acceptability, and explored the outcomes, of 2 walking interventions based on ecological models among older adults living in retirement communities. An enhanced intervention (El) was compared with a standard walking intervention (SI) among residents in 4 retirement facilities (N = 87 at baseline; mean age = 84.1 yr). All participants received a walking...
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Green cleaning in healthcare: Current practices and questions for future research

Author(s): Quan, X., Joseph, A., Jelen, M.

Dementia Care Redesigned: Effects of Small-Scale Living Facilities on Residents, Their Family Caregivers, and Staff

Author(s): Verbeek, H., Zwakhalen, S. M. G., van Rossum, E., Ambergen, T., Kempen, G., Hamers, J. P. H.
Small-scale environments are increasing in popularity for the care of dementia patients. This study aims to evaluate the effectiveness of this strategy. 
Key Point Summary