Healthcare Design - October 2019 - 22

ROBIN GUENTHER

Title: Principal
Firm: Perkins and Will
Location: New York

intersection between them and reduced opportunities for design innovation.
As social and ecological determinants of
health gain traction, health systems will engage
in partnerships with large employers and community organizations to move beyond their four
walls to address health equity and deep-seated
health disparities in the communities they
serve. In turn, they'll increasingly look to local
design firms with deep community engagement
and interdisciplinary reach.
THE SOLUTION

S U S TA I N A B L E D E S I G N C H A L L E N G E : D E F I N I N G
A LIVING DESIGN FRAMEWORK

Healthcare organizations are changing their approach to sustainable design initiatives as they shift focus beyond "sick
care" to "health optimization," adding occupant well-being
and climate resilience to longstanding sustainable goals such
as energy and water conservation. Likewise, as leading health
systems are recognizing the link between fossil fuel use and
human health, they're adopting significant system-wide carbon reduction goals not specifically linked to individual new
building programs.
At the same time, a risk-averse healthcare industry has resisted fundamental energy system transformation in energy-intensive hospital
buildings, instead focusing on harvesting the low-hanging fruit of basic
conservation strategies. For example, LED lighting systems have become
more common, but advanced daylighting and circadian systems have not.
Additionally, the resiliency discussion is often confined to emergency
management, as organizations struggle to meet the community need to
remain operational during and following extreme weather events, and
viewed as separate and distinct from sustainable design despite tremendous overlap in strategies. For design teams, it's increasingly challenging
to find the sustainability tools and resources that support each unique
project and take full advantage of the synergies between high-performance buildings and to advance innovation. In short, the challenge is to
redefine the scope of sustainability to increase its relevance to the evolving needs of health systems and the challenge of climate change and to
stimulate true innovation.
WHY IT'S AN ISSUE

As healthcare organizations shift to "total health management," focusing
on sustainability (reducing fossil fuel and water use), resilience (climate
adaptation), inclusion (health equity), and well-being (employee wellbeing, indoor air quality, material health, and occupant health), there's
a growing need for a more inclusive approach. The mainstream sustainable design certification system, LEED, has failed to effectively evolve
to meet these evolving interests. Instead, a plethora of tools, resources,
and unique certification systems have been introduced to address these
areas, such as the Living Building Challenge for sustainable design, RELi
for new building resilience, and WELL and Fitwel for well-being and occupant health. It's confusing and difficult for health systems and their design partners to navigate among the rating systems, which can lead them
to narrow their focus to a single rating system or create their own unique
design standard. Inevitably, this leads to missed opportunities at the

22

OCTOBER 2019

HCDMAGAZINE.COM

Perkins and Will is a leader in the promotion of
sustainable design and has actively supported
the development of many rating system tools.
But we're also redefining our approach to sustainability by introducing a more inclusive Living Design framework that focuses on defining bespoke, place-based design solutions that
respond to a broader social context and community need. The goal is to define the goals and
values of the project-to define each "project
story" holistically-and then use appropriate
rating systems to support this storytelling.
Our Living Design framework also encompasses regenerative design thinking where
buildings are net resource generators rather
than resource depleting. The possibilities are
exciting and will drive the next generation of
design innovation: Buildings can produce more
power than they use, have a positive impact on
the natural and social systems they sit within,
and support broader environmental and community health goals. This aligns with health systems' fundamental mission to improve health.
Looking to the broader industry, project
teams can drive change by reducing fragmentation and looking for synergies between systems
and design solutions. For example, a white roof
may reduce heat island impacts but it has no
impact on stormwater or habitat restoration,
while a green roof system with native plantings solves for all three issues. Next, we need to
support transparency in the building materials
marketplace so that we can fully understand
the impacts of our design decisions on health
and well-being. Finally, we need to move from
vulnerable to resilient built environments by
embedding features that solve for both sustainability and resilience. A building that uses less
energy or water can operate longer on a fixed
supply of both. It's time for design approaches
that integrate disparate ideas and strategies to
create a whole that is greater than the sum of individual rating systems-truly living buildings.


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Healthcare Design - October 2019

Table of Contents for the Digital Edition of Healthcare Design - October 2019

Healthcare Design - September 2019
Contents
EDITORIAL
SHOW TALK
DRAWING A CONNECTION
TAKE FIVE
DESIGN ACCELERATOR
FIRST LOOK
RISING UP
2019 HCD EXPO PREVIEW
STAFF SATISFACTION
PRODUCT SPOTLIGHT
THE CENTER
FACE TIME
Healthcare Design - October 2019 - Intro
Healthcare Design - October 2019 - Healthcare Design - September 2019
Healthcare Design - October 2019 - Cover2
Healthcare Design - October 2019 - 1
Healthcare Design - October 2019 - 2
Healthcare Design - October 2019 - Contents
Healthcare Design - October 2019 - 4
Healthcare Design - October 2019 - 5
Healthcare Design - October 2019 - 6
Healthcare Design - October 2019 - 7
Healthcare Design - October 2019 - 8
Healthcare Design - October 2019 - EDITORIAL
Healthcare Design - October 2019 - SHOW TALK
Healthcare Design - October 2019 - 11
Healthcare Design - October 2019 - 12
Healthcare Design - October 2019 - DRAWING A CONNECTION
Healthcare Design - October 2019 - 14
Healthcare Design - October 2019 - TAKE FIVE
Healthcare Design - October 2019 - DESIGN ACCELERATOR
Healthcare Design - October 2019 - 17
Healthcare Design - October 2019 - FIRST LOOK
Healthcare Design - October 2019 - 19
Healthcare Design - October 2019 - RISING UP
Healthcare Design - October 2019 - 21
Healthcare Design - October 2019 - 22
Healthcare Design - October 2019 - 23
Healthcare Design - October 2019 - 24
Healthcare Design - October 2019 - 25
Healthcare Design - October 2019 - 26
Healthcare Design - October 2019 - 27
Healthcare Design - October 2019 - 28
Healthcare Design - October 2019 - 29
Healthcare Design - October 2019 - 2019 HCD EXPO PREVIEW
Healthcare Design - October 2019 - 31
Healthcare Design - October 2019 - 32
Healthcare Design - October 2019 - 33
Healthcare Design - October 2019 - 34
Healthcare Design - October 2019 - 35
Healthcare Design - October 2019 - 36
Healthcare Design - October 2019 - STAFF SATISFACTION
Healthcare Design - October 2019 - 38
Healthcare Design - October 2019 - 39
Healthcare Design - October 2019 - PRODUCT SPOTLIGHT
Healthcare Design - October 2019 - 41
Healthcare Design - October 2019 - 42
Healthcare Design - October 2019 - 43
Healthcare Design - October 2019 - 44
Healthcare Design - October 2019 - 45
Healthcare Design - October 2019 - 46
Healthcare Design - October 2019 - 47
Healthcare Design - October 2019 - THE CENTER
Healthcare Design - October 2019 - 49
Healthcare Design - October 2019 - 50
Healthcare Design - October 2019 - 51
Healthcare Design - October 2019 - 52
Healthcare Design - October 2019 - 53
Healthcare Design - October 2019 - 54
Healthcare Design - October 2019 - 55
Healthcare Design - October 2019 - FACE TIME
Healthcare Design - October 2019 - Cover3
Healthcare Design - October 2019 - Cover4
Healthcare Design - October 2019 - HDC1
Healthcare Design - October 2019 - HDC2
Healthcare Design - October 2019 - HDC3
Healthcare Design - October 2019 - HDC4
Healthcare Design - October 2019 - HDC5
Healthcare Design - October 2019 - HDC6
Healthcare Design - October 2019 - HDC7
Healthcare Design - October 2019 - HDC8
Healthcare Design - October 2019 - HDC9
Healthcare Design - October 2019 - HDC10
Healthcare Design - October 2019 - HDC11
Healthcare Design - October 2019 - HDC12
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