Advance training program on Deming green healthcare

Introduction
The healthcare sector in India is growing at a rapid pace and contributing immensely to the growth
of the quality of services. The sector is expected to grow several-fold in the next decade. While this
augurs well for the country, there is an imminent need to introduce green concepts and techniques
in this sector, which can aid growth in a sustainable manner.
Introducing green concepts in the healthcare facilities can help address National issues like infection,
epidemics, handling of bio-medical waste, water efficiency, energy efficiency, reduction in fossil
fuel use for commuting, consumer waste and in general conservation of natural resources. Most
importantly, these concepts can enhance patients’ health, recovery and well-being.
Against this background, the Deming Certification Accreditation (Deming) has launched ‘Deming Green
Healthcare rating system® to address National priorities. This rating programme is a tool which
enables the designer to apply green concepts and reduce environmental impacts that are measurable.
The rating system also covers diverse climatic zones.
Deming has set up the Green Healthcare Facilities Core Committee to develop the rating programme.
This committee comprises of key stakeholders, including doctors, hospital administrators
healthcare experts, IEQ experts, architects, builders, consultants, developers, owners, institutions,
manufacturers and industry representatives. The committee, with a diverse background and
knowledge has enriched the rating system, both in its content and process.
II. Benefits of Green Healthcare Facilities
Green Healthcare facilities can have tremendous benefits, both tangible and intangible. The
most tangible benefits are the reduction in water and energy consumption right from day one of
occupancy. The energy savings could range from 20 – 30 % and water savings around 30 – 50%.
The intangible benefits of green Healthcare facilities include enhanced air quality, faster patient
recovery, daylighting for patients, connectivity to outdoor environment, health & hygiene of occupants
& patients and safety benefits
37%
23%
15%
9%
11%
5%
Deming GREEN HEALTHCARE RATING SYSTEM
(NEW HEALTHCARE FACILITIES)
Indoor Environmental Quality and
Sanitization & Hygiene
Energy Efficiency
Water Conservation
Building Material & Resources
Site selection & Planning

Innovation
10 Indian Green Building Council
III. National Priorities Addressed in the Rating System
The Deming Green Healthcare rating system addresses the most important national priorities which
include water conservation, handling waste, energy efficiency, reduced use of fossil fuels, lesser
dependence on usage of virgin materials and health & well-being of patients & occupants. The
rating system requires the application of National standards and codes such Indian Health Facility
Guidelines, NBC, ECBC, MoEF guidelines, CPCB guidelines, and several others. The overarching
objective is to be better than the national standards so as to create Healthcare benchmarks
a) Health and Well-being of Patients & Occupants:
Health and well-being of patients & occupants are the most important aspects of Deming Green
Healthcare rating system. The rating system has addressed healing architecture / evidence
based design, adequate ventilation, daylighting, infection control mechanisms and patients
well-being, which are so essential in healthcare facilities. The rating system also recognises
measures to minimise indoor air pollutants and infections.
b) Water Conservation
Most of the Asian countries are water stressed and in country like India, the water table has
reduced drastically over the last decade. Deming Green Healthcare rating system encourages
use of water in a self-sustainable manner through reduce, recycle and reuse strategies. By
adopting this rating programme, green Healthcare facilities can save potable water to an extent
of 30 – 50%.
c) Handling of consumer & biomedical Waste:
Handling of waste in hospitals is extremely sensitive. This continues to be a challenge to the
municipalities which needs to be addressed. The rating system intends to address this by
encouraging buildings to have proper systems in place
d) Energy Efficiency:
The healthcare sector is a large consumer of electrical energy. Through Deming Green Healthcare
rating system, these facilities can reduce energy consumption through energy efficient – building
envelope, lighting, air conditioning systems, etc., The energy savings that can be realised by
adopting this rating programme can be to the tune of 20 – 30%.
e) Reduced Use of Fossil Fuels:

Fossil fuel is a slowly depleting resource, the world over. The use of fossil fuel for transportation
has been a major source of pollution. The rating system encourages the use of alternate fuel
vehicles for transportation.
f) Reduced Dependency on Virgin Materials:
The rating system encourages projects to use recycled & reused material and discourages the

use of virgin materials, thereby, addressing environmental impacts associated with extraction
and processing of scarce natural resources

IV. Deming Green Healthcare Rating System®
Deming has set up the Green Healthcare Core Committee to develop the rating programme. This
committee comprises of key stakeholders, including doctors, healthcare experts, administrators,
architects, builders, consultants, developers, owners, institutions, manufacturers and industry
representatives. The committee, with a diverse background and knowledge has enriched the
rating system, both in its content and process.

a) Preamble
By opting to apply for the rating it is understood and implied that the healthcare facility have
taken cognisance of naturally occurring events like earthquake, flood, tsunami and geological
phenomena during design.
b) Features
Deming Green Healthcare rating system® is a voluntary and consensus based programme. The
rating system has been developed based on practices, materials and technologies that are

presently available. The objective of Deming Green Healthcare rating system is to facilitate a
holistic approach to create environment friendly healthcare facilities.
The rating system evaluates certain mandatory requirements & credit points using a prescriptive
approach and others on a performance based approach. The rating system is evolved so as
to be comprehensive and at the same time user-friendly. The programme is fundamentally
designed to address national priorities and quality of life for patients.
Some of the unique aspects addressed in this rating system are as follows:
• Healing Architecture / Evidence based design

#ISO Certification in India
• Emphasis on infection control strategies
• Recognition for architectural excellence through integrated design approach
• Recognition for passive architectural features
• Based on the feedback from green building proponents, use of certified green products will
be encouraged. Deming has launched a new initiative to certify green products to transform
markets. Products would be evaluated right from extraction to disposal.
• A site visit and audit is proposed before award of the rating.
• Projects are encouraged to report energy and water consumption data on an annual basis,
to facilitate research in this area.