Building design and performance

A comparative longitudinal assessment of a Children's hospital

Cassandra Lee Thiel, Kim La Scola Needy, Robert Ries, Diane Hupp, Melissa M. Bilec

Research output: Contribution to journalArticle

Abstract

The aim of this study was to conduct a whole-building analysis using a host of metrics, including green building metrics, with the goal of providing designers and healthcare providers quantitative data that can be used in their design and operations decisions. The intent was to fill a gap in the research, which previously analyzed only individual rooms, specific design elements, and green building metrics. Therefore, a comparative longitudinal assessment was completed that quantified the effects of building design on performance of a pediatric healthcare facility by comparing a new, LEED-certified hospital relative to its previous, traditional counterpart. This study found statistically significant improvements in productivity, staff satisfaction, and quality of care, including a 19% decrease in actual mortalities despite an 11% increase in expected mortalities (both P=0.005). Children's energy consumption and electricity per square meter decreased over 50%, while water and sewage intensity decreased over 60% (all P<0.001). In their LEED-certified facility, Children's significantly improved their productivity, quality of care, and staff satisfaction, in addition to utility intensity. These improvements can be credited to green building design, mechanical equipment upgrades, and organizational or cultural shifts related to Magnet nursing designation.

Original languageEnglish (US)
Pages (from-to)130-136
Number of pages7
JournalBuilding and Environment
Volume78
DOIs
StatePublished - 2014

Fingerprint

children's hospital
architectural design
health care
mortality
productivity
staff
performance
sewage
Productivity
energy consumption
electricity
Pediatrics
Nursing
nursing
Sewage
Magnets
water
Energy utilization
Electricity
green building

Keywords

  • Comparative longitudinal assessment
  • Evidence-based design
  • Green building
  • Healthcare
  • Hospital
  • LEED

ASJC Scopus subject areas

  • Environmental Engineering
  • Geography, Planning and Development
  • Civil and Structural Engineering
  • Building and Construction

Cite this

Building design and performance : A comparative longitudinal assessment of a Children's hospital. / Thiel, Cassandra Lee; Needy, Kim La Scola; Ries, Robert; Hupp, Diane; Bilec, Melissa M.

In: Building and Environment, Vol. 78, 2014, p. 130-136.

Research output: Contribution to journalArticle

Thiel, Cassandra Lee ; Needy, Kim La Scola ; Ries, Robert ; Hupp, Diane ; Bilec, Melissa M. / Building design and performance : A comparative longitudinal assessment of a Children's hospital. In: Building and Environment. 2014 ; Vol. 78. pp. 130-136.
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