Healthy Hospitals

Healthy Hospitals

One of a number of discussion documents developed by an NHS trust in the UK which was underperforming—i.e., had zero or one star after an investigation by the now defunct Healthcare Commission—and presented to the public by the trust to consider its future role in providing clinical services to the local population. Such reports were meant to involve staff, local citizens and other stakeholders in a frank dialogue on how to improve performance.
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Since 2014, Groote Schuur Hospital (GSH) in Cape Town, SA, has been a member of the Global Green and Healthy Hospitals Initiative (www.greenhospitals.net) that aims to lead the way towards low-carbon healthcare by reducing greenhouse gas and setting renewable energy targets.
The Global Green and Healthy Hospitals project (GGHH www.greenhospitals.net/en/) aims to help healthcare workers become more environmentally responsible in their practices.
While this relationship indicates that healthy hospitals have institutional integrity, they are vulnerable to destructive outside forces, and face environmental complexities and uncertainties, as well as irrational or unreasonable clients' demands.
The multiple time series research design compares each hospital to itself, before and after reform, contrasting the changes in less financially healthy hospitals to the changes in more financially healthy hospitals, adjusting for observed differences in patient risk factors.
More recently, discussions have focused on the aesthetics of space and its impact on the waiting experience and quality of care (Weill Cornell Physician Organization--Weill Greenberg Center); acoustics in healthcare environments (Affinity Health, Jersey Shore University Medical Center, Palomar Pomerado Health); safety issues, such as the use of ceiling-mounted lifts in patient rooms (PeaceHealth); green cleaning (Healthy Hospitals Initiative); and taking the use of mockups to a new level with a live room in an existing facility (University Medical Center of Princeton at Plainsboro).
Healthy hospitals: environmental improvements through environmental accounting submitted to US Environmental Protection Agency Office of Prevention, Pesticides and Toxic Substances, 2000.
* The settings approach: The Charter notes that "Health is created and lived by people within the settings of their everyday life; where they learn, work, play and love." The Ottawa Charter helped put in place this approach, which has blossomed in Canada and around the world as Healthy Schools, Healthy Workplaces, Healthy Hospitals, Healthy Markets in Asia and Africa, Healthy Communities in Canada, Healthy Villages in EMRO, Healthy Municipalities in PAHO and Healthy Cities in Europe.
With regard to ownership of the Healthy Hospitals Project at the local level, the Ministry of Public Health played an important role in reinforcing and training each occupational health and safety committee in the selected hospitals through ongoing support.
Recent awards have included the nationally preferred design for the CABE-sponsored Healthy Hospitals Campaign, RIBA and RICS awards for Jesmond Dene House Hotel and other projects.
H2E has given out a number of awards to hospitals that exemplify the healthy hospitals mission.
The author includes a chapter on 'the therapy of a well-designed environment' but makes no reference to the work of Roger Ulrich or Brian Lawson (see 'Healing Architecture', AR March 2002) or even more recently CABE's work on healthy hospitals.
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