1. Programs
1.1. LEED
1.1.1. Add minimum level of health performance to LEED
1.1.1.1. Start now with pilot credits
1.1.1.1.1. Health metric reporting
1.1.1.1.2. Biophilia
1.1.1.1.3. Active Design (exists!)
1.1.2. Add health and safety considerations into existing credits
1.1.3. Include feedback loops in credits to make us smarter at doing this
1.1.3.1. Initiate two-way communications between building operators and occupants
1.1.4. What can we do immediately?
1.1.4.1. Add language to Reference Guide about direct and indirect health benefits of credits
1.1.5. Add "merit badges": layer of info to LEED plaque about what was achieved
1.1.6. How to include health in new Integrative Design track in LEED?
1.1.7. Rebranding of LEED so it means healthy in addition to energy efficient
1.2. Federal Govt
1.2.1. Engage Surgeon General
1.2.2. Affordable Care Act
1.2.2.1. Include healthy buildings as a prevention strategy
1.2.3. New Healthy Housing Initiative
1.3. Preliminary steps
1.3.1. Green Guide for Healthcare example
1.3.2. Demonstration projects
1.3.2.1. And tell the stories!
1.3.2.1.1. It can be done
1.3.2.1.2. How to do it
1.4. Possible functions of a "Center" @USGBC
1.4.1. Managing a few key projects internally
1.4.1.1. Develop standards and protocols
1.4.1.1.1. Measuring both physical environments and health outcomes
1.4.1.2. Identify and distill science to prove connections
1.4.1.3. Accreditations
1.4.1.3.1. Defining what professionals are expected to understand
1.4.2. Serving as hub for the network
1.4.2.1. Coordinating activities
1.4.2.2. Facilitating communcations
1.4.2.3. GBIG as a feedback loop
1.4.3. Collecting and organizing information about related activities
1.4.4. Listening for and filtering needs and opportunities
2. Research Needs & Dissemination
2.1. Knowledge Gaps
2.1.1. Exposure pathways
2.1.1.1. Exposure (no choice) vs. behavior (choice)
2.1.1.1.1. Good design can lead people to better choices
2.1.2. What don't we know?
2.1.2.1. Map it!
2.1.3. What do we (think we) know but need better research to prove?
2.1.3.1. How can built environment be a part of prevention?
2.2. Getting it funded
2.2.1. Built environment affects health, which affects productivity, which affects profits.
2.2.2. Nearly 20% of GDP goes to healthcare, but people aren't getting healthier
2.2.3. Focus on specific problems
2.2.4. USGBC's clout
2.2.4.1. Powerful statement from USGBC would interest a lot of funders
2.2.4.2. Could affect research funding at EPA, NIH, NSF
2.3. Dissemination
2.3.1. To whom?
2.3.1.1. To building industry practitioners
2.3.1.2. To policymakers
2.3.1.3. To general public
2.3.1.3.1. As citizens who can become advocates for better policy
2.3.1.3.2. As informed inhabitants & users of built environment
2.3.2. Appify
2.3.2.1. Build an app for that
2.3.2.2. Games as research tools
2.4. Research priorities
2.4.1. Start with building materials as a near-term goal
2.4.2. Focus on key critical areas
2.4.2.1. Respiratory health (source control, dilution)
2.4.2.2. Obesity/fitness (pedestrian friendly planning, active design)
2.4.2.3. Endocrine disruptions
2.4.2.3.1. Reproductive health, cancer
2.4.2.4. Community health & crime
2.4.2.5. Post-traumatic stress (engage DOD)
3. Building a Movement
3.1. Defining the Goal
3.2. How to frame the issue?
3.2.1. Simple, compelling connection
3.2.2. Building centric -> Human centric -> Life centric
3.2.2.1. Focus on humans, but care for health of other species
3.2.2.2. Ecosystems connect people, built environment, natural environment
3.2.2.3. How to get people to care about he well-being of others?
3.2.2.3.1. Why wouldn't they care?
3.2.3. Healthy society is product of healthy environment
3.2.3.1. Healthy built environment is a prevention strategy
3.2.4. The idea of this as a "right" might not work in all cultures
3.2.5. Shift real property notion from "asset" to "habitat"
3.2.6. Generic communication strategies
3.2.6.1. Use analogies
3.2.6.2. Listen and use language of your audience
3.2.6.3. Make it positive
3.2.6.3.1. Build on success rather than harping on challenges
3.2.6.3.2. About well-being, not just absence of illness
3.2.6.3.3. Talk in positive terms: "equity" not "disparity"
3.2.7. Connect current green actions to their positive health outcomes
3.3. Setting priorities
3.3.1. Depends on the target group:
3.3.1.1. Those who have choice need information and inspiration
3.3.1.2. Those with no choice need minimum standards
3.3.1.3. Those suffering from long-standing inequity need resources (money)
3.4. Bringing the benefits to all
3.4.1. Define a minimum standard for healthy spaces
3.4.1.1. Everyone has a right to that.
3.4.1.2. Is it beyond code?
3.4.1.3. What metrics to use?
3.4.2. Right to know
3.4.2.1. People are involuntarily (unknowingly) exposed
3.4.2.2. Technology can help access info
3.4.2.3. Information revolution raises expectations
3.5. Connecting organizations
3.5.1. Partner, don't lobby
3.5.2. Map the potentially interested parties
3.5.3. Imagine a venn diagram of interests--focus on areas of overlap
3.5.4. Exploit technology
3.5.4.1. But keep in mind that not everyone is connected, or comfy with social media
3.5.5. Define common metrics and goals
3.5.5.1. Look for achievable, early wins
3.5.5.2. Keep the task manageable
3.6. Outreach
3.6.1. If it's fun, don't need to do much convincing
3.6.2. Engage business as a way to reach employees
3.6.3. Engage schools to reach kids
3.6.4. Include mainstream media channels
3.7. Anticipate and strategize for obstacles
3.7.1. People won't believe that buildings affect human health
3.8. Related Initiatives to Engage
3.8.1. American Psychological Association Awards connection
3.8.1.1. Missing the built environment piece
3.8.1.2. Has emotional, resilience stuff
3.8.2. NIH April Conference
3.8.3. North Cal Chapter Healthy Communities program
3.8.4. AIA's Health in Design initiative
3.8.5. Lots more to add here!
4. Cross-Cutting Themes
4.1. Translating
4.1.1. Between disciplines
4.1.2. From researchers/journals to practitioners
4.1.2.1. "p" values to paint colors
4.2. Metrics
4.2.1. Defining them
4.2.1.1. How to refine real property asset valuation to include quality of habitat?
4.2.2. Standardizing and sharing across disciplines
4.2.3. Developing methods for measuring
4.3. Maps
4.3.1. Mapping the actors/organizations
4.3.2. Mapping our knowledge
4.3.3. Trail map: how to proceed?
4.3.4. Crosswalk health concerns with design choices
4.3.4.1. 5 Health concerns
4.3.4.1.1. Physical inactivity
4.3.4.1.2. Respiratory
4.3.4.1.3. Musculo-skeletal
4.3.4.1.4. Mental health
4.3.4.1.5. Cancer/endocrine disruptions
4.3.4.2. 5 Major design options
4.3.4.2.1. Active design
4.3.4.2.2. Location
4.3.4.2.3. Daylight
4.3.4.2.4. Ventilation
4.3.4.2.5. Food & water
4.4. Social equity
4.5. Cross-pollination
4.5.1. Get health professionals on design teams: LEED-MD
4.5.1.1. Also community health professionals
4.5.2. Field research + dissemination as virtuous cycle
4.6. Process
4.6.1. Thoughtfulness vs. urgency
4.6.1.1. Allow space/time to be in the question, don't rush to solutions
4.6.1.2. We need immediate action
4.6.1.2.1. Short term "wins" to build momentum
4.6.1.2.2. Large-scale change asap
4.6.1.3. Work on research & prioritization while ALSO taking action now
4.6.2. If caring for self and others is natural human tendency, what gets in the way?
4.6.3. Make it fun
4.6.4. Collaborative intelligence
4.7. Next steps:
4.7.1. Framing; sharpening the message
4.7.1.1. Setting research priorities
4.7.2. Connecting the network
4.7.2.1. Establishing channels
4.7.2.2. Inviting others in (who is "we"?)
4.8. USGBC can control:
4.8.1. Changes to LEED
4.8.2. Work on metrics
4.8.3. Communications
4.9. Push for transparency
4.10. Food (organic) as a model?
4.10.1. For certification
4.10.2. For outreach/education