Basic Documentation

Existing Healthcare
Facilities
Operations and maintenance protocols are critical to
ensuring the health and environmental performance
of healthcare facilities. The Green Guide for Health
Care (GGHC) developed a specific set of credits to
support a healthcare facilities continuous
improvement program for sustainable operations.
Many of the Facility Management credits found in
the GGHC mirror those found in the LEED for
Existing Buildings: Operations & Maintenance.
Facilities Management
Best Management Practices:
Planning, Documentation and
Opportunity Assessment
(FM Prerequisite 1) The GGHC Operations rating
systems requires that the following best
management practices be implemented.
Fulfilling
these best practices requires the following:
 Develop a Building Operating Plan and
annually revise to provide details how the
building is operated and maintained. The
operating plan must include, at a minimum, an
occupancy schedule, equipment run-time
schedule, design setpoints for all HVAC
equipment, and design lighting levels throughout
the building. Identify any changes in schedules
or for different seasons, days of the week, and
times of day. Validate that the operating plan
has been met for a minimum twelve-month
period.
 Develop a Systems Narrative that briefly
describes the mechanical, electrical systems,
equipment and envelope system of the building
that correspond to the written preventative
maintenance plan. The systems narrative must
include all the systems used to meet the
operating conditions stated in the Building
Operating Plan, including, but not limited to
heating, cooling, ventilation, lighting, and any
building controls systems.
Systems Manuals created as part of the
Enhanced Commissioning process identified
in EA Credit 3.
 Document the Sequence of Operations for the
building and review annually. The sequence of
operation for building HVAC systems is typically
found in the Systems Manual. Sequence of
Operation for the building needs to be up to date
(as-built) based on any changes made to how
the systems operate.
 Create Narrative of Preventive Maintenance
Plan for equipment described in the Systems
Narrative and documents the preventive
maintenance schedule over a minimum twelve-
month period.
The Joint Commission, Environment of Care,
E7.10.7 requires that a hospital develops and
maintains a written management plan
describing the processes it implements to
manage the effective, safe and reliable
operation of utility systems.
 Conduct an annual energy audit that meets
the requirements of the ASHRAE Level 1: Walk-
Through Assessment. The assessment
analyzing the building’s energy cost and
efficiency by analyzing energy bills and briefly
surveying the building, accompanied by the
building operator. Level-1 analysis identifies and
provides the savings and cost analysis for low-
cost/no-cost energy conservation measures. It
also lists potential capital improvements that
merit further consideration, along with initial
judgment of potential costs and savings. The
level of detail depends on the experience of the
auditor or on the client’s specifications. The
results can be used to develop a priority list of
building that are candidates for a Level II or
Level III audit.
Outdoor Air Introduction and Exhaust
System
(FM Prerequisite 5) The GGHC Operations rating
systems requires that the following items be
documented.
An annual compliance letter must be provided by an
mechanical engineer or other qualified NSF testing
or certified contractor demonstrating the general
dilution ventilation and specialty local exhaust
systems serving the building are operating as
designed (for example, laminar airflow hoods,
biosafety cabinets, and barrier isolators found in
laboratories and pharmacies) and that the existing
outdoor-air (OA) ventilation distribution systems
supplies at least the outdoor air ventilation rate and
air quality required by ANSIASHRAE 62.1-2007 or
the minimum requirements of relevant to local
licensing requirement for ventilation.
Page 10 of 12 Siemens Industry, Inc.
Document No. 149-822