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Trends in Healthcare: Charging Stations

Trends in Healthcare” is a recurring series that focuses on exciting new designs and technologies we’re seeing in healthcare projects and provides best practices on how to ensure that these latest trends are accessible to persons with disabilities. We build on the wealth of knowledge we gain from working with healthcare design teams, construction crews, and practitioners to provide practical solutions for achieving accessible healthcare environments.


Anyone who has ever had to take a trip to the hospital knows how much time is often spent in the waiting room. As a result, our experience in that space can shape our perception of the entire visit. In fact, studies have shown that a visitor’s impression of the waiting room itself contributes significantly to the likelihood of a return visit.[1]  The length of wait times can vary – from a relatively short wait for a screening, to an average of 40 minutes in emergency departments, to the better part of a day if you are waiting for a family member to receive treatment.[2] As healthcare providers strive to remove pain points within the patient experience, they are turning to a number of design strategies to help create a more pleasant waiting room experience. One of these strategies is to ensure that patients and visitors have access to electrical outlets.

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Leveraging LEED for New Construction Post-COVID Part 2

LEED: Toolkit for a Healthy and Resilient Post-COVID Built Environment

At SWA, we have used LEED across a wide range of projects and contexts. We have seen firsthand its strength as an adaptable toolkit for guiding high performance building design, construction, and operation. The intent of each LEED credit category takes on a particular meaning, both locally and globally, in response to the emergence of such factors as global climate change and its associated consequences—including pandemics. In the post-COVID context, these intents will take on new meaning and new urgency. Read Part 1 of this blog here!

image of coal plant

Credit: Arnold Paul

The overall goal of the LEED rating system is to reduce the negative impacts of the built environment on environmental and human health. Ideally, this focus contributes to our general, overall resilience to public health crises such as the COVID-19 pandemic by reducing and mitigating various factors that make us more vulnerable to diseases. For example, we know that long-term exposure to air pollution and poor air quality dramatically increases the chances of dying from COVID-19 and that most of the same pre-existing conditions that increase the risk of death for COVID-19 are the same diseases exacerbated by exposure to air pollution. Anything we can do to improve air quality will also improve our resilience to disease. Most significantly, we need to move away from fossil fuel-based energy and toward clean, renewable energy—and a large portion of LEED is focused on doing just that.

As researchers have noted, many of the root causes behind climate change also contribute to a greater risk of pandemics. An example is deforestation and associated habitat loss, which forces wildlife to migrate, bringing novel viruses into closer contact with livestock and humans, and increasing the odds of disease transmission. On top of that, by altering temperature and rainfall patterns, climate change has created conditions that are more conducive to the spread of disease in general. So, the strategies we need to enact now to address the climate crisis—many of which are addressed in LEED credits—can also mitigate the occurrence, scale, and impacts of future disease outbreaks.

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Tech Notes: Automatic Doors

image of "Caution Automatic Door" signAs the country continues to confront the realities of the COVID-19 pandemic, the way we navigate spaces is changing. One of these changes is the way we interact with common use objects that traditionally require hand-operation, like doors. While automatic doors have always been a good option for providing greater access to people with disabilities, hygiene concerns associated with the spread of disease have presented another argument for their use. The rise of touchless technology as a result of this pandemic will increase the use of automatic doors not just for accessibility or convenience, but for public health as well. For anyone considering incorporating automatic doors into their designs, either for new construction or as a retrofit, here are some important things to consider:

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Leveraging LEED for New Construction Post-COVID Part 1

In the post-COVID world, there needs to be a greater awareness that the built environment can protect and promote human and environmental health. Buildings can, and must, play a critical role in delivering a stronger, more resilient public health infrastructure that can help prevent and mitigate crises such as the SARS-CoV-2 pandemic. The good news is that we already have effective tools for designing, constructing, and operating such buildings—chief among them LEED and the WELL Building Standard.

We believe people are now more conscious of how the built environment affects their health. As a result, we’re likely to see an increase in investment in sustainable building design, construction, and operation and a corresponding increase in demand for green building rating systems such as LEED and WELL. We may also see the green and healthy building concepts that are included in these systems increasingly integrated into building codes.

USGBC plaque

[Credit: Blanchethouse (username) / Source: https://commons.wikimedia.org]

Certification programs (e.g., LEED and WELL) have been developed though collective effort. They are extremely effective and adaptable tools that project teams can use to ensure that their buildings achieve the best possible performance in terms of protecting environmental and human health. Importantly, these programs continue to evolve, offering ever more effective strategies for improving the built environment, ensuring that buildings adapt to whatever circumstances may arise in uncertain times. But right now, project teams can make immediate use of LEED and WELL, and similar tools, to start preparing for the new reality ushered in by the COVID-19 pandemic.

How can project teams leverage LEED now? In this series, we’ve highlighted the LEED credits that can be used to guide efforts to make our buildings safe, healthy, and resilient. (In a follow-up series we’ll discuss the WELL features that can be used to guide our post-COVID building work.)

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Interesting Elements: A Modeling View on Net Zero Homes

I recently performed some net zero energy modeling on a single-family home for work. Around the same time, I got to chatting with my neighbor (mindful of social distancing) and when I mentioned net zero,  he said, “Is that even possible?” AH! Get the word out. We have the means to offset our home energy use. What follows are the basics to consider when trying to fully offset home energy along with a breakdown of how different upgrades can affect energy use.

There are lots of resources available on how to reduce home energy use. You can look at program requirements and guidelines like the Zero Energy Ready Program or Passive House. Through modeling I will demonstrate how the energy use numbers change and describe what we have seen in real-world examples of net zero homes. Net zero is not new and we’ll be looking at some specific pieces of single family home modeling.

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The Great Indoors: Creating a Healthier and Safer Built Environment

Image of elderly couple sitting on a bench laughingAs humans, we spend a lot of time indoors. Studies by the U.S. Environmental Protection Agency indicate that under normal circumstances the average American spends over 90% of their life indoors. With the spread of COVID-19 and widespread voluntary and involuntary quarantine, the rise of work from home policies and new direction to social distance has resulted in a further increase to the amount of time we spend indoors. Now more than ever, people are cognizant of the air they’re breathing and the surfaces they’re touching. The buildings that we live, work and play in impact our physical and mental health. With certain building and design considerations, we can make these impacts beneficial.

We recruited some experts at SWA to fill us in on the various considerations when it comes to the health and comfort of a building, as well as some certifications that assure these considerations are met.

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Fair Housing – What’s Your Safe Harbor?

Compliance with the accessible design and construction requirements of the Fair Housing Act (FHA), a federal civil rights law, has significantly improved since the early 1990s when the regulations were promulgated. Unfortunately, a quick search of recent news articles will reveal that noncompliance with basic FHA requirements continues to be a problem in newly constructed multifamily projects nationwide. Owners, developers, architects, and others are still cited for noncompliance with the FHA’s seven design and construction requirements despite the fact that it has been approximately 30 years since those requirements went into effect.

Based on our experience, one of the contributing factors in continued noncompliance is the common misconception that following the accessibility requirements of a building code will result in compliance with the FHA. It is important to note that if the accessibility requirements of one of the ten HUD-approved safe harbors are not incorporated into the design of a multifamily development, and the project complies only with the accessibility requirements of a building code, then the risk of noncompliance exists.

Throughout the 1990s and early 2000s, many building codes fell far short of FHA compliance. For example, many developers in New York City relied on compliance with NYC’s Local Law 58 of 1987, believing that they would also be compliant with the Fair Housing Act. Unfortunately, this resulted in widespread noncompliance. LL58 permitted step up terraces and small bathroom layouts with inswinging doors, among other design elements that did not satisfy FHA compliance. The problem has certainly become less pervasive in more recent years as the ICC and local jurisdictions have become aware of shortcomings in their code requirements, but there are still some FHA criteria that have fallen through the cracks in even the most up-to-date building codes. (more…)

How to Talk Windows with a Passive House Nerd

Before we get into this topic, please take a few seconds to consider the following questions:

  • Do you plan to work, or have you ever worked, on a Passive House building? (If not, the rest of your answers are probably no.)
  • Has your Passive House consultant ever told you that the window U-Value you provided “won’t work in their energy model?”
  • Has your Passive House consultant ever told you that your window “doesn’t meet the comfort criteria?”
  • Have you ever scratched your head when someone asked you to provide the “Psi-spacer” for your window?

If you answered yes to two or more of these queries, please read on. If not, you’ll still learn some useful information, so why not continue?

If you’re still reading, then you are probably somewhat familiar with a “U-Value” and you may know what “SHGC” means. If not, no worries. This article will explain both, and by the end you’ll be able to talk about these terms with most Passive House nerds.

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The 3 Most Important Design and Construction Considerations for Senior Living Facilities

Last year, a young New Zealand lawmaker shut down a fellow member of parliament who was heckling her climate change speech with two words: “OK, Boomer.” This simple phrase started an online wildfire and ignited a conversation about the generation known as “baby boomers.” Born just after World War II, this demographic represents a period of growth, hope, and prosperity. The building, real estate, and senior housing industry has been thinking about the boomer generation for a while now. Between the years 1946 and 1964, 76 million babies were born. Every day until 2030, 10,000 of these individuals will turn 65, which means they will likely be retiring, and eventually considering how and where they want to age. This poses the question: how are we going to meet the growing demand for housing and care for this population?

image of senior couple holding hands and walking

Important Considerations for Senior Living

Whether you or someone you love is considering staying in their home as they age or moving into a senior living facility, there are a few important factors to keep in mind. SWA services for senior living revolve around the following three factors:

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Net Zero and Electrification

Net zero” can mean a lot of different things depending on what you choose to measure – zero energy usage, zero carbon emitted, zero lifecycle impact, etc.

At Steven Winter Associates, Inc. (SWA), we work with clients who are approaching net zero from different angles: driven by institutional goals, climate concerns, marketing campaigns, and connecting with municipal emissions targets. One thing we see over and over is that super high performance is difficult to achieve, but with a key simplification – there are not many ways to do it. All roads may lead to Rome but the closer you get, the fewer roads there are to take.

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