Rainier Beach Clinic

Submitted by 6808b509-f665-… on Thu, 07/29/2021 - 17:14
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Credit
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Jury
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Award Text
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{"version":"0.3.0","atoms":[],"cards":[],"markups":[],"sections":[[1,"p",[[0,[],0,"The COTE\u00ae Top Ten Awards is the industry\u2019s best-known awards program for sustainable design excellence. Each year, ten innovative projects earn the prize for setting the standard in design and sustainability."]]]]}
Award Year
2021
Project Name
Rainier Beach Clinic
Description
A clinic the lends dignity to its patients through beautiful and meaningful design.
Primary Image Caption
Compared to typical clinics in which views outside are not equitable or guaranteed, the Rainier Beach Clinic’s innovative design provides all patients with direct views to nature.
Showcase Image Captions
[{"image_id":"6391589","caption":"Restorative gardens and perforated metal screens are featured adjacent to the primary patient entry plaza, an amenity for both occupants and the surrounding community. "},{"image_id":"6391590","caption":"The lobby features warm, natural textures and materials that were selected with the health of building occupants and the environment in mind. "},{"image_id":"6391591","caption":"he site has been transformed from neglected brownfield into restorative gardens with lush, native plantings. "},{"image_id":"6391592","caption":"Biophilic design strategies were used to inform the design of the garden spaces, featuring seasonal variety and bird and pollinator habitats for distraction therapy."}]
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COTE, COTE Top Ten, COTE Award, sustainable design, green building, building performance, green architecture, design excellence
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Updates
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Chapters
["national"]
Tabs
[{"body":{"version":"0.3.0","atoms":[],"cards":[],"markups":[],"sections":[[1,"p",[[0,[],0,"Some\n500,000 Americans are living with chronic kidney disease and spend 16 hours\neach week undergoing dialysis in life-sustaining outpatient clinics that can\nfeel chaotic, crowded, and institutional. This dehumanizing experience has been\nlikened to flying from Seattle to Chicago three times weekly in the middle seat\nof coach. Seeking to revolutionize dialysis care with a patient-centric\nalternative, the team hypothesized that direct views to nature from patient\ncare areas would increase participation with treatment regimens and improve\nhealth outcomes, resulting in decreased morbidity and mortality rates."]]],[1,"p",[[0,[],0,"To create\npatient care areas that position patients with direct views to nature, rigorous\nplan studies and full-scale mock-ups were conducted to reinvent the clinic\nenvironment while maintaining sightlines and workflows essential to clinical\nsafety. The courtyards that punctuate the clinic feature biophilic design\nstrategies, such as biodiverse, seasonal plantings that lower stress and bird\nhabitats within pollinator-friendly plantings that encourage distraction\ntherapy for pain management. The design of spaces across the project also\nleverages research in biophilic design and environmental psychology, balancing\nrefuge for patients with dynamic views to the layered courtyards and prospect\nto the community beyond. Warm, welcoming materials are illuminated with natural\ndaylight and dappled light patterns from custom-perforated screens."]]],[1,"p",[[0,[],0,"These\nbiophilic design strategies woven throughout the clinic create an immersive and\nrestorative environment that encourages patients to comply with their treatment\nand be at ease when dialyzing. Keeping nature at the core of the design also\nresulted in a reduced environmental footprint, realizing significant reductions\nin water usage, operational carbon, and embodied carbon while actively working\nto restore local ecosystems. The Rainier Beach Clinic has been open for over a\nyear and is beloved by staff and patients for bringing this restorative and\ninnovative care directly to the community it serves."]]]]},"title":"Integration"},{"body":{"version":"0.3.0","atoms":[],"cards":[["images-card",{"images":[{"url":"http:\/\/res.cloudinary.com\/dpcbzfiye\/image\/upload\/v1618765030\/uynfc6dmn6wltwmtvlxw.jpg","id":"6392323"}],"caption":"The clinic brings quality care directly to nearly 100 patients living in the Rainier Beach community, a neighborhood disproportionately and negatively affected by social health determinants."}]],"markups":[["sub"],["strong"],["a",["href","https:\/\/www.walkscore.com\/","target","_new"]],["em"]],"sections":[[1,"p",[]],[10,0],[1,"p",[[0,[],0,"Nestled\nin the growing and diverse Rainier Beach neighborhood in Seattle, Washington,\nthe new clinic brings critical care to nearly 100 kidney dialysis patients\nliving within one mile of the project site. These patients previously spent up to\nan hour each way commuting to the closest kidney dialysis center in downtown\nSeattle. The clinic\u2019s neighborhood location removes barriers to care that have\ndisproportionately affected the elderly and people of color while also\nlessening CO"],[0,[0],1,"2"],[0,[],0," emissions of patient transit. A new drop-off canopy\naccommodates Metro Access transit and ride-share options most frequently\nutilized by the patients. The clinic is also located adjacent to a new light\nrail station, bus stops for three different lines, and the prominent Chief\nSealth biking trail system that provides additional transit options for staff\nand visitors."]]],[1,"p",[[0,[],0,"The clinic is\ndesigned to be an amenity to the surrounding Rainier Beach community and has\nhelped foster a partnership between the owner and a local community advocacy\ngroup. The team engaged in the local Design Review Board and public comment\nprocess, sent out informational fliers to residences within a one-mile radius,\nand held a public informational session at a local community center during\ndesign as well as an open house after project completion."]]],[1,"h2",[[0,[],0,"Mandatory metrics"]]],[1,"p",[[0,[1],1,"Walk Score: "],[0,[],0,"77"]]],[1,"p",[[0,[],0,"The "],[0,[2],1,"Walk Score"],[0,[],0," tool analyzes hundreds of walking routes to neighborhood amenities within \u00bc mile (5-minute walk) earning up to 100 points."]]],[1,"p",[[0,[1],1,"Transit Score: "],[0,[],0,"78"]]],[1,"p",[[0,[1],1,"Bike Score:"],[0,[],0," 63"]]],[1,"p",[[0,[1],1,"What is the number of parking spaces?: "],[0,[],0,"20"]]],[1,"p",[[0,[1],1,"What is the number of parking spaces required by local zoning code?: "],[0,[],0,"0"]]],[1,"p",[[0,[1],1,"Is there covered bike storage?: "],[0,[],0,"yes"]]],[1,"p",[[0,[1],1,"For how any bikes: "],[0,[],0,"8 bikes"]]],[1,"h2",[[0,[],0,"Encouraged metrics "]]],[1,"p",[[0,[1],1,"Estimate percentage of building occupants who commute via alternative transportation (biking, walking, mass transit, etc.): "],[0,[],0,"60"]]],[1,"p",[[0,[1],1,"Number of showers per occupant: "],[0,[],0,"16"]]],[1,"p",[[0,[1],1,"What kind of access does the community have to the project?: "],[0,[],0,"partial site access"]]],[1,"p",[[0,[1],1,"Is there on-site food production?: "],[0,[],0,"no"]]],[1,"h2",[[0,[],0,"Design Intent"]]],[1,"p",[[0,[1],1,"Which community stakeholders were identified by the design team? "],[0,[],0,"The\nteam identified nearly 100 existing Northwest Kidney Center patients and\nseveral staff members who live in the Rainier Beach community, as well as\norganizations such as the Rainier Beach Action Coalition (RBAC), which works to\nbuild a sustainable, equitable community within the neighborhood through\noutreach and advocacy."]]],[1,"p",[[0,[1],1,"How were they engaged during the design process? "],[0,[],0,"The\ndesign team surveyed and interviewed patients and staff during the design\nprocess and engaged Rainier Beach community members through informational\nfliers (sent to residences within a one-mile radius during design), a public\ninformational session at a local community center during design, an open house\nafter project completion, and ongoing engagement with the Rainier Beach Action\nCoalition."]]],[1,"p",[[0,[1],1,"Give an example of how the project benefits someone who\u0027s not\ndirectly associated with the project: "],[0,[],0,"In addition\nto the community-facing garden spaces and covered canopy area, the services of\nthe clinic benefit the Rainier Beach community, which is disproportionately\naffected by social health determinants and has a larger percentage of the\ncommunity receiving dialysis care than other areas in Seattle."]]],[1,"p",[[0,[1],1,"How does the project facilitate movement to and from the site? "],[0,[],0,"The\nproject site is located within a quarter mile walking distance from a\nlight-rail station and two bus stops and has positioned covered entries\nadjacent to the Chief Sealth Trail (biking network) and new curbside drop-off\nfor Metro Access Vans."]]],[1,"p",[[0,[1],1,"What services does the project provide to the surrounding\ncommunity (e.g., farmers markets, polling stations, clinics, etc.)? "],[0,[],0,"The\nproject provides in-center dialysis treatment, home training dialysis services,\neducational services for chronic kidney disease, and social and dietary\nservices for the patient population."]]],[1,"h2",[[0,[],0,"How does this project and site promote:"]]],[1,"p",[[0,[3],1,"Provide an example for each."]]],[1,"p",[[0,[1],1,"Mental restoration: "],[0,[],0,"Biophilic design strategies (such\nas direct views to garden spaces for patients and staff with diverse, native\nplantings and bird and pollinator habitats) were integrated into the project to\nfacilitate a calming, restorative treatment environment."]]],[1,"p",[[0,[1],1,"Physical activity: "],[0,[],0,"In addition to providing a staff\nshower, a covered staff entry with bike storage is positioned directly adjacent\nto the Chief Sealth Trail to encourage exercise and alternate modes of\ntransportation."]]],[1,"p",[[0,[1],1,"Social connection: "],[0,[],0,"The clinic design encourages\nguests to accompany patients and strengthen their sense of support and\ncommunity through the provision of a dedicated guest seating area adjacent to\nthe courtyard gardens across from each patient station."]]],[1,"p",[[0,[1],1,"Cultural understanding: "],[0,[],0,"To support\nthe diverse patient population of the Rainier Beach community, the building is\noutfitted with on-demand interpreter service technology to allow staff to\ncommunicate in over eight languages spoken by the patient population."]]]]},"title":"Equitable Communities"},{"body":{"version":"0.3.0","atoms":[],"cards":[["images-card",{"images":[{"url":"http:\/\/res.cloudinary.com\/dpcbzfiye\/image\/upload\/v1618453633\/n6zefaf9dbb7nygxr8at.jpg","id":"6391595"}],"caption":"Biophilic design strategies were used to inform the design of the garden spaces, featuring seasonal variety and bird and pollinator habitats for distraction therapy. "}]],"markups":[["strong"]],"sections":[[10,0],[1,"p",[[0,[],0,"The\nRainier Beach Clinic has transformed an urban site previously used as a storage\nyard for tires, industrial scrap, and derelict vehicles into a restorative\nenvironment for building occupants, adjacent community members, and the\nsurrounding ecosystems."]]],[1,"p",[[0,[],0,"Internal and\nexternal garden courtyards restore the natural habitat of the former scrapyard\nand link to existing greenbelts surrounding the urban site. Biodiverse, native\nvegetation, such as ferns, fountain grasses, and vine maple, provide a lush\nhabitat for local pollinators and songbirds while providing biophilic design\nbenefits for the building occupants and surrounding community. A balanced mix of\nperennial and evergreen plantings ensure a dynamic, layered landscape that\nchanges with the seasons while also serving as screening elements to provide a\nsense of privacy and enclosure. All stormwater is managed on-site in two\nbiofiltration swales planted with bulrush and sedge, visible on-site by both\npatients and staff, further connecting them with natural systems."]]],[1,"p",[[0,[],0,"The community\nis seeing rapid change and development, and the biophilic design strategies\nutilized across the project restore and protect native ecosystems and provide\namenities for the building occupants and surrounding community through\nprominent, public-facing garden spaces."]]],[1,"h2",[[0,[],0,"Mandatory metrics"]]],[1,"p",[[0,[0],1,"Is this a previously developed site? "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"Percentage of site area supporting vegetation before project began: "],[0,[],0,"0"]]],[1,"p",[[0,[0],1,"Percentage of the site area that is vegetated (landscape or green roof) post-development: "],[0,[],0,"29"]]],[1,"p",[[0,[0],1,"Percentage of site area covered by native plants that support native or migratory species and pollinators: "],[0,[],0,"100"]]],[1,"p",[[0,[0],1,"Intentional design strategies used to promote: "],[0,[],0,"biodiversity, dark skies, bird safety, habitat conservation, flora\/fauna"]]],[1,"h2",[[0,[],0,"Design Intent"]]],[1,"p",[[0,[0],1,"What does this project do to regenerate the natural ecosystem\non-site? "],[0,[],0,"The project utilizes dark sky\u2013compliant fixtures, intentional\nlandscape placement adjacent to windows, and patterned building screens at\nselect locations to deter bird collisions. Additionally, bird habitats and\npollinator friendly vegetation are incorporated throughout the gardens on-site\nto enrich the local ecosystem and function as a part of the community green\nbelt."]]]]},"title":"Ecosystems"},{"body":{"version":"0.3.0","atoms":[],"cards":[["images-card",{"images":[{"url":"http:\/\/res.cloudinary.com\/dpcbzfiye\/image\/upload\/v1618453828\/cazmtyh58qvrtrurgvne.jpg","id":"6391596"}],"caption":"The project\u2019s Reverse Osmosis system plays an essential role in patient treatment and its use has saved over 2 million gallons of water per year through process water reuse. "}]],"markups":[["strong"]],"sections":[[10,0],[1,"p",[[0,[],0,"Water\nis a critical element in dialysis care, constantly pumped through the clinic\u2019s reverse\nosmosis (R\/O) equipment to each patient\u2019s dialysis machine, playing an\nessential role in cleaning patients\u2019 kidneys in their treatment. Through water\nbudgeting and analysis, the design team found that this process equipment\nrepresents over 95% of the water use for the facility and studied various\noptions for water reduction and reuse. By switching from a chemical sterilization\nsystem to a heat disinfection system that cleans and recycles process water,\nthe project is predicted to save nearly 1.4 million gallons of water per year,\na 42.68% reduction in overall water usage in conjunction with other water\nconservation strategies, including fixture selection and efficient drip\nirrigation. After a year of operation, the project is performing better than\npredicted, with over 2 million gallons of water saved: a 65% reduction from\nbaseline."]]],[1,"p",[[0,[],0,"The project\u2019s\nbiophilic design also reduces water use with drought-resistant and native\nvegetation in the courtyard gardens, minimizing irrigation demand by over 58%.\nTwo biofiltration swales located along the building perimeter also feature\nnative plantings and are sized to manage all stormwater on-site."]]],[1,"h2",[[0,[],0,"Mandatory metrics"]]],[1,"p",[[0,[0],1,"Is on-site potable water use regularly metered and monitored?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"Is water use submetered?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"Was water consumption modeled?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"Is potable water used for non-potable uses (e.g. irrigation, toilet flushing)?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1," Is rainwater collected and stored for on-site use?: "],[0,[],0,"no"]]],[1,"p",[[0,[0],1,"What non-potable water sources are collected for reuse?: "],[0,[],0,"process"]]],[1,"p",[[0,[0],1,"Percentage of rainwater managed on-site (from maximum anticipated 24-hour, two-year storm event): "],[0,[],0,"100"]]],[1,"p",[[0,[0],1,"Percentage of the site area that is vegetated using irrigated turf grass:"]]],[1,"h2",[[0,[],0,"Encouraged metrics "]]],[1,"p",[[0,[0],1,"Is potable water quality routinely monitored, filtered, or treated?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"Measured annual water use (per building, sf, or occupant): "],[0,[],0,"1120504"]]],[1,"p",[[0,[0],1,"Predicated annual water use (per building, sf, or occupant): "],[0,[],0,"1844697"]]],[1,"p",[[0,[0],1,"Percentage of potable water reduced through efficiency measures (LEED calculator): "],[0,[],0,"65.18"]]],[1,"p",[[0,[0],1,"Percentage of potable water offset by other water sources: "],[0,[],0,"0 "]]],[1,"p",[[0,[0],1,"Percentage of blackwater treated on-site: "],[0,[],0,"0"]]],[1,"h2",[[0,[],0,"Design intent"]]],[1,"p",[[0,[0],1,"Describe the quality of the water that runs off the site: "],[0,[],0,"All\nstormwater from the site is directed into two noninfiltrating bioretention\nponds (with a combined capacity for 159,057 gallons) where water is filtered\nand fed to the municipal storm sewer."]]],[1,"p",[[0,[0],1,"Describe the project\u2019s water resilience strategies. Provide one\nsentence describing the project\u2019s major potable water conservation strategy for\neach end use: "],[0,[],0,"Fixtures: To meet goals in water use reduction while still meeting\nthe clinical expectations across the project, low-flow fixtures were selected\nto provide 20% reductions in water use for flush fixtures and 30% reductions\nfor flow fixtures from the baseline. "]]],[1,"p",[[0,[],0,"Irrigation:\nNative and drought-resistant plantings along with drip-irrigation systems were\nselected to minimize irrigation demand, resulting in a predicted 10,125 gallons\nper year total, a 58.60% reduction from baseline of 24,455 gallons per year. "]]],[1,"p",[[0,[],0,"Mechanical\nsystems: Utilizing a variable refrigerant flow (VRF) mechanical system allowed\nfor the elimination of water loads over alternative water-cooled mechanical\nsystems. "]]],[1,"p",[[0,[],0,"Process\nsystem: The project utilizes a reverse osmosis (R\/O) system with heat disinfection\n(rather than the previous system of chemical sterilization), which allows for\ncontinual reuse of process water, resulting in an overall reduction of over 2\nmillion gallons of water per year, a more than 65% reduction from baseline."]]]]},"title":"Water"},{"body":{"version":"0.3.0","atoms":[],"cards":[],"markups":[["strong"]],"sections":[[1,"p",[[0,[],0,"To\nprovide a groundbreaking clinic model while still meeting the project target\nbudget, a partnership with the contractor and owner\u2019s Facilities Planning\nCommittee helped establish priorities, provide continuous input, and review the\ndesign at key milestones. Full-scale cardboard mock-ups were conducted to test\nand develop solutions with direct user feedback to ensure that the design\nsolution was sized to meet the owner\u2019s needs and standards, preventing waste\nand future replacement costs after project completion."]]],[1,"p",[[0,[],0,"The\ndesign team also worked continuously with the contractor in cost-estimating and\nvalue-engineering efforts. By reducing the overall clinic size to match the\ninitial need while allowing for a clear future expansion strategy, the team was\nable to improve utilization of all spaces while reducing the overall program\narea. Further coordination of the building\u0027s mechanical, structural, and\nplumbing systems allowed for reductions in the building envelope. Fencing\nacross the project was replaced with landscape elements that provide privacy\nwhile utilizing more passive security techniques to dissuade vandalism. Life\ncycle cost analysis aided in the selection of mechanical, electrical, and\nplumbing systems to help lower annual utility costs and provide a design that\nfit the target budget while still attaining the ambitious design intent."]]],[1,"h2",[[0,[],0,"Mandatory metrics"]]],[1,"p",[[0,[0],1,"Construction costs per swuare foot (USD\/SF): "],[0,[],0,"596"]]],[1,"h2",[[0,[],0,"Encouraged metrics "]]],[1,"p",[[0,[0],1,"Were lifecycle costs calculated?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"What is the timeframe for the life cycle cost calculations?: "],[0,[],0,"30 years"]]],[1,"h2",[[0,[],0,"Design Intent"]]],[1,"p",[[0,[0],1,"Describe right-sizing strategies and considerations: "],[0,[],0,"In\ncomparison to a recent 20-station Kirkland Clinic (770 square feet\/station) and\n16-station Federal Way East Clinic (837 square feet\/station), we were able to\nreduce building size to just over 12,000 square feet, for an 18-station\ncapacity with 670 square feet per station, by working to refine and minimize\nprogram spaces using mock-ups and by including flexible expansion strategies to\neliminate redundant areas."]]],[1,"p",[[0,[0],1,"How did design choices minimize materials usage, allowing for\nlower cost and more efficiently designed systems\/structure? "],[0,[],0,"Building\ninformation modeling and collaboration between disciplines throughout the\ndesign process allowed for the design of a compact envelope and lowered\nbuilding height with the architectural, structural, mechanical, and plumbing\nsystems modeled with clash detection while also reducing risk during\nconstruction. By lowering overall ceiling heights during design in tandem with\nthe selection of a compact steel structural system and space-efficient VRF\nmechanical system, the building height was lowered by 24 inches during design\nfrom an earlier schematic baseline."]]],[1,"p",[[0,[0],1,"Provide one sentence on the strategies used to reduce cost and\/or\nincrease value for each of the following: first costs, utilities, maintenance,\ncleaning, occupant health and well-being, flexibility, adaptability, and\/or\nresilience: "],[0,[],0,"First costs: Full-scale casework mock-ups were created and\ncoordinated directly with the users to ensure that all counters and cabinets\nwere right-sized and kept to a minimum for lower first costs and optimal performance.\n"]]],[1,"p",[[0,[],0,"Utilities:\nThe selection of a heat disinfection reverse osmosis (R\/O) system over the\ntypical chemical disinfectant baseline has resulted in an operational savings\nof over 2 million gallons of water per year, a projected $16,800 annual savings\nin water utility costs on top of the $6,500 projected savings in annual energy\ncosts. "]]],[1,"p",[[0,[],0,"Maintenance:\nThe design team and owner\u2019s facilities group coordinated directly with a\npanelized wall system supplier to create the custom dialysis wall for the\nproject, including custom maintenance panels that can be removed by facility\nstaff and custom emergency access panels that can easily be removed by clinical\nstaff to access shut-off valves. "]]],[1,"p",[[0,[],0,"Cleaning:\nThe design team closely coordinated material selection with the owner\u2019s\nfacilities team to ensure that building finishes not only met the project\u2019s\nbudgetary, material health, and biophilic design goals, but were also\nconsistent with the owner\u2019s established cleaning standards and protocols to\nkeep operational costs consistent. "]]],[1,"p",[[0,[],0,"Occupant\nhealth and well-being: In order to deliver a clinic that improves patient\nhealth outcomes through access to nature while still meeting the project\nbudget, the design team developed biophilic design strategies that serve\nmultiple functions, such as abundant daylighting that also reduces lighting\npower density and custom, perforated screens that control solar heat gain while\nalso bringing patterned, dappled light into the interior. "]]],[1,"p",[[0,[],0,"Flexibility,\nadaptability, and\/or resilience: To facilitate future growth, a staff\nconference room is positioned adjacent to the clinic and outfitted with a\npanelized wall system that can be easily upgraded with a water loop extension\nand replaced with the clinic\u2019s drain box and device panels, providing expansion\ncapacity for an additional 24 patients without needing to add building area."]]]]},"title":"Economy "},{"body":{"version":"0.3.0","atoms":[],"cards":[["images-card",{"images":[{"url":"http:\/\/res.cloudinary.com\/dpcbzfiye\/image\/upload\/v1618454363\/e8bsd2rwdyzbqtmyrcal.jpg","id":"6391597"}],"caption":"The Rainier Beach Clinic features distributed daylight throughout the facility and capacity for an expanded photovoltaic array to fully offset operational energy use. "}]],"markups":[["strong"],["em"],["sub"],["a",["href","http:\/\/2030ddx.aia.org\/users\/sign_in","target","_new"]],["a",["href","http:\/\/architecture2030.org\/files\/2030_Challenge_Targets_National.pdf","target","_new"]]],"sections":[[10,0],[1,"p",[[0,[],0,"In\ntypical dialysis clinics, daylighting is not guaranteed to all patient stations\nor regularly occupied staff spaces. Often the orientation of glazing causes\nglare and can be at odds with patient comfort and safety. The inclusion of two\ninterior courtyards allowed for an equitable distribution of daylight across\nthe clinic for all patients while allowing other occupied spaces, such as\noffices, conference rooms, the staff lounge, and private home-training rooms,\nto benefit from views and plentiful daylight. North and south glazing were\nprioritized to reduce glare and solar heat gain, utilizing the building massing\nand placement of sunshades and custom-perforated vertical screening elements to\nmodulate southern exposure."]]],[1,"p",[[0,[],0,"In\nconjunction with daylight modeling throughout design, the team also utilized\nenergy modeling to help refine the design of building systems and massing to\nminimize the project EUI. The team utilized an energy-efficient VRF system to\nrecover heat from exhaust air for preheating incoming outside air and easily\ntransfer heat between rooms. The facility includes an initial solar array that\nis designed to accommodate an expansion that will eventually achieve net zero\nenergy to offset the higher energy demands of the process equipment and longer\noperational hours."]]],[1,"h2",[[0,[],0,"Mandatory metrics"]]],[1,"p",[[0,[0],1,"Predicted gross EUI (include all site energy uses, exclusive of on-site generations and purchased credits of offsets):"],[0,[],0," 48 kBtu\/sf\/yr "]]],[1,"p",[[0,[0],0,"Measured gross EUi (include all site energy uses) "],[0,[1],2,"Note if COVID-19 altered occupancy during the measured year.: "],[0,[],0,"49"]]],[1,"p",[[0,[0],1,"Zero Tool-Percent reduction in energy from the benchmark, excluding all on-site renewables: "],[0,[],0,"35"]]],[1,"p",[[0,[0],1,"Is energy generated on-site?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"Were renewable energy credits or offsets purchased for this project?: "],[0,[],0,"no"]]],[1,"p",[[0,[0],1,"All electric building?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"Measured lighting power density (LPD): "],[0,[],0,"0.39 W\/sf "]]],[1,"p",[[0,[0],1,"Percent LPD reduction from IECC 2006: "],[0,[],0,"68"]]],[1,"p",[[0,[0],1,"Percent window-wall ratio: "],[0,[],0,"29.5"]]],[1,"p",[[0,[0],1,"Was energy modeling used to inform design decisions?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"Operational emissions : "],[0,[],0,"104"],[0,[1],0,"mT CO"],[0,[2],1,"2"],[0,[],1,"\/sf\/yr"]]],[1,"p",[[0,[],0,"AIA\u2019s "],[0,[3],1,"2030 Commitment Reporting Tool "],[0,[],0,"or the Architecture 2030 Challenge"],[0,[4],1," reference materials"],[0,[],0," provide comparison baselines for energy use and convert utility-provided energy consumed into equivalent carbon emission impact."]]],[1,"h2",[[0,[],0,"Encouraged metrics "]]],[1,"p",[[0,[0],1,"Percent WWR by orientation (N,S,EW): "],[0,[],0,"34352328"]]],[1,"h2",[[0,[],0,"Design Intent"]]],[1,"p",[[0,[0],1,"Explain any difference between measured and predicted EUI: "],[0,[],0,"The\nbuilding has performed marginally better than the predicted EUI, which may\nresult from more conservative assumptions made in energy modeling compared to actual\nuse. "]]],[1,"p",[[0,[0],1,"Describe your enclosure (wall, roof, and window) specification for\noptimizing climatic performance (U-value, SHGC, VT, shading, dynamic, etc.): "],[0,[],0,"The\nbuilding envelope complies with the 2015 Seattle Energy Code with R-38\ncontinuous insulation at the roof, R-18 equivalent at exterior walls (R-10\ncontinuous), and R-10 at slab\/subgrade. Windows are prioritized on north and\nsouth facades and have a SHGC of 0.27, have a U-value of 0.33, and are shaded\non the southern conditions with horizontal shades and vertical screens to\nreduce solar heat gain in summer months. A building envelope consultant was\nengaged during both design and construction to review details, product\nsubmittals, and conduct water penetration and air barrier testing."]]],[1,"p",[[0,[0],1,"Describe the primary strategy for reducing operations carbon\n(scope 1: direct emissions; scope 2: indirect emissions). "],[0,[],0,"Energy\nmodeling throughout the design process, starting with simple shoebox models and\nlater in partnership with a consultant, allowed the team to adjust the design\nto achieve a lower energy use intensity while designing in a path to net zero\ncarbon emissions through future PV array expansion. For reducing indirect\nemissions, locating the project site within a one-mile radius of where nearly\n100 existing patients live has allowed for a projected reduction of 272 lbs of\nCO"],[0,[2],1,"2"],[0,[],0," per year through reducing commute distance and providing\nadjacencies to light rail, bus stops, and bike networks."]]]]},"title":"Energy"},{"body":{"version":"0.3.0","atoms":[],"cards":[["images-card",{"images":[{"url":"http:\/\/res.cloudinary.com\/dpcbzfiye\/image\/upload\/v1618454863\/xsrv6bcxgxlbwnqxyhik.jpg","id":"6391598"}],"caption":"Biophilic design strategies utilized throughout create a restorative environment for patients, staff and visitors. "}]],"markups":[["strong"],["sub"],["b"]],"sections":[[1,"p",[]],[10,0],[1,"p",[[0,[],0,"The\nRainier Beach Clinic has utilized evidence-based design to understand the ways\nthe physical environment can contribute to the health and wellness of building\noccupants. Biophilic design strategies help create a restorative, calming\nfacility that encourages both patient treatment compliance and staff\nsatisfaction."]]],[1,"blockquote",[[0,[],0,"This project lends dignity to the people\nvisiting. It\u0027s good and it\u0027s smart with basic plan organization so that nature can be inserted\ninto it. The\nPOE survey is offered in seven languages for staff and visitors. There is a lot\nof biophilic design, and they used a strategy that took that into consideration\nin a neighborhood that maybe isn\u2019t so beautiful. - Jury comment"]]],[1,"p",[[0,[],0,"All patients\nare provided refuge with solid walls at their backs and direct, equitable views\ninto native landscapes. Windows across from all patients provide views to\nseasonally dynamic plantings, plentiful daylighting for anchoring circadian\nrhythms, and opportunities for observing stochastic movement of birds and\npollinators to serve as distraction therapy for patients during treatment.\nNatural, warm material palettes are used throughout the facility to help lower\nheart rates and create a welcoming, noninstitutional feel. Integration of the\nbiophilic design patterns of prospect and mystery in the landscape design\nprovide a balance between visual intrigue and privacy for patients to optimize\ntheir comfort and wellness."]]],[1,"p",[[0,[],0,"Comparative\noccupant comfort surveys have been distributed to all patients and staff to\nbetter understand how the Rainier Beach Clinic compares to previous facilities.\nInitial feedback has noted the facility to be \u201cpeaceful,\u201d reducing \u201cstress and\ntension\u201d for patients and staff through the presence of nature in the clinic."]]],[1,"h2",[[0,[],0,"Mandatory metrics"]]],[1,"p",[[0,[0],1,"Do greater than 90% of occupied spaces have a direct view to the outdoors?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"Was daylight modeled to inform design decisions? Summarize results: "],[0,[],0,"yes, Daylight modeling began with early massing studies during schematic design so that the shape, size and location of courtyards could maximize daylighting to the clinic areas and all regularly occupied spaces. From these studies, 91.5% of all regularly occupied spaces achieve greater than 300 lux at 3pm at the equinox; only two internal flex offices and corners of the technical staff work areas are below this threshold. Daylight modeling was also used to facilitate the design of sunshades and screening on select facades to reduce solar heat gain in the summer. Glare studies were conducted with the design of these shades and patient station areas to optimize visual comfort f or patients, including those who elect to watch television."]]],[1,"p",[[0,[0],1,"How easily can occupants control their own thermal comfort and lighting?: "],[0,[],0,"The use of a variable refrigerant flow (VRF) mechanical system allows f or ideal zone control across the facility with 13 total thermostat locations, helping to provide additional thermal comfort to dialysis patients who typically f eel cold during their treatment. For additional patient comfort and to account f or staff who typically prefer a lower temperature set point, patients can use blankets and dialysis chairs with seat heaters f or localized warmth."]]],[1,"p",[[0,[],0,"Lighting levels are another key factor that contribute to patient comfort as discovered by patient surveys at other clinic locations. To allow f or patients to comfortably engage in a range of activities (i.e. sleeping, reading, knitting, socializing, watching television), spotlights are provided above each patient station that can be dimmed as desired. Staff are also provided with dimmable lighting at all clinic work areas to allow f or adjustment around changing daylight conditions across their shifts. Initial anecdotal feedback f rom occupants has shown that these opportunities f or patients and staff to control lighting and temperature throughout the clinic has enabled a further sense of ownership and satisfaction with the facility."]]],[1,"p",[[0,[0],1,"Was a \u0022chemicals of concern\u0022 list used to inform material selection?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"Were Health Product Declarations (HPDs) collected? Summarize results: "],[0,[],0,"yes; A thorough Material Disclosures Tracking document was created during design to identify products with available material disclosures. This document informed material selection and specification development and was later used during Construction Administration to track submitted products with the Contractor, resulting in the collection of over 30 Health Product Declarations."]]],[1,"p",[[0,[0],1,"What level of air filters are installed?: "],[0,[],0,"MERV 12-14"]]],[1,"p",[[0,[0],1,"Is air quality monitored on an ongoing basis?: "],[0,[],0,"no"]]],[1,"p",[[0,[0],1,"If so, what IAQ metrics are being tracked? "]]],[1,"p",[[0,[0],1," If the project is in a humid climate, is standalone dehumidification installed?: "],[0,[],0,"no"]]],[1,"p",[[0,[0],0,"What is the design maximum CO"],[0,[1],1,"2"],[0,[],1," in PPM? "],[0,[],0,"600"]]],[1,"h2",[[0,[],0,"Encouraged metrics "]]],[1,"p",[[0,[0],1,"Provide further modeled daylight metrics: "],[0,[],0,"91.5% of all regularly occupied spaces achieve greater than 300 lux at 3pm and 91.6%achieve greater than 300 lux at 9am at the equinox. Beyond the regularly occupied spaces, the 300 lux minimums are met in many other spaces across the project, including primary patient circulation areas, staff lounge, and lobby. This dispersed daylighting throughout the facility not only results in quality views f or 80% of regularly occupied spaces, but also 43%of all non-regularly occupied spaces."]]],[1,"p",[[0,[0],1,"What percentage of occupied spaces have a direct view to the outdoors?: "],[0,[],0,"80"]]],[1,"h2",[[0,[],0,"Design Intent"]]],[1,"p",[[0,[0],1,"Major strategy for improving indoor air quality: "],[0,[],0,"In\naddition to the project\u0027s dedicated outside air system (DOAS) for ventilation\nand MERV-14 air filtration used across the project, all rooms that store or\nutilize chemicals have sealed walls with self-closing doors and are negatively\npressurized and continuously ventilated. Actual air quality measurements taken\nacross the project one year after occupancy show CO"],[0,[1],1,"2"],[0,[],0," readings\nbetween 450 and 512 ppm and total volatile organic compounds (VOC) measured\nbetween 22 and 154 ppb, sufficiently below the 600 ppm CO"],[0,[1],1,"2"],[0,[],0," and 300\nppb total VOC target ranges."]]],[1,"p",[[0,[0],1,"Major strategy for improving indoor acoustical: "],[0,[],0,"With\ndesign input from the team\u2019s acoustician during design and construction, the\nproject is able to protect patient privacy and create a more calming, peaceful\nclinical environment using acoustical walls sealed to roof deck at key\nlocations and highly absorptive ceiling tiles (0.95 NRC) used across the\nproject with a typical eight-foot ceiling height."]]],[1,"p",[[0,[0],1,"Major strategy for encouraging occupant movement: "],[0,[],0,"In\naddition to providing a staff shower, a covered staff entry with bike storage\nis positioned directly adjacent to the Chief Sealth Trail (a continuous six-kilometer\npedestrian and biking trail from the Kubota Gardens in South Seattle to\nJefferson Park in Beacon Hill) to encourage exercise and alternate modes of\ntransportation. Covered bicycle storage is also provided adjacent to the\npatient and visitor entry. "]]],[1,"p",[[0,[2],1,"Major strategy for providing healthy foods:"],[0,[],0,"\nConsultation offices are provided in the clinic for social workers and\ndieticians to meet with patients and their families to encourage healthy eating\nhabits and provide kidney-friendly recipes for use at home. Informational\nmaterials are also prominently featured in the lobby with recipes and\nguidelines appropriate for those living with chronic-kidney disease."]]],[1,"p",[[0,[0],1,"Major strategy for encouraging occupant movement: "],[0,[],0,"Consultation\noffices are provided in the clinic for social workers and dieticians to meet\nwith patients and their families to encourage healthy eating habits and provide\nkidney-friendly recipes for use at home. Informational materials are also\nprominently featured in the lobby with recipes and guidelines appropriate for\nthose living with chronic kidney disease."]]]]},"title":"Well-being"},{"body":{"version":"0.3.0","atoms":[],"cards":[["images-card",{"images":[{"url":"http:\/\/res.cloudinary.com\/dpcbzfiye\/image\/upload\/v1618455349\/jwafoxs6y9by1yuj8xu1.jpg","id":"6391599"}],"caption":"The lobby features warm, natural textures and materials that were selected with the health of building occupants and the environment in mind. "}]],"markups":[["strong"]],"sections":[[1,"p",[]],[10,0],[1,"p",[[0,[],0,"The\nintegrated design approach for the Rainier Beach Clinic allowed for a thorough\nselection of materials that addressed the project\u2019s budgetary needs, health and\nsafety criteria, desired biophilic design attributes, and environmental impact\ngoals. Throughout the design process, the team conducted comparative studies\ninto the emissivity, Health Product Declarations, and Environmental Product\nDeclarations of different materials and tracked the product submissions during\nconstruction with the contractor to ensure alignment with project goals. The team also\ncoordinated closely with the owner\u2019s facilities team to select materials and\ndetails that have held up well in their other facilities to ensure resiliency\nand durability. The resulting material selections are warm, calming, and\nrestorative to the building users while meeting the rigorous performance\ncriteria set forth by the owner and design team."]]],[1,"p",[[0,[],0,"The project\nteam also utilized life cycle assessments throughout the design process to\nmeasure cumulative impacts of different material selections and make informed\ndecisions regarding building massing and envelope design. Through these\nstudies, the team was able to achieve a more than 13% reduction in global\nwarming potential above the original baseline assumptions, with further\nreductions in ozone depletion potential, eutrophication potential, and\nnonrenewable energy demand."]]],[1,"h2",[[0,[],0,"Mandatory Metrics"]]],[1,"p",[[0,[0],1,"Total embodied carbon in metric tonnes: "],[0,[],0,"348"]]],[1,"p",[[0,[0],1,"Was construction waste considered and tracked on this project? Summarize, results: "],[0,[],0,"yes: All construction waste was tracked throughout the process and sorted into designated containers that were routinely picked up and taken to a recycling facility for sorting. 100% of all wood, metal, plastics, drywall, cardboard and concrete materials were separated and recycled, resulting in over 81% of all construction waste diverted f rom the landfill."]]],[1,"p",[[0,[0],1,"Which of the following environmental product declarations did you collect?: "],[0,[],0,"Product-specific LCA, Industrywide generic EPDs , Product-specific, Type III external EPDs, Declare Labels , C2C"]]],[1,"p",[[0,[0],1,"Which of the following environmental product declarations did you collect? "],[0,[],0,"Product-specific, Type III external EPDs"]]],[1,"p",[[0,[0],1,"Was material reuse considered and tracked on this project? Summarize results: "],[0,[],0,"no"]]],[1,"p",[[0,[0],1,"Was recycled content considered and tracked on this project? Summarize results: "],[0,[],0,"no"]]],[1,"p",[[0,[0],1,"Did you track the percentage of project materials extracted and manufactured regionally? Summarize results: "],[0,[],0,"no"],[0,[0],1," "]]],[1,"p",[[0,[0],1,"Is the majority of wood used in the projected certified by FSC?: "],[0,[],0,"no"]]],[1,"h2",[[0,[],0,"Encouraged metrics "]]],[1,"p",[[0,[0],1,"Was a whole building life cycle assessment (LCA) conducted? What tools did you use?: "],[0,[],0,"yes: Tally."]]],[1,"h2",[[0,[],0,"Design Intent"]]],[1,"p",[[0,[0],1,"Describe the project team\u2019s material selection criteria: "],[0,[],0,"Through\nthe lens of LEED\u0027s Building Product Disclosure Credits, a tracking document was\ncreated during design to identify products with available EPDs, material\ndisclosures, and VOC content to aid in material selection and specification\ndevelopment. The team worked to keep the project free of LBC Red List materials\nand utilized Tally for continuous life cycle assessments throughout design to\nunderstand cumulative effects of different material selections on embodied\ncarbon, eutrophication potential, and other environmental impacts. The\nintegrated design team also coordinated closely with the owner to ensure that\nall materials met the owner\u0027s standards for durability and cleanability."]]]]},"title":"Resources"},{"body":{"version":"0.3.0","atoms":[],"cards":[["images-card",{"images":[{"url":"http:\/\/res.cloudinary.com\/dpcbzfiye\/image\/upload\/v1618455454\/pkc8v3fem9i8fazpndmh.jpg","id":"6391601"}],"caption":"The use of panelized wall systems, demountable partitions and rough-ins for building systems allows for the ease of clinical expansion without expanding building area."}]],"markups":[["strong"],["sub"]],"sections":[[1,"p",[]],[10,0],[1,"p",[[0,[],0,"Because\ndialysis care is a life-sustaining treatment, it is essential that the Rainier\nBeach Clinic is resilient in emergency situations to ensure continuous care for\nthe patient population. The facility is outfitted with an emergency kit on-site\nand has a natural gas generator that provides emergency power for up to two\ndays. This fuel source at Rainier Beach fits into a flexible network of clinics\nusing various other generator fuels, allowing patients to be moved between\nfacilities during a disaster and creating systemic resiliency across the\nnetwork of Northwest Kidney Centers clinics."]]],[1,"p",[[0,[],0,"To allow for flexibility\nin future use and the ability to easily access the process water loop and\nutilities, the clinic is designed with a demountable, panelized wall system\nbehind all 14 patient stations. Additionally, the strategic location of\ndemountable walls, plumbed connections, and panelized wall systems allow for the\naddition of four future stations and a third home training room to support an\nadditional 30 patients without building new floor area. Beyond the building\u2019s\nuse as a dialysis facility, the bountiful daylight and courtyard views\nthroughout make it suitable for potential reuse by many other typologies, such\nas outpatient clinic, community center, and office building."]]],[1,"h2",[[0,[],0,"Mandatory metrics"]]],[1,"p",[[0,[0],1,"Percentage of project floor area, if any, that was adapted from existing buildings: "],[0,[],0,"0 CO"],[0,[1],1,"2"],[0,[],0,"\/sf "]]],[1,"p",[[0,[0],1,"Was research conducted on the most likely local hazards? Which apply?: "],[0,[],0,"yes; Earthquakes , Epidemic , Social unrest , Utility disruption"]]],[1,"p",[[0,[0],1,"Can the project maintain function without utility power?: "],[0,[],0,"full backup power"]]],[1,"p",[[0,[0],1,"What type of backup power does the project primarily have?: "],[0,[],0,"fossil fuel generator"]]],[1,"h2",[[0,[],0,"Encouraged metrics "]]],[1,"p",[[0,[0],1,"How does the project respond to the local hazards identified?: "],[0,[],0,"In addition to the emergency generator power described below f or continued use through utility disruptions or disasters, the clinic has also been designed to be operational during epidemics through the design of air circulation systems, private dialysis rooms, and cleanable plastic separations between dialysis stations to maintain safe distancing protocol."]]],[1,"p",[[0,[],0,"The facility is also designed with anti-graffiti coatings on cladding materials, security films on all exterior windows, and the ability f or passive surveillance f rom building occupants and community members of all exterior spaces to create a secure environment f or building occupants without the use of more obtrusive security measures such as perimeter fencing or bars in windows."]]],[1,"p",[[0,[0],1,"Can the building be used as a safe harbor to support a community during a crisis?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"How many hours can the building function through passive survivability?: "],[0,[],0,"48"]]],[1,"p",[[0,[0],1,"Explain your calculations: "],[0,[],0,"As a part of Northwest Kidney Centers\u0027 network of clinics with varied generator types, the Rainier Beach Clinic is outfitted with a 48-hour, natural gas generator. The variety of generator fuel types creates systemic resiliency and allows f or continual care of patients across all facilities in the event that any are taken of f line by earthquake, utility disruption or other f actors. An emergency-kit is also provided and maintained to ensure that all necessary supplies and provisions are available on-site f or keeping staff and patients safe and able to dialyze."]]],[1,"h2",[[0,[],0,"Design Intent"]]],[1,"p",[[0,[0],1,"How does the project respond to the local hazards identified? "],[0,[],0,"In\naddition to the emergency generator power for continued site use during utility\ndisruptions or disasters, the clinic has also been designed to be operational\nduring epidemics through the design of air circulation systems, private\ndialysis rooms, and cleanable plastic separations between dialysis stations to\nmaintain safe distancing protocols."]]],[1,"p",[[0,[],0,"The\nfacility is also designed with anti-graffiti coatings on cladding materials,\nsecurity films on all exterior windows, and the ability for passive\nsurveillance from building occupants and community members of all exterior\nspaces to create a secure environment for building occupants without the use of\nmore obtrusive security measures, such as perimeter fencing or bars in windows."]]]]},"title":"Change"},{"body":{"version":"0.3.0","atoms":[],"cards":[["images-card",{"images":[{"url":"http:\/\/res.cloudinary.com\/dpcbzfiye\/image\/upload\/v1618455673\/bv03sylkh5ehjbdmsjpd.jpg","id":"6391602"}],"caption":"The evidence-based process for the Rainier Beach Clinic extends beyond the design and construction, following through to measure outcomes and assess the success of the project hypothesis. "}]],"markups":[["strong"]],"sections":[[1,"p",[[0,[],0,"As\na critical step in the evidence-based process, the team conducted a preliminary\npost-occupancy evaluation (POE) to understand how successful the project\nhypothesis has been. Surveys based on industry-standard quality evaluations\nwere developed and translated into seven languages. They have now been\nadministered to both patients and staff and are currently being processed.\nThese findings will help establish comparative data among the new clinic and\nother Seattle area locations where patients received dialysis care previously.\nAdditional POE measures of daylight metering, air quality readings, and a study\nof utility data and operational performance have shown measured performance outcomes\nmatching or exceeding those predicted during design."]]],[10,0],[1,"p",[[0,[],0,"Beyond\nthis initial proof of concept study, the project team is working with the owner\nto engage with a third-party researcher to conduct a focused research study to\nisolate the impacts of the Rainier Beach Clinic design on staff and patients.\nThe team is dedicated to this continued research effort to improve future\ndialysis center designs and contribute peer-reviewed research to the broader\narchitectural and medical communities. The project was presented at AIA\nSeattle\u0027s Architecture for Health Committee\u0027s 2019 \u0022Lessons Learned in\nDesign and Construction\u0022 and at the 2020 AIA Seattle\u0027s Medical Design\nForum."]]],[1,"h2",[[0,[],0,"Mandatory metrics"]]],[1,"p",[[0,[0],1,"Were integrated design processes engaged early in the project for establishing project performance goals and strategies?: "],[0,[],0,"yes; At the onset of the project, an integrated design team was formed with the Owner, Contractor and Design Consultants to establish project goals and begin collaboration towards design solutions. Through a commitment to achieve LEED Silver, the team adopted the LEED framework to structure various strategies that met overall goals for sustainability, occupant well-being, and project budget. The Owner\u0027s Facilities Planning Group was also engaged throughout design to collaborate with end users on design solutions, resulting in three rounds of full-scale, cardboard mock-ups where clinic layouts, casework design, and headwall systems could be evaluated and refined in real-time. Throughout the process, routine Owner Architect \u0026 Contractor (OAC) and coordination meetings allowed all members of the integrated design team to stay engaged throughout both design and construction and provide continual input towards achieving project goals."]]],[1,"p",[[0,[0],1,"What level of commissioning was undertaken on this project?: "],[0,[],0,"Enhanced commissioning (third party, engaged early), Enclosure commissioning"]]],[1,"p",[[0,[0],1,"Has a post-occupancy evaluation, including surveys of occupant comfort, been performed?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"Which of the following building performance transparency steps were taken?: "],[0,[],0,"Contact the owner \/ Occupant to see how things are going, Obtain utility bill to determine actual performance, Survey building occupants on satisfaction, Formal onsite daylight measurements, Share collected data with building occupants, Formal post occupancy air quality testing, Data logging of indoor environmental measurements, Post occupancy energy analysis, Develop and share strategies to improve the building\u0027s Performance, Teach occupants and operators how to improve building performance"]]],[1,"p",[[0,[0],1,"Which of the following building performance transparency steps were taken? "],[0,[],0,"Present the design of the project to the of f ice, Present the design of the project to the profession , Present the design of the project to the public, Present outcomes and lessons learned to the of f ice, Present outcomes and lessons learned to the profession, Present outcomes and lessons learned to the public"]]],[1,"p",[[0,[0],1,"Were lessons learned through post-occupancy used to improve subsequent projects? Give an example: "],[0,[],0,"yes: Through working with the Owner after occupancy of the Rainier Beach clinic, we found that building performance could be monitored more closely by the primary off-site facilities team through installing a common VRF controller that works with other facilities. Additionally, we have received initial positive feedback f rom staff and users regarding the orientation of patient stations to glazing and the ceiling design of televisions to minimize glare, improve acoustics, and reduce visual noise throughout the clinic space. This has been utilized in all new clinic designs f or the Owner. Research is still being conducted to better understand potential correlations between direct views to gardens and patient health outcomes."]]],[1,"h2",[[0,[],0,"Encouraged Metrics "]]],[1,"p",[[0,[0],1,"Did the project engage in a professional peer review of drawings or specifications during design?: "],[0,[],0,"yes"]]],[1,"p",[[0,[0],1,"Did the project engaging post-occupancy performance testings (blower door test, thermal imaging, etc.)?: "],[0,[],0,"no"]]],[1,"p",[[0,[0],1,"If yes, describe the process and outcomes: "],[0,[],0,"At the onset of the project, an integrated design team was formed with the Owner, Contractor and Design Consultants to establish project goals and begin collaboration towards design solutions. Through a commitment to achieve LEED Silver, the team adopted the LEED framework to structure various strategies that met overall goals f or sustainability, occupant well-being, and project budget. The Owner\u0027s Facilities Planning Group was also engaged throughout design to collaborate with end users on design solutions, resulting in three rounds of full-scale, cardboard mock-ups where clinic layouts, casework design, and headwall systems could be evaluated and refined in real-time. Throughout the process, routine Owner Architect \u0026 Contractor (OAC) and coordination meetings allowed all members of the integrated design team to stay engaged throughout both design and construction and provide continual input towards achieving project goals."]]]]},"title":"Discovery"}]
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