A LEED-designed building is only as sustainable as its day-to-day operation, according to an article on the Medical Construction & Design website.
Generating engagement and quality input from maintenance staff at every stage of design is needed for creating sustainable designs that are sustainable in real life.
To achieve sustainable operation:
1. Start with integrative design
2. Involve line-level maintenance staff early in the design
3. Be clear about maintenance hazards
4. Train staff
True sustainability is active, starting with a design process that accounts for the real-world needs of maintenance staff, and continuing throughout the life of the building.
How Healthcare Facilities Can Be Truly Disaster-Resilient
TriasMD Breaks Ground on DISC Surgery Center for San Fernando Valley
Bigfork Valley Hospital Falls Victim to Data Breach
AI-Driven Facilities: Strategic Planning and Cost Management 
Double Homicide Suspect Hides from Police in Upstate Community Hospital