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CSP medical office buildings requirements

CSP process

Requirements per
property type

IREM certifies office, medical office, multifamily, senior housing, retail, industrial and self storage properties.

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Prerequisites

  • At least 15,000 square feet
  • At least 51% of space must be used for medical office visits and/or outpatient medical services
  • At least 18 months since substantial completion or repositioning
  • At least 75% occupied
  • Smoke-free property
  • In compliance with all environmental laws

Baseline requirements – All properties must complete

Management Perform a sustainability and climate-related risk and opportunity assessment of the property
Management Align sustainability and investment goals for the property and include sustainability metrics in owner reporting
Management Implement at least five policies to advance sustainability at the property
Energy Part 1: Benchmark energy usage and greenhouse gas emissions
Energy Part 2: Submit an energy assessment that includes a 3-year improvement plan or meet an accepted initial construction standard
Water Part 1: Benchmark water usage
Water Part 2: Submit a water assessment that includes a 3-year improvement plan or meet an accepted initial construction standard
Health Assess the property's health and safety status
Recycling Assess recycling practices, options, and compliance requirements
Purchasing Assess procurement practices and options

Options for each category

  • Earn a minimum of 2 points in each category
  • Accumulate at least 62 total points by completing the activities of your choice
  • Download the medical office buildings checklist to track the points you earn

Click on each category to view your options.

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  • Energy points
    • Demonstrate ongoing training on energy management for engineering team (1 pt.)
    • Provide tenant(s) or occupants with energy management best practices (1 pt.)
    • Achieve one of the following: (1) ENERGY STAR® score of 70+ or (2) 5%+ reduction in energy use (1 pt.)
    • Achieve one of the following: (1) ENERGY STAR score of 75+ or (2) 10%+ reduction in energy use (2 pts.)
    • Achieve one of the following: (1) ENERGY STAR score of 80+ or (2) 15%+ reduction in energy use (3 pts.)
    • Review medical and office lighting and equipment to identify energy efficiency opportunities (3 pts.)
    • Install LED lighting in non-medical fixtures in areas under management control (3 pts.)
    • Install EV charging stations (3 pts.)
    • Use renewable energy (3 pts.)
    • Implement a green lease program (3 pts.)
    • Demonstrate innovation in energy efficiency through new methods, technologies, and pilot programs (3 pts.)
  • Water points
    • Demonstrate ongoing training on water management for engineering team (1 pt.)
    • Check for water leaks (1 pt.)
    • Provide tenant(s) or occupants with water management best practices (1 pt.)
    • Reduce water use by 5% over baseline (1 pt.)
    • Install high-efficiency fixtures in areas under management control (2 pts.)
    • Reduce water use by 10% over baseline (2 pts.)
    • Reduce water use by 15% over baseline (3 pts.)
    • Install one of the following: (1) native/drought-resistant landscaping or (2) efficient irrigation system (3 pts.)
    • Demonstrate innovation in water efficiency through new methods, technologies, and pilot programs (3 pts.)
  • Health points
    • Establish a green construction policy for renovations and build-outs (1 pt.)
    • Distribute information to tenant(s) or internal stakeholders on the health and wellness impacts of indoor environments (1 pt.)
    • Sponsor regular stress-reduction events for the medical professionals in the building (1 pt.)
    • Provide filtered water for building occupants and guests (1 pt.)
    • Offer healthy food options wherever meals and snacks are served in areas under management control (1 pt.)
    • Recommend green cleaning and healthy, low-emitting materials to tenant(s) (1 pt.)
    • Use healthy, low-emitting materials in areas under management control (2 pts.)
    • Employ green cleaning services for areas under management control (2 pts.)
    • Conduct or obtain regular indoor air quality testing in areas under management control (3 pts.)
    • Provide an onsite fitness facility or other wellness-inspired amenity for building occupants and/or guests (3 pts.)
    • Demonstrate innovation in healthy operations through new methods, technologies, and pilot programs (3 pts.)
  • Recycling points
    • Install recycling signage throughout the property (1 pt.)
    • Provide information on recycling program and/or recycling best practices to tenant(s) or occupants (1 pt.)
    • Establish a construction waste management policy for renovations and build-outs (1 pt.)
    • Establish a policy for recycling e-waste, batteries, light bulbs, and bulk items (1 pt.)
    • Set diversion rate goals for the property (1 pt.)
    • Achieve a minimum diversion rate of 20% for the property (1 pt.)
    • Establish recycling services (2 pts.)
    • Determine the property's diversion rate (2 pts.)
    • Achieve a minimum diversion rate of 25% for the property (2 pts.)
    • Achieve a minimum diversion rate of 30% for the property (3 pts.)
    • Establish an additional recycling, reuse, or waste reduction strategy in standard or medical waste management (3 pts.)
  • Purchasing points
    • P.1 Use green-certified products in building management operations (1 pt.)
    • Provide tenant(s) or procurement team with sustainable purchasing best practices (1 pt.)
    • Assess vendor and supplier compliance with sustainability requirements (2 pts.)
    • Include sustainability clauses in vendor contracts (3 pts.)
    • Use green power or purchase renewable energy credits (3 pts.)

Additional resources

Here you can find additional resources to help you finish applying for the Certified Sustainable Property certification.

CSP diversion rate calculator

This diversion rate calculator allows you to obtain an estimate of a property's diversion rate - the amount of waste material produced in property operations that is diverted from the landfill through recycling and other waste management strategies.

Download calculator

Medical and office equipment checklist

Use this checklist for "E.6 Review medical and office lighting and equipment to identify energy efficiency opportunities" to guide your work with the tenant and/or department representative(s).

Equipment checklist

Outreach templates

Points are available for tenant and resident engagement on sustainability. These customizable templates give these important stakeholders the information they need to contribute to the property's sustainability goals.

Outreach templates

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