The Effects of Expansions in Hospitals on the Applicability ofPerformance Certificate Programme

Abstract This study examines how the implementation of the Leadership in Energy and Environmental Design (LEED)certification system has affected healthcare services in private hospitals in North Cyprus. The Near EastUniversity (NEU) hospital achieved Gold-level recognition with a minimum score of 79 points, while Dr.Burhan Nalbanto ̆glu Hospital (BNH) received 31 points. Through sensitivity analysis of indoor air qualityand sustainable land criteria, it becomes evident that hospitals adopting LEED certification systems offerhigher-quality services and present distinct advantages. The findings suggest that aligning government hos-pitals with green certification criteria may contribute to improved patient outcomes. Furthermore, datacollected from government hospitals and the Near East Hospital support a positive relationship betweengreen hospital criteria and enhanced patient and employee satisfaction. Statistical analysis reveals signifi-cant evidence (p < 0.05) that distinguishes hospitals meeting the green hospital certification criteria fromthose that do not. The study also examined the effects of hospital expansions on the applicability of per-formance certificate programs and the management of COVID-19. Various criteria, including LEED points,sustainable sites, regional priorities, water efficiency, design innovation, materials and resources, and indoorenvironmental quality, are analyzed using data from two hospitals, YD ̈U and BNH, to assess changes inthese criteria before and after the expansions. The results provide valuable insights for decision-makers andhealthcare administrators seeking to enhance hospital infrastructure and operations to meet certificationstandards and ensure effective pandemic management. This study highlights the importance of adoptinggreen certification criteria in hospital infrastructure and management to enhance patient outcomes, employeesatisfaction, and overall service quality.