Purpose: Board members and real estate managers (decision makers) play an important role in the decision-making process in nursing home organisations. This study aims to provide an understanding of underlying attributes and benefits sought by decision makers when making nursing home real estate decisions. Design/methodology/approach: Decision makers from seven different nursing home organisations in The Netherlands were interviewed using the laddering technique to determine the individual requirements, the considerations of the decision alternatives, the relevant attributes and benefits and their mutual relationships. Findings: This study details the motivations behind real estate management decisions in nursing home organisations. The findings show that apart from financial considerations, decision makers strive to enhance the quality of life and satisfaction of users with their real estate decisions and seek to include residents and employees in the process. These benefits are connected to the goals of well-being and innovation in health care. Furthermore, functionality, physical and functional flexibility and technology are key considerations when undertaking corporate real estate (CRE) decisions, to ensure that real estate management aligns with the strategic goals of the nursing home organisation. Practical implications: The insights of this study can support decision makers in healthcare facilities to create strategic value with their real estate. Understanding how to obtain certain benefits from nursing home real estate may result in a better realisation of organisational objectives and user needs. Originality/value: This study reveals the decision-making process in a nursing home context. Moreover, the laddering technique is used as a new method to explore and gain a deep understanding of CRE decision-making processes.
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The article evaluates the effectiveness of implementing a Dutch certifiable scheme for carbon reporting. This CO2 Performance Ladder is described as a energy management schemes and focuses on CO2 emission reduction in the construction industry sector. A literature study was combined with interviews.
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The aim of this research is to assess the potential impact of the CO2 Performance Ladder on CO2 emission reduction. The CO2 Performance Ladder is a new green procurement scheme that has been adopted by several public authorities in the Netherlands; it is a staged certification scheme for energy and CO2 management. The achieved certification level gives companies a certain competitive advantage in contract awarding procedures. While the scheme has been widely adopted by companies in the construction industry, other types of companies in the supply chain of the commissioning parties also participate. Currently, more than 190 companies participate in the scheme. The aggregate CO2 emissions covered by the scheme are around 1.7 Mtonnes, which corresponds to almost 1 % of national greenhouse gas emissions in the Netherlands. Since the introduction of the scheme the total CO2 emissions have decreased substantially. Nevertheless, these emission reductions should be interpreted with caution since emission reductions are dominated by a few companies and are affected to a large extent by economic activity. Companies participating in the scheme have set different types of CO2 emission reduction targets with varying ambition levels. The projected impact of these targets on CO2 emissions is in the range of a 0.5 %-1.3 % absolute emission reduction per year, with a most likely value of 1.1 %. The CO2 Performance Ladder can therefore make a substantial contribution to achieving the CO2 emission reductions for non-ETS sectors in the Netherlands up to 2020.
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