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![Page 1: The Business Case for Sustainability Virginia Energy and Sustainability Conference February 11 th 2014 Joan Plisko, PhD, Technical Director Maryland Hospitals.](https://reader036.fdocuments.in/reader036/viewer/2022062409/56649c885503460f949415a8/html5/thumbnails/1.jpg)
The Business Case for Sustainability
Virginia Energy and Sustainability ConferenceFebruary 11th 2014
Joan Plisko, PhD, Technical DirectorMaryland Hospitals for a Healthy Environment
Stephen J. Huebner, FACHE, CMRPVice President, Materiel Operations-VirginiaBon Secours Health System
Richard MorganSenior Director, Facilities and Real EstateAtSite inc
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Environmental Sustainability and Health Care
Joan Plisko, PhDTechnical Director
Maryland Hospitals for a Healthy [email protected]
410.706.2107
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Community health
Patient health
Worker health
First, Do No Harm
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Why be Sustainable?
• Climate change resilience• Cost savings• Community benefit• Employee engagement• Environmental compliance• Environmental protection• Operational efficiency• Patient safety • Quality of Care• Social responsibility
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Energy Usage in Hospitals
• Accounts for 8% of all U.S. greenhouse gas emissions
• $10 billion on energy/year• 836 trillion BTUs of
energy/year • > 2.5 times the energy intensity
and CO2 emissions of
commercial office buildings• Historical reliance on non-
renewable sources
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Hospital Waste > 6,600 Tons/Day
BIOHAZARD
Solid waste
Medical
waste, sharps
Recyclable
Radioactive
waste
Trace chemo &
pathology
waste
$ Cost to dispose
Hazardous
Waste,
Chemotherapy
Waste
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Toxic Chemicals in the Hospital?• Brominated flame retardants (BFRs)• Building Materials• Cleaning Chemicals• Di-2-ethylhexyl phthalate (DEHP) in medical devices• Electronics• Glutaraldehyde• Lab Chemicals• Mercury• Pesticides• RCRA Hazardous Pharmaceuticals• Solvents
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Water
• One of top ten consumers in community• 40 – 350 gallons per capita per day• Large U.S. hospitals consume 133 billion gallons of
water, totaling $615 million in water expenditures • Water and sewer costs are on the rise• Toxic wastewaster and stormwater due to:
• Cleaning chemicals• Laboratory waste• Laundry chemicals• Landscape and pest control• Pharmaceuticals
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Food System
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FIRE
HEAT WAVE
WEST NILE VIRUS
HURRI-CANE
SMOGFLOODING
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Resiliency
The capacity to absorb, respond, and recover from vulnerabilities and to develop capabilities that help
the community:
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• Basement• Environmental services• Facilities management• All front line workers…
• Bedside• Nurses, nurses, nurses• Physicians, clinicians• Dietitians, therapists and
more…• Management
• EVS, capital improvement• Purchasing, food services• Nursing, pharmacy and
more…
MD H2E: It Takes a Village
• Boardroom• Executives• Leadership• Board members
• Community• Neighbors• Suppliers• Builders• Local/State government• Non-profits organizations• Visitors
Creating a culture of environmental health and sustainability in Maryland’s health care community
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MD H2E Mission
• Audits• Awards• Case Studies/Pilot
Projects• Educational Material • Listserv• Meetings/Conferences
• Newsletters• Partnerships and
Collaborations• Site Visits• Vendor and Peer
Connections/Networking• Website
Through networking, education, technical assistance, and recognition, MD H2E supports Maryland hospitals and health care providers in becoming
leaders in environmental health and sustainability
www.mdh2e.org
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MD Health Care Sustainability Leadership Council (HCSLC)
Mission: To foster environmentally conscious health care facilities that engage, educate, inspire and advocate for social responsibility in their leaders, employees, patients, and the wider community.
2014 Leadership:Chair: Michael Forthman, GBMCVice Chair: Rachel DeMunda, Johns Hopkins Bayview Medical CenterSecretary, Lisa Grubb, Johns Hopkins Bayview Medical Center
Working GroupsEducationGovernance/AdvocacyKnowledge BaseMembership/Networking
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Sponsoring Health Systems
Includes former Vanguard facilities
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HHI Challenge Areas
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HHI Tools and Resources
• Calendar of Events• Case Studies• How To Guides• Newsletter• Regional Maps• Webinars
Jessica Wolff, MSN, [email protected]
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Engaged Leadership
University of Maryland Medical Center, Baltimore, MD
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Engaged Leadership
Bon Secours Health System, Marriotsville, MD (HQ)
Ecological Stewardship PlanGoals for 2013-2015
1. Expand ecology visibility internally and externally2. Conduct evaluation process3. Build upon level of excellence in waste, recycling4. Advance cost savings opportunities especially related to energy5. Foster a culture of sustainability6. Identify greening efforts that directly link to improvements in
population health
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Leaner Energy
1. Lighting upgrade2. Lighting Occupancy Controls3. Vending Machine Controls4. Water Conservation5. Chilled Water Loop Repiping6. Insulation Blankets7. Steam Trap Replacement8. Cooling Tower Repiping
First Year Savings:Electric – 630,390 kWh saved (15% savings)
Fuel oil – 17,835 gallons saved (16% savings)Water – 1,612 kGals saved (40% savings)
CO2 emissions reduction of 460,190 pounds
9. Air Handler Unit Retooling10. Hot Water Reheat Valve
Replacements11. Boiler Room Ventilation12. Cooling Tower Variable
Frequency Drives (VFD)13. Controls Upgrades14. OR Humidifiers15. Night Setbacks
Atlantic General Hospital, Berlin, MD
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Leaner Energy
Adventist Health Care, Rockville, MD (HQ)
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Safer Chemicals
Roller Shades – Vinyl-free
Millwork – Formaldehyde-free substrates
Wall Protection – Vinyl-free
Sealants / Adhesives – Low VOC
Floor Base – Vinyl-free rubber
Flooring – Vinyl-free flooring and Low VOC adhesives (Linoleum flooring)
Painting – Zero VOC paint
Sinai Hospital Pediatric Hematology/Oncology Clinic, Baltimore, MD
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Less Waste
Logs and tracks items on a database
MedStar Union Memorial Hospital, Baltimore, MD
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Smarter Purchasing
University of Maryland Midtown Hospital, Baltimore, MD
Reprocessing/Remanufacturing Single Use Devices• Operating room: bits, trocars, foreceps, drills• Nursing units: compression devices, pulse oximeters, cuffs• Approximate savings = $100,000/month or ~$364/bed/month
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Healthier Food
• Local, grass-fed beef – no routine antibiotics
• Certified organic produce from local farmer
• Local, sustainable “Grocers’ section” in cafeteria
• On-site composting of coffee grounds
• Launched herb garden
Union Hospital, Elkton, MD
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www.mdh2e.org
Joan Plisko, PhDTechnical Director, MD H2E
[email protected], 410.706.2107
“We need to protect the environment not
because we love trees, but because we love
people”.- R.F. Kennedy Jr.
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The Business Case for SustainabilityPanel Discussion
Stephen J. Huebner, FACHE, CMRPVice President, Materiel Operations-VirginiaBon Secours Health [email protected]
Richard MorganSenior Director, Facilities and Real EstateAtSite [email protected]