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T h e Business Case for Sustainability Virginia Energy and Sustainability Conference February 11 th 2014

T h e Business Case for Sustainability Virginia Energy and Sustainability Conference February 11 th 2014. Joan Plisko, PhD, Technical Director Maryland Hospitals for a Healthy Environment Stephen J. Huebner, FACHE, CMRP Vice President, Materiel Operations-Virginia

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T h e Business Case for Sustainability Virginia Energy and Sustainability Conference February 11 th 2014

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  1. The Business Case for Sustainability • Virginia Energy and Sustainability Conference • February 11th 2014 Joan Plisko, PhD, Technical Director Maryland Hospitals for a Healthy Environment Stephen J. Huebner, FACHE, CMRP Vice President, Materiel Operations-Virginia Bon Secours Health System Richard Morgan Senior Director, Facilities and Real Estate AtSite inc

  2. Environmental Sustainability and Health Care Joan Plisko, PhD Technical Director Maryland Hospitals for a Healthy Environment jplisko@som.umaryland.edu 410.706.2107

  3. First, Do No Harm Patient health Worker health Community health

  4. 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

  5. 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 CO2emissions of commercial office buildings Historical reliance on non-renewable sources

  6. BIOHAZARD Hospital Waste > 6,600 Tons/Day Recyclable Trace chemo & pathology waste Medical waste, sharps Hazardous Waste, Chemotherapy Waste Solid waste Radioactive waste $ Cost to dispose

  7. 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

  8. 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

  9. Food System

  10. HEAT WAVE SMOG FLOODING WEST NILE VIRUS HURRI-CANE FIRE

  11. Resiliency The capacity to absorb, respond, and recover from vulnerabilities and to develop capabilities that help the community:

  12. MD H2E: It Takes a Village Creating a culture of environmental health and sustainability in Maryland’s health care community • Boardroom • Executives • Leadership • Board members • Community • Neighbors • Suppliers • Builders • Local/State government • Non-profits organizations • Visitors 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…

  13. MD H2E Mission Through networking, education, technical assistance, and recognition, MD H2E supports Maryland hospitals and health care providers in becoming leaders in environmental health and sustainability • Audits • Awards • Case Studies/Pilot Projects • Educational Material • Listserv • Meetings/Conferences • Newsletters • Partnerships and Collaborations • Site Visits • Vendor and Peer Connections/Networking • Website www.mdh2e.org

  14. 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, GBMC • Vice Chair: Rachel DeMunda, Johns Hopkins Bayview Medical Center • Secretary, Lisa Grubb, Johns Hopkins Bayview Medical Center • Working Groups • Education • Governance/Advocacy • Knowledge Base • Membership/Networking

  15. www.healthierhospitals.org

  16. Sponsoring Health Systems Includes former Vanguard facilities

  17. HHI Challenge Areas

  18. HHI Tools and Resources Jessica Wolff, MSN, MBA jwolff@healthierhospitals.org Calendar of Events Case Studies How To Guides Newsletter Regional Maps Webinars

  19. Engaged Leadership University of Maryland Medical Center, Baltimore, MD

  20. Engaged Leadership Bon Secours Health System, Marriotsville, MD (HQ) Ecological Stewardship Plan Goals for 2013-2015 Expand ecology visibility internally and externally Conduct evaluation process Build upon level of excellence in waste, recycling Advance cost savings opportunities especially related to energy Foster a culture of sustainability Identify greening efforts that directly link to improvements in population health

  21. Leaner Energy Atlantic General Hospital, Berlin, MD Lighting upgrade Lighting Occupancy Controls Vending Machine Controls Water Conservation Chilled Water Loop Repiping Insulation Blankets Steam Trap Replacement Cooling Tower Repiping Air Handler Unit Retooling Hot Water Reheat Valve Replacements Boiler Room Ventilation Cooling Tower Variable Frequency Drives (VFD) Controls Upgrades OR Humidifiers Night Setbacks 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

  22. Leaner Energy Adventist Health Care, Rockville, MD (HQ)

  23. Safer Chemicals Sinai Hospital Pediatric Hematology/Oncology Clinic, Baltimore, MD Roller Shades – Vinyl-free Painting – Zero VOC paint 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)

  24. Less Waste MedStar Union Memorial Hospital, Baltimore, MD Logs and tracks items on a database

  25. 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

  26. Healthier Food Union Hospital, Elkton, MD • 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

  27. www.mdh2e.org “We need to protect the environment not because we love trees, but because we love people”.- R.F. Kennedy Jr. Joan Plisko, PhD Technical Director, MD H2E jplisko@som.umaryland.edu, 410.706.2107

  28. The Business Case for Sustainability • Panel Discussion Stephen J. Huebner, FACHE, CMRP Vice President, Materiel Operations-Virginia Bon Secours Health System Stephen_Huebner@bshsi.org Richard Morgan Senior Director, Facilities and Real Estate AtSite inc rmorgan@atsiteinc.com

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