Julie Moyle, MSN, RN Outreach Specialist Healthier Hospitals Initiative

1. Introducing theHealthier Hospitals Initiative Katie Holmes, RN Senior Vice President, Operations and Membership Washington State Hospital Association Julie Moyle, MSN, RN Outreach Specialist Healthier Hospitals Initiative

2. Goals and Objectives • Understand why Sustainability is important to Health Care. • Understand HHI and how to use it at your hospital/health system. • Review the details of each challenge and examples of how hospitals successfully implemented each challenge. • Understand the resources of HHI and how to enroll in this free initiative.

3. How does Sustainability fit into Health Care? • First, Do No Harm • Climate Change is a public health issue • Centers for Medicare and Medicaid Services (CMS) Triple Aim - Better Care, Better Health, and Lower Costs • Affordable Care Act provisions – population health outcomes Patient Health Employee Health Community Health

4. Health Care Sector – Some of the Facts – • $8.3 billion on energy each year • Produces over 30 lbs. of waste per bed/per day • 20-30% of a hospital’s waste stream from the OR alone • Nurses & EVS staff have highest work related asthma

5. Sustainability:More than a Blue Bin by the Copier

7. Healthier Hospitals Initiative • Modeled after IHI 100,000 Lives Campaign • Acceleration strategy at the intersection of sustainability, patient and worker safety • Using proven strategies to drive success Milestone Report a POWERFUL evidence-based story to tell Goal is to enroll 2000 hospitals FREE for all enrollees

8. HHI Enrolled Hospitals 1118 enrolled hospitals as of 9/17/14 • 34 Washington hospitals/health systems already enrolled in HHI • Statewide representation • Urban & rural hospitals

9. HHI Overview

10. Engaged Leadership The furthest reaching sustainability programming has leadership support, demonstrated by environmental charters, reporting structure and goal setting that recognizes the importance of continuous environmental quality improvement for the long term.

11. Engaged Leadership Baseline: Sign an Executive Commitment statement Level 1 – 3 activities Level 2 – 6 activities Level 3 – 10 activities

12. Healthier Food Use your purchasing power to model healthy food procurement and consumption by serving healthier food to your patients and staff. • WA Results: • University of Washington Medical Center • Overlake Hospital & Medical Center

13. Healthier Food • Baseline: Sign HCWH Healthy Food Pledge • Level 1 – Commit to one • Level 2 – Commit to two • Level 3 – Commit to all three

14. Leaner Energy HHI hospitals are conserving energy and reduce emissions to benefit patients, staff and local communities. • WA Results: • Kittitas Valley Community Hospital • Providence Health and Services

15. Leaner Energy • Baseline: Participate in ENERGY STAR Portfolio Manager to track energy use and GHG emissions • Level 1 – 3% reduction • Level 2 – 5% reduction • Level 3 – 10% reduction (or >75 ES)

16. Less Waste This challenge offers win-win strategies that produce annual cost savings and contribute to improved community benefit. • WA Results: • Evergreen Health • Naval Hospital Bremerton • Virginia Mason Medical Center

17. Less Waste • Baseline: Collect baseline data on recycling, RMW, hazardous waste and solid waste • Level 1 – Commit to one • Level 2 – Commit to two • Level 3 – Commit to all three

18. Safer Chemicals Scientific research shows that exposure to hazardous chemicals found in the environment, our homes and workplaces increases the risk of various diseases in the general population. “DEHP-Free IV bags are in line with Dignity Health’s commitment to improving the health and safety of patients, staff and the community.” Sister Mary Ellen Leciejewski, Dignity Health Ecology Coordinator

19. Safer Chemicals • Baseline: Virtual elimination of mercury • Level 1 – Commit to one • Level 2 – Commit to two • Level 3 – Commit to all three

20. Smarter Purchasing By selecting products with reduced environmental impact, hospitals can positively affect their environment and reduce their costs. • Fairview Health System – Operating Room Kit Reformulation

21. Smarter Purchasing • Baseline: Pledge to support GPOs using environmental criteria for purchasing products • Level 1 – Commit to one • Level 2 – Commit to two • Level 3 – Commit to all three

22. Washington Hospitals Enrolled in HHI by Challenge (n=34)

23. 34 WA Hospitals Enrolled in HHI • All 6 HHI Challenges: • Seattle Children’s Hospital • Virginia Mason Medical Center • Harborview Medical Center • 2 or more HHI Challenges: • Whidbey General Hospital • Madigan Army Medical Center • Providence St. Mary Medical Center • Franciscan Health System: • (Engaged Leadership & Leaner Energy) • St. Clare Hospital • St. Francis Hospital • St. Joseph Medical Center • St. Elizabeth Hospital • St. Anthony Hospital • PeaceHealth Farmer’s market at Virginia Mason

24. 34 WA Hospitals Enrolled in HHI • Leaner Energy Challenge: • Ascension Health: Lourdes MC • Providence Health System: • Colby Campus • Holy Family Hospital • Mt. Carmel Hospital • Sacred Heart Medical Center • Saint Joseph’s Hospital • Little Company of Mary Hospital • Providence Pacific Pavilion • Holy Cross Medical Center • Seward Medical Center • Centralia Hospital • St. Peter Hospital • Healthier Food Challenge: • Seattle Cancer Care Alliance • UW Medical Center • Overlake Medical Center • Evergreen Healthcare • Group Health • PeaceHealth Farm direct purchasing at the University of Washington Medical Center

25. King County Hospitals Healthier for a Community KC CHNA Workgroup Action • In 2013, the King County Community Health Needs Assessment Workgroup asked: • KC hospitals to sign the Healthy Food in Health Care Pledge in 2013 (complete) • KC hospitals to take HHI’s Healthy Beverage Challenge in 2014 (in progress)

26. HHI Resources • How-To Guides • Webinars & Sharing Calls • Mentor Program • Discussion Forums • Case Studies • Spark Newsletter • Marketing and Publicity Toolkit

27. Strength in Numbers • The 2013 HHI Milestone Report summarizes the initiative’s first year of progress, with over 1,000 hospitals committed to HHI and more than 630 contributing to the data pool. • Here are some of the incredible accomplishments: • $42 million spent on healthy beverages • $45 million in savings resulting from single-use medical device reprocessing • $24 million spent on local/sustainable food options • $62 million spent on DEHP/PVC free medical products 27

28. Join us in building a healthier future

29. Next Steps • Provide support for your team and commit today to joining HHI. • Connect with Julie Moyle, jmoyle@healthierhospitals.org, 720-273-4776 • Need hospital address, main contact person, and at least one challenge committed to of the six challenges