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MEDCOM SUSTAINABILITY STRATEGY OVERVIEW. Damon V. Cardenas Chief, Environmental Management HQ MEDCOM COMM (210) 221-7988/DSN471-7988. MEDCOM SUSTAINABILITY MISSION – TSG Challenges (13 Dec 07). “Sustain”: Implementation of the Army Family Covenant

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Medcom sustainability strategy overview
MEDCOM SUSTAINABILITY STRATEGY OVERVIEW

Damon V. Cardenas

Chief, Environmental Management

HQ MEDCOM

COMM (210) 221-7988/DSN471-7988


Medcom sustainability mission tsg challenges 13 dec 07
MEDCOM SUSTAINABILITY MISSION – TSG Challenges (13 Dec 07)

  • “Sustain”: Implementation of the Army Family Covenant

  • “Prepare”: Building and sustaining a comprehensive, life-cycle management approach

  • “Reset”: Execution of the Army Medical Action Plan

  • “Transform”: Deliver the maximum value in healthcare and other services


Medcom sustainability program overview
MEDCOM SustainabilityProgram Overview

  • Emerging MEDCOM program – MTF focus

  • Ensure MEDCOM is proactive in addressing potential encumbrances (25 yrs into the future)

  • Theme: Sustain the Mission – Secure the Future

  • Triple Bottom Line – Plus: Mission, Environmental, Community and Economic Success

  • Multidisciplinary Approach – All directorates

  • Funding requested for: baseline data, marketing, assessment of Best Management Practices, planning, implementation


Medcom sustainability proposed medcom sustainability strategy
MEDCOM SUSTAINABILITY Proposed MEDCOM Sustainability Strategy

  • Vision - To meet current as well as future mission requirements worldwide, safeguard human health, improve quality of life, and enhance the natural environment

  • Mission - Reduce life cycle costs, Minimize adverse impacts, Enhance human health, safety, and well-being, Be an active citizen within our communities, do more and do it better

  • Goals – Minimize impacts and total ownership costs, Enhance the well-being of our Soldiers, civilians, families, neighbors and communities through leadership in sustainability

    Health Care Industry Leader in Sustainability


Medcom sustainability national health care footprint
MEDCOM SUSTAINABILITY National Health Care Footprint

  • 16% of U.S. economy devoted to healthcare

  • $6,500/person/yr ($2 trillion in 2005)

  • 4% of national square footage

  • 4th Highest energy user by building type

  • Consumes 8% of national energy

  • 5 Million tons of waste/year

  • Regulated Medical Waste

    • 750,000 tons/yr (MEDCOM = 1,500 tons/yr)

    • Largest source of dioxin air pollution

    • 10% of mercury air emissions


Medcom sustainability strategy on going initiatives
MEDCOM SUSTAINABILITY STRATEGY On-Going Initiatives

  • Product Substitution:

    • Mercury - Completed CONUS hospital inventory. Two Hospitals (TAMC & MAMC) received award for virtual mercury elimination.

    • Hand Sanitizer – Change in alcohol content changes waste classification

  • Operation Issues:

    • CONUS RMW contract, economies of scale

    • Reprocessing of surgical equipment, standardization

    • RMW – Sharps processing, reusable containers

    • Vyleater – HIPPA Compliance/Waste reduction

  • Process Change:

    • Ethylene Oxide Sterilizers – All removed from hospitals

    • Regulated Medical Waste Incinerators - All hospital incinerators closed

    • X-Ray Wet Chemical Processing – Converting to Digital imaging Systems

  • Engineering Controls:

    • Recycling/Re-utilization - of Hazardous materials, such as xylene and formaldehyde

    • Implement available strategies – decreased energy consumption


Medcom sustainability leed program
MEDCOM SUSTAINABILITYLEED PROGRAM

  • Army directive - LEED Silver

  • Program elements

    • Optimize Site Potential

    • Optimize Energy Use

    • Protect & Conserve Water

    • Use Environmental Preferable Materials

    • Enhance Indoor Environmental Quality

    • Optimize O & M Practices (standardization)

  • Less than 3% of healthcare facilities sought LEED certification (CY06)

  • Actual benefits - 6% of the 2.5M healthcare patients each year afflicted with hospital acquired infection attributed to design/construction/O&M practices

  • "It costs a lot of money to build a poor hospital, and only a little more to build a better hospital." - architect Robin Guenther


Medcom sustainability community
MEDCOM SUSTAINABILITY Community

  • Patient perception - decrease stress, increase comfort, quicker recovery

  • Employee perception - 90% of hospital operating cost is on salaries, retain people

  • Public perception - good neighbor/public comment

  • Actual issues – e.g. WRAIR noise Notice of Violation

  • Participate in non-DoD environmental organizations (Energy Star Recognition, EPA Performance Track/Lab 21/Practice Green Health)


Medcom sustainability benefits
MEDCOM SUSTAINABILITY Benefits

  • Minimize adverse impacts to mission

  • Safer/Healthier working environment

  • Decrease in staff turn-over

  • Reduction in hazardous materials usage

  • Waste stream reduction

  • Reduced facility life cycle costs

  • Enhanced environmental management

  • Positive community relations


Medcom sustainabilty way ahead
MEDCOM SUSTAINABILTY WAY AHEAD

  • Procurement

    • Hazardous Materials Management Program

    • Green Procurement

  • Implement institutional changes of Best Management Practices (Standardization)

  • Survey community opinion

  • Infrastructure analysis

  • Contingency planning

  • Regulatory surveillance


Medcom sustainability program way ahead programs
MEDCOM SUSTAINABILITY PROGRAM WAY AHEAD - Programs

  • Improve Waste Management

    • Conduct hospital waste management studies

    • Mercury phase out to continue

    • Solid waste diversion

  • Implement LEED Silver Criteria

    • New construction

    • Existing building

  • Implement Energy and Water conservation initiatives

    • Energy facility audits

    • Energy Star Portfolio

    • Energy Conservation Investment Program (ECIP)


Medcom sustainabilty way ahead1
MEDCOM SUSTAINABILTY Way Ahead

  • Assess Impacts/Aspects

  • Collect baseline information (surveys/plans/materials)

  • Develop/Implement strategy (marketing)

  • Develop/Formalize MEDCOM Sustainability Policy

  • Implement initiatives


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