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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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slide1
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

slide2
Environmental Sustainability and Health Care

Joan Plisko, PhD

Technical Director

Maryland Hospitals for a Healthy Environment

jplisko@som.umaryland.edu

410.706.2107

slide3

First, Do No Harm

Patient

health

Worker

health

Community health

why be sustainable
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

energy usage in hospitals
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

hospital waste 6 600 tons day

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

toxic chemicals in the hospital
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

water
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
slide10

HEAT WAVE

SMOG

FLOODING

WEST NILE VIRUS

HURRI-CANE

FIRE

resiliency
Resiliency

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

slide12

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…
md h2e mission
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

md health care sustainability leadership council hcslc
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
sponsoring health systems
Sponsoring Health Systems

Includes former Vanguard facilities

hhi tools and resources
HHI Tools and Resources

Jessica Wolff, MSN, MBA

jwolff@healthierhospitals.org

Calendar of Events

Case Studies

How To Guides

Newsletter

Regional Maps

Webinars

engaged leadership
Engaged Leadership

University of Maryland Medical Center, Baltimore, MD

slide20

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

leaner energy
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

slide22

Leaner Energy

Adventist Health Care,

Rockville, MD (HQ)

safer chemicals
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)

less waste
Less Waste

MedStar Union Memorial Hospital, Baltimore, MD

Logs and tracks items on a database

smarter purchasing
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
healthier food
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
www mdh2e org
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

slide29
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