Strategies'to'Reduce'Waste'and' Improve'Sustainability! Financial'Opera,ons'Track:' Wesli'Waters,'Sustainability'Coordinator'
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1 ! Financial'Opera,ons'Track:' Strategies'to'Reduce'Waste'and' Improve'Sustainability!! Wesli'Waters,'Sustainability'Coordinator' Fairview'Health'Services' '
2 Today s!presenta.on! Why'sustainability'in'healthcare?' Healthcare s!impact!on!the!planet! Healthcare s!impact!on!people! Green!impact!on!profit!! Reuse'store'case'study' Waste!reduc.on! Cost!savings!
3 Fairview!Health!Services! Not-for-profit organization established in 1906 in Minneapolis, MN Partner with the University of Minnesota since ,000+ employees, 2,500 aligned physicians 7 hospitals/medical centers 44 primary care clinics 55+ specialty clinics 26 senior housing locations 28 retail pharmacies Fairview s stats and figures: Energy reduce 15% by 2015 Waste reduce solid waste 50% Toxic/hazardous chemicals reduction Sustainable facilities (LEED) Responsible purchasing Healthy food systems Fairview s sustainability goals:
4 Today s!presenta.on! Why'sustainability'in'healthcare?' Healthcare s!impact!on!the!planet! Healthcare s!impact!on!people! Green!impact!on!profit!! Reuse'store'case'study' Waste!reduc.on! Cost!savings!
5 Why!sustainability!in!healthcare?! Intense!energy!use! Resource!consump.on!! Waste!! Toxic!and!hazardous!chemical!use! Healthcare s!core!principle!to! first!do!no!harm!! Healthcare!aDributes!to!global!health!problems!
6 The!triple!boDom!line! Planet* People! Profit!
7 Priority:!Planet!
8 What s!in!your!hospital s!trash?! Hospitals!generate!6,600!tons!of!waste!each!day!! According!to!the!U.S.!Environmental!Protec.on!Agency,!as!much! as!85%'of'that'trash'is'nonhhazardous'waste!such!as!paper,! plas.cs,!metals,!glass,!and!food!
9 What!does!that!look!like?!
10
11 Hazardous!and!toxic!chemicals! Pharmaceu.cals!and!other!chemicals!are!being!found! in!our!waterways.! The!nega.ve!impacts!these!have!on!the!ecosystem!are! star.ng!to!be!realized!(frogs,!fish,!drinking!water,!etc).! Public!wastewater!treatment!plants!do!not!effec.vely! treat!waste!pharmaceu.cals!or!chemicals.! Through!polluted!ground!water,!humans!can!develop! bacterial!resistance!to!common!an.bio.cs.!
12 Energy! Hospitals!are!the!2nd!most! energy!intensive!industry!x! behind!ayer!the!food!service! industry! Health!care!accounts!for!8%! of!all!u.s.!greenhouse!gas! emissions!and!7%!of!total! carbon!dioxide!emissions!
13 Responsible!Purchasing! Green!Guard!Cer.fied!task!chairs! Worksta.ons!are!Indoor!Advantage!Gold!Cer.fied! Fairview!formally!supports!TSCA!legisla.on!reform! Proper!waste!disposal!educa.on!in!annual!LMS! Hazardous!waste!reduc.on!where!possible! Packaging!reduc.on!project!with!Cardinal!(reduced! cardboard!54%!in!isola.on!gowns)! Switched!from!Styrofoam!to!biodegradable!coolers! in!fairview!wholesale!pharmacy!!healthcare!spending!accounts!for!16%!of!the!u.s.! marketplace;!purchases!can!and!should!be!a!major!focus! when!we!talk!about!lessening!healthcare s!impact!on!the! environment!(eckl,!2010).! MercuryXfree!policy! LatexXfree!policy! BPAXfree!baby!boDles! DEHPXfree!feeding!tubes! LED!ligh.ng!fixtures! GlutaraldehydeXfree!steriliza.on! Reduced!ETO!Steriliza.on! Energy!efficient!computer!monitors! EPEAT!silver!and!gold!computers! Reprocessing!of!medical!devices! Low!toxicity!cleaners!in!housekeeping! LowXVOC!paints!and!finishes!
14 Priority:!People!
15 Healthcare s Environmental Impact EPA:!health!sector s!impact!on!the!environment!adds! billions!in!health!costs! EPA:!Medical!waste!incinerators!are!the!3rd!largest! source!of!dioxins!in!our!atmosphere! Healthcare!workers!are!exposed!to! DEHP, PVC, PFC s Heavy metals Disinfectants, sterilants
16 Priority:!Profit!
17 Proper!waste!disposal!methods!and! educa.on!can!result!in!40x70%!savings!!!!! Waste!savings!at!Fairview!=!!$750,000!annually!since!2009 It!is!not!environmentally!preferable!OR!cost!effec.ve,!to!overXtreat!your!waste.!!
18 33!kWh!per!square!foot! Average!usage!at!UMMC!in!2012! 25!kWh!per!square!foot! 25%!lower!than!the!na.onal!average! of!all!prac.ce!greenhealth!award% applicants!! (Fairview) Energy:!annual!savings!of!$1.3!million!! 35! 30! 25! 20! 15! 10! 5! 0! Average!usage!of!award!applicants!
19 Today s!presenta.on! Why'sustainability'in'healthcare?' Healthcare s!impact!on!the!planet! Healthcare s!impact!on!people! Green!impact!on!profit!! Reuse'store'case'study' Waste!reduc.on! Cost!savings!
20 Case!study:!Fairview s!reuse!stores!
21 Mo.va.ng!factors! System! green!goal!to!reduce! waste!50%!by!2015.!to!achieve!this,! we!needed!to!go!beyond!recycling! Opportunity!to!consolidate! purchases!and!redistribute!unused! supplies!and!equipment% Items!hidden!and!forgoDen!about!in! storage!should!be!reused!before! they!become!obsolete! Change!our!culture!and!mindset!to! think!reuse!before!purchasing!new!
22 The!outcome! 9!office!supply!stores,!3!furniture! Eliminated!individual!orders!and! centralized!purchases! Donate!excess!items!to!mission! groups!and!chari.es! Saved!$1.5!million!in!office! supplies!and!furniture!! Diverted!24,000!lbs.!!from!a! landfill!!
23 Expanding!reuse! Network!inventory!between!reuse! stores,!include!offxsite!loca.ons! Review!offXsite!storage!for!reuse! opportuni.es! Incorporate!addi.onal!materials!to! reuse!systems!such!as!biomed! equipment! Improve!dona.on!and!mission!process!!
24 The!.p!of!the!iceberg! Addi.onal!Resources:! Prac.ce!Greenhealth! Healthier!Hospitals! Ini.a.ve! Health!Care!Without!Harm!
25 Ques.ons?! Wesli!Waters! Sustainability!Coordinator! Fairview!Health!Services! 612X672X6246!
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