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
Environmental Sustainability and Health Care
Joan Plisko, PhD
Technical Director
Maryland Hospitals for a Healthy Environment
jplisko@som.umaryland.edu
410.706.2107
First, Do No Harm
Patient
health
Worker
health
Community
health
Why be Sustainable?
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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
• 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 CO2 emissions of
commercial office buildings
• Historical reliance on nonrenewable sources
Hospital Waste > 6,600 Tons/Day
BIOHAZARD
$ Cost to dispose
Toxic Chemicals in the Hospital?
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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
• 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:
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Cleaning chemicals
Laboratory waste
Laundry chemicals
Landscape and pest control
Pharmaceuticals
Food System
HEAT
WAVE
SMOG
FLOODING
WEST
NILE
VIRUS
FIRE
HURRICANE
Resiliency
The capacity to absorb, respond, and recover from
vulnerabilities and to develop capabilities that help
the community:
MD H2E: It Takes a Village
Creating a culture of environmental health and sustainability in Maryland’s
health care community
• 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…
• Boardroom
• Executives
• Leadership
• Board members
• Community
• Neighbors
• Suppliers
• Builders
• Local/State government
• Non-profits organizations
• Visitors
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)
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
www.healthierhospitals.org
Sponsoring Health Systems
Includes former Vanguard
facilities
HHI Challenge Areas
HHI Tools and Resources
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Calendar of Events
Case Studies
How To Guides
Newsletter
Regional Maps
Webinars
Jessica Wolff, MSN, MBA
jwolff@healthierhospitals.org
Engaged Leadership
University of Maryland Medical Center, Baltimore, MD
Engaged Leadership
Bon Secours Health System, Marriotsville, MD (HQ)
Ecological Stewardship Plan
Goals for 2013-2015
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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
Atlantic General Hospital, Berlin, MD
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Lighting upgrade
Lighting Occupancy Controls
Vending Machine Controls
Water Conservation
Chilled Water Loop Repiping
Insulation Blankets
Steam Trap Replacement
Cooling Tower Repiping
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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
Leaner Energy
Adventist Health Care,
Rockville, MD (HQ)
Safer Chemicals
Sinai Hospital Pediatric
Hematology/Oncology
Clinic, Baltimore, MD
Roller Shades – Vinyl-free
Painting – Zero VOC paint
Millwork – Formaldehydefree 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
MedStar Union Memorial Hospital, Baltimore, MD
Logs and tracks items
on a database
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
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
“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
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