building healthcare and business climate resilienceseattle.gogreenconference.net/program/2017... ·...

Building Healthcare and Business Climate Resilience

Moderator: Brenna Davis | Director of Sustainability, Virginia Mason

Colleen Groll | Manager of Sustainability Programs, Seattle Children's

Hospital

Ngozi Oleru | Division Director, Environmental Health, Public Health

Seattle & King County

Angie Woo | Climate Resiliency and Adaptation Lead, Fraser Health

Building Health Care and Business Resilience

Brenna Davis, M.S. Sustainability Director, Virginia Mason Health System

GoGreen 2017

© 2014 Virginia Mason Medical Center

Source: American Academy for the Advancement of Science

Image: http://www.newscientist.com

“Climate scientists agree: climate change is happening here and now.”

© 2014 Virginia Mason Medical Center

Climate Impacts in Pacific Northwest

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The Best Case Scenario

© 2014 Virginia Mason Medical Center

On Our Doorstep

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© 2014 Virginia Mason Medical Center

Climate change presents a "serious, immediate

and global threat to human health.”

Vivek Murthy, M.D. – Surgeon General of the United States

© 2014 Virginia Mason Medical Center

National Priority

https://www.whitehouse.gov/climate-change

© 2014 Virginia Mason Medical Center

Transition to Low Carbon Healthcare

© 2014 Virginia Mason Medical Center

Health Care Advocacy

© 2014 Virginia Mason Medical Center

Climate Resiliency Toolkit

10

© 2014 Virginia Mason Medical Center

Resiliency Toolkit

© 2014 Virginia Mason Medical Center

Risk Dashboard - Impacts

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© 2014 Virginia Mason Medical Center

Risk Dashboard – Heat Related Illness

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© 2014 Virginia Mason Medical Center

Risk Dashboard – Energy Demand

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© 2014 Virginia Mason Medical Center

PNW Healthcare Climate Resilience Summit

Seattle Childrens Hospital

University of Washington, Harborview Medical

Center

City of Seattle

University of Washington

University of Washington

Virginia Mason Medical Center

Healthcare without Harm

Virginia Mason Memorial - Yakima

City of Seattle

University of Washington

U.S. Department of Health and Human Services

(HHS)

Frasier Health

Consultant

NW Kidney

Evergreen Hospital

University of Washington

Northwest Hospital and Medical Center

Consultant

Interior Health

Virginia Mason

The Fearey Group

Virginia Mason Medical Center

Paulk Creative

Island Health (Vancouver)

Island Health (Vancouver)

15

© 2014 Virginia Mason Medical Center

Next Steps

• Collaboration & shared resources across borders.

• Future events to advance the work

• Development of a practice appropriate to our region.

• Promotion of the toolkit as a starting point.

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Climate Change and Community Resilience Health GoGreen Conference 2017

Ngozi T. Oleru, PhD

Director, Environmental Health Services Division

Public Health – Seattle & King County

Our opportunity: Create conditions for a

healthy, equitable, low-carbon future

Adaptive Capacity & Resilience

Influence Health Outcomes

Adaptive Capacity is the ability of communities,

institutions, or people to adjust to potential

hazards, to take advantage of opportunities,

or to respond to consequences.

Resilience is the ability to prepare and plan for,

absorb, recover from, and more successfully

adapt to adverse events.

Balbus, J., A. Crimmins, J.L. Gamble, D.R. Easterling, K.E. Kunkel, S. Saha, and M.C. Sarofim, 2016: Ch. 1:

Introduction: Climate Change and Human Health. The Impacts of Climate Change on Human Health in the United

States: A Scientific Assessment. U.S. Global Change Research Program, Washington, DC, 25–42.

http://dx.doi.org/10.7930/J0VX0DFW

Purpose of Adaptation Plans

Ensure the health sector works with partners in the environment and other related communities, and follows a systematic process to

Engage in the overall adaptation process

Identify strategic goals for building health resilience to climate change

Develop a plan with prioritized activities to achieve these goals, within a specified time period and given resources

Essential Services of Public Health

Assessment Climate Change Role

Monitor health status to identify

and solve community health

problems.

Tracking of diseases and trends

related to climate change

Diagnose and investigate health

problems and health hazards in

the community.

Investigation of infectious water-,

food-, and vector-borne

disease outbreaks

Assurance Climate Change Role

Evaluate effectiveness,

accessibility, and quality of

personal & population-based

health services.

Existence/Availability of

preparedness efforts such as heat-

wave plans

Policy Development Climate Change Role

Inform, educate, and empower

people about health issues.

Informing the public &

policymakers about health

impacts of climate change

Mobilize community partnerships

and action to identify and solve

health problems.

Public health partnerships… to

craft and implement solutions

Public Health – practice and planning

Examples of Current Practice: Promote land use and transportation policies that support healthy

choices – active transportation, park/green space planning;

reduce air pollution; support economic prosperity for all

Emergency preparedness/response during events – heat events,

flooding

Blueprint for Climate Change, Health & Equity:

Goal: Develop integrated Public Health system that addresses the

intersection of climate change, health and equity and reflects

the values, concerns and priorities of Public Health, partners and

our community.

Engage internal and external stakeholders to solicit input to

develop a Blueprint

Raise awareness and increase understanding about climate

change and health

Preliminary Blueprint Development

Findings: Key Themes

Community’s main concerns focused on key issues such as healthy, affordable food access; housing; and, transportation.

Inadequate representation and connection with community on planning efforts.

Public Health Department has a unique

connection to the community. Public Health can be an effective

communication framework. Critical to consider near and long term

health impacts of climate change.

Resources Climate Change: The Public Health Response

Howard Frumkin et al., AJPH, March 2008, Vol 98, No. 3.

Building Resilience Against Climate Effects (BRACE) at CDC.

USGCRP: Impacts of Climate Change on Human Health in the U.S. (April 2016):

https://health2016.globalchange.gov

King County Office of Equity and Social Justice:

http://www.kingcounty.gov/elected/executive/equity-social-justice.aspx

Contact Information

Ngozi T. Oleru, PhD

Director, Environmental Health Services Division

Public Health – Seattle & King County

ngozi.oleru@kingcounty.gov

Climate Risks & Impacts to Health Care Service Delivery

Angie Woo, Climate Resilience & Adaptation, Lead Energy & Environmental Sustainability (EES)

DRAFT - BC Ministry of Health & Climate Action Secretariat

= likelihood x exposure x vulnerability

Risks

= probability x consequence

Impacts

SUSTAINABLE AND CLIMATE-RESILIENT

HEALTH CARE FACILITIES TOOLKIT

https://toolkit.climate.gov/topics/human-health/building-climate-resilience-health-sector

2080 (+3.5C) 1961-1990 2050 (+2.2C)

Hope Fraser Canyon Hospital

Vancouver

Thank You!

angie.woo@fraserhealth.ca

Source: http://earthobservatory.nasa.gov/IOTD/view.php?id=85932

Seattle Children’s -

Climate Resilience

Colleen Groll

Manager, Sustainability Programs

Seattle Children’s

Seattle Children’s

• Established in 1907, operating for 110 years

• Children – one of the most vulnerable populations to the

health effects of climate change

• Mission alignment - we provide hope, care and cures to

help every child live the healthiest and most fulfilling life

possible.

Seattle Children’s

• 5800 hospital employees,

another 800 in Research and

Foundation

• Northeast Seattle

• Residential neighborhood

Where to start on Climate Resilience?

• Gary Cohen

• Co-Founder and President of Health Care

Without Harm and Practice Greenhealth

• Robin Guenther, FAIA, LEED Fellow

• Principal at Perkins+Will

• Senior Advisor to Health Care Without Harm

Framework – 3 Pillars

• Mitigation

• Know Your Baseline

• Reduce Resource Use

• Reduce Environmental Impacts

• Resiliency

• Sustainability Initiatives

• Improve Infrastructure

• Community Partnerships

• Advocacy - Leadership

• Local, National

Resiliency

Advocacy

Mitigation

Mitigation - GHGe Inventory (Hospital)

Natural Gas, 53%

Company Owned Fleet, 3%

Anesthetic Gases , 3%

Electricity, 3%

Business Travel (Air), 6%

Business Travel

(Other), 1%

Paper, 3%

Commuting, 26%

Waste, 2%

Natural Gas

Company Owned Fleet

Anesthetic Gases

Electricity

Business Travel (Air)

Business Travel (Other)

Paper

Commuting

Waste

Seattle Children's Main

Campus

2015 Greenhouse Gas

Mitigation - Energy Conservation

• 20% reduction by 2020

• Multi-year plan

• Multi-year Infrastructure Upgrade Project - budgeted

• Hired a Certified Energy Manger/Mechanical Engineer

Mitigation - Commute Footprint

• Transportation Program

• Goal: decrease morning drive alone rate to 30%

• Deeply discounted unlimited ORCA transit pass

• A $4.50 daily commute bonus on days staff do not drive alone

• Free, premium vanpool parking

• Bike program

Improve Resilience

• Hospitals - Robust disaster planning

• Goal – Operate continuously or re-open quickly

• HHS Climate Risks and Community Vulnerabilities

checklist

• Extreme Heat, Communications

• Next steps – More research; Gap analysis

Improve Resilience - Initiatives

• Paper Reduction

• Waste Anesthesia Gas Reduction

• Shuttle Fleet – Propane, efficient routes

Advocacy - Leadership

• National Leaders

• Health Care Without Harm

• Cleveland Clinic, Virginia Mason,

Kaiser Permanente

• Seattle Children’s

• Health Care Climate Council

• Pacific NW Health Care Sustainability

Leaders

• Practice Greenhealth, Top 25

• Healthier Hospitals Initiative

17.5% - Seattle

34% - Other King County

44.5% - Other WA Counties

96% - WA State

3% - AK, MT, ID

1% - Outside WAMI

Zip Code Is More Predictive of Health

Than Genetic Code

Source: Communities of Opportunity

Contact Information

• Colleen Groll, MSN, LEED AP

• Manager, Sustainability Programs

• Seattle Children’s

• colleen.groll@seattlechildrens.org