using purchasing’s power to “green” health care
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Using Purchasing’s Power to “Green” Health Care. Opportunities for Environmental Services through Environmentally Preferable Purchasing ASHES CONFERENCE RENO, NEVADA. Objectives:. What is H2E? Environmentally Preferable Purchasing How can Environmental Services get involved? - PowerPoint PPT PresentationTRANSCRIPT
September 2002
Using Purchasing’s Power to Using Purchasing’s Power to “Green” Health Care“Green” Health Care
Opportunities for Environmental Services through Environmentally Preferable Purchasing
ASHES CONFERENCE
RENO, NEVADA
Objectives:Objectives:
What is H2E? Environmentally
Preferable Purchasing How can
Environmental Services get involved?
Overcoming barriers --Getting started
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So, who am I and why am I here?So, who am I and why am I here?
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Our concern is PBTsOur concern is PBTs
Alkyl-Lead
Benzo(a)Pyrene
DIOXINS/FURANSDIOXINS/FURANS
Hexachlorobenzene
MERCURY AND COMPOUNDSMERCURY AND COMPOUNDS
Octachlorostyrene
PCBs
PESTICIDES
Aldrin/Dieldrin, Chlordane
Mirex,DDT(+DDD+DDE),Toxaphene
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Mercury -- A Risk to Human HealthMercury -- A Risk to Human Health
Mercury is well known for its toxic effects
Methyl Mercury is the most toxic form
Long term exposure can permanently damage brain, kidneys and developing fetus
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Certain groups at higher riskCertain groups at higher risk
Women who are pregnant
Nursing infants
Young children
Why Healthcare?Why Healthcare? Hospitals generate 6,600 tons of
solid waste every day Medical incinerators are the 3rd
largest source of dioxin and 4th largest source of mercury emissions
Many PBTs used in and released from hospitals
Environmental awareness in hospitals growing
September 2002 8
Medical Uses of MercuryMedical Uses of Mercury
Thermometers Sphygmomanometers Esophageal dilators
Cantor tubes Feeding tubes Lab chemicals Medical batteries Pharmaceutical
preservatives
Cleaning solutions Fluorescent lights Thermostats Pressure gauges Electric switches
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Toxic WasteToxic Waste
• Hospitals’ waste per day is 15% higher than 1992
• Landfills are consumed with waste, especially disposables.
• Landfills are the second highest source of greenhouse gas emissions in the U.S.
• Incinerated medical waste containing chlorine is the third largest contributor of dioxins.
• Waste incinerators contribute 69 percent of the dioxins in the global environment.
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Life Cycle ImpactsLife Cycle Impacts
NaturalResources
Goods andServices
Pollution, Waste and Environmental
Disturbances
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What a WAWhat a WA$$TE! TE!
• Waste is lost resources and money. • Solid waste comprises the largest portion of
a healthcare facility's waste, about 70-80 percent.
• About half of a hospital's solid waste stream is paper and cardboard (45 percent). These wastes can be easily reduced and recycled.
• Healthcare institutions that have engaged in full-fledged waste reduction efforts have realized disposal cost savings of 40-70 percent.
Hospitals for a Healthy EnvironmentHospitals for a Healthy EnvironmentCollaborative Effort to Change the Culture Collaborative Effort to Change the Culture
of an Entire Industry….of an Entire Industry….
EPAEPA AHAHAA
HCWHHCWHANA
ANAH2EH2EPartnersPartners ChampionsChampions
Healthcare IndustryHealthcare Industry
CommunityCommunity
H2E GOALSH2E GOALS
Virtually eliminate mercury waste by year 2005
Reduce total waste volume by 33% by year 2005, by 50% by 2010
Identify and reduce PBT chemicals and other hazardous substances in hospitals through pollution prevention and waste reduction
Our key to success is your involvement!
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““NO SPACE - NO TIME - NO MONEY”NO SPACE - NO TIME - NO MONEY”
H2E is designed to help stretch limited resources by sharing information and providing you with the tools you will need to become environmental leaders in your communities
while saving money… and more!
WHY H2E? WHY NOW?
“H2E – A Formula for Success”“Environmental programs in health care – Preventative medicine
for human health and the environment…”
www.h2e-online.org
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H2E: 321 partners representing ~1000 facilities H2E: 321 partners representing ~1000 facilities and growing!and growing!
Children’s National Medical Center
George Washington Medical Center
John C. Lincoln Health Network
Legacy Meridial park Hospital
St. Rose Dominican
Thomas Jefferson University Hospital
California Hospital Medical Center
Veteran’s Affairs Medical Center
“H2E – A Formula for Success”“Environmental programs in health care – Preventative medicine
for human health and the environment…”
www.h2e-online.org
September 2002 19
Thirty-one champions representing 3,000 Thirty-one champions representing 3,000 Healthcare facilities and this number is growing!Healthcare facilities and this number is growing!
Aramark Service Master Facility Services
Catholic Health East
Catholic Healthcare West
Consorta Inc. Sustainable
Hospitals Project
Kaiser Permanente Antos Environmental DC Department of
Health Environmental
Medical products, LLC
Baxter Healthcare Sodexho Healthcare
Services
“H2E – A Formula for Success”“Environmental programs in health care – Preventative medicine
for human health and the environment…”
www.h2e-online.org
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Environmentally Preferable Products are:Environmentally Preferable Products are:
“products and services [that] have a lesser or reduced effect on human health and the environment when compared to other products and services that serve the same purpose.”
This comparison may consider raw materials acquisition, production, manufacturing, packaging, distribution, reuse, operation, maintenance, or disposal of the product or service.
—Executive Order 13101, Greening the Government Through Waste Prevention, Recycling, and Federal Acquisition, September 16, 1998.
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Why Green Purchasing?Why Green Purchasing?
Develop demand for greener products and services
Reduce hospitals’ “environmental footprint”
Help meet environmental goals through markets rather than mandates
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Why Green Purchasing?Why Green Purchasing?
Recycled aluminum cans require 95% less energy to manufacture than virgin aluminum cans
Using 1 ton of 100% recycled-content paper saves 17 trees and 7,000 gallons of water
100 Energy Star computers and monitors can save $10,000 in energy costs over 5 years
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Why Green purchasing?Why Green purchasing?Consider the full costConsider the full cost
Purchase Price Disposal Cost Occupational Health Costs Liability Environmental Consequences
Total Cost
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Why Green Purchasing?Why Green Purchasing?Costs Increase DownstreamCosts Increase Downstream
$1009
$513
$50
$0.00
$200.00
$400.00
$600.00
$800.00
$1,000.00
$1,200.00
Install MercuryScrubber OnIncinerator
Cleanup BrokenMercury Sphyg
Buy Mercury- FreeSphyg
Cost Per Sphyg
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Why Green Purchasing?Why Green Purchasing?Consider the cost savingsConsider the cost savings
One hospital saved $280 per sink per year by installing $12 flow reduction device in sinks.
One hospital saved $20,000 per year by re-circulating heating/AC water
One hospital saved $42,000 per year by installing Ultra Low Flush Toilets
Energy Efficient equipment can save $100K or more per year, with 2-3 year paybacks
Opportunities for EPP in Opportunities for EPP in Environmental ServicesEnvironmental Services
Carpets/Greening Meetings and Conferences http://www.epa.gov/oppt/epp/documents/pfs.htm#
Green Cleaning Products – H2E http://www.h2e-online.org/tools/chem-clean.htm
Green Buildings – H2E http://www.h2e-online.org/tools/GreenBuildings.htm
Waste Management http://www.h2e-online.org/tools/waste.htm
Disposable vs. Reusable
Developing a sustainable Developing a sustainable EPP Program:EPP Program:
Commitment to EPP principles. Product focus. Developing a set of criteria
or definitions for environmentally preferable products. Working with suppliers, GPOs, vendors
Process oriented. Developing specific steps your department will implement to actually make different purchasing options available.
Education!
Sample Product Selection Sample Product Selection CriteriaCriteria
Mercury free Non-toxic (or minimize toxicity) PVC Plastics or DEHP free Disposal Implications: Recyclable Product and
Packaging, hazardous material disposal… Recycled content (post-consumer) Minimal packaging Energy Efficient Can be reprocessed or reused Take-back provisions
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Focusing on specific products and Focusing on specific products and servicesservices
MORE FACT SHEETS – http://www.epa.gov/cpg/factshts.htm
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Greening Your Purchase of Cleaning Greening Your Purchase of Cleaning ProductsProducts
Why Green Your Cleaning Products
Environmental & Health Concerns
Benefits of Buying Green Magnitude of Potential
Exposure What you Can Do Natural Resource Use Manufacture/Product Content Product Use and Disposal Success Stories Contacts and Resources
Sample GPO EPP Sample GPO EPP Program’s WebsitesProgram’s Websites
Broadlanehttp://www.broadlane.com/broadlane/screen/CommunityPrograms.do?article=communityProgramsEnvResp
Premier (click on different sections in upper righthand box)
http://www.premierinc.com/frames/index.jsp?pagelocation=/all/
safety/resources
Consortahttp://www.consorta.com/Wings/resource_mgmt/epp/default.asp
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Providing ToolsProviding Tools
EPP Database
Identify and compare environmental attributes for key products and services from various information sources, both domestic and foreignwww.epa.gov/oppt/epp/database.htm
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“Promising Practices”
20 case studies incorporating environmental factors into product and service contracts
Links directly to contract language, worksheets, evaluation criteria, etc.
Providing ToolsProviding ToolsProviding ToolsProviding Tools
“H2E – A Formula for Success”“Environmental programs in health care – Preventative medicine
for human health and the environment…”
www.h2e-online.org
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Environmental Services – Environmental Services – Let’s Talk TrashLet’s Talk Trash
Isn’t it to our advantage to make less of it?
Don’t we have healthier staff (patients, visitors, and community) if we are choosing less toxic materials?
We don’t have to clean up toxic spills if we don’t have toxic materials!
Housekeepers make THE difference!!!
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H2E is all about P2 and P2 is all about H2E is all about P2 and P2 is all about Behavioral ChangeBehavioral Change
We are all stewards for the environment
H2E shows that we can meld environmental and healthcare considerations
Changing behavior is a challenge
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But, when we work together ...But, when we work together ...
Almost anything is possible!
Write down this URL
www.h2e-online.orgwww.h2e-online.orgH2H2
EE
H2E Program ContactsH2E Program ContactsToll Free Hotline: 800-727-4179Toll Free Hotline: 800-727-4179
www.h2e-online.orgwww.h2e-online.org
LAURA BRANNEN, HCWH(603) 643-6700
SUSAN WILBURN, ANA(202) 651-7130
TOM MURRAY, EPA (202) 564-8829
Debbie Sprindzunas AHRMM/AHA (312) 422-3842