Implementing EPP - Practice Greenhealth...Environmentally preferable purchasing (EPP) strategy...
Transcript of Implementing EPP - Practice Greenhealth...Environmentally preferable purchasing (EPP) strategy...
Implementing EPP
Seema S. Wadhwa Director of Sustainability Inova Health System Falls Church, Va. Director Healthier Hospitals Initiative National
Inova Health System
A LARGE ENVIRONMENTAL
FOOTPRINT!
A not-for-profit healthcare network of hospitals, out-patient clinics and assisted long term care facilities in the Northern Virginia Area
1,700 Hospital Beds 16,000 Employees 5 Hospitals
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2013 Sustainability Tactics Waste
•Expand medical donation program •Create additional feedback/ education loops (i.e. Kermit the Frog Award) •Pursue new waste reduction opportunities
Energy
•Develop 5 year energy management plan •Pass ownership of Energy Star Portfolio Manager to Engineering Teams •Establish energy grant program (vendors, internal)
Water
•Develop 5 year water management plan •Pass ownership of Energy Star Portfolio Manager to Engineering Teams •Investigate opportunities for irrigation and process water improvements
EPP
•Host vendor fair •Develop EPP policy & questionnaire •Integrate EPP tracking tool into Lawson system
Sustainable Foods
•Improve marketing & communications re: sustainable food options •Increase education opportunities tying sustainable foods to health •Increase quantity of sustainable foods purchased •PHA collaboration
Alternative Transportation
•Develop carpooling program •Benchmark fleet metrics & develop supporting policies •Create employee geographical distribution exhibit for each OU
Green Building
•Adopt Green Building standards •Develop Green Major Renovation standards •Develop Green Leasing guidelines
HIT
•Printing fleet management •Marketing achievements: •EPIC •Existing successes •Develop computer shut-off program & supporting policies
Community Benefit
•Enhance co-branding for community engagement •Increase dialogue & partnership with community •Focus on partnering with schools
Employee Engagement
•Establish departmental ownership of Going Green events •Develop Green Champions training program •Create recognition & incentivization program
Communication & Branding
•Create additional channels for open-ended feedback •Increase external communications •Develop additional internal & external series of marketing documents
Education
•Develop LEAP/LEAD education program •Develop new hire education program •Create function-specific educational materials
Roundtable Focus • Life cycle impacts of the products we use and the cost,
environmental and health savings of green products we use Measurement
• Innovation in environmentally preferable purchasing for healthcare
Driving Change
• Packaging improvements and chemical reduction Priority issues
• Developing shared accountability for continued development of Inova’s EPP program Shared accountability
• Identifying opportunities for pilot programs, partnerships Pilot programs
• communication of achievements to Inova stakeholders (internal/external) Enhancing communication
• Current and new products that exhibit EPP traits Identifying environmentally preferable products
EPP Round Table
Inova Health System
HHI/PGH
Johnson and Johnson
Siemens Corporation
Stryker Sustainability
Solutions
Medtronic
Baxter Philips Healthcare
Infor (Lawson)
Morrison
Premier
Boston Scientific
GE-Power and Water
Setting the Stage:
What is Sustainability?
“What impact are we having on our environment” to “What impact is the environment having on our health”
Setting the Stage:
Environmental Health Factors 287 chemicals including: pesticides,
brominated flame retardants, dioxins, phthalates and mercury
“The panel was particularly concerned to find that
the true burden of environmentally induced cancer has been grossly underestimated.”
The American Academy of Pediatrics recommended its 60,000 member pediatricians familiarize themselves
with the potential adverse health effects of chemicals in the environment.
Impacts of the Healthcare Sector
6600 tons of waste daily 836 trillion Btus of Energy 10 Billion dollars annually
8% of US GHG 7% of carbon emissions
The Awakening:
What Does EPP Mean to Inova?
• The front door to a sustainable facility
• Being a responsible member of our community
• Acting as an agent for change with a large purchasing power
• Providing quality healthcare without compromising the environment
Seema Wadhwa 2009
Driving Change Together
Sponsoring Health Organizations
HHI Overview Opportunities Through the collaboration of world-renowned industry experts, HHI has developed and is proud to feature a suite of tools intended to make the fulfillment of this mission as easy as possible. Benefits Free resources Community Publicity Impacting the Sector Measurable Goals Visibility Dashboard of Data Network High Impact
Calendar Case Studies
Regional Maps
Newsletter
Webinars
HHI Resources
Surgical Kit Review
Review at least 30 custom Surgical O.R. kits or 90% of O.R. kit types, whichever is greater in efforts to eliminate unneeded materials
Reprocess Single-Use Medical Devices
Increase procurement of reprocessed FDA-eligible SUDs by 50% (based on dollar expenditure)
Electronic Products Environmental
Assessment Tool (EPEAT) Specify and report expenditures on EPEAT registered devices
Baseline: Pledge to support GPOs using environmental attributes for purchasing products. Level 1 – Commit to one Level 2 – Commit to two Level 3 – Commit to all three
HHI – Smarter Purchasing
Reprocessing Savings
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EPP Strategies
EPP Strategy Progress
Understand and minimize lifecycle impacts of the products used in Inova hospitals
•Environmentally preferable purchasing (EPP) strategy •Integration of EPP into Supply Chain strategy •Value-add for EPP in vendor business review •Lifecycle impact minimization
Develop strategies to help purchasers identify environmentally preferable
products
•Easy-to-understand guides to chemicals of concern commonly found in healthcare products •Enrolled in Healthier Hospital Initiative’s Smarter Purchasing and Safer Chemicals Challenges
Work with suppliers to develop and support new, environmentally preferable
products
•Held and attended EPP meetings with Inova’s supplier partners •OR kit reformulation process •Presentations at CleanMed and other venues on Inova’s EPP progress
EPP Strategies Energy & Water Conservation
Energy and water products should have a reduced environmental
impact or increased efficiency
Local Purchasing
Preferred products contain
content that is extracted,
processed, or manufactured
within a 250-mile radius
Waste Minimization
Recycled content Recyclability Reusability
Reduced materials Biobased content
Biodegradable content
Compostable content
Increased durability Increased length of
service
Chemical Minimization
Products should have limited amounts of:
Mercury Lead PBTs
Reproductive toxins DEHP/other
phthalates PVC/vinyl
Flame retardants BPA
VOCs Latex
Carcinogens Mutagens
Next Steps
Follow up meetings in January
Built in Sustainability with all contract services review
Presentation in Nursing Value Analysis
Committees
Top 10 Checklist for Buyers/Contract
Managers (following a presentation to SCM
Team)
EPP Verbiage for Master Contract
Definitions for EPP Strategies Developed
Build in tracking system Report updates Acquire new products