E111 Leading Communities to a Healthier Future with The Healthier Hospitals Initiative - November 19, 2013

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E111 Leading Communities to a Healthier Future with The Healthier Hospitals Initiative - November 19, 2013
E111
Leading Communities to a Healthier Future with
The Healthier Hospitals Initiative

November 19, 2013
E111 Leading Communities to a Healthier Future with The Healthier Hospitals Initiative - November 19, 2013
“Climate Change Climate change will be
the biggest global health threat of the
21st century.” World Health Organization

“Effects on health of climate change will
be felt by most populations in the next
decades and put the lives and wellbeing
of billions of people at increased risk. ”
The Lancet Journal
E111 Leading Communities to a Healthier Future with The Healthier Hospitals Initiative - November 19, 2013
E111 Leading Communities to a Healthier Future with The Healthier Hospitals Initiative - November 19, 2013
Most vulnerable population.
E111 Leading Communities to a Healthier Future with The Healthier Hospitals Initiative - November 19, 2013
“The Incidence of environmentally
Caused cancers is grossly underestimated.”

Presidential Cancer Report, 2009
U.S. National Institutes of Health

                                             The Lancet, 2007
E111 Leading Communities to a Healthier Future with The Healthier Hospitals Initiative - November 19, 2013
Health care spending is 10% more for health care
workers than for the general population.

“At some point, we need to understand that to
truly reduce health care costs we need to promote
healthy lifestyles to prevent illness – not just focus
on changing benefits plan design.
A healthy environment is an essential component
when pursuing a healthy lifestyle. “
Thora Khademazad
Manager, Health Enhancement
Tenet Healthcare
E111 Leading Communities to a Healthier Future with The Healthier Hospitals Initiative - November 19, 2013
Health Care Sector Accounts for nearly 10%
  of the country’s carbon dioxide emissions
  Journal of the American Medical Association

                                     According to US Department of Energy
                                     Information Agency, hospitals and health
                                     care facilities are the second most energy
                                     intensive building sector in the U.S.,

November 2009
E111 Leading Communities to a Healthier Future with The Healthier Hospitals Initiative - November 19, 2013
What Engages Employees?
                      US businesses lose $11
 •Relationship with   billion annually as a result
                      of employee turnover.
   immediate          Bureau Of National Affairs

   supervisor
 • Belief in senior
   leadership
 • Pride in working
   for the company
E111 Leading Communities to a Healthier Future with The Healthier Hospitals Initiative - November 19, 2013
E111 Leading Communities to a Healthier Future with The Healthier Hospitals Initiative - November 19, 2013
What are the goals of a Healing Environment?

              Evidence     Sweet   Environmental
            Based Design    Spot    Stewardship
             Principles

            1. Improve Safety
            2. Contribute to Ecological Health
            3. Reduce Stress of Building Occupants
Making the Connection

                         Healthcare’s
                                          “Ah Ha!”
                          Impact on
                         Environment

            Responsible and        Environment’s
             Preventative         Impact on Public
               Medicine                Health

                       First Do No Harm
HHI Overview
Sponsoring Health Systems
Healthier Hospitals Initiative

  Goal is to enroll 2000 hospitals

  FREE for all enrollees

                           Modeled after IHI 100,000 Lives Campaign
                            • Acceleration strategy at the intersection
                              of sustainability, patient and worker safety
                            • Using proven strategies to drive success

   Milestone Report
   a POWERFUL evidence-based story to tell
Power of Standardized Data Collection
  Challenge            Goal                                 Measure
  Engaged Leadership   Over 20 qualitative activities       Level 1 – 3 measures
                                                            Level 2 – 6 measures
                                                            Level 3 – 10 measures
  Healthier Food       Healthier Beverages                  Dollars Spent
                       Meat Reduction
                       Local Sourcing of Fruits & Veggies
  Leaner Energy        Energy Reduction                     Energy Star to track reduction
                                                            in weather adjusted energy
                                                            intensity by 3, 5 or 10%.
  Less Waste           Recycling                            Pounds to total
                       RMW Reduction                        Pounds per Adjusted Patient
                       C&D Recycling                        Day
  Safer Chemicals      Healthier Interiors                  Dollars
                       DEHP Free Medical Devices            Qualitative
                       Green Cleaning                       Dollars
  Smarter Purchasing   SUD Reprocessing                     Dollars
                       Kit Reformulation                    Qualitative Count
                       EPEAT                                Dollars
Foot in the Door With
• Cost Savings First
• Regulatory
  Compliance
• Safety, Quality
• Health
• Engagement
• Press
Engaged Leadership
          Strategic Priority:                          Operational Focus:
 • Create a strategic sustainability plan    • Create sustainability responsibilities
                                               within the organization
 • Create a Mission statement/Guiding
   principle/charter                         • Create an environmental steering
                                               committee with regular meetings

   Systematic Communication:                       Stakeholder Engagement:
 • Communicate progress on                   • Participate in programs to support
   sustainability initiatives to the board   employee and community engagement
 • Report progress regularly on             • Educate all employees, including entering
   sustainability initiatives to leadership employees, about sustainability
   team

 Level 1 – 3 of indicators
 Level 2 – 6 of the indicators
 Level 3 – 10 of the indicators
“Cape Coral Hospital & Lee
Memorial Health System are
committed to a holistic approach to
care. Gone are the days of just
treating a symptom or a disease;
today the patient as a whole is the
focus, their well-being a priority,
and supporting them in an
environment that promotes
wellness with a staff that focuses
on the patient and their caregiver's
whole self the goal. This also
means we take care of ourselves
before we can truly care for others."

Scott Kashman
Chief Administrative Officer
Cape Coral Hospital - Lee
Memorial Health System

                                        18
Leadership involvement in
  sustainability is the driving force on the
  road to a successful implementation.

Cristina Jimenez, Chief Operating
Officer, Tenet Coral Gables Hospital

                                               19
Discussion

                                       Scott Kashman
Cristina Jimenez, Chief Operating      Chief Administrative Officer
Officer, Tenet Coral Gables Hospital   Cape Coral Hospital - Lee Memorial Health
                                       System
Strength in Numbers
The 2012 HHI Milestone Report summarizes the initiative’s first
year of progress, with over 700 hospitals committed to HHI and
more than 350 contributing to the data pool.
Here are some of the incredible accomplishments:

                     • 50 million pounds of materials recycled
                     • $32,089,776 in savings resulting from
                       single-use medical device reprocessing
                     • $9 million spent on local/sustainable
                       food options
                     • $19,029,640 spent on DEHP/PVC free
                       medical products

                                                                  21
p
Thank you – Learn more and get involved

 Janet Brown
 413/253-0254
 jbrown@healthierhospitals.org
 www.healthierhospitals.org
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