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

+ +

=

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

20

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