Practice Greenhealth Academy: CleanMed 2013

CM13C6 - Mayor Bloomberg's NYC Carbon Challenge

The NYC Mayor's Office of Long-term Sustainability and Montefiore Medical Center have partnered together to reduce greenhouse gas emissions 30 percent by 2018. The presentation will explore the history of the program, why it was created, metrics used, current participants and future implications. It will also explore progress to date with one of its participants, Montefiore Medical Center, sharing its plan to meet its target on schedule. The program can be used as a model for other cities to implement across the country. Learn first-hand about the opportunities to become more sustainable in your community. SPEAKER: Thomas Kelly, Energy & Sustainability Manager, Montefiore Medical Center | Jenna Tatum, Mayor's Carbon Challenge Coordinator, NYC Mayor's Office You must register to access.

CM13B1 - A Full-Circle Approach To Food: Procurement Employee Education, And Waste Reduction

In this presentation, we will share our roadmap for our full-circle approach to our food policies and practices: the key elements of our food procurement guidelines and the process through which they were developed and adopted; our approach to establishing a "food value analysis committee;" our employee engagement programs; our expansion of our food waste reduction programs including instituting reusable serviceware, pre- and post-consumer composting, and food donation; and educational programming for clinicians. SPEAKER: Aparna Bole, Physician, University Hospitals Health System, Cleveland | Matthew Pietro, Sustainability Specialist, University Hospitals Health System, Cleveland You must register to access.

CM13E8 - Lifecycle Cost Analysis & Impact To Sustainability

By considering a total cost of ownership (TCO) evaluation before purchasing diagnostic and other capital equipment, healthcare facilities can help ensure that these purchases support their larger environmental impact and sustainability goals. Since the departments that bear the ongoing operational cost of equipment may be different than those who are responsible for procurement, internal processes may not be aligned to encourage accountability for lifecycle cost analysis during when making purchasing decisions. Most suppliers do not have a common TCO measurement system and the purchasing organization will need to know how to ask for this information during their RFP process. This session will provide participants with an understanding of the TCO concept and detailed case studies based on implementation strategies. SPEAKER: Michael Jones, Corporate Director, Clinical Education and Sustainability, HealthTrust| Adam Cornfield, Product Marketing Manager,Clinical Laboratories, Ortho Clinical Diagnostics You must register to access.

CM13D4 - Sodexo: Applying a Community Of Practice To Accelerate The Adoption Of Sustainability

Sodexo, a global management company, is proud to be a leading organization working toward sustainability in all the markets we serve. We have been recognized for our commitment to sustainability by numerous external organizations including the Dow Jones Sustainability Index seven times since 2005 as a global leader in sustainability. A key component toward our success is nurturing an engaged environment around sustainability. Sodexo North America has adopted a cross divisional community of practice through the Sustainability Engagement and Expert Development (SEED) network. A panel of SEED members representing four major hospital systems will illustrate how their experiences and partnerships have translated into a myriad of original and impactful best practices at sites across the country. These topics will focus on the areas of improved health and wellness, protecting and restoring our environment and strengthening our local communities. SPEAKER: Rosine Ackerman, District Manager, Los Angeles, Sodexo | Jaclyn Doucet, Operations Manager, Sodexo/Beth Israel Deaconess Medical Center | Debbie Petitpain, Team Dietitian, Bariatric Surgery Unit, Medical University of South Carolina | Holly Fowler, Senior Director, Sustainability & CSR, Sodexo North America You must register to access.

CM13C2 - The Role Of The GPO In Building a Sustainable Food System Supply Chain

For many healthcare organizations, group purchasing organizations (GPOs) are seen as a barrier to the procurement of local and sustainable food. This presentation will focus on the story of a Canadian GPO that turned this barrier into an opportunity to generate more than $1 million for local farmers in Ontario. Although there were challenges encountered along the way, the achievements made the hard work worthwhile, and the lessons learned in the process are transferable and relevant to any healthcare foodservice setting. The lessons that will be explored include: driving up demand through education, building connection back into institutional food systems, RFPs and contracts that pave the way for local food, and celebrating easy wins and "low hanging fruit." SPEAKER: Brendan Wylie-Toal, Project and Research Manager, My Sustainable Canada | Wendy Smith, Materiel Management Analyst, MEALsource, St. Joseph’s Health System, Group Purchasing Organization You must register to access.

CM13A7 - A Winning Lean And Green Collaboration

Many health care organizations are applying lean principles to improve efficiency, add value, eliminate waste and achieve cost savings. Lean, by its nature, reduces waste and produces other environmental improvements. Some organizations, including MetroWest Medical Center, have learned that lean tools and concepts can greatly advance sustainability efforts. In this interactive workshop you will learn about the link between lean and sustainability and how to use lean principles to further sustainability within your organization. SPEAKER: Amy Collins, Staff Physician and Sustainability Coordinator, MetroWest Medical Center | Timothy Jones, President & CEO, Northern Berkshire Healthcare You must register to access.

CM13A8 - Leed For Healthcare: Inspiring High Performance Healing Environments A Panel Discussion: US Green Building Council, Seton Healthcare Family

In recent years the healthcare industry has come a long way in defining the goals of sustainability that can be embraced to improve the effectiveness and performance of the healthcare delivery system. The dynamic session format will include an overview of LEED for Healthcare, its uptake in the marketplace since its launch in 2011, and its evolution as part of the LEED v4 anticipated release in June 2013. As the first LEED Platinum-certified hospital in the world, Dell Children's Medical Center of Central Texas provides a compelling case study of how a commitment to effective, environmentally inspired design and operations has catalyzed a culture of continuous improvement. Its new 75,000 sq. ft. patient bed tower addition positions Dell Children's as a pioneer in applying LEED for Healthcare and provides valuable insight in how LEED for Healthcare as a health-based rating system informs design strategies and materials specifications that contribute to a high performing healing environment. SPEAKER: Michele L. Van Hyfte, AIA, LEED AP, Manager, Environmental Stewardship, Seton Network Facilities, Austin, Texas | Melissa Gallagher-Rogers, LEED AP, Director, Technical Solutions, U.S. Green Building Council | Gail Vittori, LEED Fellow, Co-Director, Center for Maximum Potential Building Systems You must register to access.

CM13C5 - Green Revolving Fund: A Sustainability Financing Mechanism

Hear from experts from the Sustainable Endowments Institute (SEI) of a step by step approach to implementing a green revolving fund for your facility. With a median 29percent ROI for 75 academic institutions, green revolving funds help organizations reduce operating expenses and greenhouse gas emissions, while creating regenerating funds for future projects. GRFs invest in energy efficiency, waste reduction and resource management projects to reduce energy consumption and reinvest the money saved in future projects. The session will feature a case study by Buffalo Niagara Medical Campus and will provide you with the tools and guidance needed to develop a fund at your facility. The session will highlight seed funding opportunities, project selection, fund management, and the committee formation process. SEI is a nonprofit organization that works with healthcare institutions, higher education, municipalities, and non-profits to establish green revolving funds. SPEAKER: Mark Orlowski, Founder and Executive Director, Sustainable Endowments Institute | Max Storto, Senior Research Fellow, Sustainable Endowments Institute You must register to access.

CM13E5 - International Carbon Footprint Method For Medical Products

The session will raise awareness of climate change and encourage debate regarding the need to appraise the carbon footprint of pharmaceutical and medical devices. It will signpost the sector to GHG Protocol Product Life Cycle Accounting and Reporting Standard: Sector Guidance for Pharmaceutical and Medical Device Products, and provide direction on how to use the guidance to meet the following objectives: 1) reducing greenhouse gases emissions - with associated reputational benefits and ability to differentiate; 2) identifying potential cost savings - directly affecting the bottom line; 3) identifying points of risk in the value chain - and helping to minimize them early; 4) informing customers - stakeholders require robust and well-founded information to ensure confidence in current and future performance; and 5) preparing for any future questions from stakeholders, or for any strengthening of procurement requirements and regulations. SPEAKER: Tom Penny, Consultant, Environmental Resources Management, UK | Laura C. Draucker, PhD, Sustainability Manager, World Resources Institute, Senior Associate, Greenhouse Gas Protocol You must register to access.

CM13B3 - Getting Started At Your Facility

Just getting started in health care sustainability at your facility? Trying to create order out of chaos? Don't be a deer in headlights—take a deep breath and join us for a step by step approach to developing and implementing a cohesive plan at your facility. From team development to goal setting, measurement, reporting and staff engagement, we'll provide the guidance and discuss what works and doesn't work at your facility. Join the conversation and feel confident in your approach at your facility. SPEAKER: Janet Brown, Director of Facility Engagement, Practice Greenhealthand Director, Content and Outreach, HHI | Cecilia DeLoach Lynn, Director of Facility Engagement & Metrics, Practice Greenhealth You must register to access.

CM13B10 - Improving Environmental Performance Of The Operating Room

Learn about Life Cycle Assessments and how you can determine which elements of your operating room have the largest impact on your facility’s environmental sustainability. Participants will be guided through life cycle thinking exercises, and based on the results of the Magee-Womens Hospital case study, we will debate potential strategies for sustainable improvements in the OR. SPEAKER: Prof. Melissa Bilec, Assistant Professor, University of Pittsburgh | Dr. Noe Woods, Assistant Professor, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine | Prof. Amy Landis, School of Sustainable Engineering and the Built Environment, Arizona State University | Cassandra Thiel, Sustainable Engineering, University of Pittsburghs You must register to access.

CM13D3 - Reconnecting Medicine to Environmental and Public Health: The New Frontier of Environmental Nutrition

This session will explore the imperative for a new thinking about health and nutrition to include a critical framing around a healthy food system. The speakers will frame the issue of environmental nutrition and the need for a broader understanding of food system issues and how improving public health requires clinicians to take a new approach to prevention. The CT Mental Health Center will share their initiatives to make food and a healthy food system a key focus of their approach to improving mental health in their community. Fletcher Allen Health Care will discuss how they are linking their commitment to healthy and sustainable food service operations and a healthier food system to broader efforts around the Affordable Care Act to promote prevention. SPEAKER: Diane Imrie, Director of Nutrition Services, Fletcher Allen Health Care | Michael Sernyak, MD, CEO, Connecticut Mental Health Center, Yale University School of Medicine | Preston Maring, MD, Associate Physician in Chief, Kaiser Permanente Medical Center Oakland You must register to access.

CM13A6 - Energy Conservation Success With The Healthier Hospitals Initiative!

A panel composed of Healthier Hospital Initiative’s Leaner Energy Challenge Enrollees will share their progress on achieving three, five and 10 percent energy reduction goals, as tracked through Energy Star’s Portfolio Manager. The discussion will cover energy conservation successes, tracking and reporting, funding mechanisms, making the case for energy investment and staff engagement. SPEAKER: Bill Ravanesi, MA, MPH, Boston Regional Director, Health Care Without Harm |York Chan, CHFM, Director of Facilities Engineering, Advocate Health Care|John Messervy, AIA, Director of Capital and Facility Planning, Partners HealthCare | Karen Schwartz, Vice President, Support Services, Bon Secours Health System You must register to access.

CM13E6 - Power: CHP - Case Studies, Driver, Incentives, Finance

Combined Heat and Power (CHP) plants offer hospitals leaner, cleaner, more reliable and resilient energy supply. We will examine the key parameters driving success in CHP development, including financing and incentives, with case studies to demonstrate its real world power, environmental and financial performance, including greenhouse gas reduction analysis. Use this session to get a handle on the many opportunities and issues, including state and federal incentives, interconnection, standby rates and utility interface. We have planned a rich discussion of existing and innovative financing mechanisms and options, since this is often a barrier to otherwise meritorious projects. SPEAKER: Bill Ravanesi, Boston Regional Director, Health Care Without Harm | Victor Radina, Director, Health Care Finance Group, Citigroup | Beka Kosanovic, Director of Industrial Assessment Center, University of Massachusetts, Amherst | Thomas Bourgeois, Deputy Director, Energy Project, Pace University You must register to access.

CM13B4 - Environmental Health Community Benefits: Moving Upstream To Prevent Harm

How can community benefit needs assessments uncover your community's most important environmental determinants of health: those of greatest concern to community members and/or health professionals? How can your institution help address those needs, and report it properly under the new IRS guidelines? What can we learn from a case study research project collecting examples of main stream and innovative environmental health community benefit activities nationwide, scheduled for publication in mid-2013? Come hear answers and discuss what the ‘next generation’ of environmental health community benefits should look like. SPEAKER: Julie Trocchio, Senior Director, Community Benefit and Continuing Care, Catholic Health Association | Patsy Matheny, Community Benefit Consultant, Patsy Matheny LLC You must register to access.

CM13A5 - Using Sustainability Metrics To Drive Performance

This session will review the common sustainability metrics used in the healthcare sector and evaluate the feasibility of using these and other new metrics to accurately measure sustainability performance. Join us to talk about which metrics best demonstrate success in different focus areas such as waste, water, energy, food and environmentally preferable purchasing; what data must be captured to track these metrics; and what challenges lie in their interpretation. SPEAKER: Cecilia DeLoach Lynn, Director of Facility Engagement & Metrics, Practice Greenhealth You must register to access.

CM13B8 - Cutting Edge Energy + Matter: 5 Pace Setting, Mid-Atlantic/Northeast Case Studies

Five new/pace-setting world-class healthcare case studies of projects in the New England/Mid Atlantic climate zones will be offered in the form of unsolved energy and interior finish design challenges. Learn from and critique projects, e.g., Memorial Sloan-Kettering Cancer Center, Children's Hospital of Philadelphia and Elizabeth Seton Pediatric Center in an active discussion between the presenters and the audience. SPEAKER: Carl Ian Graham, Principal, Viridian Energy & Environmental | Shashi Sheri, General Manager Engineering, Memorial Sloan-KetteringCancer Center | Catherine Bobenhausen, Project Manager, Senior Industrial Hygienist, Viridian Energy & Environmental You must register to access.

CM13A10 - Greening The OR: Case Study of Success and What's Next?

The operating room leaves a considerable environmental footprint, but many facilities are finding and driving innovative sustainable solutions within the surgical department. Learn about several successful case studies and what’s next for Greening the OR. SPEAKER: Kaeleigh Sheehan, Project Manager, Practice Greenhealth You must register to access.

CM13D5 - The Sustainability Imperative For Health Insurance Providers

While property and casualty insurers and re-insurers are engaging on sustainability due to the physical risks posed by environmental issues such as climate change, health insurance companies have generally stayed on the sidelines. However, with the growing recognition of both the impacts of natural and built environments on health and sustainability's potential benefits for the healthcare industry as a whole, this is changing. This workshop will provide insight into the evolving insurance provider view of environmental sustainability as a business and health imperative, discuss ways the industry would like to contribute to the CleanMed community, and engage the audience in an important conversation around sustainable value creation in health care. SPEAKER: Kyle Cahill, Sustainability Manager, Blue Cross Blue Shield of Massachusetts | Phyllis Barber, Sustainability Coordinator, Highmark, Pittsburgh | Andrew Smith, Head of Sustainability Strategy, Bupa, UK You must register to access.

CM13C4 - Sustainability For Healthcare Management: A Leadership Imperative

The presenters explore leadership priorities through sustainability, beginning with the journey of a leader, Knox Singleton, Chief Executive Officer of Inova, a community health system based in Virginia. Mr. Singleton will share his personal story about the sustainability journey and what compelled him to embrace sustainability as a leadership priority. SPEAKER: Knox Singleton, CEO, Inova Health System | Carrie Rich, Senior Director, Business Integration, Inova Health System | Seema Wadhwa, LEED AP, Director of Sustainability, Urban Ltd, Healthier Hospitals Initiative, Inova Health System You must register to access.

CM13C3 - Benefits of Sustainable Hospitals Beyond the Cost Curve: Next Steps for Research

U.S. health care costs continue to outpace growth in the nation's GDP. One area of potential savings is the system's costly environmental footprint. We will discuss our recently published study of cost savings from hospital implementation of energy use reduction, waste reduction, and more efficient purchase of operating room supplies. We will also describe priorities and next steps for research on economic and related potential benefits of sustainability in health care—from more engaged employees, to improved population health leading to reduced health care and societal costs, to reduced transportation-related pollution in communities. Such research can be useful to health care decisionmakers, policymakers, and others. SPEAKER: Susan Kaplan, Research Assistant Professor, School of Public Health, University of Illinois, Chicago | Blair Sadler, Senior Fellow, Insitute for Healthcare Improvement | Peter Orris, Professor and Chief of Service, Occupational & Environmental Medicine, University of Illinois, Chicago You must register to access.

CM13D7 - Implementing The HHI Safer Chemicals Challenges

The Healthier Hospitals Initiative (HHI) represents a shared leadership to promote healthier communities, including reductions in exposures to harmful chemicals. In this session, Beaumont Health System and Kaiser Permanente will serve as case studies for how to implement the Safer Chemicals Challenges, discussing best practices, steps for overcoming challenges, internal messaging, strategies for achieving the challenges, and key partnerships with vendors in the purchase of safer materials. The session will provide participants engaged in the HHI Safer Chemicals Challenges with the opportunity to share their own experience and to learn from other participating hospitals about potential solutions to barriers to success. Geraldine Drake, Interior Design Manager, JLL at Beaumont Health System | Steven Kooy, Global Sustainability Manager, Haworth | Rachael Baker, Regional Support Services Manager - Northern California Region, Kaiser Permanente You must register to access.

CM13E7 - Healthy Interiors In Health Care: Selecting Safer Materials And Reducing Toxic Exposure

In furtherance of the Healthier Hospitals Initiative (HHI) Safer Chemicals Healthy Interiors Challenge, this session will explore tools and techniques to assist facility leaders and designers when establishing materials standards for organizations and specifying healthy building materials during the design process. Speakers will articulate the health rationale for an informed selection process and explain the key components to a thorough, healthy materials specification. Participants will form breakout groups for an interactive session in which to use the tools relative to a set of health performance criteria in a hypothetical materials selection process for an actual project. Participants will report their findings to the larger group, sharing how and why materials and standards were selected. Speakers will identify the materials selected for the actual project, along with an example of a healthy materials standard, to support a group discussion comparing the selection processes. SPEAKER: Amy Mays, Senior Healthcare Interior Designer, Perkins+Will | Lisa Goodwin Robbins, Architect, Kalin Associates, Inc. You must register to access.

CM13B2 - Building Effective Teams To Promote Healthy Sustainable Food Service Operations

The session will explore internal team building as well as connections in the community, to build and effective sustainable food service operation. Whether contracted or self-operated, hospitals will learn how two leaders in the field have worked across departments and the walls of the hospital to develop successful programs. SPEAKER: Barbara Hamilton, Sustainability Manager, Palomar Health | Shawn Goldrick, Director, Patient Support Services Director, Boston Children's Hospital | JuliAnna Arnett, Senior Manager, San Diego County Childhood Obesity Initiative You must register to access.

CM13A9 - Going Beyond The Expected: Recycling Success With Harvard And Yale Affiliated Facilities

This exciting session features sustainability champions from two hospitals affiliated with famously competitive educational institutions. Today, they collaborate to share successes relative to managing their waste streams. Yale-New Haven Hospital will share their successes in waste segregation and single stream recycling. By partnering with local vendors and empowering hospital staff, Yale-New Haven Hospital was able to build a streamlined waste program that effectively enhances sustainability throughout the greater community. Dana-Farber Cancer Institute successfully changed their approach and implemented single-stream recycling. They created a completely in-house program for confidential document management and destruction. The Institute has not only significantly increased the tonnage of recycled material, but it has also reduced its total solid waste. In addition, they earn small revenue through the selling of shredded paper fiber. Participants will learn the importance of environmental stewardship and their role in effectively and sustainably managing waste cradle to grave, beyond just reducing trash generated. SPEAKER: Cristina DeVito, Sustainability Coordinator, Yale-New Haven Hospital | Michael Wachala, Environmental Compliance Coordinator, Dana-Farber Cancer Institute | Enrico Vona, Vice President, Sales, Stericycle You must register to access.

CM13A2 - Power In Numbers: Institutional Purchasing Partnerships Building A Regional Food System

The combined purchasing power of a team of San Francisco Bay Area hospitals dedicated to local and organic food procurement demonstrates the capacity of the health care sector to move the marketplace toward sustainability. This session will explore this initiative, and efforts in New England to aggregate institutional demand to build a regional food system. SPEAKER: Hannah Mellion, Food System Activator, Farm Fresh Rhode Island | Ariane Michas, Manager, Local Food Systems Program, Community Alliance with Family Farmers You must register to access.

CM13C7 - The Future Of Materials In Healthcare: Moving Toward Resilience

The design of health care in the U.S. is undergoing re-examination. As a sector that generates 5.9 million tons of waste yearly, and the nation's second largest energy consumer and chemical user, health care is grappling with the limits of its growth trajectory because of the disease burden and cost associated with it. The Triple Aim and the Affordable Care Act challenge health care to move beyond disease treatment to re-connect medicine with public and environmental health. Our material economy is a principal determinant of health, thus providing a critical intervention point to promote health. This session will explore emerging models that consider materials as part of a larger ecosystem, or "ecological metabolism." Speakers will consider the following questions: How can we transform the materials we use so they support the creation of resilient communities and individuals? How can the manufacture and use of materials help restore the degraded systems on which life depends? SPEAKER: Tom Lent, Policy Director, Healthy Building Network | Mark Rossi, Co-Director, Clean Production Action You must register to access.

CM13B7 - Eliminating Toxic Chemical In Products: Strategies For Success

Due to increased organizational awareness, consumer demand and changing regulations, leading product manufacturers, suppliers, and health care organizations are highly motivated to eliminate chemical hazards from their supply chains and identify and use safer alternatives. To this end, health care organizations are establishing internal chemical management policies, requiring suppliers to disclose chemicals in products, identifying chemicals of concern to human health or the environment, and selecting safer alternatives. They are purchasing: greener cleaners; medical devices without mercury, PVC, or DEHP; environmentally preferable electronics; and building and office products without toxic flame retardants. Together product manufacturers, suppliers, and health care organizations are collaborating on this effort to improve the health outcomes of patients, workers, and communities by reducing the use of hazardous chemicals in products, consequently our environment. SPEAKER: Monica Nakielski, Project Manager, Sustainable Initiatives, Partners Healthcare | Roger McFadden, Vice President, Senior Scientist, Staples You must register to access.

CM13D1 - HHI Healthy Food Challenge: Making And Measuring Change

Over 150 hospitals have taken the Healthy Food Challenge. Come hear from three leading healthcare organizations as they share strategies and stories about their implementation of the HHI Food challenge. There will be opportunity for discussion and questions to engage other organizations that have signed on, or are considering doing so. SPEAKER: Carolyn Billetdeaux, Sustainability Associate, Inova Health System | Jack Henderson, Associate Director, Operations, UCSF Medical Center | Lynn Larsen, Clinical Nutrition Manager, Beverly Hospital You must register to access.

CM13E3 - Physician Engagement And The Role of The Physician

While nurses have a long history as leaders in the health care sustainability movement, physician engagement and leadership is often lacking. Given the pressures and demands of daily medical practice and the lack of education about environmental health and sustainability, it is rare to find physicians who are actively involved. This is unfortunate as physicians are well-poised as leaders, to advocate for sustainability as an opportunity for improved health and to bring this important work to the patients. In this interactive session, three physicians will share their experiences combining clinical practice with sustainability work. We will discuss strategies and opportunities for physician involvement, explore ways to overcome barriers to participation and discuss next steps for bringing physicians to the forefront of the health care sustainability movement. SPEAKER: Lauren Berkow, MD, Associate Professor of Anesthesiology, Johns Hopkins University School of Medicine | Amy Collins, MD, Staff Physician and Sustainability Coordinator, MetroWest Medical Center | Ted Shieh, Chief Medical Information Officer, Vanguard Westlake Hospital | Jodi Sherman, MD, Assistant Professor of Anesthesiology, Environmental Compliance Officer, Yale University, School of Medicine You must register to access.

CM13D6 - Dueling Cities: Hospital Energy Management In Boston & Chicago: Not Just For Energy Geeks

To improve public health, reduce hospital energy use, reduce costs and greenhouse gas emissions, everyone, from clinicians to executives, needs to understand the basics. How can you benchmark facilities, best practices, and strategies across cities, hospital cultures, and power grids? Join us as we compare the anatomies of Boston and Chicago hospital energy management. Learn insights from ground breaking energy and water surveys of 114 mid-western hospitals, including 17 in Chicago, compared to new data for 18 Boston hospitals covering 56 facilities. We'll compare energy saving strategies used in Advocate Healthcare's 10 Illinois hospitals and some from Boston. Almost anyone can be an energy champion for their facility, so come learn what you need to know to ask the right questions, make change, and help your institution. Boston and Chicago have different approaches; what are the pros and cons, and what might you do in your institution and city? SPEAKER: Paul Lipke, Senior Advisor, Energy & Buildings, Health Care Without Harm | Dan Doyle, President, Grumman/Butkus Associates | York Chan,CHFM, Director of Facilities Engineering, Advocate Health Care You must register to access.

CM13B6 - "Come On Down:" How To Achieve 100 KBTU/SF/YEAR, With A Gundersen Case Study

The Targeting 100! Research Program and the new Gundersen Lutheran critical care tower show how to build exceptionally energy efficient hospitals in the most diverse climate regions and most populous centers of the U.S. Detailed energy and cost models lay out how to reduce energy by 60percent from typical examples, and meet the 2030 Challenge with very little incremental cost increase. Inspired by low energy examples world-wide and extensive input from industry experts, overarching strategies include high interior environmental quality, goal setting, energy benchmarking and tracking, and integrated teams and strategies, supported by a new a digital tool. See it all coming to reality in the ground breaking Gundersen Lutheran Critical Care Tower expansion in LaCrosse, Wisconsin, as Gundersen Lutheran stays on track to become energy independent by 2014. SPEAKER: Heather Burpee, Research Assistant Professor, Department of Architecture, University of Washington | Matthew D. Sanders, AIA, Senior Project Designer, AECOM| Alan Eber, Manager of Engineering & Energy Management, Gundersen Lutheran Health System You must register to access.

CM13B9 - Leveraging Sustainability With Waste Contracts - Lessons Learned At Ascension And Hospital Corporation Of America

HCA will highlight both traditional and innovative methods of incorporating sustainability objectives into the waste and recycling contracting process. A case study will highlight HCA's system wide waste and recycling contract and implementation, impacting their 162 facilities. Incentives, data collection and reporting and participation in the Healthier Hospital Initiative's Less Waste Challenge will be covered. Ascension Health will provide a case study of strategies and tactical steps that turned Ascension Health's Lourdes Hospital's food waste into either compost or feed for local farms. Participants will broaden their concept of recycling and reuse of materials and see the environmental, economic and community benefit of waste management and also for system-wide contracting for improved environmental performance and cost savings. SPEAKER: Juliet Berling, Director, Environmental Stewardship, Lourdes Hospital | Lois Sechrist, Environmental Sustainability Analyst, Ascension Health | Jerone Cecelic, Assistant Vice President, HCA You must register to access.

CM13C9 - Achieving More With Less

UC Davis and Fairview Health Services share their reuse successes for improved efficiency and cost savings. UC Davis Medical Center, a 600 bed teaching hospital in Sacramento, CA will cover the process and implications of developing a multi-disciplinary Linen Task Force to establish a baseline and implement five policy changes, resulting in cost savings and measured improvements. Early results demonstrated a cost-savings in linen replacement and laundering costs, and the program has received acceptance from staff and patients in line with quality, safety and the patient-focused model of care. In order to reach lofty waste reduction goals, Fairview Health Services realized they would need to fully embrace the mantra REDUCE, REUSE, and RECYCLE. To put this practice into motion, they launched "Reuse Stores" at six Fairview facilities in 2012. Instead of purchasing new, these stores reallocate excess and unused office supplies and furniture across the system. Using their success as a catalyst, they will discuss how anyone can launch a reuse store and in broader terms, how healthcare can gain control of the excesses beyond the recycling bin. Join us for two win-win strategies, where less is definitely more. SPEAKER: Joanne Brasch, Sustainability Researcher, University of California, Davis | Crystal Saric, Sustainability Program Manager, Fairview Health Services You must register to access.

CM13D9 - Less Waste Using Lean Principles

This session will feature Boston's Partners Healthcare and California's Kaiser Permanente in their use of lean principles to improve waste reduction efforts. Lean principles were used to understand the critical processes involved in waste generation, material and waste baseline, identification of priority areas, program design and implementation, and measurement and reporting. Attendees will leave with an understanding of how manufacturing tools can be used to manage the waste stream at their facility and a better understanding of how to analyze waste leaving the facility. In this session, members of the Partners and KP teams will share their learning experiences and audience members will come away from the program with an introduction to lean applications, some tips on improving waste reduction, and an understanding of some common elements of high-performing teams. SPEAKER: Timothy Eng, Environment, Health and Safety Manager, Kaiser Permanente | Millie Calistri-Yeh, Research & Development Manager, Becton Dickinson | Monica Nakielski, Project Manager, Sustainable Initiatives, Partners Healthcare | Lisa Turturro, Vice President and Health Care Practice Leader, Haley & Aldrich You must register to access.

CM13E9 - Hands- On Strategies To Reduce Pharmaceutical Waste In A Healthcare Facility

Representatives from the University of Wisconsin extension service, the Wisconsin Department of Natural Resources and Northwestern Hospital will discuss the growing challenge of pharmaceutical waste for healthcare facilities. With a case study and hands on practice, participants are sure to get ideas to take back to their facilities to improve the management of pharmaceutical waste. Minimizing such waste can reduce the costs of purchasing and disposing of unused medications, as well as reducing impacts to the environment. Learn how to stay ahead of the latest regulatory standards. This program will provide participants with examples of how a healthcare facility implemented a program that engaged hospital leaders and shifted the culture to a "we're all in this together" mentality for managing waste. Participants will also learn and apply strategies for minimizing pharmaceutical waste in healthcare facilities. Small groups will apply the strategies to a particular pharmaceutical waste and determine who needs to be involved in choosing and implementing solutions. If you have a laptop or tablet that can connect with the Internet through a 3G or 4G network (not only through Wi-Fi), please bring it to this session. SPEAKER: Barb Bickford, Hydrogeologist, Wisconsin Department of Natural Resources | Steve Brachman, Green Team Member, University of Wisconsin, Milwaukee |Despina Kotis, Pharmacy Director, Northwestern Memorial Hospital |Hermine Levey Weston, Health Care Sustainability Engagement Manager, Practice Greenhealth You must register to access.

CM13B5 - International Session: Global Green & Healthy Hospitals Fostering Sustainability In Healthcare Worldwide

n 2012 Health Care Without Harm launched Global Green and Healthy Hospitals, a worldwide network of hospitals, health systems and health organizations committed to reducing their environmental footprint. In less than one year, institutions representing the interests of more than 4,000 hospitals on six continents joined up—reflecting growing international interest and enthusiasm for sustainability in healthcare. Founding members of the network include the Australian, Chinese and Indonesian hospital associations, local and national government health systems from Argentina, Chile, England, Mexico and Thailand, organizations such as the Healthier Hospitals Initiative in the US and Health Promoting Hospitals in Europe, along with hundreds of individual hospitals health systems from countries including Brazil, India, Nepal, Korea, Philippines, Taiwan, and more. Panelists will discuss specific sustainability initiatives from around the world, the development of the global network, and the role of US hospitals and health systems in the effort. SPEAKER: Vital Ribeiro, President, Hospitais Saudaveis, Brazil | Josh Karliner, International Team Coordinator, Health Care Without Harm | Kathy Gerwig, Vice President of Workplace Safety and Environmental Stewardship Officer, Kaiser Permanente You must register to access.

CM13A3 - EPP 101: The Art of Sourcing Greener Products

Whether you have years of experience or are just getting started, you will gain tremendous insight from supply chain experts who know the ins and outs of procuring environmental preferable products. Participants will learn best practices for Environmentally Preferable Purchasing (EPP) implementation and ways to achieve cost savings. Learn how to prioritize and uncover opportunities, negotiate ideal terms and conditions with suppliers, and work best with sourcing managers to gain support from all stakeholders. Using specific examples from their organizations, the speakers will share the art of sourcing through the lens of EPP. Hear how this work translates into results from two leading health systems. SPEAKER: Rachael Baker, Regional Support Services Manager - Northern California Region, Kaiser Permanente | Nestor Jarquin, Surgical Sourcing Manager, Kaiser Permanente | Beth Eckl, Director, Environmental Purchasing Program, Practice Greenhealth | Cathy Fischer, Executive Director of Supply Chain, Gundersen Health System You must register to access.

CM13D2 - Greening The Supply Chain: GPOS Pioneering The Way

According to a recent study, 54 percent of hospitals say green attributes are very important in their purchasing decisions and support improved patient outcomes. Demand from hospitals and health systems for ‘green’ products has been heard and has long been supported by five of the largest group purchasing organizations (GPOs). Last year, working together, the GPOs took a big step putting competition aside to find new solutions to drive market change. In a panel discussion format, find out what the GPOs have accomplished, how your organization can play a role and the steps hospitals can take to support market change. Learn why standardization is important and the next steps being considered for inclusion in RFPs. SPEAKER: Kellie McNelis, Director, Environmental Purchasing and New Product Development, Premier, Inc. | Jennifer Waddell, Senior Director, Clinical Solutions, Novation | Michael Jones,Corporate Director, Clinical Education and Sustainability, HealthTrust | Lisa Koenig, Director, Portfolio Marketing Management, Amerinet | Joe Lopinot, Director, Supplier Relations and Director, Committee Resources, MedAssets You must register to access.

CM13E2 - GRI Sustainability Reporting - Is It Worth The Effort?

GRI/Sustainability Reporting, just about any way you cut it, is a huge project to launch the first time around, but the benefits of gathering and reporting on the information are well founded. VHA worked with three of their member hospitals in a pilot project to determine what works and what doesn't when busy sustainability professionals try to add this project to their plates. This session will outline these concepts and discuss user experiences in learning and implementing flexible sustainability reporting that informs staff, patients, employees, communities and other interested stakeholders about the processes, procedures, initiatives and involvement that make hospitals a responsible and sustainable member of their community. Even if you're not writing a report, the pilot provides insight into the process of simply gathering relevant information. SPEAKER: Josh Miller, Senior Consultant, M+NLB | Michael Geller, Regional Sustainability Coordinator, Providence Health & Services | Cristina DeVito, Sustainability Coordinator, Yale-New Haven Hospital | Laura Brannen, Senior Environmental Performance Consultant, M+NLB You must register to access.

CM13E1 - Going Deeper: Beyond The Red Lists & Seafood Certifications In Purchasing Seafood

Seafood list and certifications have played at important role in starting the dialogue about sustainable seafood, but many health care institutions are realizing that it's time to go deeper and match the seafood they buy with their values. The panel will discuss some new innovative approaches to sourcing seafood that matches social, economic, nutrition, environmental and food system values shared by many health care facilities. SPEAKER: Nora Blake, Senior General Manager, Sodexo | Niaz Dorry, Director, Northwest Atlantic Marine Alliance | Richard Jarmusz, Executive Chef, Fletcher Allen Health Care | Jared Auerbach, Owner, Red's Best You must register to access.

CM13C1 - Sickeningly Sweet: System-Wide Sugar Sweetened Beverage Reduction Initiatives And Other Strategies For Promoting Healthy Food Environments

Steward Health Care System has been a leader in the Greater Boston community in promoting healthier beverage programs. They were part of the team that led to the Mayoral Prize for Primary Care for the innovative steps that hospitals in Boston have taken to promote healthier food environments as a prevention strategy. The session will explore strategies for success, challenges, and ways that the organizations are striving to improve the health of not only hospital patients, but the entire community. SPEAKER: James Corbett, System Vice President of Community Health and Ethics, Steward Health Care | Michelle Reid, MPH, Community Health Manager, Carney Hospital- A Steward Family Hospital You must register to access.

CM13C8 - Cascading Savings: Water Conservation For Economic Benefit

Hospitals are large water users, with little data on the relative "value" of water-saving strategies. Fixture replacement, process water savings, and engagement with building occupants can provide significant savings on both water and sewer charges. Since 1998, St. Peter Hospital, located in Olympia, Washington has reduced their water footprint by 58percent. Mr. Glass will present their journey to dramatic reductions, sharing specific best practice learning's—including cost/benefit evaluation of 20 water conservation strategies. Attendees will obtain "take home" implementation ideas for their water conservation programs. SPEAKER: Geoff Glass, Director of Facility & Technology Services, Providence St. Peter Hospital You must register to access.

CM13C10 – Sustainable Food Scorecard: Hard-wiring Sustainable Food Procurement

Kaiser Permanente’s sustainable food journey began in 2003 with the opening of one of the first hospital-based farmers markets in the country, which inspired Kaiser Permanente to expand sourcing of local and sustainable food for patient meals, cafeterias and other food venues. By developing sustainable food purchasing policies, criteria, contract language and partnerships with non-profits and for-profit vendors, KP has been able to expand its sustainable food spend to more than 15 percent. KP, with support from Health Care Without Harm, recently developed and piloted a Sustainable Food scorecard, which is now an integral part of its food distribution, food procurement, and food service vendor bid process. The goal is to ‘hard wire’ sustainable food into the food distribution and food services industries. KP is excited to share this scorecard with other institutions so the sector can leverage its joint volume to increase sustainable food access in our communities. SPEAKER: Kathleen Reed, Sustainable Food Program Managerand National Farmers Market Coordinator, Kaiser Permanente | Jan Villarante, Director, National Nutrition, Kaiser Permanente You must register to access.

CM13E10 - Sustainable Initiatives In Anesthesia Care

The health care sector accounts for 8percent of the US total greenhouse gas emissions, with the analysis finding that hospitals were the largest contributors of carbon emissions. The operating room, an intense, cost generating department, is also a significant contributor to the hospital’s overall environmental footprint and supply budget. Physicians are uniquely positioned to drive change toward healthier, more sustainable and cost-effective solutions within the operating room. Considering the anesthetic agents used, the amount, and flow rates can significantly reduce the amount of GHGs and waste generated. Education at Dartmouth Hitchcock Medical Center led to X in savings and X reduction. Low flow and closed circuit anesthesia use at Boston Children’s reduced X waste and minimized environmental contamination by halogenated anesthetics and greenhouse gases. Learn about these case studies, their clinical implications, impact on the health of the community, and how to replicate at your own facility. sPEAKER: Dr. Sean McGarry, Anesthesiologist, Boise Anesthesia, PA | Dr. Jodi Sherman, Assistant Professor of Anesthesiology, Environmental Compliance Officer, Yale University, School of Medicine You must register to access.

CM13A1 - From Gardens To Greenhouses: Hospitals Grown Their Own

Learn how hospitals are growing food to supply their patients and cafeterias, and to connect with their communities. Hear from a hospital in Michigan which has successfully built three hoop houses and cultivated nearly 20 acres of land on its campus dedicated to improve the lives of patients while also educating people of all ages about growing, preparing and eating healthy foods. Learn about why the farm is using organic methods (i.e. free of pesticides, herbicides and other harmful chemicals) and how food is used in patient meals, the cafeteria, Joe's Java, healthy cooking classes and sold at the on-site farmers markets. The hospital has also connected the farm to patient therapy programs through its partnership with their eating disorder and rehabilitation clinics. Also hear about the novel Sow Healthy Intergenerational Garden, a public/private partnership between the Resolute Health Hospital System and various community entities including school districts, master gardening groups and local senior citizens. The program aims to building a healthier population by bringing together youth, senior citizens, educators and volunteers to learn how to grow, prepare and distribute nutritious, organic, sustainable foods and increase physical activity for all involved. SPEAKER: Hillary Bisnett, Healthy Food in Healthcare Program Director, The Ecology Center | Jennifer Quackenbush, Director of Community Health Programs, Resolute Health, Vanguard Health System | Lisa McDowell, Chief Clinical Nutritionist, Saint Joseph Mercy Health System, Ann Arbor | Kendall McGiffert, RD, LD, Growth and Sales Account Executive, Resolute Health You must register to access.

CM13D8 - Future Think: The 21ST Century Hospital

This session by two world recognized healthcare architects and a leader in sustainable healthcare consulting will feature a new generation of inspiring hospitals and other healthcare facilities from around the world. Together, they make the case that a new pattern language of 21st century healthcare design is emerging: intrinsically human-focused, restorative, regenerative and resilient, these projects embrace a healthbased approach to design, construction and operations and recognize health consequences related to water, energy, and materials dependencies on the building, community, and global scales. A spotlight on the Nanaimo General Hospital's new emergency department will reveal the compelling benefits of a radical approach to daylight, six months after occupancy, highlighting experiences of staff and patients in their own words. This profound reset of healthcare design challenges current assumptions about basis of design and charts a roadmap for the healthcare sector to create conditions of health and wellness for all. Come see what the future looks like! SPEAKER: Ray Pradinuk, Healthcare Research and Innovation | Gail Vittori, Co-Director, Center for Maximum Potential Building Systems | Robin Guenther, Sustainable Healthcare Design Leader, Perkins+Will You must register to access.

CM13D10 - Blue Wrap Recycling

How to start a blue wrap recycling program in your OR. We'll talk about how to engage the OR staff in the collection process, how to collect and sort the blue wrap and how to find a recycler in your area. SPEAKER: Monique Citro, Operating Room Technician, Fletcher Allen Health Care You must register to access.

CM13G1 - Opening General Session: Health Care's Leadership Helps Boston Tackle Climate Change

Four leaders from philanthropy, community innovation, municipal government and a major health care system will give you a picture of health care's pivotal role in Boston's networked, forward thinking approach to addressing climate change in a major city. They will explore how climate change fits into the larger issue of transforming health care, and reflect upon and raise provocative questions. How can we both dramatically reduce our greenhouse gas emissions, and radically increase the resilience of our infrastructure and that of our communities? How do we compellingly connect the dots between greenhouse gasses and green building, green operations, healthy food, less waste, green procurement, sustainable transportation, and more? How do we make addressing climate change a central, serious matter in our work and our leadership in our communities, not just because it can save money that is better used for prevention and patient care, but because it is a moral issue, deserving of serious government action at the city, state and federal levels? SPEAKER: Gary L. Gottlieb, M.D., President and CEO of Partners HealthCare | Brian Swett, Chief of Environment and Energy, City of Boston | Pat Brandes, Executive Director, Barr Foundation | John Cleveland, President, Innovation Network for Communities You must register to access.

CM13G2 - General Session featuring Bill McKibben

Bill McKibben is the author of a dozen books about the environment, beginning with The End of Nature in 1989, which is regarded as the first book for a general audience on climate change. He is a founder of the grassroots climate campaign 350.org, which has coordinated 15,000 rallies in 189 countries since 2009. Time magazine called him 'the planet's best green journalist' and the Boston Globe said in 2010 that he was 'probably the country's most important environmentalist.' Schumann Distinguished Scholar at Middlebury College, he holds honorary degrees from a dozen colleges, including the Universities of Massachusetts and Maine, the State University of New York, and Whittier and Colgate Colleges. In 2011 he was elected a fellow of the American Academy of Arts and Sciences. You must register to access.

CONTINUING AND PROFESSIONAL EDUCATION

INVEST IN YOUR CAREER

Practice Greenhealth Academy

CleanMed 2013

Key: