11/12/2019 Hospital Sustainability Collaborative 3-Part Webinar Series | Webinar 1: Track Emissions and Save Money Tuesday, November 12, 2019 Welcome! John Wilgis Vice President, Member and Corporate Services Florida Hospital Association 1
11/12/2019 Overview • Part of FHA’s Hospital Sustainability Collaborative. • 3-part webinar series. • Focus - making reductions to health care’s carbon footprint. • Health care is responsible for nearly 10 percent of U.S. emissions, and of that, hospitals contribute more than one- third of those emissions. Objectives 1. Understand how to create a baseline for Scope 1 and 2 emissions. 2. Learn how to pitch a Greenhouse Gas (GHG) goal to leadership. 3. Discover ways to make progress on the goal with energy efficiency and renewable energy strategies. 2
11/12/2019 Today’s Presenters Lauren Koch Associate Director, Climate and Health Health Care Without Harm Practice Greenhealth Jon Utech Senior Director Office for a Healthy Environment Cleveland Clinic Tracking Greenhouse Gases A Guide for Tracking and Goal Setting in Health Care Presentation to FHA Members November 12, 2019 3
11/12/2019 Today’s Agenda 01 03 Practice Greenhealth: Why and how to track Practice Greenhealth: other case studies 02 04 Cleveland Clinic: Setting a goal Questions 7 Why track 8 4
11/12/2019 Hospital climate action is urgent 9 10 5
11/12/2019 Health care contributes to climate change Energy use for heating, cooling, lighting, & water use 10% of U.S. greenhouse gas emissions Waste anesthetic gases Waste hauling, Meat production & treatment, & landfill food transport gases Fleet vehicles Employee commutes Supplies & materials This is about patient and community health. 12 6
11/12/2019 How to track 13 Defining Organizational Boundaries and Baseline Year Considerations for Organizational Boundaries: • Hospitals • Administrative facilities • Leased facilities • Leased fleet vehicles Considerations for Baseline Year: • Earliest relevant time period with verifiable data for Scopes 1 and 2 Resources: • Practice Greenhealth GHG Toolkit • Anesthetic Gas Reduction Toolkit • Transportation Toolkit 14 7
11/12/2019 Scopes Defined: 1 Scope 1: • Stationary combustion of fuels (e.g. boilers, generators, onsite incinerators) • Mobile fuel combustion by fleet vehicles • Refrigerants • Waste anesthesia gas 15 Scopes Defined: 2 Scope 2: • Purchased electricity • Purchased steam or hot water • Purchased chilled water 16 8
11/12/2019 Scopes Defined: 3 Scope 3: • Fuel and energy ‐ related activities (not in 1 or 2) • Transportation and distribution of products • Purchased goods or services • Capital goods • Disposal of waste generated in operations • Employee business travel • Employee commute • Processing of sold products • End of life treatment of sold products • Leased Assets 17 18 9
11/12/2019 19 Limited Scope 3 Recommendations: • Purchased goods or services → Less Meat • Disposal of waste generated in operations • Employee business travel • Employee commute 20 10
11/12/2019 But…what are we really talking about?? Just Scopes 1 and 2 , really. 21 How do I get (mainly energy) emissions data and track it? • ENERGY STAR Portfolio Manager • Practice Greenhealth GHG Tracking Spreadsheet • Practice Greenhealth awards application 22 11
11/12/2019 Stationary combustion auco ‐ calculated from energy page Mobile Fuel combustion by Fleet Vehicles ‐ Current Year auto ‐ calculated based on responses further down Climate page Waste Anesthetic Gases ‐ auto ‐ calculated based on volume of purchased anesthetic gases entered on GOR page What about fleet vehicles and anesthetic gases? Data gathering • AG: Pharmacy can often get you the Isoflurane, Sevoflurane and Desflurane order information • AG: Nitrous Oxide can be difficult to gather because it’s used in multiple places. Often by going directly to the vendor where it’s purchased to get a comprehensive report • Fleet vehicles: Itemize the vehicles in the hospital’s fleet by model year, vehicle type, and fuel type. Vehicle types include passenger cars, light ‐ duty trucks (vans, pickup trucks, SUVs), medium ‐ duty trucks, heavy trucks, buses, and helicopters. Fuel types vary by vehicle type. Awards tool ‐ Anesthetic Gas and Fleet Vehicles tables updated • Units updated to commonly available units for Isoflurane, Sevoflurane, and Desflurane (100 mL, 250 mL, 240 mL) • Nitrous Oxide: Just need total pounds purchased • Fleet vehicles table will be able to calculate greenhouse gas emissions for you More Resources: • Practice Greenhealth Transportation Toolkit • Practice Greenhealth GHG Toolkit • Practice Greenhealth Anesthesia Gas Toolkit (coming April 2019) 24 12
11/12/2019 Fleet Vehicle Inventory and GHG Calculator Source: Practice Greenhealth 2019 Environmental Excellence Award. 13
11/12/2019 What about refrigerants? 1. Find purchase data through invoices 2. Estimation methodology **Because this is so highly regulated in health care, there is less opportunity to identify reductions.** 27 Greenhouse Gas Reduction Toolkit 28 14
11/12/2019 Setting a goal and making progress: Cleveland Clinic 29 Become Carbon Neutral By 2027 30 15
11/12/2019 Sources of Electricity Generation Natural Gas Coal Nuclear Hydro Oil Wind Solar Other Source: Washington Post – “Mapping how the United States generates its electricity” 3/28/17 31 Carbon Intensity by State 32 16
11/12/2019 Climate Change Strategies Human CLIMATE Interference CHANGE Exposure Initial Impacts Planned MITIGATION VULNERABILITIES ADAPTATION to Of Climate Change or Effects IMPACTS Vulnerabilities and via GHG Sources Impacts and Sinks Autonomous Adaptations Residual or Net Impacts CLINICAL Transformation ADVOCACY Policy Responses Adapted from: IPCC 34 17
11/12/2019 Building the Climate Stairway 2017 2016-2017 2015 2014 2013 2011 2008 Energy Energy Resilience Resilience Clinical Advocacy Carbon Efficiency Efficiency Progress Goal Engagement Progress Neutral Progress Goal Goal Implementation: EE Projects EPA Robin G. NIH, WH ALA OHA, HWCH CEO DOE 35 Climate Hooks Transpersonalism Social / Industrial Transformation Moral Obligation Leadership & Population Health Recognition New Relationships Climate Resilience Caregiver Engagement Mitigation / Energy Efficiency 36 18
11/12/2019 1. Mitigation Reduce Energy Usage by 20% 429 2010 2011 2012 2013 2016 2017 2014 2015 37 2. Caregiver Engagement 38 19
11/12/2019 3. Climate Resilience: Climate-Driven Impacts on Healthcare Facilities Power outages Transportation Sea level rise Backup medical Temperature Heat waves, supplies changes cold spells Extreme Facility weather flooding Increase in events GHG concentration Wildfires Vector-borne diseases Precipitation Drought changes Heat waves Excess rain, floods Poor air quality 39 4. New Relationships MITIGATION ADAPTATION ADVOCACY CLINICAL COOs Architects CEO MDs Facilities Engineers Government RNs Supply Chain Supply Chain, Relations Administration Caregivers EM Community Facilities 40 20
11/12/2019 5. Population Health “Fossil Fuels and Health” 41 6. Societal Transformation Human CLIMATE Interference CHANGE Exposure VULNERABILITIES Initial Impacts Planned MITIGATION or Effects ADAPTATION Of Climate IMPACT to Change via Autonomous Vulnerabilities GHG Sources Adaptations and Impacts and Sinks S Residual or Net Impacts CLINICAL Transformation ADVOCACY Policy Responses Adapted from: IPCC 42 21
11/12/2019 7. Transpersonalism + Healthcare 8% 43 8. Moral Obligation Source: AP 44 22
11/12/2019 9. Recognition & Leadership… Environmental Protection White House/ Health & Human Srvcs. Agency Apr 2014 Dec 2014 White House Summit Oval Office – Dr. Sumita Khatri June 2015 August 2015 45 • Finance asked for a perpetuity cost assessment of the goal • Created 100 year “Monte Carlo” simulation of cost of carbon neutrality • Factored and simultaneously predicted • Size of organization • Energy Intensity of CCF/Sq Ft • Price of RECs/Offsets • Greening of grid • Wholesale Electricity Pricing • Renewable Energy Pricing 46 23
11/12/2019 Cleveland Clinic Climate Pitch Summary • Mitigation: Save $50 Million+ • Engagement: Attract the Best • Resilience: Adapt to the Future • Relationships: Build Partnership • Population Health: Impact Regional Health • Societal Transformation: Change the Nexus • Transpersonalism: Be The Change • Moral Obligation: Do the Right Thing • Leadership: Lead the Sector 47 Lessons Learned • Personal Connections First • Lead with the “Right Hook” • Be Brave • Build on Successes • Be Realistic • “Coal a Non ‐ Starter” • Timing Matters 48 24
Recommend
More recommend
