Going GreenThe Team Approach

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Going GreenThe Team Approach! University of
Maryland Medical Center Victoria E. Stewart,
MBA Maryland Hospitals for a Healthy
Environment 11.12.08
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Objectives

• Describe the team approach used at UMMC to Go
  Green
• Describe how UMMC is incorporating sustainability
  principles into their current operations
• Describe how UMMC is evaluating sustainability
  alternatives

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The Beginning

• The Green Team was formed in April 2007
• The Green Team Oversight Group
• Patient Care Green Team
• Administrative Green Team
• Periop Green Team (subset of Patient Care Green
  Team)
• We embarked on a cultural change to conserve,
  reduce, reuse, and recycle 10 million lbs of
  waste (2006 data) _at_ 1.354 million dollars in
  waste disposal costs and 12 million in utility
  costs
• Financial Goals Set
• Operating Savings 833K
• Capital Savings 905K

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Team FormationSelf Selection Process

• Driven by annual budgetary shortfall - 40
  million every year for the last 10 years.
• VPs, Directors Pt Care Managers self selected
  on cost reduction teams that would meet for 16
  hours a week for 4 weeks straight to identify
  opportunities
• Sr. Leadership initially reluctant to start Green
  Team due to cost concernsstarted at last minute
  as after thought. I had 2 minutes to form the
  team and get them organized.
• People wanted to work on a new team, something
  that provided hope, that they could really put
  their heart into not the same supply chain, ADT,
  charge capture, etcteams that form every year!

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Diverse Team Membership

• Facilities Planning and Operations
• Pastoral Care
• Perioperative Services
• Womens Childrens Services
• Central Sterile Processing
• Emergency Planning
• Human Resources

• Marketing and Planning
• Strategic Planning
• Financial Planning
• Purchasing / Contracts
• Materials Management
• Environmental Services
• Food Services
• Employee Health
• Food Nutrition

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Oversight GroupSubgroups

• New Construction
• Renovation
• Communication
• Conservation Management
• Procurement

• Waste Disposal
• Cleaning
• Food
• Green Spaces
• Recycling

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UMMC Waste Tracking
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THE GREEN TEAM FISCAL YEAR 2008 THE PLAN
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Financial Savings Targets
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THE GREEN TEAM FISCAL YEAR 2008 WHAT HAPPENED!
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Sharps Containers

• Implemented pilot of recycled sharps containers
  in Periop, Lab and ICU. Will be rolled out house
  wide in FY09.
• 63,000 lbs to be diverted from the incinerator
• 77,000 annual savings in containers, labor and
  disposal.

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Open / Unused Supplies

• Resterilizing open / unused supplies in the OR,
  Cath Lab and EP lab
• 2 tons of supplies diverted from the incinerator
• 50,000 annual savings

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Cardboard Recycling

• 266,000 lbs of waste diverted from the
  incinerator
• 50,000 in waste disposal costs will now be
  avoided once the incinerator contract amendment
  goes into effect.

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Isolation Supplies

• Changed practice of isolation supply management
• Minimize stocking in patient rooms
• 134,000

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Construction Management

• Use recycled furniture on projects
• Recycle demolition materials
• Incorporate sustainable principles in
  construction contracts
• 905,000 savings in construction costs
• 156,000 savings in depreciation expense

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Utility Management

• Turn off business PCs, printers, fax machines,
  monitors, etc at night and on weekends. 1 of
  energy consumption
• Facilities management of utilities
• Daily Code Red Alerts and adjustments to usage by
  individuals
• 6 - 9 reduction in energy costs depending on
  how evaluated (by bed, by patient day, etc)
• 500,000 savings

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THE GREEN TEAMUtility Management
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THE GREEN TEAMUtility Management
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Recycle Blue Wrap other Plastics in the
Operating Rooms

• The Operating Rooms, ER LD are now recycling
  blue wrap, saline bottles, bunny suits and all
  other plastics.

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Annual FinancialSavings
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Evaluating SustainableAlternatives

• In addition to doing a clinical and financial
  analysis on new products, conduct an
  environmental analysis. UMMC has started to ask
  the following questions regarding new supplies
• Will they take back the product it is replacing?
• What is the life cycle cost of the item?
  Purchase, Service, Energy, Parks, Disposal
• Does it contain mercury, latex, PVC, etc
• Can the packaging / product be easily recycled?
• Is the package/product made of recycled material?
• Can we reprocess the item?
• What is their history regarding upgrades? How
  often do they come out and to they take back the
  old product?
• Is the company ISO certified 14001?
• What are their efforts to green their
  operations distribution?
• Are they members of Hospitals For A Healthier
  Environment?

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Evaluating SustainableAlternatives - Response

• The answers we receive indicate many vendor
  representatives do not know what sustainability
  means and are not aware of their companys
  initiatives if they exist.
• Most vendors representatives do not know what
  materials their products contain other than if it
  contains latex or mercury.
• The Novation database does not contain enough
  information on sustainability so that individual
  member hospitals dont have to ask every vendor
  these questions.

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Evaluating SustainableAlternatives - Next Steps

• Contracts is modifying their standard contracts
  to include UMMCs sustainability contracts.
• Vendor Education UMMC and MDH2E will be
  piloting a vendor dialogue on 11/20/08 to educate
  local representatives on what sustainability is,
  what UMMC is doing and expects in terms of
  sustainability and the impact of waste on their
  local community and families.
• Value Analysis Development of a environmental
  product analysis template that is complementary
  to our clinical and financial analysis templates.
• Asked that a UHC Council on Sustainability be
  established Approved Thank You ?

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Preliminary FY09 Goals

• Implement segregation of regulated and
  non-regulated waste. Implement recycling. Target
  reduction in incineration from 80 to 40 of
  current waste stream.
• Implement environmentally preferable purchasing,
  i.e. PVC free
• Implement coordinated car pooling program with
  University
• Implement green roofing
• Implement farmers market
• Implement sustainability curriculum

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Preliminary FY09 Goals

• Increase energy conservation initiatives
• Increase construction recycling and reuse
  programs
• Conduct Green Guide gap analysis and become
  compliant with Green Guide
• Increase local food purchase and consumption in
  cafeteria and patient care areas.
• Implement IT green practice standards
• Create an environmental management system (per
  ISO 14001 or similar) for UMMC

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THE GREEN TEAMLinks

• http//www.premierinc.com/epp/ - Environmentally
  preferable purchasing (EPP)
• http//www.sustainablehospitals.org/cgi-bin/DB_Ind
  ex.cgi - Sustainable Hospitals
• http//www.epa.gov/ - Environmental Protection
  Agency
• http//www.hospitalbuyer.com/ - Hospital Buyer
• http//www.h2e-online.org/ - Hospitals for a
  Healthy Environment
• http//www.gghc.org/ - GREEN Guide for Health
  Care
• http//www.theGREENguide.com/ - National
  Geographic The GREEN Guide
• http//www.healthdesign.org/ - The Center for
  Health Design
• http//www.noharm.org/ - Health Care Without Harm

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THE GREENE TEAMContacts

• Oversight Team
• Victoria Stewart, MBA, Co-chair, 410-328-2684
• Jim Chang, Co-Chair, 410-328-6001
• Harold Polk Sustainable Development
  Coordinator, 410-328-6491
• Chris Tamburo Waste Manager, 410-328-0876
• Administrative Green Team, Harold Polk, Chair
• Patient Care Green Team Chair, Denise
  Choiniere, RN, 410-328-5426
• Periop Green Team
• Marnie Kommalan, RN, GOR 410-328-5910
• Ann Cross, RN, STC OR 410-328-6850
• Joan Plisko MD H2E, plisko_at_son.umaryland.edu

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Unquantifiable Ideas - Insert