Thursday, 26 January 2012

How hospitals are righting their environmental wrongs.

How healthy is your hospital? Hospitals are tremendous producers of toxins, including mercury and excess pharmaceuticals, as well as solid and hazardous wastes.
“In healthcare, the footprint we’re leaving behind directly impacts our health,” points out Mary Daubach-Larsen, director of material operations and chairman of the Green LEEDers Task Force at Advocate Lutheran General Hospital in Park Ridge, Ill.
Many hospitals are taking steps to reduce that footprint.

It’s Easy Being Green
Lutheran General has had great success with the green team model.
A 617-bed teaching, research, and tertiary care hospital and Level 1 trauma center, Lutheran General is one of the largest hospitals in the Chicago area. Under the leadership of Daubach-Larsen, the hospital’s Green LEEDers Task Force has made great strides in several areas, earning Lutheran General a national 2006 Partners in Change award from Hospitals for a Healthy Environment (H2E).
“We’ve been recycling for more than five years,” says Daubach-Larsen. Like most hospitals that make an environmental commitment, Lutheran General began its efforts with guidance from H2E (www.h2e-online.org), a nonprofit group founded by the American Hospital Association, the U.S. Environmental Protection Agency, Health Care Without Harm, and the American Nurses Association.
“H2E’s mission is to green the entire healthcare sector,” says Laura Brannen, executive director of H2E. “We focus on reducing waste, toxic chemicals, and mercury.” An easy and obvious place to start an environmental effort is by reducing the amount of waste your hospital produces.

About the Green Team
An effective hospital green team should include members from multiple departments, to ensure that new environmentally friendly practices, such as using recycling bins for specific waste materials or purchasing “green” cleansers, are taught to all applicable staff and followed by all necessary departments.
“A traditional green team brings together people from a variety of backgrounds,” says Brannen. Catholic Healthcare West (CHW), which made a commitment to environmentally friendly practices in 1996, has an environmental action committee at each of its 40 hospitals.

An easy and obvious place to start an environmental effort is by reducing the amount of waste your hospital produces.

“It makes sense to start with waste and move on from there,” advises Daubach-Larsen of starting a Green Team effort. “H2E offers a waste management template to help you gather data on your waste streams. “Improve your relationship with your waste vendor,” advises Daubach-Larsen. Beyond reducing waste, hospitals can make many environmental improvements—it’s simply a matter of choosing priorities. In addition to waste and recycling, H2E helps hospitals address a wide variety of environmental issues. “We’ve moved on to environmentally friendly purchasing, green building, safer material choices, and energy efficiency,” says Brannen.

One area many green hospitals are beginning to watch closely is their purchasing, including their vendors. “We’re members of a group purchasing company that has green management strategies,” says Daubach-Larsen. “If you’re not designing a green building before you break ground, you’re behind the times,” says Brannen. Save the Environment=Save Money
Are green practices too expensive for some hospitals? “Reducing solid waste and increasing recycling can save money,” she points out. “Our numbers of hazardous waste, or ‘red bag waste,’ are very low compared to other hospitals—it costs more to dispose of this waste.”

Green Hospitalists?
Where do hospitalists and other physicians fit into the green team picture? “There are hospitalists [who] get the relationships between their hospital[s] and the environment,” says Daubach-Larsen. While green team leadership tends to fall on hospital operations staff, physicians can provide tremendous support simply by advocating with hospital leadership. “Executive sponsorship is key,” says Daubach-Larsen. Has your hospital made a commitment to reduce waste or otherwise reduce its footprint on the environment?