http:www'h2eonline'org

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http//www.h2e-online.org
Green Building Integrating Greener Operations
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Three goals of healing environments
Reduce stress of the buildings occupants

• Connection to nature (daylight/ views)
• Choice Control (light and ventilation)
• Social Support (program areas)
• Positive Distractions (views/ program)
• Elimination of Environmental Stressors (noise)

A better building is one that facilitates
physical, mental, and social well-being and
productive behavior in its occupants
Improve Safety

• Improved Indoor Air Quality
• Supportive Lighting Design/ Reduced Glare

Contribute to Ecological Health

• Healthier Materials
• Reduce Energy and Water Use

http//www.healthdesign.org
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So youve built the green building

• Safer Materials
• Energy water efficient
• Natural Day Lighting
• Innovation in Design
• Places of respite
• Healing Garden

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Transition to operations

• Supplies delivered to units in cardboard boxes
• Mercury containing equipment
• Break room for workers in basement next to
  morgue/physician lounge by admin.
• Food trays placed on top of step on cans in
  patient rooms, filled with disposables

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Operational Considerations

• Integrated approach to new construction and
  renovation. Design for
• Flow of materials, equipment, individuals in the
  built environment
• Air quality improvement
• Waste prevention and environmentally preferable
  purchasing to address air quality, waste
  volume/toxicity, safety, public health
• Engineering controls for safety and health.
• Training, personal protective equipment

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Integrated Greener Operations

• Commitment Demonstrate Mission
• Training/Education
• Support
• Sustainability Officer/Environmental Stewardship
  Mgr.
• Employee Engagement
• Respectful break environment
• Safety
• Process for goal setting, support and long term
  commitment

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Learn from our waste
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Uniqueness of health care facilities

• Baseline data
• RMW
• NRMW
• Recyclables
• Hazardous Waste
• Universal Waste
• Construction and Demolition
• Donated Supplies
• Bulky Waste
• Other

Know what you have!
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Waste Data what else?

• Risk Management Lost work days, employee
  accidents
• Regulatory Infractions
• Worker morale issues
• Air Quality Reports/complaints
• Respect Issues (sanitary break space,
  daylighting, places of respite, cleanliness)
• Board of Directors/Funding Opportunities
• Patient Satisfaction Surveys
• Facility Audit What are common suggestions,
  complaints, concerns
• Learn from front-line workers get out of the
  board room and into shops, waste areas,
  sterilization, disinfection, O.R., food Services,
  Radiology, sub basement, break rooms, endoscopy,
  outpatient treatment care areas listen!

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Waste Segregation Best Practices

• Implement an Infrastructure Conducive to Waste
  Minimization-
• Color coded, strategically placed and well
  labeled containers for
• Solid Waste
• Infectious Waste
• Hazardous Waste
• Recycling
• Universal Wastes
• Others

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Reusable Products
Supply Chain Include waste fees when comparing
disposable versus reusable products.
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Corrugated Boxes

• Receiving
• Food Serv.
• Storeroom
• Pharmacy
• O.R.
• Nursing Units
• Everywhere!

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Goal Setting

• Long Term Commitment to Continuous Environmental
  Quality Improvement
• Project benefits to success avings? safety,
  positive press, mission demonstration
• Identify one or two goals and fold into JCAHO
  process

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Hierarchy of Controls
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Volume issues

• Red Bag Reduction
• HIPAA Compliance/Paper Recycling
• E-Waste
• CD Waste
• Reusables
• Composting
• Maintenance/Repair
• Donation

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Toxicity issues

• Mercury
• Ethylene Oxide, Glutaraldehyde
• Cleaning Chemicals
• Pesticides
• Hazardous
• Pharmaceuticals
• Laboratory Chemicals, solvents
• Bromated fire retardants
• DEHP in medical devices
• E-Waste
• Materials and finishes

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Group Purchasing Organizations and
Environmentally Preferable Purchasing

• H2E Champion Group Purchasing Organizations

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For More Information on EPP Contracts

• Broadlane http//www.broadlane.com
• Novation Marketplace_at_Novation.
• (customers only) Public http//www.novationco.co
  m.
• Amerinet http//www.amerinet-gpo.com
• Associated Purchasing Services
  http//www.apskc.org
• Premier http//www.premierinc.com/safety
• http//www.premierinc.com/all/safety/publication
  s/subscribe.jsp
• MedAssets http//www.medassets.com/SupplyChain/Wh
  atWeDo/EPPP
• Consorta http//www.consorta.com
• http//www.consorta.com/news/newsletters/2004/Vol
  6_No3/CNewsEnviro(6-2-4)/css/CNewsEnviro(6-2-4).ht
  m

EPP Teleconferences available for
Premier, Novation and MedAssets!
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Toxicity Prevention

• Environmentally Preferable Purchasing Workgroup
• Avoid products containing
• Persistent bioaccumulative toxic compounds
• Bisphenol-A
• Carcinogens, mutagens and reproductive toxic
  chemicals
• Halogenated flame retardants
• Mercury
• Phthalates (e.g. plasticizer DEHP
  (di-2-ethylhexyl phthalate)
• Polyvinyl chloride (PVC)
• Chlorinated compounds

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Employee Recognition
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Implementation, Tracking Reporting

• Saturation of the message
• Simplicity
• Focus
• JCAHO EOC Committee
• Infection Control
• Leadership
• Board of Directors
• All Staff memos

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Be Like Mercury Persistent!

• Support
• Communication
• Data
• Goal Setting
• Team Approach
• Simplicity
• Tracking/Reporting
• Cost Savings

SUCCESS!
http//www.h2e-online.org
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Green Guide for Health Care http//www.gghc.org
Register your project
2007 Green Building Series http//www.h2e-online.
org/events/teleconf/index.cfm
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H2E Supports Greener Operational Efforts

• H2E Teleconference Environmental Program Series
• Monthly Stat Green
• H2E List Serve
• Tools Resources
• System-specific calls
• Awards Program
• www.h2e-online.org

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http//www.h2e-online.org/contact.htm
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Toll Free Hotline [phone]E-mail
h2e_at_h2e-online.orghttp//www.h2e-online.org HOSPI
TALS FOR A HEALTHY ENVIRONMENT CONTACTS Laura
Brannen, Executive Director -603/795-9966 Laura.br
annen_at_h2e-online.org Mark Tecca, Business Manager
603/795-9966 Mark.tecca_at_h2e-online.org Julie
Taylor, Office Manager - 603/795-9966 Julie.taylor
_at_h2e-online.org Janet Brown, Partner Program
Manager 413/253-0254 Janet.brown_at_h2e-online.org
Sarah OBrien, EPP Specialist
802/479-0317 Sarah.obrien_at_h2e-online.org Cecilia
Deloach, Partner Program Manager
800/727-4179 Cecilia.deloach_at_h2e-online.org