Intro to H2E http:www'h2eonline'org

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Intro to H2Ehttp//www.h2e-online.org
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http//www.h2e-online.org
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Laura Brannen, Executive Director 603/795-9966 lau
ra.brannen_at_h2e-online.org
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Why a commitment to the environment?

• Safety
• Liability
• Community Relations
• Cost Savings
• Indoor Air Quality
• Environmental Impact
• Regulatory Compliance
• Mission Statement
• Healing Environment
• Commitment to Health

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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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Mercury -- A Risk to Human Health

• Mercury is well known for its toxic effects
• Long term exposure can permanently damage brain,
  kidneys and developing fetus
• Sources of mercury
• FDA Warning, Fish Advisories, NY Academy of
  Science Report, Consumer Reports

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1998 American Hospital Association U.S. EPA
Memorandum of Understanding

• 1 Virtual elimination of mercury-containing waste
  from healthcare facilities waste streams
• 2 Reduce total waste volume
• 3 Identify hazardous substances for pollution
  prevention and waste reduction opportunities,
  including hazardous chemicals persistent,
  bioaccumulative, and toxic pollutants.
• H2E www.h2e-online.org

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Implementation Strategy
Board of Directors
AHA
ANA
Legislation
Senior Leadership
Community
Clinical Leadership
Champions
Nurses
Health Systems
NGOs
Public Affairs
Patients
Partners
HCWH
EPA
Facility Managers
State Organizations
Safety
Regulatory Compliance
Housekeeping
GPOs
Environmental Health
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H2E Partners

• H2E designed the Partners for Change program to
  assist health care facilities achieve the goals
  of the H2E Program. Partners pledge to make
  changes in their facilities that protect their
  community's health and the environment, and H2E
  recognizes partners for their accomplishments.
  Organizational partners can work with their
  health care customers to help them achieve their
  goals and/or set goals for their own
  organizations. Any facility or organization
  interesting in being part of this community can
  sign on to be a partner of H2e.
• Over 1,000 Partnering Facilities Across the
  Nation!

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Janet Brown, Partner Coordinator 413 253-0254
janet.brown_at_h2e-online.org
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H2E Welcome Packet

• Register to Become a Partner
• Welcome Packet
• Introduction call
• Team Development
• Data Collection
• Goal Setting
• Kick off
• Track Progress
• Monitor/Report
• Awards!
• Repeat!

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Partner Toolbox
http//www.h2e-online.org/partners/toolbox.htm
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H2E Tools!

• Kick off Memo
• Kick off Newsletter
• Getting Started
• Goal Setting
• Power Point
• Ten Step Guides
• Press Release
• More!

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Champion Coordinator
Sarah OBrien, EPP Specialist 802/479-0317
sarah.obrien_at_h2e-online.org
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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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Learn from our waste
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Comprehensive Waste Program
Includes 2 pathological waste
Hospital Waste (Trash)
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Data Collection and Benchmarking
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Design materials and systems that promotes and
facilitates waste minimization and segregation
Understand waste issues
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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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Sample Environmental Programs

• Energy Efficiency
• Environmentally Preferable Purchasing
• Glutaraldehyde/ EtO Elimination
• Green Construction, Renovation Design
• HIPAA/Confidential Paper mgmt
• Integrated Pest Management
• Mercury elimination
• Pharmaceutical mgmt
• Red bag waste minimization
• Recycling programs
• Single-Use Device Reprocessing
• Solvent Recovery
• Universal waste recycling
• Water Conservation

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http//www.h2e-online.org/stateprograms/index.htm
Cecilia DeLoach State Partnership
Coordinator 800/727-4179 Cecilia.deloach_at_h2e-onlin
e.org
http//h2e-online.org/stateprograms/all.cfm
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The H2E Listserv has over 1,600 participants from
the health care sector, technical assistance
providers, clinicians and vendors
1. Announcements Only 2. Information Exchange
http//www.h2e-online.org/listserv/index.htm
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Teleconferences!
http//www.h2e-online.org/teleconferences/calendar
.cfm
Oct 27 MMMF Nov 1 Safer Materials Nov 17
Alt Treatment Tech Dec 1 Healing Gardens Dec
8 Outpatient Care Areas Dec 15 Intro to
H2E Dec 29 - MMMF
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Program Associate
Liza Nanni, Program Associate General Questions,
Requests for Information 603-795-9966 Liza.nanni_at_h
2e-online.org
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2005 Stat Green Success!!

• Emailed Monthly to
• List Serve Emails
• Monthly Hospital
• Success Stories
• Post throughout
• Medical Center or
• Clinic or org.
• Back Issues
• Available

http//www.h2e-online.org/statgreen.cfm
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Recognition and Award Categories
H2E Partner Recognition is given annually to
Partner facilities that have met their
self-identified H2E goals for the previous year.
Making Medicine Mercury-Free Award is a
one-time award given to facilities that have met
the challenge of becoming virtually "mercury
free. H2E Partners for Change Award is given
annually to facilities that have made significant
progress toward reducing waste, preventing
pollution, and eliminating mercury. H2E
Environmental Leadership Award is the premier
H2E award given annually to facilities that are
setting the "industry standard" for environmental
programs and policies. These facilities have
active, ongoing waste and mercury-use elimination
programs that will serve as models for other
hospitals across the country.
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H2E 2006 Awards Success and growing!!
Cleanmed 2006, Seattle, WA www.cleanmed.org

• 27 to 98
• MMMF
• 21 to 37
• Partner for Change
• 5 to 24 Partner Recognition

• 8 Environmental Leadership Awards in
• 2005 to 14 in 2006
• 13 to 22
• Champion for Change

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Environmental Leadership Award Winners!

• Affinity Health System Appleton, WI
• Baystate Health, Springfield, MA
• Borgess Medical Center, Kalamazoo, MI
• Boulder Community Hospital, Boulder, CO
• Dominican Hospital, Santa Cruz, CA
• Kaiser Permanente Colorado Region, Aurora, CO
• Legacy Health System, Portland, OR
• Mercy Hospital, Janesville, WI
• Mills-Peninsula Health Services, Burlingame, CA
• St. Josephs Medical Center, Stockton, CA
• Bronson Methodist Hospital, Kalamazoo, MI
• Sparrow Health System, Lansing, MI
• University of Michigan Hospitals and Health
  Center, Ann Arbor, MI
• W.A. Foote Health System, Jackson, MI

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Partner for Change Success!

• Hired an Energy Manager as part of Energy Star
  Partner Program and initiated a conservation
  program resulted in 5.2 energy reduction and 1.5
  water reduction.
• Increased recycling rate from 7 to 14 since
  last years application!
• Piloted the Green Guide for Health Care
  (www.gghc.org) to self-certify an integration
  between green building and greener operations.
• Collected 465 pounds of batteries for recycling.
• Through use of recycled water for landscaping
  use, saved 2-5 million gallons of water each
  month.
• Implemented Best Value purchasing program.
  Spent 259,000 on products that contained at
  least 10 recycled content.
• Achieved LEED Silver for biomedical research
  building.
• Initiated work towards LEED Silver for medical
  center for 2006 with 100 outside air,
  daylighting and reflective roof.
• Transitioned from Ethylene Oxide to Hydrogen
  Peroxide for onsite sterilization of reusable
  instruments.
• Reduced Regulated Medical Waste from 9 to 6
  since last years application.

http//www.h2e-online.org/awards/winners.cfm
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H2E Partner for Change Success

• Transitioned to DEHP-free IV bags and tubing.
• Contracted for antibiotic free chicken and milk
  in Food Services.
• Transitioned to digital imaging and eliminated
  50 fixer use.
• Instituted on-site treatment technology for
  treatment of Regulated Medical Waste, resulting
  in a cost reduction from .30 per lb to .05 per
  lb.
• Instituted evidence based design approach to new
  building projects.
• Worked towards LEED Certification for hospital
  and five clinics.
• Used Lean principles to improve design and
  construction of new facilities.
• Specified building materials with 25 recycled
  content including carpeting, acoustical tiles,
  wallpaper, hand rails, corner guards, structural
  steel, concrete, terrazzo, rubber floor, aluminum
  and others.
• Introduced rapidly renewable materials for
  construction projects.
• Implemented Greener Cleaners
• Implemented separation of bulk chemo from
  residual chemo waste and handled as hazardous
  material.
• Reprocessed single use devices with a third party
  processor.
• Recycled 68,000 pounds of bricks, 48 cubic yards
  of wood, 633 tons of asphalt, 2,480 lbs of
  corrugated, 121,000 pounds of scrap metal, 2,521
  pounds of aluminum, 783 pounds of copper and 7
  pounds of brass in construction project.
• Donated food to local senior housing facility.

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2006 Champion for Change Winners

• Amerinet, St. Louis, MO
• Antos Environmental, Hillsdale, NY
• Ascent Health Care Solutions, Lakeland, FL
• Broadlane, Inc., Dallas, TX
• Catholic Healthcare West, San Francisco, CA
• Consorta, Inc., Schaumburg, IL
• Covenant Health Systems, Lexington, MA
• Idaho Department of Environmental Quality, Boise,
  ID
• The Institution Recycling Network, Concord, NH
• Kansas State University Pollution Prevention
  Institute, Wichita, KS
• MedAssets Supply Chain Systems, Bridgeton, MO
• New Hampshire Department of Environmental
  Services Pollution Prevention Program, Concord,
  NH
• Novation, LLC, Irving, TX
• Ohio Hospital Association, Columbus, OH
• Premier Inc., Oak Brook, IL
• U.S. EPA Region 1, Boston, MA
• Virginia Department of Environmental Quality,
  Richmond, VA
• Virginia Health Care Waste Management
  Cooperative, Glen Allen, VA
• Walsh Integrated Environmental Systems, Inc.,
  LaSalle, Quebec

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Champion Success!

• Reducing the amount of plastics from hospital
  waste streams by 153,277 pounds through a
  reusable sharps program, resulting in a cost
  savings of over 200,000 for 32 participating
  facilities
• Eliminating approximately 400,000 pounds of waste
  from the regulated waste stream through improved
  liquid waste disposal
• Working with all 20 member facilities to
  institute a green team for environmental
  improvement,  complete the H2E waste assessment
  audit as a baseline, become virtually
  mercury-free and apply for the Making Medicine
  Mercury Free Award
• Adopting a paperless bid process requiring only 1
  sheet of paper per bid submission, resulting in
  the elimination of 21,000 reams of paper in 2005
  
• Helping more than 30 health care organizations
  recover over 400 tons of recyclable materials
  through reuse, recycling and donation programs
• Revising standard request for proposal and
  supplier reporting forms and requirements to
  incorporate environmental performance and content
  criteria

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Champion Success Continued

• Developing a Best Management Practices for
  Hospital Waste guide with guidance specific to
  each hospital department, including a vendor
  directory and a list of potential hospital
  hazardous waste streams
• Developing a new Food Vision Statement embracing
  healthier, antibiotic-free, fair labor,
  sustainably produced food with reduced packaging
  and transportation impacts
• Recycling approximately 7 tons of
  mercury-containing wastes for thirteen hospitals
• Developing metal and plastic recycling programs
  for non-reprocessable former medical waste, which
  have eliminated 1,011 tons of former medical
  waste and recycled 127 tons of cardboard
• Working with a facility to develop recycling
  programs that reduced waste by 607 pounds of
  cardboard, 240 pounds of magazines, and 416
  pounds of paper
• Creating documents and guidelines to assist
  hospitals on the management of waste
  pharmaceuticals.

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Celebrating your Achievements
Contact Janet Brown, 413/253-0254
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Green Guide for Health Care http//www.gghc.org
Download the 2.0 pilot. Register your project
2006 Green Building Series http//www.h2e-online.
org/events/teleconf/index.cfm
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Nursing H2E
www.noharm.org
Nurses lighting the way to environmental health.
As frontline health care workers, nurses have a
unique role as leaders within health care
facilities, creating positive environmental
change from the inside. The HCWH Nurses Workgroup
represents a community of nurses who are
dedicated to implementing environmentally
responsible practices in their hospitals. The
workgroup has designed a Nurses Welcome Kit with
more information about how to get involved. For
updates from the workgroup, please see the latest
issue of the Nurses Stethoscope.
The Luminary Project www.theluminaryproject.org
The Luminary Project Nurses Lighting the Way to
Environmental Health is a new effort to capture
the illuminating stories of nurses' activities to
improve human health by improving the health of
the environment. The shining stories on this
website show how nurses are creatively and
strategically addressing environmental problems
and illuminating the way towards safe hospitals,
communities with clean air, land and water and
children born without toxic chemicals in their
bodies. 
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H2E Wrap Up

• www.h2e-online.org

• Data Collection
• Goal Setting
• Program Development, Implementation, Monitoring
• Reporting, Awards, Recognition
• Repeat!

What is one attribute of mercury that is a
requirement for Health care environmental success?
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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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H2E is not for profit!

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http//www.h2e-online.org/support/index.htm
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H2E Partner Subscription
http//www.h2e-online.org/subscribe/index.htm
199 per year Teleconferences Waste priority
planner Awards Technical assistance
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Product Services Directory
Dodie Perkins 603/795-9966 Dodi.perkins_at_h2e-online
.org
http//www.h2e-online.org/directory/index.htm
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H2E in Transition! http//www.h2e-online.org/docs/
h2estatgreen70106.pdf
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http//www.h2e-online.org/contact.htm
Clip N Save!
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 Liza
Nanni, Program Associate - 603/795-9966 Dodi
Perkins, Business and Services Directory -
603/795-9966 Laura.brannen_at_h2e-online.org Liza.nan
ni_at_h2e-online.org Dodie.perkins_at_h2e-online.org Ja
net Brown, Partner Coordinator
413/253-0254 Janet.brown_at_h2e-online.org Sarah
OBrien, EPP Specialist 802/479-0317 Sarah.obrie
n_at_h2e-online.org Cecilia Deloach, State Programs
800/727-4179 Cecilia.deloach_at_h2e-online.org