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Track Emissions and Save Money
Tuesday, November 12, 2019
Hospital Sustainability Collaborative 3-Part Webinar Series | Webinar 1:
John Wilgis
Vice President, Member and Corporate Services
Florida Hospital Association
Welcome!
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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.
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Today’s Presenters
Lauren KochAssociate Director, Climate and HealthHealth Care Without Harm
Practice Greenhealth
Jon UtechSenior DirectorOffice for a Healthy EnvironmentCleveland Clinic
Tracking Greenhouse GasesA Guide for Tracking and Goal Setting in Health Care
Presentation to
FHA MembersNovember 12, 2019
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Today’s Agenda
Practice Greenhealth: Why and how to track
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Cleveland Clinic: Setting a goal
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Practice Greenhealth: other case studies
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Questions
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Why track
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Hospital climate action is urgent
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Energy use for heating, cooling, lighting, & water use
Employee commutes
Meat production & food transport
Waste anesthetic
gases
Supplies & materials
Fleet vehicles
Waste hauling, treatment, & landfill
gases
10% of U.S. greenhouse gas emissions
Health care contributes to climate change
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This is about patient and community health.
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How to track
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Defining Organizational Boundaries and Baseline Year
Considerations for Organizational Boundaries:
• Hospitals
• Administrative facilities
• Leased facilities
• Leased fleet vehiclesConsiderations 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
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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
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Scopes Defined: 2
Scope 2:
• Purchased electricity
• Purchased steam or hot water
• Purchased chilled water
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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
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Limited Scope 3 Recommendations:
• Purchased goods or services → Less Meat
• Disposal of waste generated in operations
• Employee business travel
• Employee commute
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But…what are we really talking about?? Just Scopes 1 and 2, really.
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How do I get (mainly energy) emissions data and track it?
• ENERGY STAR Portfolio Manager
• Practice Greenhealth GHG Tracking Spreadsheet
• Practice Greenhealth awards application
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Stationary combustion auco‐calculated from energy pageMobile Fuel combustion by Fleet Vehicles ‐ Current Year auto‐calculated based on responses further down Climate pageWaste Anesthetic Gases ‐ auto‐calculated based on volume of purchased anesthetic gases entered on GOR page
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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)
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Fleet Vehicle Inventory and GHG Calculator
Source: Practice Greenhealth 2019 Environmental Excellence Award.
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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.**
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Greenhouse Gas Reduction Toolkit
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Setting a goal and making progress: Cleveland Clinic
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Become Carbon NeutralBy 2027
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Sources of Electricity Generation
Natural GasCoalNuclearHydroOilWindSolarOther
Source: Washington Post – “Mapping how the United States generates its electricity” 3/28/17
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Carbon Intensity by State
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Climate Change Strategies
Initial Impacts or Effects
Autonomous Adaptations
Residual or Net Impacts
CLIMATE CHANGE
Human Interference
Exposure
IMP
AC
TS
VU
LN
ER
AB
ILIT
IES
ADVOCACYPolicy Responses
PlannedADAPTATION to
Vulnerabilities and Impacts
MITIGATIONOf Climate Change via GHG Sources
and Sinks
Adapted from: IPCC
CLINICALTransformation
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20082011
2013
2014
2015
Energy Efficiency Progress
Energy Efficiency
Goal
ResilienceProgress
ResilienceGoal
AdvocacyProgress
2016-2017
ClinicalEngagement
2017
Carbon Neutral
Goal
Building the Climate Stairway
Implementation: EE Projects EPA Robin G. NIH, WH ALA OHA, HWCH CEODOE
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TranspersonalismSocial / Industrial Transformation
Population Health
New Relationships
Climate Resilience
Caregiver Engagement
Mitigation / Energy Efficiency
Mor
al O
blig
atio
n Leadership &
Recognition
Climate Hooks
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429
2010 2011 2012 2013 2014 2015 2016
1. MitigationReduce Energy Usage by 20%
2017
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2. Caregiver Engagement
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3. Climate Resilience: Climate-Driven Impacts on Healthcare Facilities
Increase in GHG
concentration
Temperature changes
Sea level rise
Heat waves, cold spells
Extreme weather events
Precipitation changes
Wildfires
Drought
Excess rain, floods
Power outages
Heat waves
Backup medical supplies
Facility flooding
Poor air quality
Vector-borne diseases
Transportation
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MITIGATION
COOsFacilities
Supply Chain Caregivers
ADAPTATION
Architects Engineers
Supply Chain,EM
Facilities
ADVOCACY
CEOGovernment
RelationsCommunity
CLINICAL
MDsRNs
Administration
4. New Relationships
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5. Population Health“Fossil Fuels and Health”
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6. Societal Transformation
Initial Impacts or Effects
Autonomous Adaptations
Residual or Net Impacts
CLIMATE CHANGE
Human Interference
Exposure
IMP
AC
TS
VU
LNE
RA
BIL
ITIE
S
ADVOCACYPolicy Responses
PlannedADAPTATION
to Vulnerabilities and Impacts
MITIGATIONOf Climate Change via
GHG Sources and Sinks
Adapted from: IPCC
CLINICAL Transformation
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+
Healthcare8%
7. Transpersonalism
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8. Moral Obligation
Source: AP
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9. Recognition & Leadership…
Environmental Protection Agency Apr 2014
White House/ Health & Human Srvcs. Dec 2014
Oval Office – Dr. Sumita KhatriAugust 2015
White House SummitJune 2015
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• 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
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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
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Lessons Learned
• Personal Connections First
• Lead with the “Right Hook”
• Be Brave
• Build on Successes
• Be Realistic • “Coal a Non‐Starter”
• Timing Matters
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Other Hospital Case Studies
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KP Progress Towards Carbon Neutrality
• Scope 2 Emissions Strategy (approx. two-thirds of total GHG inventory)
• On-Site Solar: Approx. 40 MW installed with 46 MW in pipeline• Off-Site Renewable Energy Procurement: 153 MW operational
with 181 MW in pipeline (including 110 MW of battery storage) • Community renewable projects (WA, CO) and REC purchases
where necessary
• Scope 1 Emissions Strategy• Finalizing purchase of carbon offsets• Reduce Scope 1 emissions where possible: lower natural gas
usage, renewable on-site thermal generation pilots• Any reduction in on-site combustion translates into fewer carbon
offset purchases
• Additional priorities• Enhance resiliency in high-risk areas for wildfire and
microgrid development
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HOW TO GET TO 100% RENEWABLE ELECTRICITY
REDUCE PRODUCE PURCHASE
Options:1 ‐ Reduce energy use
2 ‐ Produce renewable electricity3 ‐ Purchase renewable electricity
COMBINATION OF REDUCE, PRODUCE, PURCHASE
“Brown” Power
“Green” PowerRenewable PPA
Renewable PPA
Renewable PPA
Renewable PPA
Reduce: 35% → Save $0.9 – 2.53 millionProduce: 60% → Save $189kPurchase: 5% → Cost $8kCombined: Save $1.09 ‐ $2.72 million annually
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Resources
Omni Orlando Resort at ChampionsGate
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Set a greenhouse gas goal for the hospital / health system
Carpool, bike, walk, or take public transport
Choose local, sustainable foods & reduce food waste
Reduce OR energy use &
waste
Include climate risks in emergency
preparedness plans
Invest in renewable
energy
Reduce, reuse, recycle
Educate your community
How to take action
Climate challenge participants are committed to reducing their aggregate greenhouse gas emissions by more than
34 MILLION METRIC TONS OF CO2e per year
This is equivalent to
of the Health Care Climate Challenge
THE IMPACT
Greenhouse gas equivalents calculated using the U.S. EPA Greenhouse Gas Equivalencies Calculator: https://www.epa.gov/energy/greenhouse‐gas‐equivalencies‐calculator
(*) Approximation based on the operation of 9 coal‐fired power plants for one year. Sources: Epstein et. al. (2011), Full cost accounting for the life cycle of coal, https://bit.ly/2lS1Bwt; U.S. EPA (2018), Greenhouse Gases Equivalencies Calculator, https://bit.ly/2skdbSA; U.S. EPA (2018), eGRID 2016 data, https://bit.ly/2qYvp7F.
healthcareclimatechallenge.org
A year of carbon emissions from 9 COAL FIRED POWER PLANTS
4 MILLION (U.S.) homes' energy use for one year
Emissions reduction from installing and running 7 THOUSAND WIND TURBINES for a year
SAVING $3.2 (USD) BILLION in health costs related to air pollution (*)
The Health Care Climate Challenge currently has
200 PARTICIPANTSrepresenting the interests of more than 18,000 HOSPITALS AND HEALTH CENTERS in 31 COUNTRIES.
Climate Challenge participants also report saving
$394 (USD) Millionthrough energy efficiency and renewable energy generation.
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Questions:Lauren Koch [email protected]
Jon Utech [email protected]
https://practicegreenhealth.org/topics/climate‐and‐health https://noharm‐uscanada.org/issues/us‐canada/climate‐and‐health
Questions?
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Next Up…
• Engage and Retain Employees December 3 at 1:00 p.m., ET https://cc.readytalk.com/r/qvg2sw3suxt2&eom
• Getting Your Hospital Climate ReadyJanuary 29 at 12:00 p.m., ET https://cc.readytalk.com/r/ql3eturba6gd&eom
Webinar Evaluation
• We would appreciate your feedback!!
• Web participants can stay logged in as the webinar closes to be redirected to the online survey (the link will also be provided in a follow-up email).
