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HackensackUMC Sustainability ProgramPresented by Kyle TafuriSustainability Advisor
About eHackensackUMCat Pascack y HealthNetworkTeam 10---610 783K--- 98567,352Inpatient 2841,5559,148Inpatient Surgeries12,0242,3163341,55916,233Outpatient Surgeries20,3604,1392276,14430,870Emergency Visits112,72040,0259,26739,630201,642Outpatient Visits398,511103,87010,23949,543562,163Net Revenue 1.43B 208.9M 28.5M 177.9M 1.85BMedical ResidentsTotal Academic StudentsNursing StudentsTotal Open Research StudiesTotal NIH Grant AmountsLicensed Beds
SustainabilityEnhancing environmental practices andinitiatives, through a comprehensivesustainable program to ensure a safe,healthy environment for patients,employees, and our community.
2001-2012 Developed and implemented Greening The Cleaning programCreated one of the first Environmental Health Centers in HealthcareLaunched the Sustainability CommitteeInitiated the first green hospital in thecountry of its size and scale–––––––97% recycled steel structureNon-PVC hand railingCotton denim insulationRecycled carpet tilesNatural lightingOrganic food optionsNon-toxic toys Rooftop garden where vegetables are used for food JTCC- Largest living wall
Environmental Impacts of HospitalHackensackUMC Environmental Impact: Around 15 million a year on energy Use over 112,105,555 gallons of water a year Generate around 10 million lbs. of waste a year Purchased 107,000 reams of paper (6,446 trees) Over 32,000 surgeries and 112,000 ER Visits Have 3.5 million square feet Over 7,500 employees that drive to and from campus
EPA Memorandum of UnderstandingFebruary 23, 2012HackensackUMC intends to continuously improve our programs toreduce waste, minimize the use of hazardous materials,prevent pollution of valuable natural resources, increaserecycling, comply with all environmental regulations, and worktoward sustainability.
StructureThe Deirdre Imus EnvironmentalHealth Center and Chief of dManagementFundraising &DevelopmentPurchasingNursingLearning &PerformanceMedical Staff
Progress
Team Member Engagement Over 225 MembersQuarterly MeetingsGeneral OrientationPresident’s NewsletterManagement Meetings
Before
How did we instill behavior change? Round, round and round some more Part of Environment of Care rounds Nurse manager meetings Unit based councils Champions Stealth
HackensackUMC Waste MapRegulatedMedicalWasteNeedles & syringes(includes oral syringes)Blood saturated wastesScalpel blades& lancetsSuction canisters withadequate absorbentSharpsBatteriesRecyclingLithium batteriesPaper(no patient info)StyrofoamNiCad batteriesPlastic packagingWax lined cupsAlkaline batteriesCardboard packagingEmpty IV bags& tubing(no patient info)Food wasteGlass pipettes& slidesEmpty glass and plasticbottlesMicrobiology specimensBroken contaminated glassUsed and unused specimenbags bearing biohazardsymbolIV bags and tubing thatcontain patient infoRemember:No regular trashNo sharpsTrashBlue wrap(no blood)Staples & wireIV bag spikesGlove boxesBlue urine collection capRemember:No medicationsNo wrappersNo chemoRemember:No pulse oxRemember:No foodNo glovesNo regular trashNo soiled itemsNo RMWFor more information, contact: GoGreen@hackensackUMC.org No patient infoBed pans*Gowns*Gloves*Masks*worn butnot soiledRemember:No recyclablesNo RMW
HackensackUMC Waste MapTraceChemoBulkChemoRxNonHazardousRxSharpsEmpty (3% or less) bags,vials, ampoules containingchemo drugBulk (more than 3%)bags, vials, ampoulescontaining chemo drugAny pharmaceutical NOTmarked or coded (BKC) suchas:Trace contaminated PPESaturated PPEPartial IVsUnused pills& capsulesPartial vialsTopical ointments (capped)Any pharmaceutical that iscontained in a Sharp such as:Partial syringesPartial ampoulesSharps that contain chemoRemember:No bulk chemoNo regular trashRemember:No trace chemoNo RMWRemember:No sharpsNo empty containersNo controlledsubstancesRemember:No empty sharpsNo controlledsubstancesFor more information, contact: GoGreen@hackensackUMC.orgRxHazardousAny pharmaceutical markedor coded (BKC) such as:Partial IVsUnused pills& capsulesPartial vialsTopical ointments(capped)Remember:No sharpsNo emptycontainersNo controlledsubstances
After
All in the NumbersRegulated Medical WasteRegulated Medical WasteMonthPounds% of TotalMonthPounds% of TotalJan – 12128,65815.54%Jan – 1379,4029.90%Feb – 12124,83915.65%Feb – 1373,7989.50%Mar – 12124,03014.64%Mar – 1362,9407.83%Apr – 12115,23015.46%Apr – 1375,7269.39%May – 12101,80513.25%May – 1370,9978.41%Jun – 12119,15914.93%Jun – 1360,5337.88%Jul – 12105,76613.73%Jul – 1358,0157.32%Aug – 12115,80514.61%Aug – 1362,1808.16%Sep – 12108,60815.08%Sep – 1359,2217.79%Oct – 12107,14013.67%Oct – 1361,1837.40%Nov – 12103,15413.54%Nov – 1346,8355.57%Dec – 1294,13912.37%Dec – 1349,0206.75%Total1,348,331Total759,850
Flame Retardant Free
Financial Savings Energy: 429,628 through PSEG upgrades Energy: Utilivisor over 2,000,000 since 2010 Waste Reduction: 240,000 Reprocessing: 1,235,716 since program began in 2010 Pigment Free Plastics: 14,000 Zero-VOC Paints: 8,000 (mixing machine donated) Fuel Efficient Vehicles: 13,000
What we’ve learned Develop a strong foundation Build into current programs Collaborate and share best practices with otherinstitutions Whatever works, go with it! Be willing to change
Challenges Culture Generational differences “Green costs more” Competing priorites Dealing with growth 100% buy in Budget
Partnerships
Recognition - 2014
Recognition - 2014 HackensackUMC Honored As A National Environmental Leader For SocialStewardship - HealthTrust 2014 Practice Greenhealth’s highest honor: the 2014 Environmental ExcellenceAward. Hackensack University Medical Center received the 2014 New JerseyBusiness & Industry Association (NJBIA) Award for Excellence inEnvironmental Quality. Hackensack University Medical Center, no longer purchasing furnituretreated with toxic flame retardant chemicals.
QuestionsContact:Kyle TafuriSustainability Advisorktafuri@hackensackUMC.org551-996-8346
Oct 31, 2014 · Mountainside HackensackUMC at Pascack Valley Palisades Healthcare System Hackensack University Health Network Team Members 7,587 1,630 609 1,529 11,355 Physicians 1,666 617 452 453 3,188 Medical Residents 170 50 - 65 285 Total Academic Students 160 - - 249 40
