Hospitals use less fossil fuel but energy use hasn’t slipped much

Read the full story at Environment + Energy Leader.

Over the past 25 years, hospitals have decreased fossil fuel use, but electricity use isn’t declining as much. According to a survey by Grumman|Butkus Associates, the average combined Btu/ft2 (electricity plus gas/steam) for participating facilities was 236,743 in this year’s survey, up from 233,491 in 2019.

Seeing ‘green’ can ease confusion, anger in navigating hospitals

Read the full story from West Virginia University.

Research has shown that introducing nature into large hospitals can humanize the institutional environment and reduce the stress of patients, visitors and healthcare providers.

If your hospital suddenly feels more like an Apple store or greenhouse, biophilic design is why

Read the full story at Fast Company.

Among a certain subset of designers, there’s a growing feeling that the more natural a space is, the better. So-called biophilic design, or design that integrates nature and natural processes, is making its way into the world of architecture and urban development. In architecture, biophilia is seen as a way to make people happier and healthier by building nature into their daily lives, even when they’re in a city.

It’s a concept that’s particularly relevant in healthcare spaces like hospitals and clinics. Wellness and patient healing have been repeatedly shown to have close connections with the way spaces are designedthe amount of natural daylight they’re exposed to, even the views hospital rooms offer patients.

More and more, healthcare facilities are being designed with biophilic concepts from the start.

GreenScreen Certified for Furniture & Fabrics v1.1 Webinar

Mar 23, 2022, 2 pm CDT
Register here.

Join Clean Production Action, Kaiser Permanente, Maharam, and Glen Raven in a webinar on the newly updated GreenScreen Certified Standard for Furniture & Fabrics.

Here you will learn what GreenScreen Certified is and how it can be used by manufacturers and purchasers to meet sustainability goals. Join us to heear from manufacturers with certified products, especially PFAS-free fabrics, about the benefits of certification and the GreenScreen process.

Facilitator

  • Mark Rossi, Clean Production Action

Presenters

  • Shari Franjevic, Clean Production Action 
  • Jennifer Mason MacDaniel, Kaiser Permanente
  • Heather Covert, Glen Raven
  • Betsy Phillips, Maharem

Our hospitals are at greater risk of flooding as the climate changes. We need better evacuation plans.

Rick Rycroft/AP

by Martin Loosemore, University of Technology Sydney; Maziar Yazdani, UNSW Sydney, and Mohammad Mojtahedi, UNSW Sydney

With hospitals under strain from COVID-19, we need to safeguard them against another threat set to increase as the world warms.

That threat? Flooding. Many Australian hospitals were built on cheap land near rivers. But as climate change loads the dice in favour of larger floods, areas previously safe may no longer be so. We must plan ahead to ensure patients and healthcare workers are not trapped by floodwaters.

Our new research shows future floods in low-lying areas of Western Sydney are likely to disrupt road networks, preventing safe evacuation of patients. Only last year, this region suffered its worst floods in decades, and more are expected as we enter a flooding cycle. This fast-growing region is rated one of Australia’s highest flooding risks, and hosts a number of healthcare facilities built in flood-prone areas.

The solution? We believe new approaches to mathematical modelling can help decision makers optimise plans for safe evacuation in different flooding scenarios. By cutting evacuation time, we hope these approaches can save lives.

Hospitals were not built to cope with larger floods

Around 80% of Australians live within 50 kilometres of the coast. As a result, many hospitals were built on low-lying land adjacent to seas or rivers. Most were designed without climate change risks in mind.

The major floods brought by La Nina last year, and the catastrophic 2010-2011 Queensland floods, have shown us how exposed many of our cities are to floods. Already in 2022, we have seen large floods up and down the east coast.

Climate change is predicted to bring Australia less rain overall, except for the tropical north. The rain that does fall will be more likely to fall in intense bursts. River flash floods from intense rain events or cyclones will pose an increasing threat to health facilities.

Some urban areas are on highly flood-prone areas. For example, the NSW Hawkesbury Nepean flood plan anticipates a flood similar to the infamous 1867 flood would result in around 90,000 people being evacuated.

That’s to say nothing of flooding from the sea. Around Australia, 75 hospitals and health service facilities are within 200 metres of the sea. That puts them at real risk from coastal inundation and erosion by the end of the century, if the seas rise by one metre as the Intergovernmental Panel on Climate Change predicts.

This is not a hypothetical scenario. Hospitals have already been left without power for days due to flooding, while others have been forced to evacuate patients. Only last year, floods up and down the east coast cut roads and forced authorities to find alternatives to hospitals for people unable to get through.

Clearly, this matters. Hospitals play a vital role in creating a disaster-resilient society, and it is critical they can keep operating in disaster situations.

The World Health Organization (WHO) has called for a better understanding of the threat posed by flooding.

What can we do to prepare?

In our region, very little is known about how we might best evacuate hospitals in the event of a major flood. We simply haven’t done enough research.

What we found in our work is that the issue is extremely complex. Where would patients be evacuated to, for instance? How do you do it safely? Which routes would be safe in a major flood? How would medical staff get to other hospitals?

Evidence from recent floods suggests many hospitals in flooded areas will face major challenges transferring patients and resources to other healthcare facilities.

So what can hospitals do better?

At present, hospital administrators rely heavily on evacuation drills to test and improve emergency evacuation planning. These drills are expensive and disruptive and their effectiveness is difficult to assess.

We have found new approaches to mathematical modelling could greatly assist hospital managers plan for a flood to prevent them becoming disasters.

For example, analysis of Western Sydney’s Hawkesbury-Nepean Valley can visually show how different size flood events would impact on hospitals, healthcare and aged care facilities, as well as roads, bridges and electricity lines.

figure showing different flood sizes in Western Sydney
Modelling outcomes for a range of flooding scenarios in Western Sydney’s Hawksbury-Nepean valley. Author provided

Imagine the Hawksbury-Nepean Valley area floods again like last year. In a scenario where a hospital floods and patients need evacuation, hospital administrators will face a conundrum. Which roads do they send the patients down?

Sophisticated modelling our team is undertaking will let us predict which routes are best, based on the roads most likely to flood, ambulance and staff availability, health needs of patients and the availability of suitable beds and staff in other hospitals. The models allow us to optimise routes for the most urgent patients.

For hospital administrators, the benefit of these models is the ability to glimpse the likeliest scenarios and plan ahead, before the floods happen.

Climate change can supercharge floods, as we are seeing more and more. Decision makers must plan ahead accordingly. Running flood and evacuation simulations now could help save lives in the future.

Martin Loosemore, Professor of Construction Management, University of Technology Sydney; Maziar Yazdani, Doctoral candidate, UNSW Sydney, and Mohammad Mojtahedi, Senior lecturer, School of Built Environment, UNSW Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.

A hospital ward made from trash highlights Arthur Huang’s mission to revolutionize recycling

Read the full story from CNN.

The Modular Adaptable Convertible (MAC) ward at the Fu Jen Catholic University Hospital in Taipei is the world’s first hospital ward made with recycled materials, according to its creators, Taiwanese company Miniwiz. The wall panels are made from recycled aluminum and the coat hooks and door handles are made from recycled medical waste.

Webinar: Becoming ESPC-Ready

Jun 15, 2021 2-3 pm CDT
Register here.

Join this webinar to better understand the basics of Energy Savings Performance Contracting, or ESPC. This foundational training covers how state and local governments can facilitate energy efficiency investments through ESPC, and how facility managers can use ESPC to enhance their facility’s energy performance. Whether you are a stakeholder from a state or local government, university, K-12 school, or hospital, this webinar can help you become ESPC-ready.

This webinar is based on the Foundations of ESPC training offered by the National Association of State Energy Officials (NASEO) and the Energy Services Coalition as part of the DOE-NASEO Return-to-Work Initiative.

Recyclablu turns upcycled medical waste into PPE

Read the full story in Forbes.

A little over a year ago, as the Covid-19 pandemic first swept the world, healthcare facilities faced a critical shortage in personal protective equipment (PPE). Aditi Sharma, who is finishing a dermatology residency at the University of California (UC) Irvine, vowed to help solve the problem. Along with Dr. Melissa Chang, she began creating face masks out of medical waste that otherwise would have ended up as landfill.

Care Without Carbon: The Road to Sustainability in US Health Care

Health systems around the world are turning their attention to greenhouse gas mitigation and resilience. Globally, health care is responsible for nearly 5% of total global greenhouse gas emissions. Nationally, US health care is responsible for 8.5% of US greenhouse gas emissions and similar fractions of toxic air emissions. Disease burden stemming from US health care pollution is on the same order of magnitude as medical errors, but is presently unaddressed.

As mandatory carbon reduction looms on the horizon for all sectors, this three-part symposium provides an overview of the current state of health care sustainability accounting, and seeks global lessons that can be adopted by the US health care delivery sector to guide mitigation and resilience strategies. Broadly, attendees can expect to be able to:

  • Explain current needs for health care organization sustainability accounting
  • Review different global framework tools for environmental and social performance accounting
  • Describe international health care system sustainability exemplars and their applicability to the US system
  • Discuss how health care organization sustainability accounting supports the development of data-driven interventions, mitigation targets and timelines

Part 1: Sustainability frameworks for the US healthcare sector.
May 27, 2021, 11:00 am-3:30 pm EDT
Presented with the Yale Center for Business and the Environment.

Part 2: Lessons from the Greener NHS Initiative: challenges and opportunities on the road to net zero health care.
June 3, 2021, 11:00 am-3:30 pm EDT
Presented with the University College London Energy Institute, the Lancet Countdown and the Northeastern University College of Engineering.

Part 3: Lessons from the Nordic sustainable health care experience.
June 10, 2021, 11:00 am-3:30pm EDT
Presented with the Nordic Center for Sustainable Healthcare.

PPE Waste Disposal a Growing Pandemic Challenge

Read the full story at Specialty Pharmacy Continuum.

The increase in the need for personal protective equipment (PPE) and its use during the COVID-19 pandemic has produced a corresponding burden on the other end: a rise in medical waste as institutions dispose of gowns, gloves, masks, face shields and shoe covers that have been exposed to the virus. Are there different waste disposal requirements for COVID-19-contaminated PPE? How should your pharmacy and institution be handling this kind of waste?