[PDF] - Track Emissions and Save Money Tuesday, November 12, 2019 Welcome! PDF Document

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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 Koch Associate Director, Climate and Health Health Care Without Harm Practice Greenhealth Jon Utech Senior Director Office for a Healthy Environment Cleveland Clinic

Tracking Greenhouse Gases

A Guide for Tracking and Goal Setting in Health Care

Presentation to

FHA Members

November 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 vehicles

Considerations 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 page Mobile Fuel combustion by Fleet Vehicles ‐ Current Year auto‐calculated based on responses further down Climate page Waste 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 Neutral By 2027

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Sources of Electricity Generation Natural Gas Coal Nuclear Hydro Oil Wind Solar Other

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

r Effects

Autonomous Adaptations Residual or Net Impacts CLIMATE CHANGE Human Interference Exposure IMPACTS VULNERABILITIES ADVOCACY Policy Responses Planned ADAPTATION to Vulnerabilities and Impacts MITIGATION Of Climate Change via GHG Sources and Sinks Adapted from: IPCC CLINICAL Transformation

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2008 2011 2013 2014 2015 Energy Efficiency Progress Energy Efficiency Goal Resilience Progress Resilience Goal Advocacy Progress 2016-2017 Clinical Engagement 2017 Carbon Neutral Goal Building the Climate Stairway Implementation: EE Projects EPA Robin G. NIH, WH ALA OHA, HWCH CEO DOE

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Transpersonalism Social / Industrial Transformation Population Health New Relationships Climate Resilience Caregiver Engagement Mitigation / Energy Efficiency Moral Obligation Leadership & Recognition

Climate Hooks

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429

2010 2011 2012 2013 2014 2015 2016

1. Mitigation

Reduce Energy Usage by 20%

2017

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2. Caregiver Engagement

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3. Climate Resilience: Climate-Driven Impacts
n 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

utages

Heat waves Backup medical supplies Facility flooding Poor air quality Vector-borne diseases Transportation

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MITIGATION COOs Facilities Supply Chain Caregivers ADAPTATION Architects Engineers Supply Chain, EM Facilities ADVOCACY CEO Government Relations Community CLINICAL MDs RNs Administration

4. New Relationships

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5. Population Health

“Fossil Fuels and Health”

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6. Societal Transformation

Initial Impacts

r Effects

Autonomous Adaptations Residual or Net Impacts CLIMATE CHANGE Human Interference Exposure

IMPACT S VULNERABILITIES

ADVOCACY Policy Responses Planned ADAPTATION to Vulnerabilities and Impacts MITIGATION Of Climate Change via GHG Sources and Sinks

Adapted from: IPCC

CLINICAL Transformation

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+

Healthcare 8%

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 Khatri August 2015

White House Summit June 2015

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Finance asked for a perpetuity cost

assessment of the goal

Created 100 year “Monte Carlo” simulation
f 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
ffset 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 electricity 3 ‐ Purchase renewable electricity

COMBINATION OF REDUCE, PRODUCE, PURCHASE

“Brown” Power “Green” Power Renewable PPA Renewable PPA Renewable PPA Renewable PPA

Reduce: 35% → Save $0.9 – 2.53 million Produce: 60% → Save $189k Purchase: 5% → Cost $8k Combined: 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

f 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 PARTICIPANTS

representing the interests of more than 18,000 HOSPITALS AND HEALTH CENTERS in 31 COUNTRIES. Climate Challenge participants also report saving

$394 (USD) Million

through energy efficiency and renewable energy generation.

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Questions:

Lauren Koch lkoch@hcwh.org Jon Utech utechj@ccf.org

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 Ready

January 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).

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