Tracking Greenhouse Gases A Guide for Tracking and

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Tracking Greenhouse Gases A Guide for Tracking and Goal Setting in Health Care Presentation

Tracking Greenhouse Gases A Guide for Tracking and Goal Setting in Health Care Presentation to HEARRT September 26, 2018

Introduction: Lauren Koch 2

Introduction: Lauren Koch 2

Avoided Emissions by Presenting Virtually: . 455 tons carbon dioxide

Avoided Emissions by Presenting Virtually: . 455 tons carbon dioxide

Today’s Agenda 01 03 02 04 Why you should track Setting a goal How

Today’s Agenda 01 03 02 04 Why you should track Setting a goal How to track and set a baseline Making other commitments 4

Why track 5

Why track 5

Hospital climate action is urgent 6

Hospital climate action is urgent 6

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Business as usual scenario could triple health care’s emissions Global health spending is rapidly

Business as usual scenario could triple health care’s emissions Global health spending is rapidly growing at the same time that the world is committed to reducing greenhouse gas emissions. A business as usual scenario could triple health care's already significant contribution to emissions. 8

Energy use for heating, cooling, lighting, & water use Health care contributes to climate

Energy use for heating, cooling, lighting, & water use Health care contributes to climate change Waste anesthetic gases Waste hauling, treatment, & landfill gases 10% of U. S. greenhouse gas emissions Meat production & food transport Fleet vehicles Employee commutes Supplies & materials

This is about patient and community health. 10

This is about patient and community health. 10

How to track 11

How to track 11

Defining Organizational Boundaries Considerations: • Hospitals • Administrative facilities • Leased fleet vehicles Resources:

Defining Organizational Boundaries Considerations: • Hospitals • Administrative facilities • Leased fleet vehicles Resources: • Practice Greenhealth GHG Toolkit (coming October 2018) • GHG Protocol Corporate Standard 12

Scopes Defined: 1 Scope 1: • • Stationary combustion of fuels (e. g. boilers,

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 13

Scopes Defined: 2 Scope 2: • Purchased electricity • Purchased steam or hot water

Scopes Defined: 2 Scope 2: • Purchased electricity • Purchased steam or hot water • Purchased chilled water 14

Scopes Defined: 3 Scope 3: • Fuel and energy-related activities (not in 1 or

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 15

Limited Scope 3 Recommendations: • Purchased goods or services Less Meat • Disposal of

Limited Scope 3 Recommendations: • Purchased goods or services Less Meat • Disposal of waste generated in operations • Employee business travel • Employee commute 16

But…what are we really talking about? ? Just Scopes 1 and 2, really. 17

But…what are we really talking about? ? Just Scopes 1 and 2, really. 17

How do I get (mainly energy) emissions data and track it? • ENERGY STAR

How do I get (mainly energy) emissions data and track it? • ENERGY STAR Portfolio Manager • Practice Greenhealth GHG Tracking Spreadsheet • Practice Greenhealth awards application 18

What about fleet vehicles and anesthetic gases? Data gathering • AG: Pharmacy can often

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 m. L, 250 m. L, 240 m. L) • 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 (coming October 2018) • Practice Greenhealth Anesthestic Gas Toolkit (coming November 2018) 19

What about refrigerants? 1. Find purchase data through invoices 2. Estimation methodology **Because this

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. ** 20

Setting a goal 21

Setting a goal 21

This follows the same pattern as other goal setting processes. • Alignment with strategic

This follows the same pattern as other goal setting processes. • Alignment with strategic priorities and mission • Identifying successes to date • Finding cost savings opportunities 22

Practice Greenhealth Recommended Goals • • • Level 1: Establish a baseline GHG inventory

Practice Greenhealth Recommended Goals • • • Level 1: Establish a baseline GHG inventory and continue to track Scopes 1 and 2. Level 2: Set a goal: Reduce GHGs by XX% by 20 XX from baseline year 20 XX (Scopes 1 and 2). Level 3: Set a goal: Carbon neutral by 20 XX (Scopes 1 and 2) 23

Where is the health care sector on tracking? 24

Where is the health care sector on tracking? 24

Where is the health care sector on goals? Making PROGRESS. Carbon Neutral by 2027

Where is the health care sector on goals? Making PROGRESS. Carbon Neutral by 2027 (Scopes 1 and 2 only) NYC Carbon Challenge: Reduce Greenhouse Gas Emissions 50% by 2025 (Scopes 1 and 2 energy only) 100% Energy Independence from Grid Carbon Neutral by 2020 (Scopes 1 and 2 only) Carbon Positive by 2025 100% Renewable Electricity 25% by 2020 (Scopes 1 and 2 energy only) 100% by 2050 25

Action by other sectors Higher Education: • President’s Climate Commitment Corporations / Businesses: •

Action by other sectors Higher Education: • President’s Climate Commitment Corporations / Businesses: • 90% of Fortune 500 companies report to the Carbon Disclosure Project (CDP) using the GHG Protocol standard • Power Forward: 48% of Fortune 500 companies have a climate goal and the annual emission reductions from these efforts are the equivalent to taking 45 coal-fired power plants offline for one year. • 145 companies committed to 100% renewable electricity States/Cities: • California – SB 100 • Boston – Green Ribbon Commission • New York City – Mayors Carbon Challenge 26

Other commitments 27

Other commitments 27

Health Care Climate Challenge 28

Health Care Climate Challenge 28

Take your commitment to the next level! 29

Take your commitment to the next level! 29

Set a greenhouse gas goal for the hospital / health system How to take

Set a greenhouse gas goal for the hospital / health system How to take action Reduce OR energy use & waste Invest in renewable energy Reduce, reuse, recycle Include climate risks in emergency preparedness plans Educate your community Choose local, sustainable foods & reduce food waste Carpool, bike, walk, or take public transport

Questions: Lauren Koch lkoch@hcwh. org https: //practicegreenhealth. org/topics/climate-and-health https: //noharm-uscanada. org/issues/us-canada/climate-and-health

Questions: Lauren Koch lkoch@hcwh. org https: //practicegreenhealth. org/topics/climate-and-health https: //noharm-uscanada. org/issues/us-canada/climate-and-health