{"id":14018,"date":"2016-11-04T17:58:41","date_gmt":"2016-11-04T21:58:41","guid":{"rendered":"https:\/\/digital.hbs.edu\/platform-rctom\/submission\/unexpected-partnerships-climate-change-healthcare-and-partners-healthcare-hospitals\/"},"modified":"2016-11-04T17:58:41","modified_gmt":"2016-11-04T21:58:41","slug":"unexpected-partnerships-climate-change-healthcare-and-partners-healthcare-hospitals","status":"publish","type":"hck-submission","link":"https:\/\/d3.harvard.edu\/platform-rctom\/submission\/unexpected-partnerships-climate-change-healthcare-and-partners-healthcare-hospitals\/","title":{"rendered":"Unexpected Partnerships: Climate Change, Healthcare, and Partners Healthcare Hospitals"},"content":{"rendered":"<p><span style=\"font-weight: 400\">On October 23, 2016, Massachusetts General Hospital (MGH), a national leader and #1 Hospital ranked by U.S. News &amp; World Report,[1] was recently profiled in the <\/span><i><span style=\"font-weight: 400\">Boston Globe<\/span><\/i><span style=\"font-weight: 400\"> for its plan to explore building a new \u2018green\u2019 pediatric hospital&#8211; structural innovations, energy efficiency, indoor greenhouse and all.[2] This comes after a series of \u2018green\u2019 initiatives rolled out by its parent umbrella organization, Partners Healthcare, across its hospital sites. While this may seem en vogue across industries, these \u2018green\u2019 choices have been deliberate. This post explores why environmental friendliness has important health implications, and how Partners has been a leader in the charge.<\/span><\/p>\n<p><b><i>Healthcare\u2019s Footprint<\/i><\/b><\/p>\n<p><span style=\"font-weight: 400\">According to the World Health Organization (WHO), \u201cbetween 2030 and 2050, climate change is expected to cause approximately 250,000 additional deaths worldwide per year, from malnutrition, malaria, diarrhea, and heat stress.\u201d These translate to \u201cdirect damage costs to health (i.e. excluding costs in health-determining sectors such as agriculture and water and sanitation)&#8230;estimated&#8230;between US$ 2-4 billion per year by 2030.\u201d As these predictions show, climate change will have an important impact on health.[3] \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">But, almost more importantly, these numbers speak to a capacity issue and need for hospitals to be more resilient in the face of climate change &#8212; something that was seriously reinforced when health care facilities were flooded by Hurricanes Katrina and Sandy, leading to untimely closures that turned patients away.[4]<\/span><\/p>\n<p><span style=\"font-weight: 400\">As healthcare delivery systems prepare for the future increased demand, they must also consider how they simultaneously contribute to climate change. While the healthcare sector represents approximately 18% of the US GDP,[4] hospitals have historically also spent $5.3 billion on energy every year, and use twice as much energy per square foot as traditional office space.[11] As large contributors to the economy, the healthcare sector must find a solution to these staggering negative contributions to global climate change.<\/span><\/p>\n<p><span style=\"font-weight: 400\">As an initial step, hospital networks have created shared agreements on reducing environmental impact, like the <\/span><b>2020 Health Care Climate Challenge<\/b><span style=\"font-weight: 400\"> through Health Care Without Harm (HCWH). These agreements focus on <\/span><i><span style=\"font-weight: 400\">three pillars <\/span><\/i><span style=\"font-weight: 400\">towards successfully becoming more green: mitigation, resilience, and leadership.[6]<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>Mitigation<\/b><span style=\"font-weight: 400\"> involves reducing healthcare\u2019s own carbon footprint.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Resilience<\/b><span style=\"font-weight: 400\"> is adapting to extreme weather and epidemiologic shifts in disease.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Leadership<\/b><span style=\"font-weight: 400\"> involves using the unique position of the hospital within communities to promote and protect public health by educating the staff and broader citizens about climate change\u2019s effects on health and safety.<\/span><\/li>\n<\/ul>\n<p><b><i>Partners\u2019 Current Strategy<\/i><\/b><\/p>\n<p><span style=\"font-weight: 400\">Partners Healthcare, the largest healthcare network in Massachusetts, has taken an active role towards mitigating its own carbon footprint through partnerships with the Boston local government, with Healthcare Without Harm (and the 2020 Health Care Climate Challenge), and as founding member of the Healthier Hospitals Initiative, a coalition of eleven of the country\u2019s most progressive and innovative health systems.[8] Through these partnerships, Partners\u2019 has published a strategy that focuses on:[12]<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>Engaging leadership<\/b><span style=\"font-weight: 400\"> on environmental health and sustainability<\/span><\/li>\n<li style=\"font-weight: 400\"><b>Leaner energy use<\/b><\/li>\n<li style=\"font-weight: 400\"><b>Reducing waste and increasing recycling<\/b><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Using <\/span><b>safer chemical<\/b><\/li>\n<li style=\"font-weight: 400\"><b>Purchasing environmentally preferable products<\/b><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Serving <\/span><b>healthier foods <\/b><span style=\"font-weight: 400\">and beverages<\/span><\/li>\n<li style=\"font-weight: 400\"><b><i>Recent Successes<\/i><\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Anecdotally, Partners has made specific operational changes towards improvement, including:[8]<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Adopting a single-stream waste management program<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Initiating lines of healthy food choices<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Capturing and reprocessing chemicals used in its clinical lab facilities<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Replacing bottled water with filtered tap water dispensers<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Building a replacement hospital that is designed to operate on 42% less power than the current energy code standard<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">As an aggregate, Boston hospitals, including Partners Healthcare, have also made significant gains toward specific targets, resulting in cost savings conservatively estimated at $11.9 million:[7]<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">From 2011-2013, Boston hospitals cut energy use by 6% compared to business as usual.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Boston Mayor Marty Walsh challenged hospital facilities to achieve green house gas reductions greater than 25% by 2020 &#8212; MGH reached 35% reduction in 2014.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Boston hospitals have, or are developing, significant Combined Heat and Power plants (CHP), which are approximately 25% more efficient than utility sources, can deliver 18% green house gas reductions, and reduce pollutant emissions that impact public health and welfare. This has been especially important with recent grid failures during extreme weather conditions.<\/span><\/li>\n<\/ol>\n<p><b><i>Ways Going Forward<\/i><\/b><\/p>\n<p><span style=\"font-weight: 400\">While Partners is achieving initial gains, it should continue to focus more granularly on the areas outlined in its strategy. Like its peers, Partners could purchase a larger share of renewable energy to reduce emitted greenhouse gases while also building more energy-efficient facilities to increase total patient capacity.[13] These ultimately can save dollars that could be spent on actual healthcare delivery to patients in need.<\/span><\/p>\n<p><b>Word Count: 757<\/b><\/p>\n<p><b>Sources:<\/b><\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">BostonGlobe.com. 2016. <\/span><i><span style=\"font-weight: 400\">Mass. General explores possible new \u201cgreen\u201d pediatric hospital &#8211; The Boston Globe<\/span><\/i><span style=\"font-weight: 400\">. [ONLINE] Available at: <\/span><a href=\"https:\/\/www.bostonglobe.com\/metro\/2016\/10\/23\/mass-general-explores-possible-new-green-pediatric-hospital\/ssXvD6Ts6JBf0XF05gdnGM\/story.html\"><span style=\"font-weight: 400\">https:\/\/www.bostonglobe.com\/metro\/2016\/10\/23\/mass-general-explores-possible-new-green-pediatric-hospital\/ssXvD6Ts6JBf0XF05gdnGM\/story.html<\/span><\/a><span style=\"font-weight: 400\">. [Accessed 04 November 2016].<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Massachusetts General Hospital. 2016. <\/span><i><span style=\"font-weight: 400\">#1 in the Nation &#8211; Massachusetts General Hospital, Boston, MA<\/span><\/i><span style=\"font-weight: 400\">. [ONLINE] Available at: <\/span><a href=\"http:\/\/www.massgeneral.org\/News\/newsarticle.aspx?id=5409\"><span style=\"font-weight: 400\">http:\/\/www.massgeneral.org\/News\/newsarticle.aspx?id=5409<\/span><\/a><span style=\"font-weight: 400\">. [Accessed 04 November 2016].<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">World Health Organization. 2016. <\/span><i><span style=\"font-weight: 400\">WHO | Climate change and health<\/span><\/i><span style=\"font-weight: 400\">. [ONLINE] Available at: <\/span><a href=\"http:\/\/www.who.int\/mediacentre\/factsheets\/fs266\/en\/\"><span style=\"font-weight: 400\">http:\/\/www.who.int\/mediacentre\/factsheets\/fs266\/en\/<\/span><\/a><span style=\"font-weight: 400\">. [Accessed 04 November 2016].<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Forbes Welcome. 2016. <\/span><i><span style=\"font-weight: 400\">Forbes Welcome<\/span><\/i><span style=\"font-weight: 400\">. [ONLINE] Available at: <\/span><a href=\"http:\/\/www.forbes.com\/sites\/skollworldforum\/2013\/04\/07\/what-does-climate-change-have-to-do-with-health-care\/#74ac7b303e69\"><span style=\"font-weight: 400\">http:\/\/www.forbes.com\/sites\/skollworldforum\/2013\/04\/07\/what-does-climate-change-have-to-do-with-health-care\/#74ac7b303e69<\/span><\/a><span style=\"font-weight: 400\">. [Accessed 04 November 2016].<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Chung JW, DO Meltzer. (2007). Estimate of the Carbon Footprint of the US Health Care Sector. <\/span><i><span style=\"font-weight: 400\">JAMA<\/span><\/i><span style=\"font-weight: 400\">. 2009;302(18):1967-1972<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">2020 Health Care Climate Challenge | Health Care Without Harm. 2016. <\/span><i><span style=\"font-weight: 400\">2020 Health Care Climate Challenge | Health Care Without Harm<\/span><\/i><span style=\"font-weight: 400\">. [ONLINE] Available at: <\/span><a href=\"https:\/\/noharm-global.org\/issues\/global\/2020-health-care-climate-challenge\"><span style=\"font-weight: 400\">https:\/\/noharm-global.org\/issues\/global\/2020-health-care-climate-challenge<\/span><\/a><span style=\"font-weight: 400\">. [Accessed 04 November 2016].<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Boston Green Ribbon Commission. 2016. <\/span><i><span style=\"font-weight: 400\">Health Care Working Group &#8211; Boston Green Ribbon Commission<\/span><\/i><span style=\"font-weight: 400\">. [ONLINE] Available at: <\/span><a href=\"http:\/\/www.greenribboncommission.org\/work\/health-care-working-group\/\"><span style=\"font-weight: 400\">http:\/\/www.greenribboncommission.org\/work\/health-care-working-group\/<\/span><\/a><span style=\"font-weight: 400\">. [Accessed 04 November 2016].<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Sustainability | Innovation and Leadership | Partners HealthCare . 2016. <\/span><i><span style=\"font-weight: 400\">Sustainability | Innovation and Leadership | Partners HealthCare <\/span><\/i><span style=\"font-weight: 400\">. [ONLINE] Available at: <\/span><a href=\"http:\/\/www.partners.org\/innovation-and-leadership\/sustainability\/\"><span style=\"font-weight: 400\">http:\/\/www.partners.org\/innovation-and-leadership\/sustainability\/<\/span><\/a><span style=\"font-weight: 400\">. [Accessed 04 November 2016].<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Triple Pundit: People, Planet, Profit. 2016. <\/span><i><span style=\"font-weight: 400\">How Hospitals Are Addressing Climate Change<\/span><\/i><span style=\"font-weight: 400\">. [ONLINE] Available at: <\/span><a href=\"http:\/\/www.triplepundit.com\/2014\/10\/hospitals-stepping-challenge-climate-change\/\"><span style=\"font-weight: 400\">http:\/\/www.triplepundit.com\/2014\/10\/hospitals-stepping-challenge-climate-change\/<\/span><\/a><span style=\"font-weight: 400\">. [Accessed 04 November 2016].<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Sustainability for Healthcare Management | Practice Greenhealth. 2016. <\/span><i><span style=\"font-weight: 400\">Sustainability for Healthcare Management | Practice Greenhealth<\/span><\/i><span style=\"font-weight: 400\">. [ONLINE] Available at: <\/span><a href=\"https:\/\/practicegreenhealth.org\/tools-resources\/sustainability-health-care-book\"><span style=\"font-weight: 400\">https:\/\/practicegreenhealth.org\/tools-resources\/sustainability-health-care-book<\/span><\/a><span style=\"font-weight: 400\">. [Accessed 04 November 2016].<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Triple Pundit: People, Planet, Profit. 2016. <\/span><i><span style=\"font-weight: 400\">How Hospitals Are Addressing Climate Change<\/span><\/i><span style=\"font-weight: 400\">. [ONLINE] Available at: <\/span><a href=\"http:\/\/www.triplepundit.com\/2014\/10\/hospitals-stepping-challenge-climate-change\/\"><span style=\"font-weight: 400\">http:\/\/www.triplepundit.com\/2014\/10\/hospitals-stepping-challenge-climate-change\/<\/span><\/a><span style=\"font-weight: 400\">. [Accessed 04 November 2016].<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Healthier Hopsitals: Participating Hospital. [ONLINE] Available at: <\/span><a href=\"http:\/\/www.healthierhospitals.org\/about-hhi\/participating-hospitals\/\"><span style=\"font-weight: 400\">http:\/\/www.healthierhospitals.org\/about-hhi\/participating-hospitals\/<\/span><\/a><span style=\"font-weight: 400\">. [Accessed 04 November 2016].<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Kaiser Permanente Share. 2016. <\/span><i><span style=\"font-weight: 400\">Kaiser Permanente Makes Major Wind and Solar Energy Purchases &#8211; Kaiser Permanente Share<\/span><\/i><span style=\"font-weight: 400\">. [ONLINE] Available at: <\/span><a href=\"https:\/\/share.kaiserpermanente.org\/article\/kaiser-permanente-makes-major-wind-and-solar-energy-purchases\/\"><span style=\"font-weight: 400\">https:\/\/share.kaiserpermanente.org\/article\/kaiser-permanente-makes-major-wind-and-solar-energy-purchases\/<\/span><\/a><span style=\"font-weight: 400\">. [Accessed 04 November 2016].<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>On October 23, 2016, Massachusetts General Hospital (MGH), a national leader and #1 Hospital ranked by U.S. News &amp; World Report,[1] was recently profiled in the Boston Globe for its plan to explore building a new \u2018green\u2019 pediatric hospital&#8211; structural [&hellip;]<\/p>\n","protected":false},"author":1778,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","categories":[],"class_list":["post-14018","hck-submission","type-hck-submission","status-publish","hentry"],"connected_submission_link":"https:\/\/d3.harvard.edu\/platform-rctom\/assignment\/climate-change-challenge-2016\/","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Unexpected Partnerships: Climate Change, Healthcare, and Partners Healthcare Hospitals - Technology and Operations Management<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/d3.harvard.edu\/platform-rctom\/submission\/unexpected-partnerships-climate-change-healthcare-and-partners-healthcare-hospitals\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Unexpected Partnerships: Climate Change, Healthcare, and Partners Healthcare Hospitals - Technology and Operations Management\" \/>\n<meta property=\"og:description\" content=\"On October 23, 2016, Massachusetts General Hospital (MGH), a national leader and #1 Hospital ranked by U.S. News &amp; 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