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UW Health Sustainability Report FY18

The UW Health Sustainability Program is proud to present our second annual Sustainability Report!


This report reflects our efforts and results as related to our FY18 goals, which helped to further shape and solidify Sustainability at UW Health. A large part of how our program puts ideas into action is through our network of committees. These committees exist in key areas that make up the core of our sustainability program: energy and water, green standards, greening the operating room (OR), sustainable foods, waste and outreach, and serve as the framework for this report.


Future Sustainability Program reports will include a comprehensive look at UW Health’s accomplishments and goals throughout the system by including metrics from Swedish American Health and Unity Point-Meriter, which are now both part of the UW Health system.

 

Committee leaders include:

  • Liz Douglas, vice president of facilities and support services
  • Dr. Karin Zuegge, anesthesiologist and medical director for sustainability
  • Mary Evers Statz, program director for energy management and sustainability

Under each tab, view our progress on FY18 goals, other accomplishments from this year, and our goals for FY19. Our FY19 goals will serve as checkpoints for the larger goals outlined in our UW Health Sustainability Plan.

 

Energy, Water and Carbon

FY18 Achievements

  • Seven buildings in UW Health’s portfolio have an Energy Star score at or exceeding 75, putting these facilities in the top 25 percent of similar buildings
  • The Union Corners clinic performs in the top 10 percent of similar buildings with an impressive Energy Star score of 94, and is UW Health’s highest performing clinic
  • Energy efficiency improvements across our system resulted in $459,000 in cost savings over 2016
  • UW Health completed a direct and indirect (scope 1 and 2) emissions inventory including fleet vehicles, anesthetic gases, purchased electricity, and consumed natural gas, which reveals our emissions are down from last year
  • According to these numbers, UW Health emitted 124,461 metric tons of CO2 in 2017 (as much as 25,000 cars emit in one year)
  • UW Health achieved a 24 percent improvement in energy performance across our portfolio compared to our 2013 baseline, and will receive recognition from the U.S. Department of Energy

FY18 Goal Update

  • Reduce water use intensity (gallons per square foot) by 5 percent across our building portfolio
    • UW Health tracks water consumption for our larger buildings including University Hospital, American Family Children’s Hospital, and our large ambulatory locations, and we achieved a 13 percent reduction in usage in 2017
  • Reach Better Buildings Challenge goal of a 20 percent reduction in carbon emissions compared to a 2013 baseline, which would allow us to reach our goal six years early
    • UW Health achieved a 24 percent reduction in energy use intensity (carbon emissions from energy per square foot), reaching our goal six years early
  • Complete retro-commissioning project at SwedishAmerican Hospital
    • UW Health completed this project in November 2017, and targeted energy improvements at the Swedish American Cancer Center

FY19 Goals

  • Reduce water use intensity (gallons per square foot) by an additional 5 percent across our building portfolio
  • Target a new Better Buildings Challenge goal over our 2013 baseline and aim for a 25 percent improvement by the end of 2018
  • Complete a study to identify energy saving opportunities for the OR’s at University Hospital, American Family Children’s, and The American Center
  • Lay groundwork for strategic energy management program at UW Health
Energy Star logo U.S. Department of Energy Better Buildings Challenge logo
UW Health tracks energy, water, and waste at most buildings using Energy Star Portfolio Manager and recently completed our 20 percent reduction goal through the Department of Energy’s Better Buildings Challenge.

 

Green Standards

FY18 Achievements

  • UW Health received considerable recognition for achieving LEED Gold for UW Health at The American Center, making it the first hospital in the state of Wisconsin and only the tenth in the U.S. to achieve this prestigious certification
  • Recent unit remodels at University Hospital have all been completed with sustainability and recycling in mind, allowing for ease of implementation in critical patient care areas
  • The Planning, Design, and Construction department is now working with Sustainability at UW Health to standardize energy and sustainability requirements for all remodels and new construction
  • We worked with our Group Purchasing Organization (GPO) to identify more sustainable products in our supply chain
  • Staff and contractors attended Winter Salt Certification to reduce over-salting practices and the amount of salt running into Madison lakes

FY18 Goal Update

  • Increase green-certified purchasing budget by 15 percent
    • UW Health had a 4.5 percent green-certified purchasing spend in 2017 compared to 6 percent in 2016
  • Achieve LEED Silver for Union Corners Clinic and LEED Gold for UW Health at The American Center

FY19 Goals

  • Develop a process to include environmental considerations in sourcing practices including requests for proposals, contract renewals, day to day purchasing, and value analysis
  • Identify opportunities to avoid single use and disposable items in favor of those that can be reprocessed or reused
U.S. Green Building Council LEED Gold logo
UW Health at The American Center was the first hospital in the State of Wisconsin to achieve LEED Gold certification.

Greening the OR

FY18 Achievements

  • UW Health continued with reusable options for many items including back table covers, mayo stand covers, surgical gowns, surgical towels, grounding pads, patient positioning devices and many more
  • We’ve further reduced our usage of anesthetic gases that contribute to climate change, reducing our annual volatile anesthetic agent emissions by more than 5,000 metric tons since 2012 while saving more than $400,000 per year
  • More than 90 percent of our operating rooms throughout UW Health now utilize all-LED surgical lighting
  • Dr. Karin Zuegge, medical director for sustainability, along with Mandy Kron, senior art coordinator, and Dr. Meghan Warren, championed an incredible recycled art project to divert anesthesia vial caps from the landfill. Read and view more about it on channel3000.com, the Wisconsin State Journal and the Badger Herald.
  • UW Health solicited proposals to engage a third-party reprocessor for non-invasive devices, and that process will begin in 2018

FY18 Goal Update

  • All UW Health ORs to be evaluated for heating, ventilation and air conditioning (HVAC) setback opportunities during unoccupied hours
    • This process is currently ongoing and will conclude in 2018
  • Institute recycling programs for all eligible items that do not come into patient contact
    • UW Health has instituted recycling programs for pens, vial caps, polystyrene, electronics, and copper containing devices at many UW Health locations

FY19 Goals

  • Work to further reduce desflurane from our formulary at the American Family Children’s Hospital, University Hospital and UW Health at The American Center
  • Buy back more than 25 percent of the devices collected through our new, non-invasive reprocessing vendor
Dr. Karin Zuegge, anesthesiologist and medical director for sustainability, presents at Practice Greenhealth's CleanMed Conference about her efforts to green UW Health's operating rooms.
Dr. Karin Zuegge, anesthesiologist and medical director for sustainability, presents at Practice Greenhealth's CleanMed Conference about her efforts to green UW Health's operating rooms.

Sustainable Foods

FY18 Achievements

  • UW Health increased its acquisition of local (produced within 150 miles of University Hospital) or sustainable (i.e. third-party certified, organic, etc.) foods to more than 30 percent of its total budget, up from 28 percent in 2016
  • 94 percent of meat served at University Hospital and American Family Children’s Hospital is now antibiotic-free
  • UW Health at The American Center composted 9.75 tons of pre- and post-consumer food waste in 2017, diverting this material from the landfill and instead digesting it to create energy

FY18 Goal Update

  • Increase local produce purchases by 10 percent
    • Due to a redefinition by Practice Greenhealth, we now combine measurements for sustainable and local purchases, and this metric has increased by more than 10 percent from 27.7 percent of UW Health’s total spend, to 34.9 percent in 2017 at University Hospital and American Family Children’s Hospital
  • Identify opportunities to reduce food waste throughout UW Health
    • We’ve measured and begun to reduce food waste at The American Center and University Hospital, and we’ve learned from practices currently in place at Swedish American Hospital
  • Develop consistent food practices at all UW Health hospitals
    • We’re working with our varying purchasing and food service vendors to standardize as much as possible
  • Serve only antibiotic-free meat at University Hospital and American Family Children's Hospital
    • UW Health was 94 percent antibiotic free by the end of 2017

FY19 Goals

  • Serve only antibiotic-free meats at University Hospital and American Family Children’s Hospital
  • Align culinary practices for antibiotic-free meat, healthy beverages, and local/sustainable foods across all Madison hospitals
UW Health Culinary Services was recognized by Practice Greenhealth as one of the top 10 hospitals in the nation for healthy, sustainable food
Culinary Services is able to offer healthy, local and sustainable foods in our cafeteria each and every day.

 

Waste

FY18 Achievements

  • Through the usage of dashboard services and data entry of bills, we established waste baselines at all large sites throughout UW Health. Therefore, the waste committee has fulfilled its initial objective of collecting waste data for many sites, and our plan is to gather a green chemicals committee in this new year to help address some of the reduction opportunities we have throughout our locations.
  • UW Health eliminated the use of table paper at most outpatient locations including urgent care.
  • The recycling rate (excluding construction and demolition waste) at University Hospital and American Family Children’s Hospital increased from 27 percent in 2016 to 28 percent in 2017. The recycling rate at The American Center Hospital increased from 29 percent in 2016 to 32 percent in 2017.
  • Many outpatient locations began to participate in specialty recycling programs for Styrofoam, batteries, pens, vial caps and other materials, in addition to their commingled recycling
  • Eligible UW Health facilities right-sized their medical waste bins and reviewed recycling bills to implement cost savings measures of more than $15,000 annually

FY18 Goal Update

  • Reduce regulated medical waste below 6.5 percent of total weight and below 30 percent of total waste cost at University Hospital and American Family Children's Hospital
    • UW Health’s regulated medical waste is 8.6 percent of its total weight and 38 percent of total cost
  • Identify opportunities to reduce hazardous waste throughout UW Health
    • Identified opportunities to remove glass, plastic, and other landfill-eligible/recyclable items from our hazardous waste streams
  • Exceed 45 percent as the total recycling rate at University Hospital and American Family Children's Hospital
    • UW Health had considerably less construction and demolition (C&D) waste in 2017, but its recycling rate increased to 28 percent without C&D and 41 percent with C&D

FY19 Goals

  • Reduce regulated medical waste and hazardous waste below 2018 levels at all sites
  • Divert 10,000 pounds of material from the landfill through our single-use device reprocessing programs
  • Implement system to track food waste at University Hospital and American Family Children’s Hospital
Several UW Health sites, including The American Center, Union Corners Clinic, and Mt. Horeb Clinic, have begun to engage in composting programs over the past year

Several UW Health sites, including The American Center, Union Corners Clinic, and Mt. Horeb Clinic, have begun to engage in composting programs over the past year.

 

Outreach

FY18 Achievements

  • UW Health received the Green Masters award, the preeminent honor for business sustainability, from the Wisconsin Sustainable Business Council for the second year in a row
  • The operating room vial cap art projects and the successful efforts of culinary services both received recognition in numerous local media outlets
  • For the second consecutive year, University Hospital and American Family Children’s Hospital received Practice Greenhealth’s Partner for Change award, and Culinary Services received a Circle of Excellence Award for ranking in the top 10 of hospitals across the nation for healthy and sustainable foods
  • UW Health at The American Center received Practice Greenhealth’s Partner for Change award, in addition to Making Medicine Mercury Free
  • UW Health joined the Dane County Climate Council to serve as a powerful voice guiding Dane County’s journey to deep decarbonization
  • UW Health was featured on NBC-15 for Earth Day 2017

FY18 Goal Updates

  • Further engage stakeholders including patients, families, medical students, and staff in our sustainability efforts
    • Through a survey that reached more than 500 of our most important stakeholders:
      • 83 percent of respondents indicated that sustainability should be at or near the top of UW Health’s list of priorities;
      • 88 percent indicated that we should continue to market these efforts;
      • and 87 percent of prospective employees said they’d be more likely to work for an environmentally responsible employer.
      • Survey respondents also indicated that reducing waste, using smarter chemicals and procuring renewable energy should be the top three priorities for Sustainability at UW Health.
  • Establish a publicly available, multi-year sustainability plan that outlines all medium- to long- term program goals
    • The UW Health Sustainability Program has a plan and is actively engaging all stakeholders for input
  • Continue to share UW Health's sustainability initiatives via social media and with news media throughout the entire calendar year
    • Our Sustainability Program effectively marketed our accomplishments and initiatives to internal, regional, and even national audiences

FY19 Goals

  • Receive national recognition for UW Health at The American Center’s LEED Gold certification
  • Receive national recognition for UW Health’s energy conservation efforts
  • Increase employee engagement by increasing the number of Green Teams throughout UW Health.
UW Health received the Green Masters Award from the Wisconsin Sustainable Business Council UW Health receives the Greenhealth Partner for Change from Practice Greenhealth

UW Health received three impressive awards from Practice Greenhealth, including:
the Partner for Change Award (2nd year in a row), Circles of Excellence-Healthy Food (2nd year in a row),
and Making Medicine Mercury-Free.