Sustainability in health care

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1 Sustainability in health care Sue Brennan Manager Strategic Planning & Asset Management

2 Who leads on environmental sustainability? Director, CP&SP Manager, Office of the Director EA to Director Strategic Planning & Asset Management Service & Capital Planning Corporate Bus. Services Project Development & Implementation RCH Project Metro System Planning Rural System Planning Service Policy (new) NW Metro S&C Planning SE Metro S&C Planning Finance Services Business Support NW Metro Projects SE Metro Projects PCCC Project BHH Project Asset Management Rural S&C Planning Procurement and Policy Rural Projects Bendigo Project Env. Sustainability Design Services Service and Asset Planning Group Business Services Group Project Delivery Group

3 Purpose Capital Projects & Service Planning role: leading environmental sustainability in the health sector Capital Projects & Service Planning strategic priority to: drive environmental sustainability objectives through design, performance monitoring and supporting behavioural change in the health sector

4 Achievements Guidelines for sustainability in health care capital works Alexandra District Hospital Longitudinal Study ResourceSmart Healthcare Sustainable health care procurement

5 Sustainability in health care capital works

6 Alexandra Hospital longitudinal study Two-year study looking at: Staff productivity Patient outcomes Environmental impact Comparing existing hospital to new hospital being built next door Interim results late 2011 / early 2012

7 ResourceSmart Healthcare Provides assistance to develop environmental management plans Over 80 health organisations participated so far 20 health services prepared EMPs Final phase commencing March 2011

8 Sustainable health care procurement Figure 1: Carbon Footprint Waste 9% Purchases 1% Business Travel < 1% Commuting & Other Travel 13% Consumables 57% Utilities 20% Food < 1%

9 Challenges in delivering sustainable outcomes Growth in demand for health services & carbon emissions Infrastructure & responding to extreme events Operating in an environment of uncertainty

10 Carbon emissions & bed days Victorian public health GHG (greenhouse gas) emissions from stationary energy consumption mapped against adjusted bed days Estimated emissions prior to FY06 assuming 2% annual growth Annual GHG emissions tonnes ('000) Adjusted bed days (millions) Estimated emissions based on reported energy consumption (1.8% annual growth) Projected emissions assuming 2% annual growth Trajectory to contribute to state-wide GHG emissions target Adjusted Bed Days (actual) Adjusted Bed Days (forecast) Sources: Energy consumption: AIMS Bed Days: Inpatient Forecast Model FY00 FY10 FY20 0 Emission target: Victorian Climate Change Act reduction target (20 per cent reduction of State GHG emissions below 2000 levels by 2020)

11 Carbon emissions & separations Victorian public health GHG (greenhouse gas) emissions from stationary energy consumption mapped against separations Annual GHG emissions tonnes ('000) Separations (millions) Estimated emissions prior to FY06 assuming 2% annual growth Estimated emissions based on reported energy consumption (1.8% annual growth) Projected emissions assuming 2% annual growth Trajectory to contribute to state-wide GHG emissions target Separations (actual) Separations (forecast) 100 Sources: Energy consumption: AIMS Separations: Inpatient Forecast Model FY00 FY10 FY20 0 Emission target: Victorian Climate Change Act reduction target (20 per cent reduction of State GHG emissions below 2000 levels by 2020)

12 Responding to extreme events Integration of bushfire risk into GIS Summer Preparedness Self Assessment Tool Bushfire Attack Level assessments Rectification works and maintenance items addressing: Fuel reduction and management Smoke protection Ember protection Acceptance of the VFRR (Wildfire) Extreme category

13 Environment of uncertainty Operating environment: Existing funded programs completed Further direction on environmental will emerge during the term of the Government Energy performance contracting Proceeding across government DH working with Austin Health DH working through risks, including latent conditions

14 Opportunities Learning from other health services Working together on common projects Working with other government stakeholders

15 Thank You! Sue Brennan Manager Strategic Planning & Asset Management (03)

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