Home' The Source : Second Quarter 2011 Contents pest management program, Jones
says. (See story on page 26.)
"We see it as more of an IDN's role
to lead the charge for change within
their organization, because they can
institutionalize a concept and come
up with a concerted, multifaceted ap-
proach in a practical environment,"
he says. For example, HCA is part of
Practice Greenhealth's "Greening of
the OR" program, says Jones, who
is a member of HCA's Sustainability
Steering Committee and chairs its EPP
According to Practice Greenhealth,
"The operating room is one of the
largest users of supplies within the
hospital, as well as one of the largest
producers of waste. Case studies have
estimated that between 20 and 30 per-
cent of the total waste generated by the
hospital comes from the OR."
Some years ago, hospitals moved
away from reusable to disposable
gowns, drapes and other textile prod-
ucts, as well as fluid collection basins. One reason was that the fabrics
were di cult and expensive to clean and their performance su ered
as they wore out.
Since then, Jones says, vendors such as SRI Surgical have fielded
much higher quality, "re-engineered" textiles and other products that
he feels are superior to "the majority of disposables" and that retain
their performance throughout the reprocessing cycle. These vendors
also reprocess their products, but third-party vendors reprocess items
labeled single-use, he adds.
Persuading health-care professionals to use reprocessed items can
present a formidable challenge to sustainability e orts, Jones says.
Electrophysiology ablation catheters, for example, are typically
labeled as single-use devices, though the FDA has approved them
for reprocessing. New, the devices range from $2,000 to $4,000 each;
reprocessed units cost half that much, Jones says. But physicians often
oppose their use because of concerns about reliability and possible
contamination, despite studies to the contrary.
"In 2002," Jones says, "the FDA issued very tough reprocessing
guidelines and specs that require reprocessors to prove their products
are as good and safe and e cacious as new. Because of the re-use
aspect, the FDA guidelines are more stringent than those for OEM
[original equipment manufacture] products.
"Each reprocessed device is tested for functionality before being
sold, while OEMs are required to test only random samples," he adds.
"Sometimes, the functionality and reliability of reprocessed items is
higher than that of new items."
As with other initiatives involving EPP, HealthTrust works to bring
all those involved in the decision-making process together to review
evidence and decide whether to try an alternative product.
New initiatives lie ahead, Jones says. "Working closely with
Practice Greenhealth, we are focusing on big projects, doing what
makes sense for us and our members. Our track record so far shows
that sustainability e orts have been proven e ective." S
HealthTrust Honored for
HealthTrust recently won a 2011 "Champion for Change"
Award from Practice Greenhealth, a national member-
ship organization for health-care facilities committed to
environmentally responsible operations. The award recognizes
businesses and organizations that demonstrate successful
accomplishments in "greening" themselves and helping their
health-care clients improve their environmental performance.
"This award is a re ection of HealthTrust's commitment to
their members to protect patient health and preserve the envi-
ronment," said Anna Gilmore Hall, executive director, Practice
Greenhealth. "It is exciting to know that HealthTrust is leading
this e ort and setting an example for other institutions."
"HealthTrust recognizes the importance of providing
environmentally sound services and products, and takes its
responsibility seriously," said J. Michael Jones, FACHE, director,
clinical education and sustainability for HealthTrust. "Not that
many years ago, purchasing departments were hearing about
environmentally preferable purchasing for the first time. It's
really turning around now. Facilities are asking for eco-friendly,
non-toxic products in increasing numbers. We're proud to be
delivering products and services that are better for both the
environment and public health."
The award was presented at the Environmental Excellence
Awards in Phoenix, Ariz., during CleanMed 2011, the premier
global conference on environmentally sustainable health care.
contracts with EPP
• Medical device
• Cleaning and laundry
• Trash can liners (both
and "right size"
• Longer lasting, higher
e ciency air filters for
• Toner recycling
• Computers and
• Reusable and recycled
• Defibrillators (battery
life and case content)
Reprocessing Savings --- SterilMed
(numbers provided b vendor)
Reprocessing Savings --- Ascent
(numbers provided b vendor)
The Source | Second Quarter 2011 25
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