Home' The Source : Second Quarter 2011 Contents fell by 21 percent due to diverting material
to appropriate waste streams.
By diverting recyclable sharps, reusable
sharps and medical waste plastics, the vol-
ume of medical waste fell by 18 percent.
Recycling increased by 95 percent. This
resulted in savings of $114,000 figured on
the 2009 baseline.
In addition, WM provided an online
tool to help each location analyze and
monitor individual waste streams, and it
established a donation program for all used
Both WM and Stericycle have agreed
to open the Total Integrated Waste pro-
gram to all HealthTrust members and to
upgrade recycling compactors, bins and
containers at no cost to facilities, as well
as train employees on new waste handling
WM and Stericycle will provide a guaran-
teed upfront savings o prior year baseline
costs. Additional savings will be possible
through increased sustainability e orts,
including education, recycling, improved
segregation and composting. As facilities
reduce the amount of waste that enters
the landfills, they will continue to see in-
Katamay notes that a member's size and
degree of commitment to the program
will a ect its total savings. "Members can
choose which vendor---Waste Management
or Stericycle---they prefer to use. Each of-
fers the same program."
Greener Pest Control
One eco-friendly initiative focused
on improving the hospital environment
for everyone is HCA's Ecosensitive Pest
Management Program, which uses alter-
native means to remove insects and other
"HCA has sought to improve the pest
management program at each of our fa-
cilities by increasing a focus on preventive
measures vs. reactive actions, and a com-
mitment to environmental stewardship,"
HCA partnered with Steritech to develop
specifications for pest management that are
both e ective and environmentally sensi-
tive. Steritech is the first recipient of the
United States Environmental Protection
Agency's Pesticide Environmental
Stewardship (PESP) Champion Award.
These specifications eliminate or reduce
the need to deploy hazardous pesticide
products, ensuring a healthier environment
for patients, sta and visitors, he says.
"Our approach is stop them first, move
them next and kill them as a last resort,"
Cecelic says. When needed, pesticides are
used in pinpoint or targeted applications
rather than routine widespread spraying.
The new Steritech Ecosensitive Pest
Management contract will be available to all
HealthTrust members in the near future.
More Green Initiatives
In addition to its Total Integrated Waste
Management program, HCA has pioneered
in several other areas. For several years, it has
used remanufactured toner cartridges instead
of new ones. HealthTrust contract vendors
for remanufactured toners are Metro O ce
Solutions, Guy Brown and Staples. With the
addition of new contracted vendors for re-
manufactured toners, HCA is expanding this
initiative to all its locations.
"The remanufactured cartridges have the
same yield and quality as new ones at about
half the cost," Katamay says.
In 2010, HCA's use of remanufactured ink-
jet and toner cartridges prevented more than
120,000 quarts of oil from being consumed in
manufacturing new cartridges. It takes a gal-
lon of fossil oil to produce one laser cartridge,
and 2-1/2 ounces of oil to manufacture each
new inkjet cartridge, according to HCA.
This also prevented more than 110,000
pounds of solid waste from entering landfills
by returning used cartridges and participat-
ing in a closed-loop product lifecycle. Each
cartridge becomes 3.5 pounds of solid waste
and can take up to 450 to 1,000 years to
As for the paper that holds all that ink,
HCA participates in a HealthTrust contract
with Cintas for recycling shredded paper.
"HCA also has stepped up recycling of
demolition and construction debris and is
working on optimizing heat and air condi-
tioning systems at HCA facilities to reduce
energy use, " Cecelic says. "And the corpo-
ration is establishing baselines on products
it purchases as it continues to expand its
environmentally preferable purchasing
One of the key strategies to increase sustainability for health-care facili-
ties is EPP---environmentally preferable purchasing. Every product
and service used in a hospital has an environmental e ect on patients,
sta and even visitors. They also a ect the community.
EPP is defined by Practice Greenhealth---the nation's leading membership organi-
zation for institutions in the health-care community that have made a commitment
to sustainable, eco-friendly practices---as the practice of purchasing products or
services that have less impact on the environment and human health than a com-
parable product or service.
HealthTrust joined Practice Greenhealth in 2008. Tapping into Practice
Greenhealth's resources, HealthTrust has put in place a number of sustainable
purchasing options for members and advises members on selecting environmentally
"One way to look at it is, 'Everything that goes out the back door came in the
front door,' meaning that we should focus on making wise purchasing decisions
up front to reduce environmental impact, as well as costs, with product use and
disposal," says Beth Eckl, director of the Environmental Purchasing Program for
Purchasing a Priority
continued on page 28
The Source | Second Quarter 2011 27
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