The La Crosse, WI-based health system has probably the most ambitious eco-friendly agenda of any healthcare entity in the United States, with a vow to reduce its net carbon emissions footprint to zero by 2014.
"I don't like shooting for fluffy, ethereal, impossible goals. I believe in aiming for real things," says Gundersen Lutheran CEO Jeff Thompson. "When we started this I wanted to see the traction. We did a feasibility study to see if it was possible. It looked like it'd be a hard goal, but a real goal, so that's when we decided we would put a stake in the ground."
The health system's net zero footprint plan includes reducing and recycling waste, energy conservation, and the innovative use of alternative energy generated by wind, sun, water, and a program that captures, cleans, and reuses waste methane gas produced by a local brewery and a landfill.
Thompson says the projects are cost-effective and have galvanized the hospital staff and the community around a noble goal. "To do something that saves money and excites your staff and gets you looked at as a great corporate citizen in your community—that is a triple whammy," he says.
A new survey released today by Practice Greenhealth, the nonprofit networking organization with more than 700 member hospitals, shows that a growing number of hospitals are turning to environmentally friendly practices, with varying levels of success.
The survey found that: 93% of its responding members are implementing energy conservation and efficiency measures; 80% are attempting to reduce the use of hazardous chemicals and materials; 64% implemented waste reduction programs; 58% implemented medical waste reduction programs; 47% implemented green purchasing programs; 31% implemented water reduction programs; and 12% were generating energy onsite.
Practice Greenhealth spokeswoman Eileen Secrest says the recession has dampened the green movement for now. "There certainly are incentives to reduce waste and save money, but the building industry in healthcare was booming until the recession," Secrest says. "That is a real blow to hospitals going green because there were a lot of projects in the pipeline and now they can't get funding. We are hoping some of the stimulus money can go to these projects, but its not there yet."
Thompson says the recession will slow the green movement somewhat, but that there are still cost-saving measures that hospitals can undertake and see immediate returns on investments, starting with energy conservation.
Gundersen Lutheran did an energy audit on their facilities and retro-commissioned their health system to reduce excess use of fans, pumps, and electric motors, and to installed a more-efficient cooling system, all of which cost $2 million. However, the health system is already saving $1 million a year in energy costs with the improvements.
"The bad economy should be an impetus for people to look at this because there is some easy money hanging out there," Thompson says. "I'm not saying you need to go out and buy a $10 million windmill, but you can get a study done to find out where your energy conservation opportunities are. We use a lot more energy and that means we have a bigger opportunity to save money."
Gundersen Lutheran has had a recycling program in place for several years. The hospital had been paying $60 a ton to haul away its garbage, but last year it recycled 270 tons of paper and cardboard, a savings of $16,200 in hauling fees, not counting the resale value of the recycled paper. "We make money on our recycling program," Thompson says. "Is it a huge percentage of my costs? No. But my role as a CEO is to get people excited and engaged in improving the organization."
Thompson says Gundersen Lutheran's staff is proud of its environmental activism, which has also facilitated new relationships with nearby technical schools, organic farmers, and other local businesses. "Our staff wants us to be good citizens, but they don't want it to cost their jobs by doing fluffy stuff," he says. "The fact that they're doing it to improve the community and in a financially strong way, that they can put their hands on it when they recycle paper and batteries and cardboard, this is important to them."
Older Americans could see big changes in Medicare as a result of a healthcare overhaul, lawmakers and experts said as Congress began working on the sweeping legislation. Medicare should become the test lab for making the entire healthcare system less wasteful, experts told the Senate Finance Committee. Savings could be used to strengthen Medicare itself, or plowed into covering the uninsured.
The American Medical Association is developing a Web-based service offering doctors electronic prescribing, up-to-date reference material, and other resources. The goal is to make it easier for physicians to adopt technology President Obama is promoting for healthcare reform, to streamline their workload, and improve patient care.
The surgery was meant to take out the patient's gallbladder, but when the patient was sewn up a 13-inch medical instrument was left behind.
Operating room staff typically count sponges, sharp objects and instruments three times during and after surgery, but in this case, which occurred in January at Hartford Hospital, the final instrument count took place before the patient's incision was fully closed.
The case, cited in a report by Connecticut regulators, reflected a rare but potentially severe operating room occurrence: leaving objects in patients after surgery.
Capping malpractice damages is a healthcare reform idea that has swirled around Washington for years, but a Dallas Morning News columnist questions whether it would make healthcare less expensive in this article. The evidence doesn't show it, he says.
Grady Memorial Hospital has paid a consultant $1,600 a day for nearly two years to run its patient revenue department, flying her into town and paying for her Atlanta apartment, transportation, meals, and cable bills. Cheri Kane has been paid a total of $785,841 in fees and expenses from Grady since July 2007. Last year, the hospital paid her $378,400 in fees and $54,884 in expenses, for a total of $433,284, according to hospital records. Hospital officials say Kane's work boosts revenue and has been worth the cost. But some Grady advocates and healthcare experts have raised concerns about the longterm employment of a private consultant.
The health plans that cover most Minnesotans broke even last year after three years of operating losses and look poised for a strong 2009. Enrollment in public programs, in particular Medical Assistance, grew sharply in a weak economy. So did enrollment in plans with health savings accounts. Overall enrollment was up 2.6% to 4.3 million, according to the Minnesota Council of Health Plans, which released its annual report on health plan financial results.
Seattle planners did not adequately review potential impacts of Seattle Children's Hospital's proposed expansion plan, a hearing examiner ruled. Ruling on the Laurelhurst Community Club's appeal of the city's environmental impact statement, the examiner said planners did not go into enough detail about how the proposal conflicted with city land-use policies or about 136 homes that would be demolished as part of the expansion. Planners must lay out how the proposal conflicts with certain city land-use policies and meets other stated city objectives, giving City Council members information they need to make a balanced decision, the examiner wrote.
Sinai Health System announced that it will receive property north of its Mt. Sinai Hospital for a campus redevelopment plan under a land swap approved by the Chicago Housing Authority Board. CHA will provide to Sinai a parcel for a new parking lot and a 200,000-square-foot ambulatory care center, Sinai said. In return, Sinai is transferring to CHA a parcel. Sinai said the land swap involves no cash payment to the city.
A high-level commission will develop a blueprint for how to get the most out of record levels of global health aid by enlisting lawmakers, pharmaceutical executives, and a wide array of specialists to recommend ways the U.S. government can better coordinate helping the world's most vulnerable people. The bipartisan Commission on Smart Global Health Policy was given a mandate to identify a more comprehensive strategy for spending the estimated $10 billion dedicated each year to assisting the most disease-plagued nations.
