Transcript of "Healthcare without Harm - Diagnosing the Carbon Footprint of Healthcare"
Healthcare without Harm - Diagnosing the Carbon Footprint of Healthcare Sowmya Rajagopalan, Programme Manager Healthcare February 2011
Sowmya Rajagopalan Functional Expertise Experience in market research, consulting, Issue based deliverables and analyst briefings for Frost & Sullivan projects on a global scale. Market Research in cardiology, orthopaedic, wound care and infection control sector in medical device Consults for leading medical device participants such as Intel, B.Braun, Cardinal Health and LMA in market sizing, competitor profiling, strategic recommendations Best Practices and Award Research Methodology Industry Expertise Experience base covering broad range of sectors in device industry Leveraging of long standing working relationships with leading industry participants’ senior executives Interactions include medical device industries, healthcare practices (hospitals), universities, and investors What I bring to the Team Technical expertise and in-depth understanding of the Medical Device Sector Ability to understand client requirements and facilitate new business developmentSowmya Rajagopalan Fast-paced, fact-based & pragmatic delivery of high impact business recommendationsProgram Manager Managing medical devices research team, providing personnel and technical support to team membersHealthcare,Medical Devices Career Highlights Over 5 years of industry expertise in the field of Medical device research and consultingFrost & Sullivan Quoted and published in several industry recognised international journals and magazinesEurope, Israel, Africa, Showcasing industry expertise and Frost & Sullivan at international medical device conferencesChennai, India Awarded the Frost & Sullivan Presidents Research Recognition award in 2008 First hand hospital environment experience, in studying patients, doctors and hospital staff working and interactions. Education Masters in Biological Sciences from Birla Institute of Technology and Science (BITS), Pilani (India) Research Study on” Factors Influencing Patient choice of Healthcare Providers in India” at Institute of Cardiovascular diseases, MMM, Chennai. Nationality: Indian 2
Focus Points Carbon Emission- An Overview Hospital and Carbon Emission Energy Consumption Material Consumption Medical Wastes Why look at Carbon Footprint of Healthcare Healthcare System’s Response to Carbon Emission Reduction Business Opportunities 3
Carbon Emission – An Overview Climate change is the biggest global health threat of the 21st century. The World Health Organisation (WHO) estimates that climate change already contributes to 150,000 deaths every year. Continued GHG [greenhouse gas] emissions at or above current rates would cause further global warming Recent data suggest that to keep global warming below the dangerous 2° threshold, we C must cut greenhouse gas production by at least 40% below 1990 levels by 2020. The EU has pledged to slash its own emissions by 20% below 1990 levels by 2020, and would cut emissions by up to 30% by the same deadline if other developed countries commit themselves to similar reductions under a global agreement. The health care industry has a critical role to play in climate change mitigation. Energy usage in medical facilities is highly intensive. In fact, hospitals expend about twice as much total energy per square foot as traditional office space 4
Hospitals Role in Harm to the Environment Health care facility activities have been estimated to represent 3–8% of the climate change footprint in developed- country settings. The hospitals are the key source of carbon emission in the healthcare set up. The carbon emission is accounted by: Energy Consumption Toxic Emissions 6
Energy Consumption The NHS spends around 400 million Pounds for use of energy, mainly in he form of electricity and natural gas across their healthcare facilities In Brazil hospitals account for 10.6% of the country’s total commercial energy consumption. In the United States of America, health-care buildings are the second most energy-intensive commercial sector buildings; the health sector spends US$ 8.5 billion on energy every year. Hospital Energy Consumption Energy Consumption for Hospitals By Major Applications 7
Material Consumption The natural resources depletion has been accelerated further by the healthcare Sector. In 2004 alone, the U.S healthcare sector consumed $23 billion worth of durable medical equipment and $32 billion worth of nondurable medical equipment, while investing another $86 billion in structures and medical equipment. The depletion increases further, when the use of disposables is high. Consumption of Water per Bed/Day in European Hospitals 8
Medical Wastes Health care facilities are second only to the in contributing to waste products in the United States, producing more than 6,600 tons per day and more than 4 billion pounds annually Operating rooms and labor-and-delivery suites make up 70 percent of total hospital waste. In the United Kingdom, the NHS generates one in every 100 tonnes of domestic waste, and most of it ends up in landfills. In a survey around 62% of the surveyed hospitals claimed to segregate the hospital wastes at source. However, observations revealed only 30% of the hospitals practice some kind of segregation. Alarmingly 62% of what gets buried is recyclable or compostable Types of Hospital Wastes Wastes of Resources from Budget to Patients 9
Why look at Carbon Footprint of HealthcareNHS Scenario• The carbon footprint of NHS was around 18.6 MtCO2. The split for the was as• The Carbon emission split across various division of procurement is as below: Only 1% of products are durable enough to still be in use 6 months and later. Hence optimisation procurement reduces unwanted expenditure.Waste Management is a key to reducing carbon emission. Paper – recycling 1 ton of paper saves 17-24 trees and 7,000 gallons of water. It reduces airpollution by 74% and water pollution by 35%.Energy Efficiency is the key to Reduce Carbon Foot PrintMost hospitals have old systems in need of renovation. Studies show thatsavings of 25 to 40 percent are realistic after renovation measures. 10
Healthcare System’s Response to Reducing Carbon Emission• Kaiser Permanente (the largest nonprofit health maintenance organisation in the United States), the 8.5 million member organisation with 145,000 employees and $31.1 billion in annual revenues has become a national environmental leader in the healthcare sector. The NHS has been urging to reduce Carbon emissions across healthcare. The NHS has agreed to reduce it by10%, the 2007 levels by 2015. 11
Carbon Emission Breakdown by Production Layer Public Services Business Services Transport and Communication Whole sale and Retail Trade Construction Electricity Gas and Water Equipment Minerals Metals Chemicals Fuels Wood and Paper Textiles Food Mining Fishing Forestry AgricultureLayer 1: NHS procurement of medical equipmentLayer 2: Medical equipment industry i.e. equipment factoriesLayer 3: Suppliers to medical equipment industryLayer 4: Suppliers to suppliers of the medical equipment industryLayer 5+: Suppliers to suppliers 12
Analysis of Company’s Carbon Emission CO2- Emissions (Co2 Emission per category in %) 13
Business Opportunities Hospital Renovation Replacement of older devices, equipments, goods, to improve efficiency of electrical use Higher adoption of new technologies Procurement Optimisation Technologies and Systems Medical Waste Management In-House/ Centralised Renewable Energy Plants In-House/ Centralised Recycling Plants Outsourcing of Non-Core Hospital Activities 14
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For Additional InformationKatja Feick Noel AndersonCorporate Communications European Vice PresidentHealthcare New Business Development0049 (0) 69 7703343 +44 (0)207 343 email@example.com firstname.lastname@example.orgSowmya RajagopalanProgramme ManagerHealthcareSowmya.email@example.com 18
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