The Green and Clean Standard for Hospitals is an initiative by Bureau Veritas and the Association of Healthcare Providers (India) to establish standards for more sustainable hospital operations. The standard has five pillars: leadership and commitment, legal compliance, environmental sustainability, operational control, and monitoring/improvement. Hospitals will go through a certification process involving training, assessments, audits, and addressing gaps to become certified. The standard aims to reduce hospitals' environmental impact through more efficient resource/energy use and waste management practices while ensuring legal compliance and patient safety.

1. 1Green and Clean Standard For Hospitals, An Initiative by Bureau Veritas and AHPI
BYBY
DR GIRDHAR GYANIDR GIRDHAR GYANI
DGDG--AHPIAHPI
GREEN & CLEAN STANDARDGREEN & CLEAN STANDARD
FOR HOSPITALSFOR HOSPITALS
2Green and Clean Standard For Hospitals, An Initiative by Bureau Veritas and AHPI
Association of Healthcare Providers (India) represents
vast majority of healthcare providers in India. It works
as "not for profit" organization and advocates with the
government, regulatory bodies and other stake holders
on issues, which have bearing on enabling its member
organizations to deliver appropriate healthcare services
to community at large. The association functions
through an empowered secretariat which facilitates the
member organizations in improving their systems,
processes and outcomes on continuous basis, in line
with the vision, mission and objectives of the
association.
Association of Healthcare Providers (India)
AHPI has more than 10000 Member Hospitals.

2. 3Green and Clean Standard For Hospitals, An Initiative by Bureau Veritas and AHPI
What does Green & Clean Standard for Hospitals entail?
•3
1.Reduced raw material/ resource use
2.Reduced energy consumption
3.Improved process efficiency
4.Reduced waste management and disposal cost
5.Utilisation of recoverable resource
6.Include use of renewable energy
7.Reduced hospital acquired infection
4Green and Clean Standard For Hospitals, An Initiative by Bureau Veritas and AHPI
Leadership &
Commitment
Environment
Sustainability
Legal Compliance
Operational
Control
Pillars of Green & Clean Hospital
Monitoring,
Measurement &
Improvement
Our
Objective

3. 5Green and Clean Standard For Hospitals, An Initiative by Bureau Veritas and AHPI
Leadership And Commitment
Leadership and Commitment Pillar shall cover the following parameters:
Management Responsibilities
•strategic Green & Clean objectives, G&C scope and results, policies
and processes, communication, culture, fostering a commitment to
G&C, providing resources and training opportunity, and even
“inspiring, encouraging and recognizing the contribution of people.
Human Resource Management
•Education and communication
•Participation
•Support adjustment
•Negotiate agreement
Infrastructure Management
•Green Buildings and Facilities
•Technology
•Equipment & Support
•Disabled friendly zones
Facility Management
•Infrastructure upkeep
•Environment friendly maintenance
practices
6Green and Clean Standard For Hospitals, An Initiative by Bureau Veritas and AHPI
Legal Compliance
Legal Compliance Pillar shall cover the following parameters:
Legal, Statutory and Regulatory Requirements
•Commissioning of Hospital
•Qualification, Practice and conduct of Professionals
•Sale, Storage of Drugs and Safe Medication
•Governing Management of Patients
•Environment Safety
•Safety of Patients, Staff and Public within Hospital premises
•Medicolegal aspects
•Professional Training & Research
•Mandatory Licences
•Other Business & Employment related Laws (ESIC, PF, Labour welfare
etc.)
Bio-Medical Waste Management
•Health-care waste includes all the waste generated by health-care establishments,
research facilities, and laboratories. In addition, it includes the waste originating from
“minor” or “scattered” sources, such as that produced in the course of health care
undertaken in the home (dialysis, insulin injections, etc.)

4. 7Green and Clean Standard For Hospitals, An Initiative by Bureau Veritas and AHPI
Environment Sustainability
Environment Sustainability Pillar shall cover the following
Parameters:
Water Footprint
• Conserve water; avoid bottled water when safe alternatives
exist.
Energy Footprint
• Reduce hospital energy consumption and costs through
efficiency and conservation measures.
• Produce and/or consume clean, renewable energy onsite to
ensure reliable and resilient operation.
• Use alternative fuels for hospital vehicle fleets; encourage
walking and cycling to the facility; promote staff, patient and
community use of public transport; site health-care buildings
to minimize the need for staff and patient transportation.
Carbon Footprint
• Build hospitals that are responsive to local climate conditions
and optimized for reduced energy and resource demands.
8Green and Clean Standard For Hospitals, An Initiative by Bureau Veritas and AHPI
Operational Control
Operational Control Pillar shall cover the following Parameters:
Hospital Infection Control
•Nosocomial infections known also as hospital-acquired infections, hospital-
associated infections, and hospital infections are infections that are not present in
the patient at the time of admission to hospital but develop during the course of
the stay in hospital.
Sanitization Process
•Autoclaving (moist heat)
•Dry heat
•Use of chemical sterilants and disinfectants
•Others:
Food Hygiene Practices
•Contamination is one of the most common causes of food borne dieses. It happens when harmful
bacteria are spread onto food from other food, surfaces, hands or equipment. These harmful bacteria
often come from raw meat/poultry and eggs. So it is especially important to handle these foods carefully.
Other sources of bacteria can include, staff, pests, equipment, cloths.
Health & Safety
•Hand hygiene
•Use of PPE (gloves, face protection, gown)
•Respiratory hygiene and cough etiquette
•Safe handling of contaminated equipment and surfaces in the patient environment, used linens,
•Environmental cleaning

5. 9Green and Clean Standard For Hospitals, An Initiative by Bureau Veritas and AHPI
Monitoring, Measurement And Improvement
Monitoring, Measurement And Improvement Pillar shall cover the following Parameters:
• Monitoring, Measurement of Operational
and Legal Compliance
• Green and Clean Improvement
Programmes
• Internal Audits
• Management Review
10Green and Clean Standard For Hospitals, An Initiative by Bureau Veritas and AHPI
SAQ Fill-up
1st
Internal
Assessment
Review of
Assessment
results
Certifica
tion
Audit
Closure
of Gaps
&
Rating
Roadmap to Certification
G&C team
formation
&
Registrati
on
Training
Wk - 01
Wk - 02
Wk - 04
Wk - 06
Wk - 07 Wk - 09
Wk - 13
Surv.
Audit
@ 18 Months
The dates indicated are tentative. The actual dates may vary depending on readiness from client.
Issue of
certificate
Wk - 15
Link established on certification website for registration
gnchospital@in.bureauveritas.com dedicated email for communication

6. 11Green and Clean Standard For Hospitals, An Initiative by Bureau Veritas and AHPI
List of Applicable Indian laws for Hospitals
► Law Related to Governing the Commissioning of Hospital
► Laws Governing the Qualifications / Practice and Conduct of Professionals
► Law Governing Storage / Sale of Drugs and Safe Medication
► Law Governing Biomedical Research
► Law Governing to Management of Patients
► Law Governing Medico Legal Aspects
► Law Governing The Environmental Protection
► Law Governing the Safety of Patients, Public and Staff within the Hospital
► Laws Governing the Employment of Manpower
► Law Governing to Professional Training and Research
► Regulations Governing the Business Aspects of Hospital
Microsoft Excel
Worksheet
Educating & Advocating for well Being
of Common Man