1. STUDY OF CLOSED LOOP SUPPLY
CHAIN IN THE WASTE MANAGEMENT
SECTOR OF HEALTHCARE INDUSTRY
By- Divya Susan Jacob
MSEP14GLM39

2. AGENDA
1. Brief Introduction
2. Research Objectives
3. Research Framework and Methodology
4. Summary of the Literature Review and Secondary Research
5. Analysis and Key Findings
6. Managerial Recommendations and Conclusions

3. INTRODUCTION
 CLSC is a zero waste supply chain which
completely reduces, recycles and composts all
materials. The term can also be used to refer to
corporate take-back programs, where
companies that produce a good are also
responsible for its disposal.
In healthcare sustainability is all about cutting
costs and reducing environmental hazards
through various methods like:
 Rules and regulations of a country has been a
driving force to change materials and practices,
therefore the concept of CLOSED LOOP SUPPLY
CHAIN is an attractive option for minimizing
waste. CLSC is slowly growing in popularity
hence managers find it difficult to implement as
there isn’t a fixed framework or systematic
Material
Manage
ment
Work
Practices
Waste
Manage
ment

4. RESEARCH OBJECTIVES
To focus more on the sustainable reverse chain methods on how waste
(general & hazardous) is managed in a healthcare facilities and industry
The main objectives of this report are to:
 Learn about the current scenario of CLSC in the healthcare industry
 Sustainable methods being used in the existing healthcare
 New methods that are being implemented in hospitals
 Challenges in implementing these new methods

5. RESEARCH FRAMEWORK &
METHODOLOGY
A qualitative research will be
conducted with majority of the
literature review based on the
secondary data available
Primary data was taken through
interviews with people in the
healthcare industry of Singapore
Finally the literature review was
used to develop final
recommendations for improving
sustainable practices in
healthcare industry through a
closed loop supply chain.
Improved
Waste
mgmt
Strategic
sourcing
Efficient
procedures
and
practices
Types of
waste
manageme
nt
Methods of
segregatio
n, storage
and
treatmentPlanning,
finance &
participati
on by
organizati
on

6. LITERATURE REVIEW
The term health-care waste includes all the waste generated within health-
care facilities, research centers and laboratories related to medical procedures
Generally, there are two major aspects to examine and set right in a hospital
facility: Procurement
Waste Management
Sources and Types of waste:
Hospitals and other health-care
establishment’s
Laboratories and research centers
Mortuary and autopsy centers
Blood banks and collection services
Nursing homes for the elderly
 Infectious
 Pathological
 Pharmaceutical
 Chemical
 Radioactive
 General

7. REVERSE SUPPLY CHAIN
STRUCTURE
Internal
Custom
er
Facilitie
s
Handlin
g
Ease Of
Access
Sourci
ng
Facilities
Refers to the location where the returned
or the reused products are collected
Handling
Refers to the segregation,
containerization, and internal
transportation of spent materials
Ease of use
Describes access policies and proximity to
various facilities
Sourcing
Refers to decisions about supplier
management and sourcing or outsourcing
of the components of the reverse supply

8. NATIONAL POLICY AND INTERNATIONAL
AGREEMENTS
Five principles used by many
countries when developing
their policies, legislation and
guidance:
 Polluter pays Principle
 Precautionary Principle
 Duty of Care
 Proximity Principle
 Prior Informed Consent
Principle
Some international agreements
that can be followed in Singapore
hospitals are:
• The Basel Convention
• The Stockholm Convention

9. SUSTAINABILITY IN THE HEALTHCARE
INDUSTRY AND ITS FUTURE
Sustainability is a business approach
Represents approx. 10% of GDP on
average among OECD countries
Environmentally Preferred Purchasing
(EPP)
Sustainability Scorecards
Types of sustainable products in dem
According to Practice Green health,
emerging growth areas include
Efficient and sustainable energy
Waste reduction (packaging and
Styrofoam)
Elimination of halogenated flame

10. ANALYSIS AND KEY FINDINGS
Procuring and Sourcing
Strategically
Types of disposal &
monitoring
Methods followed for
segregation
Organization Participation

11. MANAGERIAL RECOMMENDATIONS &
CONCLUSIONS
Focusing on
Reduction
Ensure worker
safety through
education,
training and
proper personal
protective
equipment
Require plans
and policies
Invest in
training and
equipment for
reprocessing of
supplies
Invest in
environmentally
sound & cost
effective
medical waste
treatment and
disposal
technologies

12. LIMITATIONS & FUTURE SCOPE
Limitations -
Main mission of the hospital is to promote human health, hence should not
be considered as an island separated from its surroundings
Future Scope -
Current philosophy must be revised – One should walk towards the aim of
transforming it into a green healthcare center that has a sustainable future
Green hospital can be achieved through the strong commitment of medical
health staff to assume the leadership of the health prevention measures and
environmental protection in the future

13. CONCLUSION
Management of hospital waste is all about
Reuse, Recycling, Disposal -- These are the basic steps towards green
hospital
Obviously by taking these measures, in addition to saving the cost of
services,
we are also awarded with fulfillment of the hospital mission,
“No harm to the patient, self, society and the environment”