The document summarizes a presentation given by Dr. Heng-Chia Chang from Taipei Tzu Chi Hospital about their efforts to become a green and healthy hospital. The hospital has established a Health Promotion Hospital Committee with 4 subgroups to lead various sustainability initiatives. They have implemented numerous programs to reduce waste and promote recycling, conserve water and energy, incorporate green building design, and educate staff, patients and the community on environmental health topics. Through these ongoing efforts, Taipei Tzu Chi Hospital has received several national awards recognizing its leadership in sustainability and health promotion.

1. Green Hospital Asia Conference
2017
LEADERSHIP
HENG-CHIA CHANG, MD
Vice Superintendent
Director, Center of Medical Quality and Patient Safety
Taipei Tzu Chi hospital

2. Outline
•Introduction of Tzu Chi Medical Foundation
•Hospital profile of Taipei Tzu Chi Hospital
•The 10 goals and actions in global green and healthy
hospital
•Conclusion
2

3. Tzu Chi Foundation Established in 1966
By Dharma Mater Cheng Yen

4. Missions of Tzu Chi Foundation
Charity
Medicine
Education
Culture

5. 5

6. 6

7. • Tzu Chi Foundation: Established 1966 ~ present
• Branch: 51 branch offices worldwide
• Free Clinics & Relief Missions in 92 countries

9. 9
Taipei Tzu Chi Hospital
Xindian District, New Taipei City, Taiwan

10. 10
Grand Open: 8th May, 2005
It is a new hospital, beautiful hospital and
good hospital !

11. Design Award: The American Institute of
Architecture’s Academy of Architecture of Health

12. A 1,024-bed hospital designed as a tertiary referring medical
center

13. • This is the first earthquake resistant hospital
• The building is isolated from the ground by 349 shock absorbing
cushions and can resist Richter's scale 7.0 earthquake.
• The building standing on 349 shock absorbing cushions resists
Richter's scale 7.0 earthquake.

14. Value
Respect for Life
Patient-centered Medical Care14

15. This hospital is not built for profits; is built for giving great love!
Superintendent Dr. Chao, You-Chen

16. 16
Hospital Profile of Taipei Tzu Chi Hospital

17. 17
Patient population: age distribution

18. Declaration
18
Pledge
To Become A Model of
Health Promoting Hospital
A Commitment of All The Staff

19. Chairman: Superintendent
Patient Staff Community Environment
Taskforce on Age-friendly hospital
Taskforce on Smoke-free hospital
Co-chairman: Vice
Superintendent
Engineering Dept.
General Affair Dept.
Environ. Safety
Community Med.
Outpatient Dept.
Health Education
Public Relations
Social Workers
Volunteer Dept.
Human Res.
Employee Safety
Benefit Com.
Dormitory Com.
Nursing Dpt.
Planning Dpt.
Informatics
Center of Medical
and Patient Safety.
Clinical Dept.
Committee for Health Promoting Hospital

20. 20
Health Promotion Hospital Committee
of Taipei Tzu Chi Hospital
There are 31 committee members, leaded by
our superintendent (chairman), vice
superintendent (co-chairman), director of
the community medical department as the
executive director.
There are 4 subgroups under this committee:
organizations, employees, patients and the
community. Each group headed by a leader
for health promotion related activities.

21. 21
HPH committee meetings 4 times/year

22. Taipei Tzu Chi Hospital:
• Supervisor's fully supports
• Financial supports:
• 2015~2018 spend NTD 2,874,000 in Green Hospital
• Participated in WHO Health Promoting Hospitals Network &
WHO Health Promoting Hospitals Conference from 2009-
2017
• The membership of Global Green and Healthy Hospitals
Network(GGHHN).
22

23. 23
GREEN HOSPITAL – Outstanding Prize
3 years in a Row

24. 24
Host and Participant National Conferences

25. 20th WHO HPH Conference (2012)
Global Green and Healthy Hospitals
25

26. 20th WHO HPH Conference (2012)
Sustainable Health Waste Management
26

27. 20th WHO HPH Conference (2012)
Sustainable Health Waste Management
27

28. 2nd Global Green and Healthy Hospital (GGHH)
Asia Conference, Yonsei University, Seoul.
29th – 30th October 2015
Tzu Chi Medical Foundation &
Task Force on HPH and Environment
28

29. Poster Presentation：
-Active transportation: Step Right Up
-Environmental Stewardship: Hospital Waste Reduction
-Every drop count: Permeable Bricks and grey water recycle system
Intergovernmental Panel of Climate
Change (IPCC) 21st Conference of Parties
(COP)
29th November – 8th December 2015
Tzu Chi Medical Foundation &
Task Force on HPH and Environment

30. 2017 Health Promotion Hospital Conference
30

31. 2017 Health Promotion Hospital Conference
31

32. Participating in HPH
Conference 2011-2017
Year Location
Oral
Presentation
Mini Oral
Presentation
Poster
Presentation
2011 Finland 2 1 3
2012 Taiwan 1 6 19
2013 Sweden 1 1 11
2014 Spain 0 0 19
2015 Norway 0 2 7
2016 USA 0 1 7
2017 Austria 1 5 10
Total 5 16 76
Experiences Sharing in
International Conferences

33. • Refrain from single-use items
such as plastic plates, cups,
bowls & chopsticks
• Mandate the use of reusable
items whenever feasible.
• Paperless
33
Recycling of general waste
Strategy--Reduce, Reuse & Recycle

34. ↑ Intensified general waste
assorting and recycling

35. ←utilizing the recycling
plastic parts to make
plastic material
Soles of shoes

36. 36
• From 2012 to 2016, the total amounts of general
waste averaged 669 metric tons, with an average of
245 metric tons for recycled, an average recovery rate
of 38%,
• In 2016, the recycled rate even nearly 50%.
• For biomedical the average annual waste output is
282 metric tons and the biomedical waste for
recycled is 52 metric tons. -- 18% recycle rate.
Strategy--Reduce, Reuse & Recycle

37. 37
•Patients use reusable plates, bowls
•Reusable chopsticks, 5 million pairs in 12 years,
reducing 20,738 kg of wastes
Reduce

38. 38
Waste Reduction Filmless &Paperless

39. E-Hospital
39
HIS system E- Office
E-Learning system
Internet
Health education website

40. Item Year
Output
Unit: Ton
Recycle
Unit: Ton
Rate
General
Waste
2012 621.6 178.5 28.7%
2013 720.8 291.8 40.5%
2014 695.5 253.8 37.0%
2015 786.4 263.8 33.6%
2016 522.6 240.6 49.9%
2017Jan.-May 274.5 82.1 30%
Item Year
Output
Unit: Ton
Recycle
Unit: Ton
Rate
Bio-
medical
Waste
2012 274.4 50 18.22%
2013 276.3 52.3 18.93%
2014 282.9 53.8 19.02%
2015 286.4 54 18.85%
2016 292.6 51 17.43%
2017 Jan.-May 113.4 19.5 17.2%※自105年起因環保法規及處理廠問題，導致生物醫療廢棄物量提升，故回收率下降，預計106年若處理廠問題改善將可再提升回收率

41. • Producing hot water by absorbing surrounding heat, saving
3,167,934kW.h of electricity.
• By monitoring the operative time of the extractor machine, using electric- saving lighting
equipment, supplying the hot water, and improving the automatic sensor lighting in the
public toilets.
• Altogether it reduces 1,672,669kg of carbon dioxide annually.
41
Water heating systems
Heat pump system Central Energy Resource Monitor

42. 42
台北慈院每年節省95萬多度電，無形中化解了95萬多棵樹承擔的壓力: Save 950,000 trees

43. 43
Regulate operation time of elevators / escalators
Between 22:00-06:00, 50% up elevators in standby mode

44. 44
Shut off computer power in off duty hours

45. 45
Waiting Area lighting: reduced to 50%

46. 慈濟基金會營建處 46
Roof water
1F preliminary tank
Base reservoir
tanks for air
condition system
(44 tons)
地下室筏基收集雨水備用
Rainwater recycling system
Equipment floor(7F)

47. 2017/11/7 47
Sewage disposal
system
B1F reservoir
Toilet water
Landscape water
water reusing system
Sewage disposal system
reservoir
Equipment floor(7F)

48. 48
Water permeable bricks around the hospital

49. Water Conservation
electronic sensor water taps
49

50. • Water permeable bricks
• Rainwater reclamation system
• Recycled water system
• Recycle used water while conserving precious natural resources.
• The amount of water recycled per year was 30%
of the total water used in the hospital, which is
equivalent to 88,800 tons and
saves NTD 1,237,775 a year.
50

51. 51
Collect rain water and recycle water for reuse

52. 52
EUI (included parking space )
25347200/143335=176Kwh/㎡.yr.
EUI (not included parking space )
25347200/134600=205Kwh/㎡.yr.
industry average 176/205kwh/㎡.yr.
Energy Use Intensity (EUI)
year 2011 2012 2013 2014 2015 2016
% 1.32% 1.40 % 1.52 % 1.54 % 1.41 % 1.26%
Ratio of energy expenses / total revenue

53. Free Shuttle Buses Available
53
Reduce 1,261,935 kg carbon produced by public transportation per year.

54. Bicycles: U-Bike available everywhere!
54

55. • Provide dormitory for staffs to reduce the CO2
by travelling.
• The occupancy rate more than 92%.
55
Dormitory

56. • Healthy and nutritious
• We have been offering for many years at our hospitals
• The acceptance of patients, families and visitors have
been very high
• Can be a very good educational experience
• The vegetarian diet provided in staffs’ cafeteria reduced
276,657.42 kg carbon emission from 2012~2017.
56
Plant-based Diets

57. Healthy
Delicious
Lights
Friendly to Earth
57
Plant-based Diets

58. 58
Inpatient
3 meals a day
766,500 meals/year
Plant-based Diets

59. 59
Outpatient
240,000 meals/year
Plant-based Diets

60. 60
Employee
600,000 meals/year
Plant-based Diets

61. 61
Starbucksserves vegetarian meal only
Plant-based Diets

62. 62
If every vegetarian meal reduces 0.66 kg CO2 emission to air
We add up to 1,600,000 meals/year
Reduce about 1,000,000 kg CO2 to the air per year
Plant-based Diets

63. 63
It is a green hospital.
Balcony around the building
Minimize direct sunlight, noise
and dust

64. 64
Hanging Gardens 6 hanging gardens with total
area of 4,500 M2

65. • Daylight illuminates the
hospital’s interior through
transparent ceilings and
corridors, reduces electricity
use during daytime.
• Cuts down electricity use
cost and creates a healthy
indoor environment
65
Green Building Design

66. Medication Safety
• Reminder system for physicians to avoid repeat-
prescription, over-prescription and inappropriate
prescription
66

67. • Medication safety lectures, consultation and provide medication
recycling services.
• 34 health education sessions for medication safety in hospital,
communities, schools and 2,980 participants.
67
Medication Safety Education

68. 2017/11/7 68
Adequate and sufficient drug supply

69. • Announcements of Symbols representing Environmental Protection,
Water Conservation, Energy Saving and Green Building
Materials.
• Encourage staff to buy electrical
appliances with these symbols.
69
Green Purchasing Policies

70. 70
EDUCATION
Learning, Doing & Sharing
Hospital-wide in-service education: Bulletin Board

71. EDUCATION
Learning, Doing & Sharing
Hospital-wide in-service education: Recycling Camps
71

72. EDUCATION
Learning, Doing & Sharing
Hospital-wide in-service education: Recycling Camps
72
• All employees
• Patients and families
• Community centers
• Recycling stations
• Lecture
• Poster
• Workshop
• Small group discussion
• Demo

73. 73
EDUCATION
Learning, Doing & Sharing
Books for Green Hospitals

74. EDUCATION
Learning, Doing & Sharing
Education: Physical Fitness
Hand-made recycled paper
Waste oil become soap
74

75. EDUCATION
Learning, Doing & Sharing
Community Service

76. Health Promotion Hospital Awards
SNQ國家品質標章
2012 National SNQ for “Green energy automatic clinic management cloud service”
2013 promotion of Colon cancer and Oral cancer screening.
2013 Occupational body weight management program
2014 New Taipei City rural areas outstanding medical service.
2014 National Health Dept. Creativity in Health
2015 National Health Dept. Cancer prevention award.
2016 National Health Dept. Cancer prevention award.
無菸醫院金獎 HPH海報獎第一名 癌症防治績優銅牌獎
The Honors:

77. Taipei Tzu Chi Hospital: A Green and Healthy Hospital
A green and healthy hospital is
one that promotes public health
by continuously reducing its
environmental impact and
ultimately eliminating its
contribution to the burden of
disease.
--- defined by GGHH

78. 78
Thank you for your attention !