Envision Gundersen Health System Mission: To minimize human disease and harm to the environment caused by our consumption in care delivery, while

Transcription

1 Envision Gundersen Health System Mission: To minimize human disease and harm to the environment caused by our consumption in care delivery, while making healthcare more affordable for patients. 1

2 Gundersen Health System Organizational Profile Currently have 41 clinic facilities 325 bed tertiary care hospital Physician-led Integrated delivery system ~700 providers and ~6,500 employees Residency and medical education programs Multiple Top 100 Hospital &Service Line recognition Health Plan A variety of affiliate organizations including EMS ambulance service, rural hospitals, nursing homes, hospice, etc.

3 Why Health Care Providers Should Care About Clean Energy Pollutants from the burning of fossil fuels cause: Cancer, liver disease, kidney disease, reproductive issues Cardiovascular deaths and stroke 1 According to the Department of Energy, hospitals are 2.5 times more energy intensive than other commercial buildings 2 This is inconsistent with our mission we are responsible for contributing to disease through our wasteful consumption. Energy costs continue to escalate, making it more difficult to provide affordable care 1 Source: American Heart Association Scientific Statement: DALLAS, May 10, Source: 3

4 $/therm $/kwh The Cost of Energy $5.3M Energy Bill in 2008 >$350,000 Increase Annually for Gundersen Electricity Cost Trend Gas Cost Trend Year Year The need for affordable healthcare compels us to address this trend

5 Gundersen s Envision Program Energy Management Energy Efficiency Renewable Energy Waste Management and Control Recycling Sustainable Design of New Facilities Gundersen s Vision for Energy an Environmental Stewardship 5

6 Primary Objective Energy Independence in 2014: - Produce more power than Gundersen consumes from fossil fuel sources Makes our healthcare delivery more affordable to patients Benefits human health Strengthens our regional economy Improves our environment 6

7 Balancing Multiple Objectives Two-Sided Green Reduce the Cost of Delivering Healthcare Decrease Emissions Harmful to Health Decrease Emissions Harmful to Environment Use Renewable Resources Provide Benefit to Regional Economy Improve Patient Experience No single, current technology can meet all of these objectives by itself. 7

8 Energy Conservation In 2008 Gundersen launched an aggressive energy conservation effort which examined heating and cooling systems, lighting systems and employee behavior to identify opportunities to reduce energy consumption. Dozens of Energy Conservation Measures (ECMs) were then implemented. Currently saving more than $1.3M annually from energy efficiency improvements

9 Energy Conservation Results 9

10 Energy Cumulative The Roadmap Gundersen's Energy Independence Plan 100 Conservation Phase Dairy Biogas II 80 Biomass Boiler Dairy Biogas I 60 Geo Heat Pump Wind - Cashton Landfill Biogas Wind - Lewiston Conservation Phase 3 New Hospital Load Conservation Phase 2 0 Start Conservation Phase 1 May-08 Dec-08 Dec-09 Dec-10 Dec-11 Mar-12 May-12 Feb-13 Aug-13 Sep-13 Oct-13 Oct-13 Dec-13 Estimated Implementation Date 10

11 Renewable Energy Projects La Crosse Campus Underground Parking Garage Photovoltaic Installed in July 2008 On-site Day Care Center Solar Hot Water Installed in April 2010 GL Wind 4.95 MW Lewiston, MN project Installed in December 2011 La Crosse County landfill gas project (1.137 MW) on GL Onalaska campus The first known Energy Independent healthcare campus in the U.S. Installed in March 2012 Cashton Greens MW Wind project Installed in May 2012 Onalaska Renal Solar Hot Water Installed in June 2012 Biomass Boiler Installed in March 2013 Middleton Dairy manure digester Targeted production for November 2013 Sun Prairie Dairy manure digester Targeted production for March

12 Solar Photovoltaic Project La Crosse campus underground parking garage Supplies majority of lighting power (75,000 kwh) for garage First LEED certified parking garage in U.S. Installed in July

13 Day Care Center Solar Hot Water Project On-site day care center in La Crosse Supplies 85% of hot water needs Educational example for children and community Installed in April

14 Lewiston, MN Wind Project Project produces 13,000,000 kwh annually ~6% of energy independence goal 2 x MW Turbines Started production in December

15 Onalaska Campus Landfill Gas Project Partnered with La Crosse County Solid Waste Department Project offsets100% of Onalaska campus energy needs ~11% of total goal Started production in March 2012 The first known, Energy Independent Healthcare Campus in the U.S. 15

16 Cashton, WI Wind Project 50/50 joint venture with Organic Valley 2 x MW turbines with 100 meter towers Project produces ~13,000,000 kwh annually ~6% of energy independence goal Started production in May

17 Renal Dialysis Center Solar Hot Water Project Renal dialysis center at Onalaska, WI campus Helps save money and meet significant hot water needs of dialysis center Educational example for community Installed in May

18 Geothermal Heat Pump Geothermal heat pump provides most of the heating and cooling needs of new Hospital Started production in 2012 by serving the new Behavioral Health Center 156 wells 400 feet deep under a parking lot New Hospital 115 KBTU/sq. ft. 18

19 Biomass Boiler Project Renewable, Locally Sourced, Wood Chip Fuel 38% of energy independence goal (~150,000 MMBtu and 2,500,000 kwh) Will produce the majority of heat / steam used by the health system On-site electricity production with back pressure steam turbines Installed March

20 Dairy Manure Digester Projects 2 projects will produce ~21,000,000 kwh annually and achieve 19% of goal Removes phosphorous from groundwater in watershed Composted fiber byproduct sold as a soil amendment Planned construction and operation in 2013 &

21 Energy Independence Status 21

22 Waste Management and Control (Non-Energy) Eliminated styrofoam from hospital campus Solid waste stream recycling rate above 35% for last 4 years Reduced cafeteria pre-consumer food waste by more than 70% Keeps approximately 17 tons of food from going to landfill each year Implemented donation program with Salvation Army for remaining waste Member of Fifth Season Cooperative Gundersen represented on the board of directors 22

23 Sustainability (non-energy) Accomplishments 2012 Recycle/Reuse Savings $70,000 Remanufactured Device Savings $465,000 Surgical SUDs, O2 sensors, Toner Cartridges *Total $535,000 Recycle/Reuse Rate 607 tons = 38% Construction Recycling/Reuse Rate 15,000 tons = 94% *only monetary value measurement...does not measure overall benefit to the health of our community

24 Sustainable Design of New Facilities Stukins Building Renovated a building that dated back to late 1800 s Commissioned LEED certification 90% diversion rate of construction waste Recycled lumber for paneling Rain garden for storm runoff Innovative data center design New Hospital 115 KBTU/sq ft Energy Goal Commissioning LEED certification Geothermal heat pump Passive design features

25 Government Task Force Participation U.S. Department of Energy Hospital Energy Alliance One of 10 health systems in nation participating on Steering Committee Energy measurement subcommittee Renewable Energy subcommittee Hospital HVAC subcommittee National Governor s Association Energy Policy Academy Participating at request of WI Office of Energy Independence Healthier Hospitals Initiative 25

26 Environmental Recognition White House Champion of Change Dr. Jeff Thompson Practice Greenhealth s Environmental Leadership Circle EPA s Landfill Methane Outreach Program Project of the Year RENEW Wisconsin Generator of the Year The WI Sustainable Business Council s Green Master Designee Mississippi Valley Conservancy Green Corporation of the Year La Crosse Chamber of Commerce Regional Progress Award 26

27 Envision 27