Building Healthcare and Business Climate Resilience
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- Amelia Hensley
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1 Building Healthcare and Business Climate Resilience Moderator: Brenna Davis Director of Sustainability, Virginia Mason Colleen Groll Manager of Sustainability Programs, Seattle Children's Hospital Ngozi Oleru Division Director, Environmental Health, Public Health Seattle & King County Angie Woo Climate Resiliency and Adaptation Lead, Fraser Health
2 Building Health Care and Business Resilience Brenna Davis, M.S. Sustainability Director, Virginia Mason Health System GoGreen 2017
3 Climate scientists agree: climate change is happening here and now. Source: American Academy for the Advancement of Science Image: Virginia Mason Medical Center
4 Climate Impacts in Pacific Northwest The Best Case Scenario 2014 Virginia Mason Medical Center 4
5 On Our Doorstep 2014 Virginia Mason Medical Center 5
6 Climate change presents a "serious, immediate and global threat to human health. Vivek Murthy, M.D. Surgeon General of the United States 2014 Virginia Mason Medical Center
7 National Priority Virginia Mason Medical Center
8 Transition to Low Carbon Healthcare 2014 Virginia Mason Medical Center
9 Health Care Advocacy 2014 Virginia Mason Medical Center
10 Climate Resiliency Toolkit 2014 Virginia Mason Medical Center 10
11 Resiliency Toolkit 2014 Virginia Mason Medical Center
12 Risk Dashboard - Impacts 2014 Virginia Mason Medical Center 12
13 Risk Dashboard Heat Related Illness 2014 Virginia Mason Medical Center 13
14 Risk Dashboard Energy Demand 2014 Virginia Mason Medical Center 14
15 PNW Healthcare Climate Resilience Summit Seattle Childrens Hospital University of Washington, Harborview Medical Center City of Seattle University of Washington University of Washington Virginia Mason Medical Center Healthcare without Harm Virginia Mason Memorial - Yakima City of Seattle University of Washington U.S. Department of Health and Human Services (HHS) Frasier Health Consultant NW Kidney Evergreen Hospital University of Washington Northwest Hospital and Medical Center Consultant Interior Health Virginia Mason The Fearey Group Virginia Mason Medical Center Paulk Creative Island Health (Vancouver) Island Health (Vancouver) 2014 Virginia Mason Medical Center 15
16 Next Steps Collaboration & shared resources across borders. Future events to advance the work Development of a practice appropriate to our region. Promotion of the toolkit as a starting point Virginia Mason Medical Center 16
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18 Climate Change and Community Resilience Health GoGreen Conference 2017 Ngozi T. Oleru, PhD Director, Environmental Health Services Division Public Health Seattle & King County
19 Our opportunity: Create conditions for a healthy, equitable, low-carbon future
20 Adaptive Capacity & Resilience Influence Health Outcomes Adaptive Capacity is the ability of communities, institutions, or people to adjust to potential hazards, to take advantage of opportunities, or to respond to consequences. Resilience is the ability to prepare and plan for, absorb, recover from, and more successfully adapt to adverse events. Balbus, J., A. Crimmins, J.L. Gamble, D.R. Easterling, K.E. Kunkel, S. Saha, and M.C. Sarofim, 2016: Ch. 1: Introduction: Climate Change and Human Health. The Impacts of Climate Change on Human Health in the United States: A Scientific Assessment. U.S. Global Change Research Program, Washington, DC,
21 Purpose of Adaptation Plans Ensure the health sector works with partners in the environment and other related communities, and follows a systematic process to Engage in the overall adaptation process Identify strategic goals for building health resilience to climate change Develop a plan with prioritized activities to achieve these goals, within a specified time period and given resources
22 Essential Services of Public Health Assessment Monitor health status to identify and solve community health problems. Diagnose and investigate health problems and health hazards in the Policy community. Development Inform, educate, and empower people about health issues. Mobilize community partnerships and action to identify and solve health problems. Assurance Evaluate effectiveness, accessibility, and quality of personal & population-based Climate Change Role Tracking of diseases and trends related to climate change Investigation of infectious water-, food-, and vector-borne disease Climate outbreaks Change Role Informing the public & policymakers about health impacts of climate change Public health partnerships to craft and implement solutions Climate Change Role Existence/Availability of preparedness efforts such as heatwave plans
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25 Public Health practice and planning Examples of Current Practice: Promote land use and transportation policies that support healthy choices active transportation, park/green space planning; reduce air pollution; support economic prosperity for all Emergency preparedness/response during events heat events, flooding Blueprint for Climate Change, Health & Equity: Goal: Develop integrated Public Health system that addresses the intersection of climate change, health and equity and reflects the values, concerns and priorities of Public Health, partners and our community. Engage internal and external stakeholders to solicit input to develop a Blueprint Raise awareness and increase understanding about climate change and health
26 Preliminary Blueprint Development Findings: Key Themes Community s main concerns focused on key issues such as healthy, affordable food access; housing; and, transportation. Inadequate representation and connection with community on planning efforts. Public Health Department has a unique connection to the community. Public Health can be an effective communication framework. Critical to consider near and long term health impacts of climate change.
27 Resources Climate Change: The Public Health Response Howard Frumkin et al., AJPH, March 2008, Vol 98, No. 3. Building Resilience Against Climate Effects (BRACE) at CDC. USGCRP: Impacts of Climate Change on Human Health in the U.S. (April 2016): King County Office of Equity and Social Justice:
28 Contact Information Ngozi T. Oleru, PhD Director, Environmental Health Services Division Public Health Seattle & King County
29 Climate Risks & Impacts to Health Care Service Delivery Angie Woo, Climate Resilience & Adaptation, Lead Energy & Environmental Sustainability (EES)
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33 Risks = probability x consequence = likelihood x exposure x vulnerability Impacts
34 SUSTAINABLE AND CLIMATE-RESILIENT HEALTH CARE FACILITIES TOOLKIT
35 Vancouver Hope Fraser Canyon Hospital (+2.2C) 2080 (+3.5C)
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37 Thank You! Source:
38 Seattle Children s - Climate Resilience Colleen Groll Manager, Sustainability Programs Seattle Children s
39 Seattle Children s Established in 1907, operating for 110 years Children one of the most vulnerable populations to the health effects of climate change Mission alignment - we provide hope, care and cures to help every child live the healthiest and most fulfilling life possible.
40 Seattle Children s 5800 hospital employees, another 800 in Research and Foundation Northeast Seattle Residential neighborhood
41 Where to start on Climate Resilience? Gary Cohen Co-Founder and President of Health Care Without Harm and Practice Greenhealth Robin Guenther, FAIA, LEED Fellow Principal at Perkins+Will Senior Advisor to Health Care Without Harm
42 Framework 3 Pillars Mitigation Know Your Baseline Reduce Resource Use Reduce Environmental Impacts Resiliency Sustainability Initiatives Improve Infrastructure Community Partnerships Mitigation Advocacy Resiliency Advocacy - Leadership Local, National
43 Mitigation - GHGe Inventory (Hospital) Waste, 2% Seattle Children's Main Campus 2015 Greenhouse Gas Paper, 3% Commuting, 26% Natural Gas, 53% Natural Gas Company Owned Fleet Anesthetic Gases Electricity Business Travel (Air) Business Travel (Other) Paper Business Travel (Other), 1% Commuting Waste Business Travel (Air), 6% Electricity, 3% Anesthetic Gases, 3% Company Owned Fleet, 3%
44 Mitigation - Energy Conservation 20% reduction by 2020 Multi-year plan Multi-year Infrastructure Upgrade Project - budgeted Hired a Certified Energy Manger/Mechanical Engineer
45 Mitigation - Commute Footprint Transportation Program Goal: decrease morning drive alone rate to 30% Deeply discounted unlimited ORCA transit pass A $4.50 daily commute bonus on days staff do not drive alone Free, premium vanpool parking Bike program
46 Improve Resilience Hospitals - Robust disaster planning Goal Operate continuously or re-open quickly HHS Climate Risks and Community Vulnerabilities checklist Extreme Heat, Communications Next steps More research; Gap analysis
47 Improve Resilience - Initiatives Paper Reduction Waste Anesthesia Gas Reduction Shuttle Fleet Propane, efficient routes
48 Advocacy - Leadership National Leaders Health Care Without Harm Cleveland Clinic, Virginia Mason, Kaiser Permanente Seattle Children s Health Care Climate Council Pacific NW Health Care Sustainability Leaders Practice Greenhealth, Top 25 Healthier Hospitals Initiative
49 17.5% - Seattle 34% - Other King County 44.5% - Other WA Counties 96% - WA State 3% - AK, MT, ID 1% - Outside WAMI
50 Zip Code Is More Predictive of Health Than Genetic Code Source: Communities of Opportunity
51 Contact Information Colleen Groll, MSN, LEED AP Manager, Sustainability Programs Seattle Children s colleen.groll@seattlechildrens.org
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