Who's piloting what

All-electric new construction on Rochester campus

Replaces Methodist & University hospitals with efficient build

Practical roadmap to cut hard to abate disposal emissions

Repurposes hundreds of single-use steel lab test tins per day as seed starters for the hospital garden, diverting lab waste from landfill via cross-department collaboration between the clinical lab and grounds teams.

Reducing landfill from high volume surgical cases

Hundreds of thousands of syringes diverted from landfill

Unit level OR waste reduction

First system wide emissions baseline

$855M, 30 year modernization of energy infrastructure with $18M guaranteed annual utility savings

Reducing food miles and strengthening local agriculture across eastern NC

Replacing fossil steam with electric hot water

High-performance envelope and mechanical systems in new tower

On schedule for 2025 completion across 7 states

>80% reduction in N2O carbon emissions where deployed

Major contributor to 18% emissions cut

Identified path to 78 ton FY24 reduction

Online April 2024

First 4 hours free for patients/visitors

Recognized across 13 hospitals in 2024

First 4 U.S. hospitals to earn JC certification

First Director of Sustainability hired

National Practice Greenhealth award (2024)

Sustainable menu program

Duke University carbon neutral as of Oct 2024

Facility level efficiency upgrades supporting 2030 target

Cooling tower & landscape conservation

LEED aligned expansions across DFW

Local procurement & packaging reductions

UN recognized decarbonization & resilience leader

First hospital to replace plastic gowns with plant based compostable alternatives

Reducing plastic waste in patient discharge processes

Practice Greenhealth leadership in sustainable purchasing

Expanding recycling and waste diversion across 15+ hospitals

Solar + fuel cells + battery storage; largest pediatric healthcare microgrid in the U.S.

Recognized at 2024 UN Climate Change Conference for emission reduction commitment

Beaufort Hospital featured in BBC/World Wildlife Fund documentary for fighting food waste

Improving red bag versus clear bag separation in surgical services

Expanding mixed recycling and cardboard capture in patient towers

Reducing desflurane use and capturing waste gases where feasible

Expanding clear bag recycling and cardboard capture in patient units

Lighting, HVAC, and controls upgrades across the Newark campus

Lighting and HVAC modernization across Newport Beach campus

Capturing clean plastics and packaging from outpatient infusion

Lighting and HVAC retrofits across the Duarte campus

Blue wrap, clean plastics, and packaging capture across surgical services

Energy retrofits across Jacobs and Hillcrest campuses

Pre-consumer food waste tracking with Dell Medical partners

Lighting and HVAC modernization across the medical center complex

Shifting OR formulary away from high GWP volatile anesthetics

Eliminates on-site natural gas combustion in food service

Diversion of clean polypropylene and polystyrene from research labs

Chiller and HVAC modernization across the research campus

Sterile wrap diversion from pediatric surgical suites

Replacing disposable gowns on select inpatient units

Digital tracking of cafeteria pre-consumer waste streams

Removing high-GWP volatile anesthetic from pediatric OR formulary

High-efficiency chillers and controls across Burnet campus

Pilot recovery of clean lab consumables from research wings

Lighting, HVAC, and controls upgrades across the Columbus campus

Centralized N2O delivery to portable e-cylinders cutting waste

Digital tracking of pre-consumer cafeteria waste streams

Efficiency upgrades across South Florida campuses

Pre-consumer waste measurement at flagship hospitals

Sterile wrap diversion across surgical suites

Replaces aging steam and chiller infrastructure

Storm hardening across Miami campuses

Sterile wrap diversion across surgical suites

Sterile wrap diversion across surgical suites

Sterile wrap diversion across surgical suites

Efficiency upgrades across Midwest campuses

Centralized N2O delivery to portable e-cylinders

Sterile wrap diversion across surgical suites

Sterile wrap diversion across surgical suites

Sterile wrap diversion across surgical suites

Sterile wrap diversion across surgical suites

Sterile wrap diversion across surgical suites

Chiller and steam optimization across TMC campus

Reprocessed surgical and cath lab devices

Organics diversion from main campus kitchen

Sterile wrap diversion across surgical suites

Sterile wrap diversion across surgical suites

Chiller and boiler optimization

Sterile wrap diversion across surgical suites

Efficiency upgrades across the medical district campus

OR formulary changes to lower-GWP anesthetics

Cafeteria and kitchen organics diversion

Efficiency upgrades across the medical campus

Decarbonization roadmap across campus utilities

Efficiency upgrades across the medical campus

Sterile wrap diverted from landfill

Decarbonization roadmap across Manhattan campuses

Sterile wrap diverted from landfill across surgical suites

Reprocessed surgical and cath lab devices

Efficiency upgrades across the Portland campus

Efficiency upgrades across the Bangor campus

Decarbonization roadmap across the Lebanon campus

Efficiency upgrades across the Manchester campus

Sterile wrap diverted from landfill

Reduces organic waste from nutrition and diabetes wellness programs

Mixed paper, plastics, and clean clinical packaging diverted from landfill

Improves separation of hazardous, trace chemo, and non-hazardous pharmaceutical waste

Reprocessed procedural and infusion devices across oncology services

BYU College of Nursing students partner on waste audits and compostable PPE pilots during clinical rotations

Reusable and compostable isolation gowns replacing single-use PPE on pilot med-surg units

Diverts back-of-house cafeteria organics from landfill via regional compost partner

Removing desflurane from OR formulary to cut high-GWP anesthetic emissions

Diverts back-of-house cafeteria organics from landfill via regional compost partner

Removing desflurane from OR formulary to cut high-GWP anesthetic emissions

Diverts back-of-house cafeteria organics from landfill via regional compost partner

Removing desflurane from OR formulary to cut high-GWP anesthetic emissions

Diverts back-of-house cafeteria organics from landfill via regional compost partner

Removing desflurane from OR formulary to cut high-GWP anesthetic emissions

Diverts back-of-house cafeteria organics from landfill via regional compost partner

Removing desflurane from OR formulary to cut high-GWP anesthetic emissions

Diverts back-of-house cafeteria organics from landfill via regional compost partner

Sterile wrap diverted from landfill across surgical suites

Removing desflurane from OR formulary to cut high-GWP anesthetic emissions

Cited in Joint Commission recertification (2024)

40.7M kWh & 39.1M lbs CO2 avoided per year

Public tracking of RMW, anesthetic gases, organics

Cost & carbon co benefit modeling

3rd consecutive year participation

Diverts syringes, wraps, sterile packaging across campuses

Recaptures lost HVAC efficiency portfolio wide

Kitchen tracking & donation partnerships

Major contributor to ENERGY STAR recognition across 40+ hospitals

Eliminating non essential plastics in patient care and food service

Expanding recycling, composting, and waste stream management across facilities

Expanding composting and improving waste segregation across the medical center

Reducing campus energy consumption through retrofits and smart controls

Improving steam and chilled water efficiency for clinical buildings

Expanding local, plant forward menus in patient and retail dining

Reducing power use across the flagship Atlanta campus

Expanding blue wrap and clean plastics recycling across perioperative services

Capturing sterile wrap from surgical suites for recycling

Reducing incinerated pharmaceutical waste across oncology units

Shifting OR formulary away from high GWP volatile anesthetics

Sterile wrap diversion from surgical suites at the downtown trauma campus

Certified reprocessing of select OR and cath lab devices

Sterile wrap capture from surgical suites at the central Austin campus

Sterile wrap diversion across surgical services

Certified reprocessing of select OR and cardiology devices

Sterile wrap capture across pediatric surgical suites

Reduces hazardous drug waste in pediatric infusion services

Resilient electrical infrastructure reducing diesel runtime during outages

Sterile wrap diversion from pediatric surgical services

Reprocessing of select OR and cath lab devices with Stryker

Sterile wrap capture across pediatric surgical services

Reduced beef on inpatient and cafeteria menus

Diversion of sterile wrap and clean clinical plastics

Reprocessing of select pediatric OR and cardiology devices

Sterile wrap diversion across pediatric surgical suites

Removed high-GWP anesthetic from pediatric OR formulary

Sterile wrap capture across both campuses

Sterile wrap diversion from pediatric surgical suites

Reprocessing of select OR and cath lab devices

Reprocessed surgical and EP lab devices

Removed from pediatric OR formulary

Reprocessing of select surgical and cath lab devices

Reprocessed surgical and EP lab devices

Removed from OR formulary system wide

Plant forward menu shifts across hospitals

Removed from OR formulary enterprise wide

Removed from OR formulary across NYP campuses

Desflurane removed and N2O leakage reduced

Reprocessed surgical and cath lab devices

Pre-consumer cafeteria waste measurement

Reprocessed surgical devices system wide

Sterile wrap diversion across surgical suites

Removed from OR formulary system wide

Removed from OR formulary system wide

Removed from OR formulary

Removed from OR formulary system wide

Reprocessed surgical and cath lab devices

Reprocessed surgical and EP lab devices

Improved RCRA and chemotherapy stream separation

Reprocessed surgical and IR devices

Removed from OR formulary

Cafeteria and kitchen organics diversion

Reprocessed surgical devices

Removed from OR formulary system wide

Reprocessed surgical and cath lab devices

Reprocessed surgical and cath lab devices

Reprocessed surgical devices

Reduced outdoor irrigation demand

Reprocessed surgical and cath lab devices

Reprocessed surgical and cath lab devices

Building tune-ups and controls upgrades across the system

Reprocessed surgical and cath lab devices

Rooftop and parking solar offsetting campus load

Reprocessed surgical devices

Sterile wrap diverted from landfill across surgical suites

Reprocessed surgical and cath lab devices

Reprocessed surgical and cath lab devices

Switched OR formulary to lower-GWP sevoflurane

Reprocessed surgical and cath lab devices

Local sourcing from over 100 Vermont farms and producers

Organics diversion across food service operations

Sterile wrap diverted from landfill across surgical suites

Reprocessed surgical and cath lab devices

Wood pellet thermal energy displacing fossil fuel use

Reprocessed surgical and cath lab devices

Sterile wrap diverted from landfill across surgical suites

Reprocessed surgical and cath lab devices

Reprocessed surgical devices

Efficiency upgrades across the Oklahoma City campus

Clean plastics and packaging from infusion suites diverted from landfill

Staff education and bin redesign reducing regulated medical waste volumes

Reducing high-GWP anesthetic gas use across UPMC ORs

Improves separation of hazardous, trace chemo, and non-hazardous pharmaceutical waste

Clean plastics and packaging from infusion suites diverted from landfill

Removing desflurane from OR formulary to cut high-GWP anesthetic emissions

Diverts back-of-house and patient tray organics from landfill via Utah County compost partner

Removing desflurane from OR formulary to cut high-GWP anesthetic emissions

Sterile wrap diverted from landfill across surgical suites

Diverts back-of-house and patient tray organics from landfill across THR hospitals

Removing desflurane from OR formulary to cut high-GWP anesthetic emissions

Sterile wrap diverted from landfill across surgical suites

Sterile wrap diverted from landfill across surgical suites

Reprocessed surgical devices to cut single-use plastic spend in a small community OR

Sterile wrap diverted from landfill across surgical suites

Sterile wrap diverted from landfill across surgical suites

Reprocessed surgical and cath lab devices to cut single-use plastic spend

Reprocessed surgical devices to cut single-use plastic spend in a community OR

Reusable medical device program across NorCal

Shift away from high GWP gases (desflurane, N2O)

~30% drop in Brigham OR red bag waste

Community awareness across UCSF

Active across main campus

Cited by The Joint Commission as a national model

Public commitment to 50% by 2030, net zero by 2050

Major contributor to carbon reduction targets across 664 beds

Segregating waste streams to improve recycling and reduce landfill

Reducing energy consumption through upgraded systems and smart building controls

Upgrading HVAC and lighting systems to reduce energy consumption

Diverting surgical devices from waste through certified reprocessing

Diverting surgical and cardiology devices from landfill through certified reprocessing

Certified reprocessing of select surgical and cardiology devices

Reprocessing of select OR, cardiology, and women's services devices

Reprocessing of select pediatric OR and cath lab devices

Certified reprocessing of select OR devices

Removed desflurane from pediatric OR formulary, sharply cutting OR carbon footprint

Reprocessing of select OR and cath lab devices

Reprocessed surgical, EP, and cath lab devices

Reprocessed surgical and EP lab devices

Removed from pediatric OR formulary

Removed from OR formulary

LEED-designed mechanical systems from facility opening

Reduced potable water demand across the campus

Switched OR formulary to sevoflurane, cutting OR carbon footprint

Removed desflurane from OR formulary, eliminating high-GWP gas

On-site digestion of back-of-house food waste diverting organics from landfill

Diverts back-of-house cafeteria and retail dining organics from landfill

Diverts back-of-house and patient tray organics from landfill via D.C. compost partner

Sterile wrap diverted from landfill across surgical suites

Diverts back-of-house and patient tray organics from landfill across Northwell hospitals

Reprocessed surgical and cath lab devices to cut single-use plastic spend

Sterile wrap diverted from landfill across surgical suites system-wide

Reprocessed surgical and cath lab devices to cut single-use plastic spend

Reprocessed surgical and cath lab devices to cut single-use plastic spend

Reusable gowns and drapes replacing single-use OR textiles

Removing desflurane from OR formulary to cut high-GWP anesthetic emissions

Joint UNC system carbon roadmap

Improving building energy performance and reducing carbon footprint

Removed desflurane from OR formulary, eliminating high-GWP anesthetic emissions

Sterile wrap diverted from landfill across surgical suites

Sterile wrap diverted from landfill across surgical suites

Reprocessed surgical and cath lab devices across Intermountain

Sterile wrap diverted from landfill across surgical suites system-wide

Diverts back-of-house and patient tray organics from landfill across Baystate hospitals

Part of system 2025 sustainable food pledge

LEED certification carried across recent builds

Recognized as industry leading

Reducing landfill waste across hospital operations

Reprocessed surgical and cath lab devices across the health system

Sterile wrap diverted from landfill across surgical suites

Sterile wrap diverted from landfill across surgical suites

Reprocessed surgical and cath lab devices across UPMC

Reprocessed surgical and cath lab devices

Reprocessed surgical, cath lab, and EP lab devices across THR

Sterile wrap diverted from landfill across surgical suites system-wide

Campus wide diversion infrastructure

Sterile wrap and clean OR plastics diverted from landfill across surgical suites

Reprocessed surgical and cath lab devices

Sterile wrap and clean OR plastics diverted from landfill

Reprocessed surgical, cath lab, and EP lab devices across Northwell

Diverts tons of organic waste annually from kitchens, retail dining, and patient meals

Reprocessed pediatric surgical and procedural devices

Sterile wrap diverted from landfill across surgical suites

Key to achieving carbon neutrality in 2018

High performance pediatric hospital tower

Long term efficiency program across OSU campus

Aerobic digester processes cafeteria and patient tray food waste on campus, diverting organics from landfill

Diverts cafeteria, retail dining, and patient tray organics from landfill

Diverts back-of-house and patient tray organics from landfill

Key lever in carbon neutral roadmap

Diverts back-of-house and patient meal organic waste to compost

Six story expansion designed and operated to minimize environmental impact

Sustained 40%+ diversion at main campus

Key contributors to net zero energy milestone

Replaced large share of disposable OR gowns and drapes with laundered reusable textiles

Renewable methane fuels onsite power generation

System wide behavior change

10+ years in PGH Environmental Leadership Circle