Greening the health care supply chain: Triggers of change,models for success |
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| Institution: | 1. Associate Professor of of Anesthesiology, Yale School of Medicine, Associate Professor of Epidemiology (Environmental Health Sciences) and Director of the Program in Healthcare Environmental Sustainability, Yale School of Public Health, USA;2. Assistant Professor, Population Health and Ophthalmology, New York University Langone Health, New York University Wagner School of Public Service, New York University Tandon School of Engineering, USA;3. Surgical Oncologist, British Columbia Cancer Agency, Clinical Associate Professor, University of British Columbia, Canada;4. Associate Professor, Civil & Environmental Engineering, Northeastern University, USA;5. Professor of Epidemiology (Environmental Health Sciences), Faculty Director, Yale Center on Climate Change and Health, Yale School of Public Health, USA;6. Professor of Anesthesiology and Adjunct Professor of Biomedical Engineering, University of Utah, USA;7. Professor and Vice Chair for Quality and Safety Improvement, Anesthesiology, Yale University, USA;9. Co-Chair, Lancet Countdown: Tracking Progress on Health and Climate, UK;10. Anaesthetist and ICU Physician, Western Health, Associate Professor, School of Medicine, University of Sydney, Associate Professor, Centre for Integrated Critical Care, University of Melbourne, Australia;11. Director and Founder, The Centre for Sustainable Healthcare, UK;12. Director of the Yale Center for Green Chemistry and Green Engineering, Professor, Schools of Engineering, Public Health, and Forestry and Environmental Studies, Yale University, USA;13. Professor, and Chair of Values Based Healthcare, Georgetown University, USA;14. Hand and Upper Extremity Specialist, Orthopaedic Surgery, University of Pittsburgh Medical Center, USA;15. Associate Professor of Public Health and Sustainability, Azim Premji University, India;p. MBA Candidate, Yale School of Management, USA;q. Instructor in Medicine and Infectious Disease, Washington University School of Medicine, St. Louis, USA;r. MBA Candidate, Stern School of Business, New York University, USA;s. Consultant, Ophthalmology, National Health Services, UK;t. PhD Candidate, School of Environment, Enterprise and Development, University of Waterloo, Canada;u. Senior Director of Technology Development, GammaTile Therapy, GT Medical Technologies, Inc (at time of writing, Senior Innovation Manager, Research & Development, Stryker Sustainability Solutions, USA);v. Sustainability Consultant, United Nations Development Programme, USA;w. Associate Professor, Public Dental Health, Dublin Dental University Hospital, Ireland;x. Surgery Resident, Department of General Surgery, Yale University School of Medicine, USA;y. Head, International & Immigration, British Medical Association, UK;z. MBA Candidate, Stern School of Business, New York University, USA;11. Dean of the Yale School of Nursing and Linda Koch Lorimer Professor of Nursing, Yale School of Nursing, USA;22. Assistant Professor, Urology, Yale University, USA;33. Honorary Senior Lecturer, University of Cardiff, Consultant Ophthalmologist, University Hospital of Wales, UK;44. Sam Bloomfield Distinguished Chair and Professor, Sustainable Materials and Energy Systems, Wichita State University, USA;55. PhD Candidate, Department of Chemical Engineering, Northeastern University, USA;66. Founding Director, National Health Service—Sustainable Development Unit, UK;77. Research Director, Numeration Systems, Ltd, Honorary Senior Research Fellow, University of Exeter Medical School, UK;88. James McGill Professor, Pharmacology and Therapeutics and Obstetrics and Gynecology, McGill University, Canada;99. Professor, University of Illinois at Chicago, Program Director, National Science Foundation-Chemical, Bioengineering, Environmental and Transport Systems, USA;1010. Senior Fellow, Institute for Healthcare Improvement, Lecturer, University of California at San Diego Rady School of Management, USA;1111. Executive Director of Environmental Stewardship, Providence St. Joseph Health, Assistant Research Professor, Washington State University, USA;1212. Research Assistant, Yale School of Public Health, USA;1313. Physician Executive Director, Clinical Redesign, Yale New Haven Health System, USA;1414. Executive Adviser and CEO Emeritus, Gundersen Health System, Neonatal Intensive Care and Pediatric Critical Care, USA;1515. Associate Dean, Graduate Education, Research, and Faculty Success, Wichita State University, USA;pp. Dean of the Yale School of Public Health, Anna M.R. Lauder Professor of Public Health, Professor of Epidemiology, Yale School of Public Health, USA;qq. President/CEO, Association of Medical Device Reprocessors (AMDR), USA;rr. MPH Candidate, Yale School of Public Health – Environmental Sciences, Research Assistant, Yale Office of Sustainability, USA;ss. DHSc Candidate, Sustainability Manager Middlemore Hospital, Counties Manukau Health, New Zealand;tt. Associate Professor, School of Environment, Enterprise and Development, University of Waterloo, Canada;uu. Senior Associate Dean of Academic Affairs, Professor of Chemical and Environmental Engineering and Professor of Forestry and Environmental Studies, Assistant Director for Research at the Center for Green Chemistry and Green Engineering, Yale University, USA;vv. Associate Professor, Civil & Environmental Engineering, University of Pittsburgh, USA;1. Antai College of Economics and Management, Shanghai Jiao Tong University, 200240 Shanghai, PR China;2. School of Management, Tianjin University of Technology, 300384 Tianjin, PR China;3. The Gustavson School of Business, University of Victoria, Victoria, BC V8W2Y2, Canada;4. School of Management, Shanghai University, 200444 Shanghai, PR China |
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| Abstract: | A historic agreement signed in July 1998 between the American Hospital Association (AHA) and the U.S. Environmental Protection Agency (EPA) signals changes in waste management in the health care industry. The agreement, which calls for a fifty percent reduction of hospital waste by 2010, will not only have an impact on hospital facility managers, but throughout the entire healthcare supply chain. As this article argues, improving the environmental impact of the health care industry should start with the health care delivery institutions themselves. The health care industry has a long way to go in addressing its environmental impacts, compared to the energy and chemical industries, for example. One reason is that these industries are raising their suppliers' environmental performance. Health care delivery institutions can effectively pull environmental performance requirements through the entire supply chain as well. This can be accomplished by examining supply chain strategies of leading industries and firms and considering the role of environmental management systems such as a ISO 14001 throughout the entire chain. |
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