Blog Archives
By Amanda Jepson | Categories: | Comments Off on Sustainability Program
University of California (UC) Davis Health recognizes the importance of creating a resilient and sustainable health care model that celebrates the intersection between human and climate health. The goal of UC Davis Health’s sustainability practices is to reduce the health system’s environmental footprint by identifying climate mitigation strategies that meet the needs of patients and employees while preserving the quality of care. Areas of focus include procurement, resource conservation, transportation, expanding outreach and education to increase participation in sustainability efforts, waste reduction, and accountability.
UC Davis Health’s sustainability efforts reach beyond the health system into the community. With a focus on clean energy, the health system is expanding its solar energy portfolio and reducing energy usage in the operating rooms by replacing lights with LED bulbs and implementing HVAC setbacks. Another focus is reducing water use through operational adjustments in the central plant and a turf watering reduction initiative that stopped irrigating non-functional turfs on campus. The health system also provides an emission-free bus service, Causeway Connection, that runs daily between the hospital’s main campus and Sacramento.
UC Davis Health has multiple partners, including the Sacramento Tree Foundation, which helps plan California drought tolerant landscaping throughout the health system’s campus. Other partnerships, such as Copia, a food recovery company, and California Safe Soil, a manufacturer that uses food scraps for high-quality fertilizer, help divert UC Davis Health’s food waste. A partnership with Stryker, a medical technologies corporation, has helped the health system reduce the number of single-use devices used in operating rooms.
UC Davis Health has seen invaluable outcomes from the sustainability strategies. Through HVAC setbacks in the operating rooms, the emissions saved thus far are equivalent to taking 63 cars off the road. Through operational adjustments in the system’s central plant, UC Davis Health saved three million gallons of water between 2020 and 2022.
https://sustainability.ucdavis.edu/goals
By Amanda Jepson | Categories: | Comments Off on Sustainability Program
The Ohio State University has been working on a sustainability program for decades. In 2015, formal goals were set to achieve carbon neutrality by 2050, and a number of other resource stewardship goals to achieve by 2025: increasing locally sourced food, increasing ecosystem services, reducing potable water consumption, reaching zero waste, increasing energy efficiency, and developing standards for preferred products. The Ohio State University Wexner Medical Center developed a formal program around 2017, and then joined the Health Care Climate Council and the Health Care Climate Challenge in 2020 to support its sustainability goals.
The Ohio State University Wexner Medical Center is implementing multiple sustainability strategies through a small team of dedicated employees. The sustainability program encompasses all medical center facilities and integrates the university resource stewardship goals into all we do such as obtaining supplies, diverting waste, and tracking energy use with smart meters that can obtain real-time data on utility usage throughout the buildings. The medical center also prioritizes sustainability in the operating room by switching to a lower greenhouse gas emissions alternative anesthesia and incorporating low-flow strategies and diverting clinical plastics. The medical center has purchases a bedpan made of 90 percent recycled materials, integrated through their sustainable procurement guidelines.
The Ohio State University partners with ENGIE North America, a commercial electricity provider, and Axium, a manager of infrastructure assets to increase energy efficiency. In fiscal year 2022, all medical center-owned buildings decreased energy use intensity by 4.7 percent from fiscal year 2020 and approximately 29 percent of the electricity supplied to the medical center at main campus and off-site medical center locations was carbon neutral with renewable energy credits. OSU also has adapted the College of Medicine’s curriculum to include sustainability education.
Through green building efforts, The Ohio State University Wexner Medical Center is recycling 98 percent of the waste materials from an under-construction inpatient hospital. The smart meters installed in the buildings have helped the sustainability team identify reduction strategies, culminating in a 5 percent reduction from fiscal year 2020.The medical center has reduced desflurane in the operating room by 48 percent, resulting in nearly $300,000 in cost savings over three years.
By Amanda Jepson | Categories: | Comments Off on Reusable Isolation Gowns
Ronald Reagan UCLA Medical Center, in Los Angeles, employs more than 4,000 people and cares for 380,000 patients per year. As part of precaution protocol, every person entering a person’s room must wear an isolation gown. In 2012, the medical center used an average of 6,000 disposable isolation gowns per day, or 2.2 million gowns per year, and the academic and health care teams piloted a reusable isolation gowns program.
The program started as a pilot in the medical center’s largest and busiest and later expanded to other units gradually to avoid overwhelming staff. staff through flyers and meetings, emphasizing the increased protection the new reusable gowns offered. Unit leaders and the Linen Committee were integral in the transition and maintenance of the program.
Internally, the process required collaboration from nursing staff, unit directors, and infection control staff. Externally, program staff worked with multiple gown vendors to design a custom gown, as well as with vendors that fold, launder, and transfer gowns.
As of November 2015, the hospital has used more than 3.3 million reusable gowns, saved more than $1.1 million in purchasing costs, and diverted from the landfill.
Read the Case Study here.
By Amanda Jepson | Categories: | Comments Off on Healthy Harvest Mobile Market
The Community Health Strategies and Innovation team at University Health created the Healthy Harvest Mobile Market program to mitigate the number of community members residing in food deserts. The goal is to provide the community with healthy and fresh food, as well as nutrition education, healthy recipes, and infographics.
The mobile market goes to local ZIP codes that are considered food deserts to serve the community members in that area. The program works closely with community members to provide health education and high-quality produce.
The program collaborates with multiple community stakeholders, including faith-based organizations, schools, and community clinics. Through these partnerships, the Healthy Harvest Mobile Market ensures that community members understand the important relationship between diet and health.
The mobile market delivers fresh produce and nutrition education to many who otherwise would not have access. Specifically, during the COVID-19 pandemic, the market delivered enough food to nourish more than 100,000 people. Since 2021, the mobile market has served around 159,000 people.
By Amanda Jepson | Categories: | Comments Off on Health Equity Accelerator
The Health Equity Accelerator at Boston Medical Center (BMC) originated from research and development after COVID-19 highlighted multiple health inequities that would not have been uncovered in normal conditions. These discoveries, paired with BMC’s historical interest in closing the health equity gap, fuel the Health Equity Accelerator. The program’s goal is to drive racial health equity in the areas of pregnancy, infectious diseases, behavioral health, chronic conditions, and oncology and end-stage renal disease, with a vision to transform health care to deliver health justice and well-being.
The Health Equity Accelerator incorporates three foundations of health care: research, clinical care, and community, including social determinants of health (SDOH). The Accelerator team consists of executive leadership, project managers and analysts, community navigators, and research experts. This team breaks problems down into core elements and, through research and evaluation, identifies and implements innovations to combat the problem. The team will partner with community leaders to seek insight on how well those solutions and interventions affect the target issues. The program aims to serve patients and their communities, specifically those of color, that face immense health inequities.
The Health Equity Accelerator’s strategy aims to promote four pillars to collaborate and complement each other in the mission. These groups include clinical operations, community and SDOH, research and evaluation, and policy and advocacy. The Accelerator team also identifies external partners interested in participating in interventions to help communities BMC and other health institutions share.
The Accelerator’s Equity in Pregnancy program focuses on improving the rate of severe maternal morbidity for mothers of color and the rate of babies of color born small for gestational age. Through research, the program identified gaps and developed recommendations that will help close those gaps. Another project focused on empowering people of color, who were at a higher risk for disease transmission, to make informed decisions regarding COVID-19 vaccinations.
By Amanda Jepson | Categories: | Comments Off on Fresh for You Market
Eskenazi Health has a strong belief in the concept of food as medicine, a pillar of the health system’s Beyond Barriers campaign. In Indianapolis, 41 percent of children younger than age 5 suffer from malnutrition, and in Marion County, 21 percent of residents live in a food desert. Prior to the COVID-19 pandemic, nearly 200,000 county residents identified as food insecure. Through the Fresh for You Market and the Fresh for You Market on Wheels, Eskenazi Health is combating food insecurity in the community and providing residents with access to nutritional and affordable food.
The Fresh for You Market, a grocery store and food pantry, is located on the Eskenazi Health downtown campus on a bus route easily accessible to the community. The self-sustaining Market is open to the public, and proceeds from sales directly fund the Fresh for You Market voucher program. This program provides patients who screen positive for food insecurity during clinic visits with free food vouchers to shop at the market. The Fresh for You Market on Wheels is a mobile version of the market that parks at a different location throughout Indianapolis each weekday. A nutrition navigator on board helps patients pick foods for specific diets and conditions, and a chef prepares hot meals and hosts cooking demonstrations.
The Fresh for You Market and Market on Wheels would not be possible without community partners. The downtown market partners with a local food bank, and the market on wheels partners with local produce vendors, public transportation, the Indiana Department of Health, and other government agencies.
Since opening in June 2017, the Fresh for You Market has been a key food resource for patients, residents, and health system staff. In the first full year of operation, the Market served 6,200 people. During the COVID-19 pandemic, the market opened to health system employees working long hours who were unable to make it to the grocery store. The Fresh for You Market on Wheels, launched in July 2023, is making its way to for access to food in a social needs screening.
By Amanda Jepson | Categories: | Comments Off on Beyond Barriers
After discovering significant disparities in age expectancy from zip codes only 16 miles apart in Marion County, Ind., Eskenazi Health acted to find solutions to enhance the health of the community it serves. Thus, the $60 million campaign titled, Beyond Barriers, takes a multidisciplinary approach to three main areas: health care, mental health care, and food as medicine. The goal of the campaign is to create life expectancy equity for everyone in the city of Indianapolis through an integrated and sustainable model of community infrastructure improvement.
The program serves Eskenazi Health’s patient population and surrounding community. At the heart of Beyond Barriers are Health Equity Zones identified to improve access to health care, mental health care, and nutritional foods. Each zone is home to an Eskenazi Health Center where community health care workers work one-on-one with patients at appointments and home visits. During this time, they screen patients for social determinants of health and help with self-management goals to promote positive health behaviors. The campaign also sustains mental health professional recruitment, upgrades mental health facilities, and expands the John & Kathy Ackerman Mental Health Professional Development Center. Another important aspect of Beyond Barriers is the Fresh for You Market, which provides fresh and affordable foods to patients and families who lack access to affordable food options.
Eskenazi Health engages with education, transportation, public health, housing, food pantries, and other industries to expand existing programs and create and support new programming and services. By working with these entities, Eskenazi Health can focus on long-term social determinants of health and improving quality of life for all Central Indiana residents.
Launched in 2017, the Fresh for You Market, located at Eskenazi Health’s downtown campus, has helped patients and families access affordable and healthy groceries. In its first full year of operation, the market fed 6,200 people from under-resourced and underserved communities and improved the quality of life of those served. In summer 2023, the Fresh for You Market launched a mobile food pantry, Fresh for You Market on Wheels, which is parked in various locations around Indianapolis each weekday based on patient needs indicated in social needs screenings.
By Hannah Lambalot | Categories: | Comments Off on Institute for H.O.P.E. School Health
A decade ago, Cleveland public schools were plagued with chronic absenteeism and stagnant academic achievement, with a graduation rate of just 52.2 percent. At the same time, The MetroHealth System noticed declining pediatric primary care visits, increasing emergency department use, and gaps in children’s health outcomes. A health system assessment revealed a strong need for asthma management, well-child exams, immunizations, and other primary care and mental health screenings and services.
In 2013, MetroHealth opened the first Institute for H.O.P.E.TM school health program clinic in a converted classroom at an elementary school. Today, the program has expanded to more than two dozen sites and mobile units, selected based on assessed need. The clinics offer traditional medical care, as well as addressing behavioral health issues and social determinants of health. Every week, the team helps students and their families sign up for insurance, recognize lead exposure, and connect with community partners to find housing, pay rent, and more. The program also provides students coats, toothbrushes, backpacks, and school supplies.
The program is funded through philanthropic support, Medicaid billing, and the health system’s general operations budget; its annual budget is on pace to exceed $1 million for 2022.
Compared with a baseline, program enrollees were 64 percent more likely to be up to date on immunizations, 38 percent more likely to have attended one or more primary care visits, and 22 percent more likely to have had an annual well-child exam. At the first participating high school, attendance rates exceeded 94 percent and enrollees had eight fewer absences on average and a grade-point average 0.41 higher than other students.
By Hannah Lambalot | Categories: | Comments Off on Congregational Health and Educational Network
Nashville General Hospital (NGH) established the Congregational Health and Educational Network (CHEN) to create resources for the underserved in our community addressing health equity by focusing on further educational attainment. CHEN represents a community-focused collaborative that bridges the gap between education and health, via local congregations. Additionally, CHEN encourages ongoing opportunities to provide unique education and/or health programming to the underserved.
Through CHEN benefits for member faith-based organizations, parishioners access no-cost health screening, CHEN Wellness Academy classes on chronic disease, health literacy and more, faith-based leaders access CU sessions to improve their interaction with congregant health challenges, all members have access to educational toolkits to assist parents for children k-13 and more. Staffing support is 2.2 FTE and resources are currently provided by the hospital until grants are initiated.
The no-cost screening will be managed by a NGH Nurse Navigator who also serves as a consistent conduit for all congregants and faith-based leaders wishing to access NGH healthcare. The members and HBCUs are stepping up to provide access to their own congregational programming by extending to CHEN members. Additional identification of assets to reach out to CHEN members is still being developed.
CHEN is truthfully too new to offer outcomes at the present time. However, all program offerings will sustain pre and post assessment and results will be available upon request.
for information – see www.nashgenfoundation.org/CHEN
By Hannah Lambalot | Categories: | Comments Off on The Sky Farm
Wellness and prevention have long been key components of the Eskenazi Health model of care. Through a large primary care network, numerous community-based health fairs, the Eskenazi Health Farmers’ Market and other initiatives, Eskenazi Health has been committed to community health and wellness. Dr. Lisa Harris, CEO of Eskenazi Health, believes the best opportunity to improve the lives of patients and, by extension, the health and vitality of our community lies in helping individuals stay well. Several years ago, employees at then Wishard Health Services (now Eskenazi Health), developed a garden area in a courtyard where employees could plant and grow flowers as well as fruits and vegetables. When plans moved forward to build a new hospital campus, leaders looked at ways to enhance its commitment to wellness for employees, patients, and visitors.
The construction of The Sky Farm occurred as part of the overall construction of the Sidney & Lois Eskenazi Hospital and Eskenazi Health campus, which opened in December 2013. Marion County voters approved construction of new facilities to replace the Wishard Memorial Hospital campus in the Nov. 3, 2009 election, with 85 percent support for the measure. Sidney and Lois Eskenazi of Indianapolis contributed $40 million to the project’s capital campaign in June 2011, and Health & Hospital Corporation of Marion County recognized their gift in naming the new hospital the Sidney & Lois Eskenazi Hospital, as well as the campus and system Eskenazi Health.
A number of individuals and organizations were involved, including RATIO Architects, Inc., of Indianapolis. The original design of The Sky Farm at Eskenazi Health was developed by Erik Reid Fulford of NINebark, Inc. Fulford was an Indianapolis-landscape architect who passed away in 2012. David Rubin of Land Collective, a world-renowned landscape architect, who also designed the outside main entrance landscape at the Sidney & Lois Eskenazi Hospital, helped to carry out Fulford’s work.
The rooftop farm is utilized to grow fresh produce for patient education, which is distributed to the community at Eskenazi Health’s community health centers and given to employees during “Fresh Veggie Fridays” (FVF). In addition to the produce, the farm is home to approximately 500 bees to increase crop production through pollination. The Sky Farm, open 24 hours a day, 7 days a week, has 24 crop beds, some of which are wheelchair height for easy accessibility, and produced and harvested more than 3,700 pounds of produce in 2018. Additionally, The Sky Farm, in partnership with the Eskenazi Health Food & Nutrition Services, provides classes, “Fresh Veggie Fridays” to sample healthy recipes, learn healthy cooking techniques, receive at-home gardening tips, and obtain fresh vegetables grown from The Sky Farm. “Fresh Veggie Fridays” hosts more than 1,000 visitors each season. It also welcomes field trips and tours throughout the year.
Produce grown on The Sky Farm is used to engage Eskenazi Health patients and employees. The Sky Farm Produce Classes are held at Eskenazi Health Center sites, with another 100 people participating in CSA-style 4-week classes. Each class includes a full nutrition lesson, cooking demo, recipe book, and take-home produce. Fresh Veggie Friday is a drop in nutrition, recipe sampling, and produce distribution free to employees, patients, and visitors during the summer growing season. Around 125 people attend each session, there are 10 sessions each summer.
The Sky Farm opened as part of the opening of the Sidney & Lois Eskenazi Hospital and Eskenazi Health campus in December 2013 and we are finishing up our sixth growing season. Overall, through our various programs, we distribute about 3,000 pounds of produce with cooking and nutrition education directly into our community at no cost to the participants.
