Partners HealthCare Chemicals and Six Classes Framework Case Study BSA, HealthCare Committee Meeting

Transcription

1 Partners HealthCare Chemicals and Six Classes Framework Case Study BSA, HealthCare Committee Meeting January 17, 2018

2 Partners HealthCare North Shore Medical Center Salem North Shore Medical Center Union McLean Hospital PHS Assembly Row Spaulding Rehabilitation Hospital Cambridge Spaulding Rehabilitation Hospital Boston Massachusetts General Hospital Brigham and Women s Hospital BWH Faulkner Newton Wellesley Hospital Wentworth Douglass Hospital Cooley Dickinson Hospital NEW HAMPSHIRE Spaulding Rehabilitation Hospital Cape Cod Martha s Vineyard Hospital Nantucket Cottage Hospital MASSACHUSETTS 2

3 Chemicals Management Why are chemicals a health problem? Ubiquitous exposure Children and developing babies most vulnerable Body burden and pollution in newborns Disrupt body systems at low levels of exposure Potentially causes harm in combination

4 Mercury Elimination The Health Care Sector Helps Drive Transformational Change

5 HHI Safer Chemicals More chemicals are used in health care than in any other sector. Many of these chemicals are harmful to individual health, public health & the environment.

6 The Six Classes Framework The Six Classes is a program and framework under Green Science Policy Institute with the goal to reduce the use of harmful chemicals.

7 Local Policy and Opportunities BOSTON & TB117 or TB133 TB133 TB133 Flame Retardant free when permissible by code

8 Vendor Outreach and Education

9 Progress and Benefits

10 Progress and Benefits 70% of the actual dollar amount of the Assembly Row furnishings ($22 million) meet HHI guidelines, eliminating the targeted chemicals of concern.

11 Lessons Learned Hospital: Building: Address: Brigham and Women's Faulkner Brigham and Women's Hospital Cooley Dickinson Hospital Martha's Vineyard Hospital Fully Sprinkled Partially Sprinkled Sprinklers NOT Required Areas are Sprinkled Sprinklers are NOT Required Comments from ambulatory facilities Must comply with ASTM E 1537 / NFPA 266 Units Product Antimi Brand Description & (if ID / crobial FR Free Formald Produc PFCs PVC t Meets {enter product name} Finishes applicab ehyde Number s HHI? le) Exceptions Brand A Y Y Y Y Y currently undergoing Greenguard registration, with anticipated completion by end of August 2017 Brand B Customers are responsible for the specifying or supplying COM fabrics free from stain repellant, water repellant, PVC or flame Y Y Y Y Y retardant treatments Brand C Antimicrobials added to materials or products for the sole purpose of preserving the product are exempt from this goal HH Y Y Y Y Y Guideline V2.2 Brand D To avoid PVC in seating, vinyl upholstery must be avoided. Fabrics are PFC free, unless specifically ordered with stain resistant Y Y Y Y Y treatments by the customer. Avoid fabrics with BioAM, Antimicrobial, Crypton, Materials, and NanoTex applications Brand E Y Y Y Y Y To avoid PVC in tables, order the 74P edging or self edging. Brand F Y Y Y Y Y Meets criteria unless specified with select vinyl and polyurethane fabric, fabric with PFC, or TB 133 option. Brand G Excludes model N22HMAB. Meets criteria unless specified with select vinyl and polyurethane fabric, fabric with PFC, or TB 133 Y Y Y Y Y option. Brand H Products must be ordered with SitOnIt Seating/IDEON textiles. Products must not be ordered with the Y Y Y Y Y CAL133 option. Brand I Products must not be ordered with the CAL 133 option. We do not accept responsibility for COM. All products are subject to Y Y Y Y Y exceptions around finishes such as vinyl and stain guard specifications. Brand J Y Y Y Y Y No vinyl textiles, no flame retardant textiles, no CAL 133, No soil retardant or antimicrobial textiles, or no upholstered arm caps Brand K Y Y Y Y Y No CAL 133 Brand L Y Y Y Y Y No vinyl textiles, no flame retardant textiles, no CAL 133, No soil retardant or antimicrobial textiles Brand M Y Y Y Y Y No vinyl textiles, no veneer, no flame retardant textiles, no CAL 133, No soil retardant or antimicrobial textiles Brand N Y Y Y Y Y No veneer, or no cushioned storage Brand O Y Y Y Y Y No wood, laminate, marker board, or vinyl tiles Brand P Y Y Y Y Y All of OFS Brands product offerings can be specified to meet the Healthy Interiors goal version 2.0 of the Safer Chemicals Challenge. Most product solutions offer multiple material options for our customers and restricted chemicals and materials can be avoided through careful customer specification. Brand Q Y Y Y Y Y Customers are responsible for their COM fabric content. Brand R Y Y Y Y Y Customers are responsible for their COM fabric content. To avoid PVC, order HPL Systems Worksurfaces with Edgeband. Avoid specifying a curved work surface, as these can require PVC. Vinyl upholstery must be avoided. Vinyl upholstery, some polyurethanes, and most high performance textiles must be avoided. Brand S Y Y Y Y Y All company furniture that is Indoor Advantage Gold certified qualifies. PFC free fabrics are available. Customers must be responsible for Customer s Own Material (COM) fabric content. To avoid PVC, order any flat edge work surface that is rectangular or square in shape. Vinyl upholstery, some polyurethanes, and most high performance textiles must be avoided. Brand T Y Y Y Y Y All company furniture that is Indoor AdvantageTM Gold certified qualifies. Customers are responsible for the COM fabric treatments and chemical contents. PFC free fabrics are available. Antimicrobial free fabrics are available. Customers must select flame retardant free fabrics. Some Vinyl upholstery, polyurethanes, and some high performance textiles must be avoided. Brand U Y Y Y Y Y Company furniture that is Indoor AdvantageTM Gold certified qualifies. Customers are responsible for the COM fabric treatments and chemical contents. PFC free fabrics are available. Antimicrobial free fabrics are available. Customers must select flame retardant free fabrics. Some Vinyl upholstery, polyurethanes, and some high performance textiles must be avoided. Brand V Y N Y Y N 60

12 Lessons Learned Model Quantity % of Total GPO discount Cost Less GPO Cal 133 List Cal % Increase of % Increase of Cost of Product Additional Cal 133 Additional Cal 117 Purchased (Chairs) (per unit) discount Upcharge FR free Cal 133 Per Cal 133 Per w/gpo discount Per Unit Costs w/o 2013 FR Free Per Unit (per unit) Upcharge (for Unit Costs w/o Unit Costs w/o Discount Costs w/o Discount tag) Discount Discount Product A 81 1% $30.66 $ 346 $73 $ 25 19% 7% $ 28, $ 5, $ 2, Product B % $31.54 $ 448 $73 $ 25 15% 5% $ 604, $ 98, $ 33, Product C 146 2% $34.68 $ 740 $73 $ 25 9% 3% $ 108, $ 10, $ 3, Product D 24 0% $34.68 $ 308 $73 $ 25 21% 7% $ 7, $ 1, $ Product E 92 1% $35.77 $ 531 $73 $ 25 13% 4% $ 48, $ 6, $ 2, Product F % $31.54 $ 158 $73 $ 25 39% 13% $ 343, $ 159, $ 54, Product F 36 1% $34.68 $ 329 $57 $ 25 16% 7% $ 11, $ 2, $ Product G 167 2% $34.68 $ 133 $73 $ 25 43% 15% $ 22, $ 12, $ 4, Product H 86 1% $56.73 $ 153 $122 $ 25 58% 12% $ 13, $ 10, $ 2, Product I 18 0% $35.77 $ 329 $73 $ 25 20% 7% $ 5, $ 1, $ Product J 44 1% $45.36 $ 291 $84 $ 25 25% 7% $ 12, $ 3, $ 1,.00 Product K % $34.68 $ 474 $73 $ 25 14% 5% $ 824, $ 127, $ 43, Product L 2 0% $ $ 367 $412 $ 25 69% 4% $ $ $ Product M 206 3% $17.58 $ 316 $37 $ 25 11% 7% $ 65, $ 7, $ 5, Product N 30 0% $35.77 $ 422 $73 $ 25 16% 5% $ 12, $ 2, $ Product O 219 3% $56.73 $ 181 $122 $ 25 51% 11% $ 39, $ 26, $ 5, Product P 33 0% $56.65 $ 807 $103 $ 25 12% 3% $ 26, $ 3, $ Product Q 252 4% $ $ 2,283 $412 $ 25 16% 1% $ 575, $ 103, $ 6, Product R 6 0% $ $ 515 $275 $ 25 43% 4% $ 3, $ 1, $ Product S 3 0% $ $ 681 $206 $ 25 24% 3% $ 2, $ $ Product T 19 0% $ $ 768 $206 $ 25 22% 3% $ 14, $ 3, $ Product U 3 0% $67.76 $ 1,544 $121 $ 25 8% 2% $ 4, $ $ Product V 7 0% $ $ 1,696 $412 $ 25 21% 1% $ 11, $ 2, $ Product W 11 0% $ $ 1,901 $412 $ 25 19% 1% $ 20, $ 4, $ Product X 2 0% $ $ 603 $206 $ 25 27% 3% $ 1, $ $ Product Y 12 0% $56.65 $ 984 $103 $ 25 10% 2% $ 11, $ 1, $ Product Z 4 0% $35.77 $ 917 $73 $ 25 8% 3% $ 3, $ $.00 Product AA 5 0% $ $ 1,039 $515 $ 25 39% 2% $ 5, $ 2, $ Product BB 53 1% $56.65 $ 162 $103 $ 25 47% 11% $ 8, $ 5, $ 1, Product CC 18 0% $35.77 $ 491 $73 $ 25 14% 5% $ 8, $ 1, $ Product DD 233 3% $17.58 $ 550 $37 $ 25 7% 4% $ 128, $ 8, $ 5, Product EE 4 0% $35.77 $ 420 $73 $ 25 16% 5% $ 1, $ $.00 Product FF 50 1% $56.73 $ 243 $122 $ 25 41% 8% $ 12, $ 6,.00 $ 1, TOTAL UPCHARGE COSTS 7134 $ 2,989, $ 624, $ 178, BFC's 612 $26.00 $ 15, $ 15, TOTAL ADDITIONAL COST $ 640, $ 194,262.00

13 Lessons Learned Set goals Apply consistent definition of sustainability attributes Engage manufacturers, distributors, architects and designers Gather data Trust but verify when possible Be Curious Analyze and monitor progress Be flexible in face of constant change Remember Hippocratic Oath

14 Next Steps Connect with and educate architects, designers, real estate colleagues and purchasers across the system and vendor/distributor partners Use of chemicals/purchasing resources and templates Leverage Greenhealth Exchange

15 Thank you 15