A Practice Greenhealth Member Publication Smart Purchasing · Americans spend about 90% of their...

Smart PurchasingSuccess in Greening Your Supply Chain

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GreenhealthA Practice Greenhealth Member Publication

Resource Guide to

Sustainable Products and Services

Americans spend about 90% of their time indoors. That makes the products you put into your buildings as important as what you put in your mouth. You wouldn’t dream of eating something unless you knew what it contained, so why choose a building product without the same information? You no longer have to because we disclose what Acrovyn® 4000 is made of—right on the product. An industry first, our labeling program was developed with Perkins + Will and is supported by a multi-attribute, third-party certification. It is reassurance that Acrovyn 4000 is designed with human health in mind. To learn more, call 800-233-8493 or visit transparency.c-sgroup.com. Find Construction Specialties on ®, ® or twitter.com/acrovyn.

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Protection for tomorrow’s environment

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Acrovyn® 4000 is designed with human health in mind.

We can prove it!

http://transparency.c-sgroup.com/

ContentS

On the cOver Keeping our communities sustainable

through smart purchasing.

MeMber InfOrMatIOn

5 Executive Director’s Message Smart purchasing choices for your hospital

DepartMents

6 Greening the Supply Chain® Lessons learned from Kaiser Permanente

30 Healthy Foods Health care’s role in keeping food safe

32 Healthier Hospitals Initiative Take the Smarter Purchasing Challenge

Getting It Right 8 Boston Scientific engages

the supplier community.

Practice Greenhealth Products and Services Directory 11 An extensive list of resources

provided by Practice Greenhealth Business Members.

EnvironmEntally PrEfErablE Purchasing novembeR/deCembeR 2013

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practicegreenhealth.org GReenhealth 1

Greenhealth Greenhealth is published by Practice Greenhealth, the nation’s leading membership and networking organization for institutions in the health care community that have made a commitment to sustainable, environmentally-friendly practices. Members include hospitals, health care systems, businesses, NGOs, and other stakeholders engaged in the greening of health care to improve the health of patients, staff and the environment.

bOarD Of DIrectOrsGlenn BarBi Vice President, Office of Global Sustainability Becton DickinsonKaTHY GerWiG Vice President, Workplace Safety Kaiser Permanente, Oakland, CAJeFFreY HOllenDer Entrepreneur, Author, Co-founder and Board Chair American Sustainable Business Councilal iannuzzi Senior Director Worldwide Environment, Health and Safety Johnson & JohnsonJOHn STrOnG Principal John Strong, LLCDr. JeFFreY THOmpSOn CEO and Chairman of the Boards Gundersen Health SystemSuSan ViCKerS, rSm Vice President, Community Health Dignity Health, San Francisco, CAnOe COpleY-WOODS, mD, FaCOG Magee-Womens Hospital of UPMC Fellow of the American College of Obstetricians, Assistant Professor, Department of Obstetrics, Gynecology and Reproductive Sciences University of Pittsburgh, School of Medicine

stafflaura WenGer Executive DirectorCarrie aBernaTHY Director of Education,Training and EventsJaneT BrOWn Director of Facility EngagementSTan CaHill Senior Director of Membership DevelopmentKeVin COnWaY Website Marketing and Communications ManagerlYnCOln DuJOn ControllerJOHn eBerS Associate Director of Facility Engagement and Energy ProgramBeTH eCKl Director of Environmental Purchasing ProgramDereJe GeBremiCHael Staff AccountantJill HaYOTT Administrative Assistantlin Hill Director of Awards ProgramrOBerT JarBOe Executive Vice President of Business DevelopmentCeCilia DelOaCH lYnn Director of Facility Engagement and MetricsSHerrY maCDOnalD Director of Marketing and CommunicationsVerOnique naGle HR ManagerJOlie paTTerSOn-rOSST Director of Finance and AdministrationpeGGY raDemaKer Membership Development ManagerKaeleiGH SHeeHan Project Managerlara SuTHerlanD Director of Business MembershipHermine leVeY WeSTOn Facility Engagement ManagerBrian YOunGBlOOD IS ManagerYiFei Fei zHOnG Events Coordinator

eDItOrIal & DesIgn servIcesCOnTenT WOrx www.thecontentworx.com

aDvertIsIngGreenhealth accepts display and classified advertising. To obtain a copy of our rate card, or to place an ad, contact Don Cooksey. Phone: (301) 816-7901 Email: [email protected]

www.practicegreenhealth.org/greenhealth

© 2013 Practice Greenhealth.Subscriptions free to Practice Greenhealth members. All others $95/year.Contact: [email protected]

enVirOnmenTal impaCT STaTemenT Greenhealth is printed on FSC®-certified 30% PCW Chorus Art Cover 30% PCW Chorus Art text. Additionally, it was printed at a carbon neutral facility, utilizing 100% renewable electricity in the form of wind and solar RECs with non-petroleum, vegetable-based inks. The use of these environmentally responsible papers conserves the following:Trees 17energy 22 million BTU’sGreenhouse Gases 4,263 CO2Wastewater 13,195 gallonsSolid Waste 1578 poundsEnvironmental impact statements we produced using the Environmental Defense Paper Calculator.

Greenhealth is printed by Goetz Printing Inc – Scott Patterson ([email protected]) at mobile (202) 716-0626 a “carbon-neutral,” environmentally responsible community-focused print communications company.

wind & solar100% clean power

Find sustainable products & servicesin the Practice Greenhealth Supplier Directory

SUPPLIER DIRECTORY

www.PracticeGreenhealth.org/Directory

Demand for more environmentally preferable products is growing, and the Practice Greenhealth Supplier Directory has been compiled to make it easier to find businesses that provide environmentally preferable products and services to the health care sector.

Greening the supply chain is an essential element for any health care facility embarking on a journey toward sustainable health care. Many products used in health care environments have environmentally preferable alternatives that may reduce health impacts to patients and staff and a facility’s environmental footprint.

Find products and services in the Practice Greenhealth Supplier Directory!

2 GReenhealth November/December 2013

Environmental stewardship inspires us to reinvent the way we innovate and operate – from electronic

ordering to biodegradable cleaning chemistries to efficient equipment designed to use less utilities.

STERIS aims to make a difference in the lives we impact. Every day.

To learn about STERIS sustainability, visit www.steris.com/about/stewardship/index.cfm.

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CleanMed2014

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Introducing C/S Acrovyn® Panel Doors.

Thanks to their extreme durability, C/S Acrovyn

Doors have become the architect’s choice for hospitals

and high abuse environments. To give architects and

designers even more aesthetic choices, Construction

Specialties is pleased to introduce Acrovyn Panel

Doors. These doors not only look great, but feature

the same materials and construction that make Acrovyn

Doors “virtually indestructible.” They are available in

18 simulated wood and metal patterns and 64 Acrovyn

colors. For details, call Construction Specialties at

(800) 972-7214, or visit www.c-sgroup.com/door.

Introducing virtually indestructible Panel Doors.

Doors Pick Ax Ad PG_HD 10/9/13 10:04 AM Page 1

exeCutive diReCtoR’S meSSaGe

laura WenGer, rnExecutive Director

[email protected]

green your supply chainIf you’ve never seen The Story of Stuff, a short movie on how we make, use, and throw away the stuff

we buy, I highly recommend it. The 20-minute cartoon narrated by Annie Leonard gives a snapshot of the adverse effects that purchasing has on our communities as well as on the environment. We

need to keep in mind that when we put stuff in trash cans and say we are throwing it away, well in reality, there is no away. It all goes somewhere.

The health care industry spends $200 billion a year on purchasing medical and nonmedical supplies. Producing, shipping, and tossing away that much stuff has considerable detrimental effects on our planet—deforestation, dangerous carbon emission levels, toxic chemicals, hazardous materials, and, of course, the never-ending sea of cardboard boxes, packaging and plastic to name just a few.

Practice Greenhealth’s Business Leadership Coalition members want to replace the current practice of merely responding to the needs of health care with a more proactive and interactive process in which forward-thinking businesses are involved with environmentally preferable purchasing (EPP) specifications and requirements. This collaborative action includes supporting efforts of suppliers to obtain information from their own raw material supply chain to better understand the components of their products, to know what is important to ask about products, and to support the need for greater transparency from their suppliers for more sustainable and less toxic products. Currently our Business Leadership Coalition members are working together to create a total cost-of-ownership (TCO) tool to assist hospitals in evaluating total product costs across the life span, instead of just looking at purchase price. They are also focusing on educational materials for hospital purchasing managers and supply chain staff.

Practice Greenhealth also offers a vast array of resources to help get your facility started on its EPP path. The Standardized Environmental Questions for Medical Products are a set of supplier questions that can be used in the procurement process and cover key areas of concern, such as packaging, manufacturing, use, and the end-of-life of medical products, based on the industry’s environmental priorities. We continue to work with five of the largest GPOs to develop our next step of EPP disclosure questions for medical electronics.

I would also encourage all members to review the EPP Specifications and Resource Guide on the Practice Greenhealth website for a detailed list of specifications and environmental considerations for numerous product and service categories.

We would like to congratulate Kaiser Permanente for their tremendous efforts of building a more sustainable, targeted, and balanced EPP program. The system has implemented a three-plan approach—presourcing, sourcing, and implementation—which has become part of the culture at Kaiser Permanente and not an additional step in the EPP process (see page 6). Also in this issue, we’ve included an extensive sustainable products and services directory to help you green your supply chain.

As we move into 2014, please take a moment to look back at the positive work that has been achieved at your facility. We look forward to working with each member to help you set your goals for next year so we can create healthier hospitals and more sustainable communities!


GReeninG the SuPPlY Chain

Kaiser Permanente’s success in rethinking

its environmentally preferable purchasing

program.by vaNessa LochNer, Director,

eNviroNmeNtaLLy PreferabLe PurchasiNg Program,

Kaiser PermaNeNte

EPP as Easy as 1, 2, 3AChIEvInG An Environmentally Preferable Purchasing (EPP) program is simpler than many people realize. From the start, it’s important to determine the results you want to achieve. At Kaiser Permanente, four environmental attributes guide the process: cleaner energy, safer chemicals, less waste and healthier food. Kaiser Permanente has achieved success, year after year, through strategy, organization, and, more recently, by identifying through its procurement process (also known as sourcing) the three key phases: pre-sourcing, sourcing, and implementation. While the concept isn’t new, in the EPP world, it holds a wealth of knowledge.

Building a sustainable, targeted and balanced portfolio of EPP initiatives that organically feeds your program is groundbreaking. To start the journey, you first need to understand each of the three procurement phases, so that you can build it into your planning efforts.

pre-sourcingPre-sourcing is a goal-oriented, metrics-based activity that prepares you and your procurement team for the sourcing effort. Knowing upfront what you want to achieve makes an enormous difference. Perhaps your organization wants to source a product category in the next year or so, due to an expiring contract or changed requirements for good and services, and you know you want meaningful results in one or more of your EPP attribute areas. This is your starting point.

For example, let’s assume skincare is a product category on your organization’s radar for a sourcing effort in 2015; in that case, beginning pre-sourcing activities in 2014 is ideal. In this example, safer chemicals may be the environmental attribute used to achieve results. The next step would be authoring, co-authoring, or adopting a best practice: a chemical disclosure questionnaire. Whether it’s preparing the document for the procurement/sourcing team to use later, prior to the sourcing effort, or preparing the document for immediate use with the incumbent supplier, doing the work upfront will save valuable time. In addition, by setting expectations upfront for which specific EPP attribute you would like to positively impact, you are helping to set the stage for success.

Another example of a pre-sourcing activity might be reviewing a product category against your EPP attributes, such as a review of your organization’s custom packs and/or kits. Reviewing this product category for packaging reduction opportunities, and understanding the potential prior to commencing a sourcing effort can be vital, both as a valuable time-saver and as an educational tool for suppliers.

In 2013, Kaiser Permanente has a pre-sourcing EPP goal to obtain six chemical disclosure forms (for separate product categories) from its incumbent suppliers. Another Kaiser Permanente goal for 2013 is to review 30 customs packs and trays for packaging reduction opportunities. Pre-sourcing is no different from other activities you want to accomplish: Unless you set a goal, then track and measure the progress, your project may fall victim to other priorities.

SourcingSourcing (also known as procurement) is a better-known process. For Kaiser Permanente, it is the alignment of stakeholder requirements to engage suppliers in the marketplace to bid on goods and services. We have found it imperative to involve our stakeholders, especially our clinicians, upfront and throughout the sourcing process. The same premise goes for the sourcing process as it relates to the EPP portfolio mix of initiatives. Understanding when your organization wants or needs to source a product category is necessary to determine any required pre-sourcing activities (and relative timing), as well as the implementation year.

From the goal-oriented and metrics-based viewpoint, achieving success depends largely on working with your procurement/sourcing teams to develop weighted milestones toward completion. Accurately wording goal language is also a must. In Kaiser Permanente’s EPP program, we have developed general milestones for each gate within the sourcing process. For example, measurable milestones include: Issue RFI, Evaluation, Issue RFP, RFP Analysis and negotiation, Standards and Sourcing Team/Core Group Approval, and Governing Body Deal Structure Presentation. It helps to ensure that you, your procurement/sourcing team,

Presourcing

Sourcing

Implementation


sOMe feeDback frOM Our prOcureMent prOfessIOnals:

“The EPP program provides a structured framework that enables initiatives to have single source transparency across the organization, and facilitates better alignment of projects with organizational goals.” —Shekhar Chopra, Sourcing Manager, Kaiser Permanente

“Incorporating our EPP practices in our sourcing model has dramatically improved our capability of identifying sustainable opportunities. The true integration of our EPP program in this fashion has hardwired EPP. It’s what we do at Kaiser Permanente, and it’s not considered an additional step.” — Nestor Jarquin, Sourcing Manager, Kaiser Permanente

and stakeholders are clear on what the year-end result will be, such as, “complete sourcing for chemically-safest product category (name) available on the market that meet all regulatory, and that best meet all (your organization’s name) clinical requirements by year end.”

implementationIs the product conversion process going to be boots-to-the-ground, facility-by-facility implementation? The oxymoronic answer is, yes and no. Looking through the EPP lens, implementation is the execution phase of a project or initiative that produces a positive, metrics-based, environmental outcome. Again, think goal-oriented; for example, product conversions that produce less waste in tons, or project implementations that produce a kilowatt hour (kWh) increase in renewable energy or perhaps kWh decrease on energy demand. It is the actual metric that can be measured as “the fruits of our labor.”

Everyone plays a part from a strategy/EPP planning perspective. If your effort is a collaborative process involving your procurement/sourcing team, a solid idea of the implementation metric is likely to unfold during the sourcing phase. Your suppliers also are great partners in the implementation process – they will be the ones who report on the metric that you and your procurement team developed as a goal.

So, where is this all going? The benefits of managing your EPP portfolio of initiatives in a conscious process are profound: enhanced strategy planning for a three-year rolling EPP plan with a self-feeding pipeline; better integration with your procurement/sourcing teams, their work, and goal

setting; and ensuring credibility by measuring EPP implementations for targeted projects through a dynamic executive level dashboard.

Your success will hinge on a few key factors: 1. Engage your group purchasing organization

(GPO). Ensure they understand the concept and how to use the technique in the goal setting and tracking/measurement process. This will extend your capacity to help manage the EPP program.

2. Develop simple education and training tools to communicate the technique – perhaps a presentation deck and live discussions through webinars or in-person sessions. highlighting the benefits of using this concept to manage the program will lead to recognition for its ease in use (it has worked for Kaiser Permanente).

3. Any time is a good time to start. however, just before goal setting is optimal.

4. Don’t set hard lines when using this technique. It’s possible, for example, to have sourcing efforts without pre-sourcing. It is important to know your resource capacity – how many initiatives you and your procurement/sourcing team can work on each year – that yield the highest impact in the desired environmental attribute.

Deploying this concept will provide your organization with an EPP mix of pre-sourcing, sourcing, and implementation projects each year, feeding the pipeline in two- to three-year cycles. Just remember, as with any planning process, it is important to conduct a refresh and ensure your EPP plan is a rolling plan that can be adjusted according to changing priorities or circumstances.

2013 2014 2015

initiative a Presourcing Sourcing Implementation

initiative B Sourcing Implementation (*Start a New Initiative)

initiative C Implementation (*Start a New Initiative) Sourcing

A sustainable portfolio mix of EPP initiatives by procurement phase

*Start a new pre-sourcing project


By using a simple and robust sustainability platform, educating users, and engaging strategic suppliers, we are on track to make a positive impact on the planet, for people as well as our business.michaeL KaLfoPouLos, bostoN scieNtific Director, gLobaL ProcuremeNt


ThERE ARE MAnY COMPOnEnTS to Boston Scientific’s environmental sustainability program. Significant, targeted efforts during the past few years have produced improvements to our internal operations, resulting in the reduction of environmental impact, product costs, and operating risks. By sharing our vision of sustainability and working with our supplier community, many of our suppliers have become active participants in our program. Together we have been able to achieve a “triple win:” a win for the environment, a win for the people that work for us and with us, and a win for our business. With annual revenues of more than $7 billion, our global infrastructure includes a complex supply chain, which supports significant manufacturing and distribution facilities on four continents. We have developed an approach simple enough for a range of suppliers to use consistently to achieve improvements in areas that make a meaningful difference.

In 2012, working collaboratively with our supply base, we launched a Green Supply Chain program to build sustainability into the procurement of goods and services used in our business. Our goal was to expand our business processes with suppliers to continuously increase environmental sustainability within our supply chain. The framework for the program includes four principal components. The first involved engaging key suppliers in an annual environmental sustainability assessment. The assessment involved measuring and base-lining strategic suppliers in greenhouse gas emissions, waste generation, reuse/recycle and environmental management practices in order to drive future reductions. The assessment is aligned with Boston Scientific’s internal practices and programs, and is intended to enhance the opportunities to collaborate and leverage knowledge. This collaboration results in continuous improvement as the desired objective.

To enable and increase communication within the supply chain to meet our goals, the second component involves the inclusion of sustainability practices in our supplier business review process and incorporates sustainability language in Boston Scientific’s Supplier Guidebook.

Further building on these elements, the third component involves a sustainability assessment in the supplier selection process. This assessment is a component of the overall selection process for new opportunities and provides information on the sustainability profile of bidders. This process allows Boston Scientific to compare and evaluate suppliers based on their sustainable practices.

The fourth tenet of our program, our Master Supply Agreement, designed to formalize engagement and a commitment to environmental sustainable practices between our suppliers, has been expanded to include language confirming a supplier’s participation in the program.

We invested significant time developing the metrics for measuring our success, as well as effectively communicating expectations to ensure our valued suppliers would be able to participate. We chose to measure our strategic suppliers based on the same metrics that we measure ourselves, with examples such as energy use, waste, and recycling. Most importantly, our metrics are based on quantitative measurement. We developed a method for measuring the performance of our supplier chain through reductions in waste, electrical consumption, oil consumption, etc. Our program philosophy is “make a difference.” We will continue to monitor results by measuring year-to-year improvements in our supply chain, and if our metrics improve, we know we are doing our part in reducing our impact on the environment.

We believe that we have made good progress in this area and consider ourselves in the early stages of program development compared to some of the companies with whom we benchmarked. As we learn through ongoing peer discussions and experiences, we fully expect our program will mature. We are now focused on increased education about sustainability and the “triple win” among internal resources, business units, and employees. We plan to further promote the program across the supply chain to increase supplier participation. By using a simple and robust sustainability platform, educating users, and engaging strategic suppliers, we are on track to make a positive impact on the planet, for people as well as our business.

Getting It Right boston Scientific makes wise choices when it comes to greening the supply chain.by michaeL KaLfoPouLos, bostoN scieNtific Director, gLobaL ProcuremeNt


enviRonmentallY PRefeRable PuRChaSinG

Sustainable Resources

health Care Products and Services to Green Your facility

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Company Listing 12

Categories of Products and Services 28


38 north SolutionsGovernment relations202-524-883238northsolutions.com38 North Solutions provides public affairs, strategic communications, advocacy and relationship building in Washington, D.C., and across the country. With our deep understanding of clean energy and innovation technologies and business models, we help our clients navigate the public policy arena to develop creative solutions that can advance their clean energy goals.environmental Benefit: By advocating for public policy that enhances energy efficiency and clean energy solutions, 38 North Solutions can help the health care community save money while allowing more resources to be devoted to patient care.

3m Health Care3m™ Comply™ lead-Free Bowie-Dick Test packs800-228-3957solutions.3m.com/wps/portal/3m/en_uS/ipD-na/3m-infection-prevention/products3M™ Comply™ Lead-Free Bowie-Dick Test Packs are used to monitor the performance of vacuum-assisted 132°C - 134°C (270°F - 273°F) steam sterilizers. Test packs will reproducibly detect residual air in the sterilizer chamber due to air leaks, air removal failures, and inadequate vacuum—any of which can compromise sterility.• Early warning feature permits scheduled

sterilizer maintenance and helps to prevent unexpected failures

• Lead-free ink chemistry• Equivalent to the Bowie-Dick

Towel Pack cited in AAMIenvironmental Benefit: With our lead-free construction, health care facilities can reduce the amount of potentially hazardous waste entering the waste stream, and eliminate the associated management and disposal expenses.GpOs/Distributors: All major national GPOs and Distributors

3m™ Comply™ lead-Free indicator Tape For Steam Sterilization800-228-3957solutions.3m.com/wps/portal/3m/en_uS/ipD-na/3m-infection-prevention/products 3M™ Comply™ Lead-Free Indicator Tapes For Steam Sterilization are external chemical indicators used to securely seal the wrapping on instrument packs for processing via steam sterilization cycles. They provide the sterilizer operator with visual assurance that each package has been exposed to the sterilization process, without having to open the pack.• Lead-free ink eliminates hazardous waste issues • Trusted, high-quality adhesive • Stretchable backing that minimizes

tape “pop-off” during sterilization • Can be written on or labeled with pre-printed labels

3m Health Care cont’denvironmental Benefit: With our lead-free construction, health care facilities can reduce the amount of potentially hazardous waste entering the waste stream, and eliminate the associated management and disposal expenses.GpOs/Distributors: All major national GPOs and Distributors

3m™ medical Tapes800-228-39573m.com/medicaltapes3M™ Medical Tapes are designed with the performance qualities you need to provide better patient care. 3M offers hypoallergenic and latex-free medical tapes with a range of characteristics for:• Fragile or at-risk skin• General securement of tubing and devices• Moist skin conditions• Surgical dressings• Pressure dressings• Securement of critical tubingTo minimize waste, 3M offers single-patient-use rolls of soft cloth, paper, silk-like and plastic tape, as well as our latest advancement, 3M™ Kind Removal Silicone Tape. Learn more at go.3m.com/singleuserolls.environmental Benefit: 3M medical tapes are packaged in boxes containing an average minimum of 35 percent post-consumer recycled content.

action Bag CompanyHealth Care and medical packaging800-490-8830actionbaghealthcare.comAction Bag Company is a leading provider of health care and medical packaging for more than 30 years. Product lines include large line reclosable zip bags, specimen and biohazard bags, equipment covers, and a variety of earth-friendly paper and reusable packaging. With a large distribution and contracting network, customers span from manufacturers, hospitals, and pharmacies to DMEs.environmental Benefit: Wide line of items that are recyclable, biodegradable, and made of recycled content, and reusable packaging products. GpOs/Distributors: All major GPOs/Distributors. Call 800-490-8830 for your approved pricing and contract information.

advanced Sterilization products Division of ethicon (Johnson & Johnson)CiDex® Opaaspjj.com/us/products CIDEX OPA Ortho-Phthalaldehyde Solution High Level Disinfectant is used for cleaning the most widely used endoscopes. It is designed for either manual or automatic reprocessing, manufactured to the highest standards for purity, and effective against a wide array of microorganisms.

SpOnSOrS OF GreeninG THe Or®

�� Beacon Converters, Inc.�� Becton Dickinson�� Cardinal Health�� HDR Architecture, Inc.�� Healthcare Corporation of America (HCA)�� Hospira Worldwide, Inc.�� Kimberly-Clark�� Mazzetti�� Medline Industries, Inc.�� Sterilmed�� Stryker Sustainability Solutions�� Synergy Health�� Velmed, Inc.

GreeninG THe SupplY CHain® BuSineSS leaDerSHip COaliTiOn�� 3M�� Baxter Healthcare Corporation�� Bayer Corporation�� Becton Dickinson�� Cardinal Health�� Covidien�� DuPont Medical and Pharmaceutical Protection�� Eastman Chemical�� Hospira Worldwide, Inc.�� Johnson & Johnson�� Kimberly-Clark�� Naturepedic�� Sabic Innovative Plastics�� Stericycle�� Sterilmed, Inc.�� Stryker Sustainability Solutions�� USMedco, Inc.�� Vernacare


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http://solutions.3m.com/wps/portal/3M/en_US/

http://3m.com/medicaltapes

http://actionbaghealthcare.com

http://aspjj.com/us/products

advanced Sterilization products Division of ethicon (Johnson & Johnson) cont’denvironmental Benefit: It does not require special ventilation, has a near-neutral pH compatible with endoscopic instruments, has a paperless version of the IFU online, and contains 20 percent more solution in each bottle.

STerraD® Sterilization Systems949-789-8526aspjj.com/us/productsSTERRAD Sterilization Systems use hydrogen peroxide gas plasma technology to efficiently eliminate traces of hydrogen peroxide from devices safely and effectively, protecting the instruments, users, patients, and environment in your health care facility.environmental Benefit: ASP’s STERRAD Systems use a combination of hydrogen peroxide vapor and low-temperature gas plasma to rapidly sterilize medical instruments, which do not require aeration and external venting.

aesculap, a division of B. Braun medicalSterilContainer System610-997-4939aesculapusa.comAesculap’s SterilContainers are made of durable aluminum that forms a rigid barrier impervious to punctures and tears. They have a long service life and use few low-cost disposable items, lowering operating costs per year. A reusable, environmentally friendly alternative to the Blue Sterile Wrap, the SterilContainer from Aesculap supports your facility’s green purchasing initiative. SterilContainers are available in the following sizes: Full Size, Three-Quarter, Half, Quarter, Mini, Extra Long Mini, Extra Long, Wide Body.environmental Benefit: Aesculap Sterilization Containers can achieve up to 80 percent cost savings over disposable sterilization blue wrap; medium size hospitals can save up to $20K annually. They are easier to handle and are reusable.

anesthetic Gas reclamation llCDynamic Gas Scavenging System (DGSS)601-906-1779gasrecycler.comBy reducing the total flow through your facility’s waste anesthetic gas disposal (WAGD) system, the installation of the DGSS anesthetic scavenging interfaces will produce an energy savings of 80 to 95 percent in the ongoing operation of your WAGD vacuum system.Without the DGSS, generating this high (50-75 lpm) flow requires that the vacuum pumps at your facility run almost continuously. At our home institution the normal-duty cycle (percentage of time running) was about 92 percent; with the DGSS, the duty cycle is 8 percent. The life expectancy of a vacuum pump would be significantly extended.

anesthetic Gas reclamation llC cont’denvironmental Benefit: By reducing the total flow through your facility’s waste anesthetic gas disposal (WAGD) system, the installation of the DGSS interfaces will produce an energy savings of 80 to 95 percent in the ongoing operation of your WAGD vacuum system.

arC medical, inc.circuitGuard™circuitGuard™ allows a facility to choose to use one circuit per day, reducing the impact of throwing away one circuit per patient. There are no studies to show that single-patient use of an anesthesia breathing circuit reduces cross-contamination, but there is ample evidence that circuitGuard™ protects every patient and caregiver in the OR.environmental Benefit: circuitGuard™ allows a facility to choose to use one circuit per day, reducing the impact of throwing away one circuit per patient.

ThermoFlo™404-373-8300 arcmedical.com/productsThermoFlo provides passive humidification as effective as heated water bath humidifiers, and allows circuits to be changed monthly.environmental Benefit: ThermoFlo replaces sterile water used for inhalation. These heavy items are shipped via truck across the USA. ThermoFlo allows for circuits to be used for one month.GpOs/Distributors: Direct to customer, MedAssets, SCAA, SCOA, Symbion, Veterans Administration

augustine Temperature managementHotDog patient Warming System952-746-1720hotdog-usa.comThe HotDog patient warming system is made with patented ThermAssure™ conductive fabric to safely maintain patient normothermia without blowing hot air. Published research shows that HotDog is equally effective as forced-air warming, but customer trials have shown that HotDog is more effective. According to five published studies, HotDog is also safer—especially in orthopedics—because there’s no disruptive waste heat that can contaminate the sterile field. Even with these benefits, it’s still less expensive, saving customers up to 50 percent.environmental Benefit: HotDog patient warming is the eco-healthy patient warming solution, and it improves the bottom line. It’s reusable, so it eliminates constant disposable waste. Additionally, it consumes 80 percent less energy than forced-air warming machines.GpOs/Distributors: As of August 2013, HotDog is available through the following GPOs: Novation, Premier, Healthtrust Purchasing Group, MAGNET, FSS/GSA

B. Braun medicalDuplex Drug Delivery System610-997-4939bbraunusa.com/products The DUPLEX® Drug Delivery System two-compartment flexible IV container stores pre-measured drug and diluent doses separately until administration, enabling compliance while protecting patients, providers, and the environment. • Helps reduce medication errors—no mixing required • Not manufactured with PVC, DEHP, or

natural rubber—removes potential for release of dioxins during disposal

• Economical and reduces drug waste• Protects patients and health care workers

from exposure to airborne cephalosporins• Meets the Joint Commission and

USP <797> guidelinesenvironmental Benefit: Protects patients and health care workers from exposure to airborne cephalosporins. Not manufactured with PVC, DEHP, or latex, and therefore will not release harmful dioxins, like hydrogen chloride (HCl) gas, when incinerated.GpOs/Distributors: All B. Braun Medical products are sold through distributors and are on the major GPO contracts.

exCel iV Containers610-997-4939bbraunusa.com/productsThe EXCEL IV Container is available in 250mL, 500mL, and 1000mL sizes and is not manufactured with latex, PVC, or DEHP. The EXCEL IV Container is available in the following: 5 percent Dextrose Injections, 10 percent Dextrose Injections, Dextrose & Sodium Chloride Injections, Ringers Injections, Lactated Ringers, and Sodium Chloride Injections. When empty, the EXCEL IV Containers and their overwrap weigh between 28 and 48 percent less than comparable PVC Containers with overwrap. Furthermore, disposal of EXCEL IV Containers in landfills costs as much as 30 percent less annually when compared with PVC container disposal.environmental Benefit: The EXCEL IV Container does not contain PVC, latex, or DEHP, and therefore will not release harmful dioxins, like hydrogen chloride (HCl) gas, when incinerated.GpOs/Distributors: All B. Braun Medical products are sold through distributors and are on the major GPO contracts.



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B. Braun medical cont’dintrocan Safety iV Catheter610-997-4939introcansafety.bbraunusa.comThe Introcan Safety® IV Catheter is designed with innovative passive-safety features to help eliminate accidental needle-stick injuries. From insertion to catheter deployment to needle removal, clinicians are protected by a truly passive safety device that is activated automatically—no extra steps—and cannot be bypassed. This easy-to-use safety IV catheter promotes first stick success, improves patient comfort, and ensures best practices. And with less plastic content than other safety IV catheters, it can potentially reduce storage space and medical waste.environmental Benefit: Lighter, more compact design than other safety IV catheters can potentially lower shipping, storage, and waste disposal costs.GpOs/Distributors: All B. Braun Medical products are sold through distributors and are on the major GPO contracts.

partial additive Bag (paB)610-997-4939bbraunusa.com/products.htmlThe PAB (partial additive bag) is available in 25mL fill in 100mL, 50mL fill in 100mL, 100mL fill in 150mL, as well as empty, and is not manufactured with latex, PVC, or DEHP. The PAB container is available in the following intravenous solutions: 5 percent Dextrose Injections, Sodium Chloride Injections, and Metroidazole Injections.environmental Benefit: The PAB is not manufactured with PVC, DEHP, or latex, and therefore will not release harmful dioxins, like hydrogen chloride (HCl) gas, when incinerated.GpOs/Distributors: All B. Braun Medical products are sold through distributors and are on the major GPO contracts.

Baxter international inc.aViVa plastic container system888-229-0001ecomm.baxter.com Baxter’s AVIVA plastic container system meets medication and admixing needs for your patients and pharmacy. Sodium Chloride Injection (USP), Dextrose Injection (USP), and Lactated Ringers Injection (USP) all are available in the AVIVA plastic container system. AVIVA plastic container systems are non-DEHP, non-PVC, and not made with natural rubber latex, making them a versatile and dependable alternative. Rx only. For safe and proper use of the containers listed above, please refer to the appropriate directions for use.environmental Benefit: Eliminates PVC, DEHP, or other plasticizers from hospital waste streams.

Bayer materialScienceBayer makrolon polycarbonatebayermaterialsciencenafta.comMakrolon® Polycarbonates, trusted by the medical device industry for more than 40 years, have excellent appearance, clarity, toughness, and are ideal for thin- and thick-walled products. Applications include IV Access, Respiratory, Housings, Drug Delivery, Surgical Instruments, Cardiovascular, Dialyzers and others. Sterilizable by gamma, EtO, and other methods; lipid/chemical resistant; suitable for higher heat environments; and many others. Medical grades have been tested for ISO 10993 Part 1 and USP Plastic Class VI standards. Grades for injection molding, extrusion, and blow molding.environmental Benefit: • Outstanding design versatility

to minimize device cost• Durable products to maximize device life and efficacy• Material safety upheld by numerous global

regulatory agencies and conclusions of numerous studies based on sound science

Beacon Converters, inc.recyclable Die Cut insert Wallet 201-797-2600beaconconverters.com/products.htmRecyclable Die Cut Insert Walletenvironmental Benefit: Winner of three Flexible Packaging Association 2011 Achievement Awards: Highest Achievement Award, Gold Award for Packaging Excellence, and Silver Award for Environmental and Sustainability Achievement

BelimedCart Washers843-216-7424belimed.us/cart-washers.htmlAn established leader in resource responsibility, our cart washer products have always been designed to use less water, utilities, and chemicals, resulting in a significant reduction in resource consumption. An efficient, on-demand, integrated water heater provides the necessary hot water for system operation. Belimed Cart Washers come in three chamber lengths, steam or electric heating, and include full glass pivot doors and a walkable floor.environmental Benefit: The water-efficient tank wash system uses as little as 8 gallons/cycle, resulting in reduced water use as well as reduced electricity, steam, and detergent use for lower overall operating expenses.

Belimed cont’dSterilizers843-216-7424 belimed.us/sterilizers.htmlAn established leader in resource responsibility, our steam sterilizers incorporate efficient vacuum pumps and smart control of cooling water to reduce water use. Thick, encased insulation reduces both heat loss and steam and HVAC costs. Simple, reliable, robust sterilizers focus on the importance of consistent drying and adherence to our own higher performance standards. Vertical and horizontal sliding-door models offer side-by-side installation to achieve the smallest footprint and are clean steam compatible.environmental Benefit: • Industry-leading water savings• 2.5 gallons of water used per cycle• Reduced steam and electricity use

Washer-Disinfectors843-216-7424belimed.us/washer-disinfectors.htmlAn established leader in resource responsibility, our SmartFill technology adjusts water use to the amount of goods being washed, using less water, utilities, and chemicals and significantly reducing resource consumption. Belimed washers use a high-volume-flow, low-impingement approach to ensure that the items to be cleaned are thoroughly soaked. Washers come in three models, steam or electric heating, with automation and queuing options and a large selection of racks and accessories.environmental Benefit: Only the minimum amount of water for the size of the load to be washed is used, resulting in lower water bills and reduced use of detergent, electricity, and steam.

Biopure HealthBioFilm solutions for infection control720-295-2650biopurehealth.comBioPure Health provides environmental services to build a biotechnology platform for customers, providing sustainable and biosecure environments to eliminate and prevent the proliferation of pathenogenic bacteria, viruses, and molds within biofilm. Our organic biotechnology eliminates biofilm to the microscopic level and serves as a bio-surfactant to provide a protective barrier against recontamination of harmful bacteria and viruses. Our resonant wave technology is effective in treating airborne, surface, and subsurface pathogens. • Organic and environmentally safe• HVAC applications• Energy savingsenvironmental Benefit: Non-toxic, non-allergenic, non-hazardous, and environmentally safe. It has an MSDS rating of “0” in all categories. Eliminates biofilm on air conditioning coils in HVAC systems, resulting in utility bill savings of approximately 33.3 percent.


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Boulder associates architectsplanning, architecture, interior Design, and Graphic Design Services303-499-7795boulderassociates.com/firm/sustainabilityBoulder Associates provides comprehensive planning, architecture, interior design, graphic design, and construction administration services for clients engaged in the development of health care and senior living projects. As specialists with 30 years of experience, Boulder Associates has unique insight into the core issues that concern health care and senior living clients in the 21st century and the ability to address the intricacies of people, process, technology, and economics. We are headquartered in Boulder with offices in Sacramento, San Francisco, Orange County, and Dallas.environmental Benefit: Boulder Associates participated in the design of the first LEED certified health care project (BCFH 2000-2003), and have been incorporating these tenets into our designs ever since. Let us help you reduce your environmental footprint.

Capaccio environmental engineering, inc.environmental, Health, and Safety Compliance508-970-0033capaccio.com/services/svc_ehs.htmlTo remain in compliance in the health care industry, a broad knowledge of EH&S regulations and an understanding of industry issues are paramount. CAPACCIO’s knowledgeable staff works with health care facilities to help them maintain EH&S compliance. Our services include industrial hygiene, gap analysis, permitting, regulatory reporting, emergency/contingency planning, pollution prevention planning, OSHA compliance, record-keeping, and documentation system development. Our knowledge and specialized tools can help your organization maintain EH&S compliance and sustain ongoing improvements.environmental Benefit: CAPACCIO’s expert knowledge and specialized tools can help your organization maintain continued EH&S regulatory compliance and sustain ongoing improvements toward specific EH&S and sustainability goals.

Sustainability Services: Green Team Facilitation508-970-0033 capaccio.com/services/svc_sstn.htmlCAPACCIO’s sustainability team is ready to assist your “green team” in addressing your organization’s sustainability challenges and opportunities. Whether you are just beginning to investigate how sustainability fits into your organization, or if you already have mature programs in place, our experts can help streamline your sustainability efforts and add significant value to your organization. CAPACCIO specializes in tracking and reporting metrics across all departments, whether for internal goals and cost-saving measures, or for Practice Greenhealth Award applications.

Capaccio environmental engineering, inc. cont’denvironmental Benefit: By improving the internal and external communication of metrics and sustainability goals and their resulting accomplishments, this service contributes to the advancement of an organization’s overall sustainability efforts.

Water/Wastewater engineering and Design Services508-970-0033 capaccio.com/experience/industry/h_care.htmlThe design and operation of sustainable water and wastewater systems requires attention to specific needs, including ease of operation, energy conservation, and overall design value. Space constraints and difficult-to-treat waste streams are often encountered. CAPACCIO’s engineers have significant experience developing creative, cost-effective solutions to recycle water, reduce waste, and improve energy efficiency. Whether conducting a wastewater characterization, pilot test, or operational optimization, we will guide you through the process and meet your project needs.environmental Benefit: Clients will remain in compliance and also improve their overall wastewater treatment system operation and maintenance. Through greater efficiency, cost savings also can be realized.

Centocor Ortho Biotech, inc. (Johnson & Johnson)SimpOni® (golimumab)215-206-8269simponi.comSIMPONI (golimumab) is a human monoclonal antibody that acts as a TNF (Tumor Necrosis Factor) blocker.Simponi is delivered in one of two options in the U.S. market; the option being applied for is the 50 mg/0.5 mL in a single-dose prefilled SmartJect autoinjector. Dosing for SIMPONI is monthly, or 12 injections per year.environmental Benefit: SIMPONI is manufactured in plants using up to 50 percent renewable energy, uses the reusable GREENBOX, and uses 90 percent less material and packaging per patient than competitors.

Centurion Service Groupmedical equipment auctions708-761-4867centurionservice.comCenturion Service Group is the world’s largest medical house, with more than 1,200 contracted sellers and 17,000 buyers around the world. Centurion sells more than 100,000 pieces of medical equipment every year through monthly auctions and online. By taking all kinds of saleable medical equipment, Centurion sells equipment all around the world, so equipment doesn’t end up in landfills and promotes better health care worldwide

Centurion Service Group cont’denvironmental Benefit: Ninety-nine percent of medical equipment sells in our auctions. The 1 percent that is not purchased is recycled if possible. Some medical equipment needs to be thrown away, but the majority is reusable.GpOs/Distributors: FirstChoice Cooperative, HealthTrust Purchasing Group, MedAssets, Novation, Premier

medical equipment auctions, liquidations, appraisals, inventories708-761-6655centurionservice.comCenturion Service Group is an asset management company specializing in the sale of surplus medical equipment. Centurion also offers full hospital liquidations, certified appraisals, inventories, and has an asset reallocation tool.environmental Benefit: Ninety-nine percent of medical equipment sells in our auctions. The 1 percent that is not purchased is recycled if possible. Some medical equipment needs to be thrown away, but the majority is reusable.GpOs/Distributors: FirstChoice Cooperative, HealthTrust Purchasing Group, MedAssets, Novation, Premier

Cilag pharmacueticals (Johnson & Johnson)Ceftobiprole medocarilcilag.ch/en/Ceftobiprole medocaril is indicated for the treatment of serious bacterial infections of hospitalized patients. It is the only cephalosporin-class antibiotic whose broad-spectrum coverage includes Methicillin-Resistant Staphylococcus Aureus (MRSA).environmental Benefit: The drug is created using a process that incinerates 20kg less waste per PWS, avoids cyclohexane use, and increases production yield 5 percent and volume yield 30 percent.

Cimetricsinfometrics617-350-7550 cimetrics.com Infometrics has been trusted by leading health care organizations for the past 14 years. Infometrics consists of three key elements:• Data collection and analysis technology.

Hundreds of algorithms uncover opportunities and recommend solutions.

• Analysts with expertise in energy, controls, and building systems further identify opportunities, generate insightful reports, and assist in ensuring that corrective actions are performed.

• Web-based visualization and results tracking.



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Cimetrics cont’denvironmental Benefit: • Energy and operating cost savings• Reduced CO2 emissions• Optimized indoor air quality• Joint Commission compliance• Lab and datacenter energy and

operations management• IRR up to 250 percent

ClaSS 5 energyenergy efficiency Consulting651-783-5630class5energy.com/healthcare-3CLASS 5 Energy is a consulting firm that has spent the last 10 years working with organizations to reduce energy use and costs. We tailor support by evaluating the extent and impact of current energy efficiency efforts, as well as:• Buildings, locations, and operating hours• Departments and number of employees• Equipment being used• Culture, communications, processes, and initiativesSpecific tools and resources include:• CLASS 5 Guide for Healthcare• Utility tracking• Awareness and progress posters• Recognition materials • Members Only website• A dedicated consultantenvironmental Benefit: Benefits of energy efficiency include:• Lower GHG emissions and pollutants• Costs less than investing in new energy• Lower baseload and peak demand,

reducing need for additional energy• Diversify utility resources and hedge

against fluctuating prices

Compression Therapy ConceptsVasopress732-544-0800ctcdvt.comVasoPress is for the prevention of DVT.environmental Benefit: Product may be reprocessed and is made from the most environmentally beneficial materials and manufactured in the most efficient way. DEHP-free product.GPOs: Novation, Premier, MedAssets/Broadlane, and VA. Distributors: Cardinal, O&M, Seneca, Medline,

Construction Specialties, inc.C/S acrovyn800-233-8493c-sgroup.com/acrovyn/wall-protectionC/S Acrovyn is a complete system of interior wall protection designed to help reduce routine maintenance costs while keeping interior surfaces looking like new. All Acrovyn handrails, wall guards, wall coverings, and wall panels are available in a variety of material options, including PBT-free thermoplastic, real metal, bamboo, and FSC-certified wood. Acrovyn’s patented Quick-Lock handrail system can even cut initial installation time in half and allow for minimum facility interruption with off-site rail assembly.environmental Benefit: Acrovyn contains no PVC or BPA, is Cradle to Cradle Certified, and meets CA 01350 protocol for good indoor air quality. Our metal components contain pre- and post-consumer recycled content.

C/S acrovyn Doors800-972-7214c-sgroup.com/acrovyn-doorsAcrovyn Doors’ face and edges are a PBT-free thermoplastic that contains no PVC nor BPA, is Cradle to Cradle Certified, and meets the CA 01350 protocol for good indoor air quality. Acrovyn is bacterial- and fungal-resistant and resists chipping and gouging that may allow harmful bacteria to reside. If the door edges are ever damaged, C/S’s patented system allows the edge to be replaced to eliminate costly door replacement and time-consuming field repair.environmental Benefit: The Acrovyn Door System does not include any added urea formaldehyde, and all doors using particleboard and agrifiber comply with the California Air Resource Board (CARB) Phase I Emission Standard.

C/S Cubicle Curtains800-222-0201c-sgroup.com/cubicle-track-curtainsC/S General Cubicle’s Snap Lock Curtain System eliminates the hassles and dangers of removing cubicle curtains from ceiling-mounted track systems. Instead of using a ladder to remove privacy curtains, Snap Lock allows staff to separate the fabric portion of the curtain from the mesh while standing safely on the ground. Soiled curtains are laundered and easily snapped back into place, allowing for very little interruption in areas requiring privacy curtains.environmental Benefit: General Cubicle offers hundreds of fabric options, including antimicrobial fabrics, fabrics that are Cradle to Cradle Certified, and PVC-free shower curtains.

Construction Specialties, inc. cont’dC/S expansion Joint Covers800-233-8493c-sgroup.com/expansion-joint-coversThe C/S Expansion Joint Covers division has been solving complex building movement problems for more than 45 years. In fact, we are the originator of much of today’s cover technology, whether it’s seismic, thermal, or wind-sway. Our covers, constructed with high-quality, sustainable materials, are tested to ensure performance in all situations. We collaborate with owners, architects, and/or engineers to integrate our solutions seamlessly with the design of the project.environmental Benefit: C/S Expansion Joint Covers is already LEED v4 complaint, offering 20 models, which are Cradle to Cradle Certified (CM Gold or Silver), and we continue to increase that number by optimizing the materials we use.

C/S pedisystems800-233-8493c-sgroup.com/entrance-flooringC/S Pedisystems architectural mats and grids are designed to stop dirt, snow, and water at the door, thereby reducing maintenance costs, prolonging the life of your floors, and contributing to healthy indoor air quality. C/S sources materials with the highest possible recycled content for all Pedisystems products. You also can feel good knowing that most Pedisystems meet CA 01350 test standards for good indoor air quality, an approved equivalent to CRI’s Green Label Plus certification.environmental Benefit: Pedisystems contribute to LEED points like IEQ Credit 5 (urging permanent grilles at high-traffic entryways) and are designed and manufactured responsibly. Many options are Cradle to Cradle Certified.

C/S Sun Controls800-631-7379c-sgroup.com/sun-controlsC/S has created sunshading solutions for commercial construction projects worldwide. We have helped architects and designers create the buildings of their dreams through our custom design solutions. A C/S engineered shading system is a striking architectural element that does double duty as one of the most effective ways to make a building more sustainable. All C/S Sunshades significantly reduce solar heat gain and glare in interior spaces. Several C/S sunshades are Cradle to Cradle Certified.environmental Benefit: Incorporating properly designed shading elements into a building’s design can lead to lower initial lighting and HVAC costs, as well as long-term reductions in operational costs.


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Covidienrenewables™ Sharps Containers800-962-9888covidien.comDisposable sharps containers made with a minimum of 80 percent (up to 100 percent) post-industrial recycled plastic, excluding the lid. Various lid styles and container sizes ranging from 1 quart to 18 gallons. The same single-use, factory-fresh design that has made Covidien an industry leader for more than 30 years.environmental Benefit: Diverts 201,600 pounds of solid waste generated in the production of virgin resin from the landfill. Saves 8.78 million pounds of carbon dioxide from being generated as a byproduct of manufacturing virgin resin.GpOs/Distributors: Amerinet, Broadlane/Medassets, HPG, Novation, Premier, Government. All medical distributors have access to these products.

Dupont medical and pharmaceutical protectionDupont™ Tyvek® www2.Dupont.com/medical_packaging/en_uS/For the past 40 years, DuPont Tyvek has been helping to protect the health of literally millions of patients worldwide. Recognized as the standard of excellence in health care, Tyvek is used in every form of sterile medical packaging and a wide variety of pharmaceutical applications—both sterile and non-sterile. Tyvek medical packaging styles are highly resistant to bacterial penetration, water, tears, and punctures. DuPont is a proud member of the Health Care Recycling Plastics Council (HPRC) and Tyvek is made of high density polyethylene, which is recyclable.environmental Benefit: Tyvek is high density polyethylene, which is recyclable.

ethicon endo Surgery inc. (Johnson & Johnson)realize™ adjustable Gastric Band-C855-273-2549realize.comThe launch of the REALIZE Adjustable Gastric Band-C in the U.S. has provided an opportunity for EES to launch electronic instructions for use (e-IFUs) on an EES product. This has been implemented for the REALIZE Adjustable Gastric Bands and REALIZE Injection Port and Applier IFUs by hosting these documents on e-ifu.com.environmental Benefit: Paper use was reduced by 10,000 pounds, paper-based packaging contains less than 30 percent PCR content or certified sustainable forest content, and EED received the PGH 2010 Champion for Change award.

Grumman/Butkus associatesCommissioning847-328-3555grummanbutkus.comGrumman/Butkus Associates (G/BA) has been providing commissioning and retro-commissioning services for the past 14 years. Specializing in energy-intensive facilities with complex, integrated systems, the G/BA client list includes hospitals and labs in the Chicago area and across the country. G/BA serves as a qualified retro-commissioning service provider under the ComEd/Nexant Retro-Commissioning Program and received the number-one service provider ranking in both 2011 and 2012.environmental Benefit: G/BA has successfully completed 25 retro-commissioning projects in Chicago area hospitals, resulting in an overall energy cost savings of $2,633,719, with an average client payback of 5 months.

energy analysis and Consulting847-328-3555grummanbutkus.comGrumman/Butkus Associates (G/BA) is a nationally recognized consulting engineering firm that specializes in Energy Analysis for energy-intensive facilities with complex, integrated systems, such as hospitals and labs. Energy Analysis services offered by G/BA include energy studies and audits, building energy modeling, energy management consultation, and ENERGY STAR evaluation/labeling. We help our hospital clients benchmark their energy performance through the G/BA annual Hospital Energy and Water Benchmarking Survey.environmental Benefit: G/BA Energy Studies for 17 Chicago area hospitals through ComEd’s Smart Ideas Program resulted in an average energy savings of 29,498 BTUs per square foot and an average cost savings of $207,881.

leeD Consulting847-328-3555grummanbutkus.comAn industry leader in LEED consultation and energy modeling, Grumman/Butkus Associates (G/BA) is a nationally recognized consulting engineering firm that specializes in sustainability practices and energy conservation. G/BA’s expertise in energy-intensive facilities with complex, integrated systems has resulted in a substantial hospital, health care, and laboratory client list. G/BA has received Gold or Silver LEED certification on a large number of hospital projects.environmental Benefit: We deliver to our clients LEED certified facilities and environments that use resources more efficiently, save substantial energy costs, provide healthier work environments, and maximize patient health and healing.

Grumman/Butkus associates cont’dmep engineering Design and Consultation847-328-3555grummanbutkus.comGrumman/Butkus Associates (G/BA) is a nationally recognized consulting engineering firm that specializes in MEP systems design services with an emphasis on sustainability practices and energy conservation, and is an industry leader in commissioning services and LEED consultation. G/BA specializes in energy-intensive facilities with complex, integrated systems. This emphasis has resulted in a substantial hospital, health care, and laboratory client list.environmental Benefit: G/BA views every project as an opportunity to provide a creative solution that uses energy efficiently, reduces operating costs, improves the indoor environment, and maximizes the client’s return on investment.

GT environmental, inc.environmental Consulting Services614-794-3570gtenvironmental.comEnvironmental consulting services for solid waste management, waste assessments, recycling programs, waste reduction programs, waste tracking software, OSHA safety programs, strategic planning, air permitting, air emissions evaluation, water permitting, hazardous waste and materials management, site assessments, and brownfield redevelopment and remediation.

HealthTrustGroup purchasing Services615-344-3000healthtrustpg.comHealthTrust recognizes the importance of providing its members with environmentally preferable purchasing (EPP) solutions. We strive to contract for products and services that are better for public health and the environment. We are guided by our Advisory Boards in support of our member organization’s sustainability initiatives. HealthTrust is an active member of the Practice Greenhealth GPO work group that is developing standardized processes for the gathering of EPP information in the product and services sourcing process.environmental Benefit: HealthTrust is aligned with the mission of health care providers to reduce waste, energy, and water consumption and increase recycling in health care.



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Healthy Buildings (Healthy Buildings International [HBI] and Healthy Buildings Solutions [HBS])Energy Efficiency, Water Efficiency Strategies, Steam System Optimization, Indoor Environmental Air Quality and Sustainability Solutions703-399-5715healthybuildings.com• Commissioning(Cx)• Retro-Commissioning(RCx)orExistingBuildingsCommissioning

• LEEDCommissioning,EnergyAudits,andEnergyModeling

• IndoorAirQuality• WaterEfficiency• SteamSystemOptimizationEnvironmental Benefit:• Commissioning(Cx)• Retro-Commissioning(RCx)orExistingBuildingsCommissioning

• LEEDCommissioning,EnergyAudits,andEnergyModeling

• IndoorAirQuality• WaterEfficiency• SteamSystemOptimization`

HHA ServicesContract Management Services or Food & Facilities Management Services800-442-1140hhaservices.comHHAServices,anABMCompany,aleadingproviderofsupportservicemanagement,isCIMS&CIMS-GBcertifiedwithhonors,deliveringeffectivesolutionsforEVS,FacilitiesManagement,ClinicalEngineering,Parking,Security,FoodServices,PatientTransport,PatientObservation,andLaundrydepartmentstohospitalsandhealthcaresystems.Weprovidemeasurableresults,improvedHCAHPSscores,HAIprevention,increasedsatisfaction,patientsafety,andreducedoperatingexpenses.Forthreeyears,HHAhasbeenrecognizedasoneoftheTop100BestPlacestoWorkinHealthcarebyModern Healthcaremagazine.Environmental Benefit:Greencleaningproductsandequipment;healthyindoorenvironmentinitiativesprogram;environmentallyfriendlysubstitutionsthatreducewasteandcosts;sustainable,energy-efficientindoorenvironmentquality.GPOs/Distributors:Premier,MedAssets,Novation

Hospira, Inc.VisIV® 224-212-2280Readytoworkimmediately.Safeforpatientsandcaregivers.Gogreenfortheenvironment.Environmental Benefit:Readytoworkimmediately.Safeforpatientsandcaregivers.Gogreenfortheenvironment.

Janssen Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc. (Johnson & Johnson)Cephalosporin antibiotics1-800-JANSSENjanssenpharmaceuticalsinc.comCephalosporinantibioticsareoftenusedtotreatcommonbacterialinfectionsandcommonlyusedforsurgicalprophylaxis.Environmental Benefit:Thesynthesisstepswerereduced50percent,yieldnearlytripled,andhazardoussolventswerereduced80percent.

Itraconazole1-800-JANSSENjanssenpharmaceuticalsinc.comItraconazoleisusedforthetreatmentoffungalinfectionsinbothHIV-andnon-HIV-infectedindividuals.Itisactiveagainstfungalinfectionssuchasaspergillosis,blastomycosis,histoplasmosis,andcandidiasis,aswellasfungalinfectionlocalizedtothetoenailsandfingernails(onychomycosis).Italsoisusedfortreatingpatientswithfeverandlowwhitebloodcellcountswhoarelikelytodevelopafungalinfection.Environmental Benefit:Animprovedproductionprocesseliminateduseof400,000gallonssolvents,920,000litersofliquidwaste,and23,000kilogramsofsolidwaste.Nodichloromethaneandlessbutanearenowsenttothevolatileorganiccompoundunit.

STELARA® (ustkinumab)janssenpharmaceuticalsinc.comSTELARA(ustkinumab)isusedtotreatseverepsoriasis.Environmental Benefit:BecauseSTELARArequiresonlyfoursubcutaneousinjectionsannually,ituses90percentlessmaterialand90percentlesspackagingperpatientthancompetitors.Itismanufacturedusingupto50percentrenewableenergy.

Johnson & Johnson Consumer Products Company, Inc.AVEENO® POSITIVELY AGELESS908-874-2905aveeno.com/TheAVEENOPOSITIVELYAGELESSlineincludesfacialmoisturizers,firmingbodylotion,andcleansers.Theseexclusiveanti-agingformulas,madewithNaturalShitakeComplex,blendthebestofnaturewiththeproofofsciencegivingconsumersvisiblyyounger-lookingskin.Environmental Benefit:AVEENOHDPEbottlesandpaperpackagingarerecyclableand100-percentPVCfree.Cartonsare100-percentrecycledwith35percentpost-consumerrecycledmaterials,andsleevesaremadefrom100-percentrecycledpolyethyleneterephthalate.

Johnson & Johnson Consumer Products Company, Inc. cont’dAVEENO® Soothing Bath Treatment908-874-2079aveeno.comForitchy,irritatedskin,itismadeof100-percentpurenaturalcolloidaloatmeal—aningredientlongrecognizedforitsabilitytorelieveitching—thatAVEENOmillsintoanultra-finepowder.Whendispersedinwater,thispowderformsasoothing,milkybaththatworksasanaturalcleansertoprovidetemporaryskinprotectionandrelievesirritationanditchingduetopoisonivy/oak/sumac,rashes,insectbites,andeczema.Italsosoothespricklyheat,chickenpox,hives,orsunburn.Environmental Benefit:ItwasawardedtheGreenGoodHousekeepingSealbytheGoodHousekeepingResearchInstitute.AVEENOpartneredwithTerraCycletoupcycleusedtubesintonewproductsavailableatmajorU.S.retailers.

JOHNSON’S® NATURAL® Shampoo & Foaming Body Washjohnsonsbaby.com/naturalsJOHNSON’SNATURALproductsaretheonlytruenaturalproduct(95-percent+naturallyderivedformulation)designedtomeetourBESTFORBABYstandardsforsafetyandmildness.Theyaredistributedwidelyatanaffordablepricepoint,sotheproductenablesmomswhowanttomakemorenaturalchoicesinbabycaretouseaproducttheycantrustandafford.Environmental Benefit:• 98percentingredientsderivedfromplantsources• Containsfirst100-percentnaturallyderivedfragrance• Packaging60percentpost-consumerrecycledcontent

O.B.® Tampons908-874-2079jnj.com/connect/healthcare-products/consumer/O.B.tamponsaretheapplicator-freetamponthatofferspersonalfitprotection.Environmental Benefit:Theyhavezeroslackfillpackaging,use100percentPCRfibers,andaremadefrom90percentrenewablesources.Theapplicator-freedesignallowsforlesspackagingandmaterialusethancompetitors.

Kessler Consulting Inc.Waste Assessments, Resource Management, Lean Six Sigma Certified813-971-8333kesconsult.comSinceitsinceptionin1988,KesslerConsulting,Inc.hasbuiltanimpressiverecordofaccomplishmentbyprovidingsolidwasteconsultingservicestoprivateandinstitutionalclientsintheareasofsolidwasteplanningandprogramdevelopment,recyclingandwastereductionprogramimplementation,solidwastestudiesandfinancialanalyses,contractingandprocurement,sustainability,andvariousotherenvironmentaltechnicalservices.

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Kessler Consulting inc. cont’denvironmental Benefit: The company’s professional reputation is best demonstrated by the long-term relationships enjoyed with many of our clients. You will have more than 150 years of combined solid waste resource management experience with our staff.

Kimberly-ClarkBlue reneW® Sterilization Wrap recycling program800-542-3577kchealthcare.com/bluerenewKimberly-Clark has developed a step-by-step program to assist your facility in successfully recycling KIMGUARD® Wrap. We call it BLUE RENEW®. Medical facilities across the United States are now recycling their used, clean KIMGUARD Wrap, made from recyclable #5 polypropylene fabric. And there are recycling partners in your area who can help you do it, too. Learn more about how you can BLUE RENEW by contacting your Kimberly-Clark representative today.environmental Benefit: • Reduces landfill waste• Expandable recycling infrastructure• Measureable reporting

KC100 laVenDer® nitrile exam Gloves800-542-3577loveyourgloves.com/lavender• SmartPULL® Dispenser Box: The first,

smaller opening is used when the box is full and helps control waste. When the box is half empty, the second, larger opening allows for easier access to the gloves.

• Thinner, lighter, and more economical than standard nitrile—the ideal replacement for vinyl exam gloves

• KC100 LAVENDER® Nitrile Gloves over two leading “stretch” vinyl gloves

• Superior tactile sensitivity and comfortenvironmental Benefit: • Natural rubber latex-free• 250-count box: 60 percent less storage• 50 percent waste reduction over 100-count box

KC300 STerlinG® nitrile exam Gloves800-542-3577kchealthcare.com• SmartPULL® Dispenser Box: The first,

smaller opening is used when the box is full and helps control waste. When the box is half empty, the second, larger opening allows for easier access to the gloves

• Latex-free exam glove with the protection of nitrile and the sensitivity of latex

• The worry-free choice designed for virtually every use, throughout your facility

environmental Benefit: • Natural rubber latex-free• 200-count box: 40 percent waste reduction

Kimberly-Clark cont’dKC500 purple niTrile® exam Gloves800-542-3577kchealthcare.comKIMBERLY-CLARK® Medical Exam Gloves help safeguard health care employees from exposure to bloodborne pathogens and other infectious materials, whatever the task or procedure. From proprietary nitrile formulations to economical vinyl, there’s a KIMBERLY-CLARK® Medical Exam Glove that’s right for every clinical task. Ideal for moderate to high-risk settings. Provide barrier protection against permeation of 27 chemotherapy drugs. KIMBERLY-CLARK® maximum coverage and protection.environmental Benefit: Natural rubber latex-free

KimBerlY-ClarK® Facial protection800-542-3577kchealthcare.comKIMBERLY-CLARK® Facial Protection offers a broad range of styles, features, and levels of protection. From standard and fluid-resistant masks to particulate filter respirators, eyewear, and face shields, KIMBERLY-CLARK® Facial Protection products make for excellent choices where comfort and protection are needed in a variety of tasks and procedures.environmental Benefit: Product is natural rubber latex-free. Our cases use above average recycled content (50 to 60 percent). All packaging materials are readily recyclable. Virgin pulp used is FSC (Forestry Stewardship Council) certified.

KimGuarD One-STep® quiCK CHeCK® Sterilization Wrap800-542-3577kchealthcare.comConfidence you can see. Quicker than ever! KIMGUARD ONE-STEP® QUICK CHECK® Sterilization Wrap is the fast, easy way to ensure that instrument sterility is uncompromised. It’s easy to see what sets QUICK CHECK apart. With two colors—white and blue—bonded together, inspecting trays is easier and faster than ever. And more than 70 percent of Operating Room and Central Services users told us that QUICK CHECK Wrap gave them more confidence in their instrument inspections.environmental Benefit: • Recyclable (see BLUE RENEW)• 100 percent landfill-free manufacturing• Made in the USA

miCrOCOOl® Surgical Gowns800-542-3577microcoolgowns.comThe OR can be a very hazardous environment where clinicians routinely risk exposure to blood, fluids, and pathogens. MICROCOOL® Gowns meet the AAMI Level 4 liquid barrier standard. MicroCool Gowns deliver a perfect balance of essential properties:• Fluid resistance• Microbial resistance• Flame resistance • Lint and abrasion resistance

Kimberly-Clark cont’denvironmental Benefit: • 100 percent landfill-free fabric manufacturing• Cleanly incinerated: more than 90

percent #5 polypropylene• PFOA-free

lac-mac limitedSurgical Drapes888-452-2622lac-mac.comLac-Mac reusable high-performance, liquid-proof Surgical Drapes are validated to 80 WDA. Our drapes and wrappers are manufactured to meet Level 4 protection in accordance with AAMI PB70 standards and meet FDA regulations as a medical device. We offer fully customizable products to suit specific needs.environmental Benefit: • Reduces environmental waste by 99 percent• Fewer carbon emissions compared with disposable• Non-essential packaging removed GpOs/Distributors: Encompass Group, LLC, Amerinet GPO

Surgical Gowns888-452-2622 lac-mac.comLac-Mac Surgical Gowns are validated for 75-125 uses before being downgraded for alternate use. Our Level 4 surgical gowns offer high-performance, liquid-proof, viral-proof protection. We also offer lower levels of protection in Level 3 and Level 2 liquid-resistant gowns. Levels of protection are in accordance with AAMI PB70 Standards and meet FDA regulations as a medical device.environmental Benefit: • Reusables reduce environmental

waste by 99 percent • Reduced carbon emissions

compared with disposable • Non-essential packaging has been removedGpOs/Distributors: Encompass Group, LLC; Amerinet GPO

lDi CorporationSustainable products866-332-0700ldisolutions.comLDI provides environmental, health, and safety benefits to hospitals, surgery centers, mortuaries, laboratories, and other medical facilities. With innovative chemistry and technology, we develop or source products that are more sustainable, less toxic, and safer.environmental Benefit: PVC-Free, safe for incineration, low VOC emissions, non-toxicGpOs/Distributors: Premier, Health Trust, Cardinal, McKesson, Owens & Minor



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lifeScan, inc. (Johnson & Johnson)OneTouch® Blood Glucose monitoring Systems408-942-5720lifescan.comOneTouch Blood Glucose Monitoring Systems are accurate, convenient, and can make blood glucose testing less painful. Models include OneTouch Select, OneTouch UltraLink, OneTouch Ultra Mini/Easy DL, OneTouch Vita, OneTouch Vita2, OneTouch UltraVue, OneTouch Pingenvironmental Benefit: Since 2007, eight more RoHS compliant meters have been added to the product line. Compliance with RoHS is several years in advance of any regulatory requirement to do so.

mazzetti nash lipsey Burchmep engineering Design and Consulting415-364-7203mazzetti.comFounded in 1962, Mazzetti Nash Lipsey Burch (M+NLB) is a full-service consulting and design firm focused on the engineered systems of buildings, including HVAC, plumbing, fire protection, process piping, technology, lighting, and power systems. Apart from traditional design services, we provide consultation and support in facility planning, commissioning, energy management, environmental performance, equipment planning, materials and waste management, and a broad spectrum of low-voltage and information technologies.

mcneil Consumer Healthcare Division of mcneil-ppC, inc. (Johnson & Johnson)BenaDrYl® allergy quick Dissolve Stripsbenadryl.comBENADRYL Allergy Quick Dissolve Strips temporarily relieve symptoms—runny nose, sneezing—due to the common cold. They are individually wrapped and dissolve instantly.environmental Benefit: The redesigned package uses 1.31 tons less paper, 50 percent less packaging by weight, and 42 billon BTUs less energy. It saves 16,962 pounds of solid waste and eliminates 8.48 tons of soft plastic.

liSTerine®

908-874-2905jnj.com/connect/healthcare-products/consumer/LISTERINE provides 24-hour protection against germs that cause plaque and gingivitis.environmental Benefit: In 2008, the LISTERINE package was redesigned to reduce the overall weight of the package by 30 percent. This saved 402 tons of polyethylene terephthalate (PET) in the U.S.

mcneil Consumer Healthcare Division of mcneil-ppC, inc. (Johnson & Johnson) cont’dTYlenOl®

877-TYlenOltylenol.com/TYLENOL is used for relieving pain, reducing fever, and relieving the symptoms of allergies, cold, cough, and flu. The active ingredient is acetaminophen.environmental Benefit: Changed folding carton paperboard used in Adult Tylenol (paper was made from trees/wood) to 100-percent recycled paperboard.

mcneil nutritionals, llC (Johnson & Johnson)SplenDa® no Calorie Sweetener866-948-6883splenda.comSPLENDA No Calorie Sweetener (introduced in 1999) contains sucralose (SPLENDA Brand Sweetener), the no-calorie sweetener with no unpleasant aftertaste. It can be used virtually anywhere sugar is used, like cooking and baking.environmental Benefit: The 2008 “Out of Box” Design reduced material weight by 50 percent by eliminating the paperboard outer container. It reduced waste and the energy to store and ship the product.

naturepedicnaturepedic pediatric pad800-917-3342naturepedicinfo.comThe Naturepedic Hospital Pediatric Pad is a certified organic pediatric pad free of harmful chemicals or allergens.• Certified by GREENGUARD to meet

their strict health care standards• Seamless wipe-clean, stain-proof, and

odor-proof waterproof cover• Free of DEHP• Free of vinyl, phthalates, polyurethane foam,

flame retardants, perfluorinated compounds, latex, and other controversial materials

• Not made with natural rubber latex• Provides firm support• Constructed with certified organic

cotton fabric and batting• Does not require approval by FDA

neutrogena CorporationneuTrOGena® WaVe908-874-2905neutrogenawave.comNEUTROGENA WAVE is clinically proven superior to manual cleansing and gentle enough for daily use. Cool foam penetrates deeper into pores, and a gentle vibrating motion stimulates skin’s surface & opens pores to remove dirt, oil, and makeup.environmental Benefit: Packaging was reduced by 32 percent and transportation was reduced by 62 percent. The new design allows for inner paper and outer plastic to be easily separated for recycling.

newGen Surgical, inc.Sustainably Designed medical Devices415-457-1138newgensurgical.comNewGen Surgical designs and manufactures medical devices that reduce the use of natural resources and harmful plastics—developing medical devices that are environmentally responsible and use the most sustainable materials currently available. Our products help hospitals, in particular the OR, practice more sustainable operations while continuing to deliver the very best patient care. Manufactured in the USA using green supply chain management.environmental Benefit: Life-cycle analysis used in design and development. More than 50 percent reduction in plastic versus conventional devices. Packaged in single source recyclable materials (lid and tray), so no segregation needed. Packaged without polystyrene.

Omnicell, inc.automated medication and Supply Dispensing Systems800-850-6664omnicell.comMore than 2,600 acute care hospitals worldwide have used Omnicell’s medication automation, supply chain, and analytics products to increase operational efficiency, reduce errors, and improve patient safety. Omnicell non-acute care solutions, including the MTS brand, enable approximately 6,000 institutional and retail pharmacies worldwide to optimize productivity and control costs. Moreover, the innovative medication adherence packaging solutions can reduce costly hospital readmissions. Omnicell employs solar power for 15 percent of our energy needs in our LEED Platinum corporate headquarters.environmental Benefit: Omnicell designs our automated medication and supply dispensing systems to be modular, so they are easily upgradeable, keeping thousands of pounds of hardware out of landfills. More than 90 percent of production materials are recycled or reused.

Ortho-Clinical Diagnostics, inc. (Johnson & Johnson)ViTrOS® Blood analyzersorthoclinical.comThe function of all the VITROS Blood Analyzers is to provide the health care community with accurate diagnostic information to help patients experience a better quality of life. The accuracy of the information is measured by the systems themselves, which employ controls and calibrators.environmental Benefit: They have FSC-certified consumable packaging, 30-percent PCR- or SFI-certified corrugated shipping boxes, recover 92 percent of products, use 100 percent less water (0L) than other leading brands, and recycle cartridges.


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Ortho-mcneil Division of Ortho-mcneil-Janssen pharmaceuticals, inc. (Johnson & Johnson)nuCYnTa® (tapentadol)1-800-JanSSenjanssenpharmaceuticalsinc.comNUCYNTA (tapentadol) is a prescription medicine for adults used to treat moderate to severe pain that is expected to last a short time.environmental Benefit: The second generation process of creating NUCYNTA (tapentadol) tripled the active ingredient yield, reducing raw material use by 50 percent, reducing organic solvent use 80 percent, and reducing water and energy consumption by more than 75 percent.

OSm recycling, llCrecycling non-regulated medical Wastes501-765-1944Recycling Non-Regulated Medical Waste including:• Gowns• Cubicle Curtains• Disposable Scrubs• Stretcher Sheets• Disposable Masks• Medical Pill Bottles

pCr america (printer Cartridge recycle)206-818-6275pcramerica.comPCR America buys empty printer cartridges for cash, and sells new compatible printer cartridges at significant cost savings. PCR America is dedicated to supporting the sustainability and recycling efforts of our partners by purchasing your empty printer cartridges.environmental Benefit: PCR America sells new compatible printer cartridges at significant cost savings. This allows us to reuse empty printer cartridges by turning them into new high-quality cartridges.

We pay Cash for empty printer Cartridges206-818-6275pcramerica.comPCR America was founded in 1988, and is a family-owned business located in Auburn, Washington. We have been dedicated to keeping waste out of our landfills by recycling empty printer cartridges. This includes all ink, laser, toner, copier, and fax cartridges. We do this by paying cash for all items, providing free collection materials as needed, and paying for all freight charges associated with shipment of materials back to our warehouse.environmental Benefit: Every year, more than 350 million printer cartridges end up in our country’s landfills. PCR America is dedicated to eliminating this trend by purchasing as many empty printer cartridges as possible.

philipsmri ingenia 1.5 T Omega800-229-6417healthcare.philips.comThe Ingenia 1.5T Omega is an exciting MR system based on the unique dStream system architecture. Ingenia is the world’s first MR platform using RF coils with in-built digitization, which results in new levels of image quality and throughput combined with a more comfortable patient experience. It delivers up to 40 percent more SNR and as much as a 30 percent increase in throughput, while offering the largest FOV of the industry. In short, Ingenia delivers clarity, speed, and expandability.environmental Benefit: Energy usage in “off” & “ready-to-scan” mode is 24 percent lower per day and 17 percent lower per patient than the industry average (COCIR SRIv2 method: cocir.org/site); HeliumSave zero-boil off reduces helium costs; product weight reduced by 24 percent.

philips ClearVue 350 ultrasound Systems800-453-6860healthcare.philips.com The ClearVue 350 with Active Array technology offers image quality designed to enhance diagnostic confidence, features that are sophisticated enough to be simple, and advances in ease of use and reliability. Designed around you, the ClearVue 350 features an intuitive user interface that allows direct access to the controls you use most often, speeding exams and improving workflow. Leverage Philips’ proven XRES technology and transducer presets to enhance image quality and optimize images quickly with the touch of the iSCAN button.environmental Benefit: The Philips ClearVue 350 Ultrasound System delivers a 60-percent reduction in power consumption and 19 percent less foam and cardboard packaging, resulting in a 25-percent decrease in packaging weight over the Philips HD7.

philips ClearVue 550 ultrasound System800-453-6860healthcare.philips.comThe versatile ClearVue 550 with Active Array technology offers image quality designed to enhance diagnostic confidence, features that are sophisticated enough to be simple, and advances in ease of use and reliability. Count on stunning images with the speed and precision gained from years of Philips’ ultrasound experience worldwide. New, proprietary Active Array technology integrates key imaging technologies into the transducer for superb images in a lightweight system.environmental Benefit: The ClearVue 550 Ultrasound System delivers a 60-percent reduction in power consumption and 19 percent less foam and cardboard packaging, resulting in a 25-percent decrease in packaging weight, over the Philips HD7.

philips cont’dphilips intelliVue mx40 wearable patient monitor800-453-6860healthcare.philips.com The IntelliVue MX40 wearable patient monitor gives you the advanced technology, intelligent design, and innovative features you expect from Philips in a device light and small enough to be comfortably worn by your ambulatory patients, so you can continuously monitor their ECG, SpO2, and other vital signs in real time when they’re on the move. The IntelliVue MX40 wearable patient monitor features an easy-to-use color touchscreen display. Check a patient’s clinical status with a push of the button, view two channels of real-time waveforms, and choose among any four screen formats.environmental Benefit: Compared to its predecessor (the MP2), the MX40 Patient Monitor provides notable advantages:• Massive reduction in power usage (85 percent)• Reduction in materials consumed (86 percent)• Lead is eliminated

premier healthcare allianceSupply Chain Services704-357-0022www.premierinc.com/safetyPremier is one of the nation’s largest performance improvement alliances of approximately 2,900 U.S. hospitals and 100,000 alternate sites using the power of collaboration and technology to lead the transformation to coordinated, high-quality, cost-effective care in a sustainable environment. Headquartered in a LEED Gold certified building, through its Greenhealthy® environmental leadership program, Premier collaborates with member hospitals and health systems and suppliers to ensure availability of products and services that promote a safer more sustainable healthcare environment.environmental Benefit: Premier advocates for policies that address safer and less toxic products and practices and provides related resources for patient, worker and environmental sustainability on its Safety Institute website at www.premierinc.com/safety.

pro-line Solutions, inc. (eco-zyme & eco-Base) thru SSieco-zyme & eco-Base800-252-3000 specsurg.comEco-Zyme Multi-Enzymatic Detergent cleans all bioburden, body fluids, and secretions from surgical instruments and containers. Safe on all metals, endoscopes, and in ultrasonic and automatic washers. Brightens instruments, washer parts, and frees up box locks; counters hard water with metal-ion bonding and rust-inhibiting patented formula.Eco-Base Detergent (same formula as Eco-Zyme, but without enzymes) ideal for cart washers (no drying agent required) and all auto washers (safe on aluminum).




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pro-line Solutions, inc. (eco-zyme & eco-Base) thru SSi cont’dGpOs/Distributors: Surgical Specialty Instrumentation (SSI) U.S. Master Distributor introduced products in U.S. in 2009

resource recycling Systems, inc.Consultants in resource management and Sustainable Systems734-996-1361recycle.comFor almost three decades, RRS has been at the cutting edge of sustainability planning and implementation, helping our clients find common ground between service excellence and desired environmental goals. We serve both health care systems and individual facilities with high-level, comprehensive sustainability management consulting and efficient program implementation plans and tools that focus on key performance drivers, including:• Increased compliance• Cost containment• Improved health and safety• Reduced carbon footprint• Engaged leadership• Innovative resource managementenvironmental Benefit: For over 27 years, Resource Recycling Systems has been at the cutting edge of sustainability planning and implementation, helping our clients find common ground between their excellence in health care and desired environmental goals.

Sizewiseenvy line: G Series816-800-9389sizewise.net Sizewise is proud to introduce the industry’s first non-powered mattress system that reduces exposure to known chemicals of concern. The G Series offers multiple clinical modalities on one base product. The mattress conforms to any surface to maximize patient immersion while reducing shear. The G Series meets the Practice Greenhealth Environmental Specifications for Healthcare Support Surfaces. Also available in the Envy Line is the O Series, a non-powered operating room table pad, and the S Series, a non-powered stretcher pad.environmental Benefit: The Sizewise Envy Line features F3 Free construction, reducing chemicals of concern in the fabric, the foam, and the fire barrier; meets the Practice Greenhealth Environmental Specifications for Health Care Support Surfaces.

Sizewise cont’denvy line: O Seriesenvy line: O Series | non-powered Operating room Table pad 800-814-9389sizewise.net Sizewise is proud to introduce the industry’s first self-adjusting gel operating room table pad that reduces exposure to known chemicals of concern. The O Series has a specially formulated polymer gel topper that contours to the patient’s body while providing low interface pressure to the patient. The O Series meets the Practice Greenhealth Environmental Specifications for Health Care Support Surfaces. Also available in the Envy Line is the G Series, a non-powered mattress line, and the S Series, a non-powered stretcher pad.environmental Benefit: The Sizewise Envy Line features F3 Free construction, reducing chemicals of concern in the fabric, the foam, and the fire barrier; meets the Practice Greenhealth Environmental Specifications for Health Care Support Surfaces.

envy line: S Series800-814-9389sizewise.net Sizewise is proud to introduce the industry’s first non-powered stretcher pad that reduces exposure to known chemicals of concern. The S Series uses independently conforming cells for maximum pressure redistribution. With multiple sizing and weight capacity options, the S Series exceeds the Practice Greenhealth Environmental Specifications for Health Care Support Surfaces. Also available in the Envy Line is the G Series, a non-powered mattress line, and the O Series, a non-powered OR table pad.environmental Benefit: The Sizewise Envy Line features F3 Free construction, reducing chemicals of concern in the fabric, the foam, and the fire barrier; exceeds the Practice Greenhealth Environmental Specifications for Health Care Support Surfaces.

Stericyclerx Waste Compliance Service651-248-9343Hospitals generate pharmaceutical waste—some hazardous, some non-hazardous—that requires proper disposal. Rx Waste Compliance Service is designed to help hospitals characterize, segregate, transport, and properly dispose of pharmaceutical waste. The focus of our service is to help you achieve and maintain EPA and DOT compliance, meet the Joint Commision Standards, and reduce risk. The program includes waste characterization, staff training and education, implementation of service, transport and disposal of Rx waste, and ongoing support.Environmental Benefits: • Keeps pharmaceuticals out of the water • 91 percent of reusable containers are reused • Based on a 24-month study in a 150-

bed hospital, on average, 4.0 tons of plastic were diverted from landfills

Stericycle cont’dSharps management Service using Bio Systems reusable Sharps Containers847-943-6751stericycle.comStericycle is the expert in providing safe, environmentally friendly, and cost-effective sharps management solutions to hundreds of major hospitals throughout the U.S. Stericycle provides more than just the collection and safe disposal of sharps containers. Bio Systems reusable containers are easy to use and reduce waste going to landfills. Our service specialists manage the process of container monitoring and disposal, mitigating the risk of sharps injuries due to overfull containers, and freeing up valuable time for health professionals.environmental Benefit: Sharps Management Service reduces waste and keeps plastic and corrugated out of hospitals’ waste streams. From inception, we estimate this program has helped hospitals keep more than 136 million containers out of landfills.GpOs/Distributors: Amerinet, Consorta, HealthTrust, MedAssets, Novation, Quorum Health Reso

SterilmedSingle-use medical Device reprocessing and recycling763-488-3354sterilmed.comSterilmed helps hospitals conserve health care resources and deliver maximum cost savings through safe, single-use device reprocessing. Sterilmed’s single-use device reprocessing and recycling services divert more than 6 million devices from landfills annually and have saved our customers nearly $94 million. Our reprocessing services are regulated by the FDA and have earned us an outstanding reputation for high quality.environmental Benefit: In 2012, Sterilmed clients diverted more than 3 million pounds of medical devices from landfills.

Sterimed medical Waste SolutionsSterimed System 15855-STerimeDsterimedsystems.comThe SYSTEMS 15 is a compact-size, portable, on-site medical waste treatment system. The compact size allows for it to be installed in soiled linen rooms or medical waste storage areas of hospitals, dialysis clinics, surgical centers, medical clinics, laboratories, and blood banks.environmental Benefit: SteriMed on-site medical waste treatment reduces your facility’s carbon footprint by eliminating the carbon emissions associated with off-site shipment and treatment of medical waste.


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Sterimed medical Waste Solutions cont’dSterimed System 70855-STerimeDsterimedsystems.comSteriMed System 70 is a patented clean-air hybrid technology system for on-site medical waste treatment and destruction that can process regulated medical waste, including sharps, dialysis filters, pads, bandages, plastic tubing, tissues, organic materials, whole blood units, and glass and lab ware. Designed especially for easy installation and on-site use in hospitals, surgical centers, dialysis clinics, blood banks, laboratories, and other health care facilities that produce infectious or regulated medical waste. environmental Benefit: SteriMed on-site medical waste treatment reduces your facility’s carbon footprint by eliminating the carbon emissions associated with off-site shipment and treatment of medical waste.

STeriS CorporationamSCO® 400 Series Steam Sterilizerssteris.com/productsAMSCO 400 Series Small Steam Sterilizers are engineered to be compliant with current steam sterilization standards. The 20-inch sterilizer accommodates a 75-pound load, and the 16-inch models can sterilize a 50-pound load. They also accommodate loaner sets and larger bariatric and orthopedic devices. The AMSCO 400 Series Medium Steam Sterilizer is designed for performance in today’s SPD. It’s built to process 47 percent more instruments by weight. It safely sterilizes heat- and moisture-stable materials in packs up to 25 pounds. This allows you to efficiently handle high-volume sterilization and heavier trays.environmental Benefit: • Automatic start up/shut down conserves

utilities when the sterilizer is not in use• Manufactured with recyclable materials

amSCO® 5052 Single-Chamber Washer/Disinfectorsteris.com/productsThe AMSCO® 5052 Single-Chamber Washer/Disinfector is designed specifically for the fast-paced SPD, so it fits the needs for performance, schedule, and ease of use. The total coverage spray pattern provides cleaning and disinfection for the entire load while efficiently using water and utilities. The validated 25-minute cycle maximizes productivity and minimizes hands-on time so you can do more with less.environmental Benefit: • Uses 62 percent less water than

previous-generation technology• High impingement spray arm

technology uses water efficiently• Uses Ultra-Concentrate Chemistries to

reduce chemistry consumption

STeriS Corporation cont’damSCO® C Series Certified pre-owned Sterilizerssteris.com/productsThe AMSCO C Certified Pre-owned Refurbished Sterilizer is the first refurbished sterilizer in the market to offer the latest technology in steam sterilization. It’s an economical option to meet the needs of today’s OR, bulk processing in Central Services, and Ambulatory Surgery Centers. Quality versus cost is no longer a choice that has to be made. All pre-owned equipment is refurbished in an FDA-approved facility and then upgraded to the latest compliance, safety, and ease-of-use technology.environmental Benefit: • Refurbished sterilizers that meet all AAMI standards• Reuse of materials minimizes waste and resources

amSCO® evolution™ Steam Sterilizerssteris.com/products The AMSCO Evolution Steam Sterilizer controls and display have undergone a dramatic redesign to improve efficiency and productivity. The displays are crystal clear, high-resolution, and have ethernet-enabled PC controls. AMSCO Evolution’s unique shape provides consistent quality and reliability beyond other chamber designs. Evolution’s strong, round form promotes even pressure and heat distribution within the chamber. It is also inherently efficient, with a fully jacketed chamber that minimizes condensation and maintains quality through every cycle.environmental Benefit: • Automatic start up/shut down conserves

utilities when the sterilizer is not in use• Conserves 40 percent more water

than previous models• The STERI-GREEN™ Water Conservation

System reduces total water consumption to one gallon per cycle

amSCO® Flexmatic® Scrub Stationsteris.com/products Amsco® Flexmatic Stainless Steel Scrub Sinks are designed in accordance with Underwriters Laboratories standards to meet all of your scrub sink needs. These durable sinks feature continuous welded compartments and coved corners constructed entirely of stainless steel for easy cleaning. Other features include timed scrubbing, an optional infrared sensor, hands-free operation, two faucet head options, and a unique eye-wash station attachment.environmental Benefit: • Complies with lead-free legislation• Uses mercury-free solder• Incorporates water conservation

technology with an infrared sensor

STeriS Corporation cont’damSCO® Warming Cabinetssteris.com/products AMSCO Warming Cabinets are designed to be more than just blanket warmers. They also store and warm sterile intravenous fluids (IV fluids) and surgical irrigation solutions, as well as other linens, to programmed digital temperature settings for patient applications. All of our warming cabinets are engineered to provide instant confirmation of temperature for each compartment with an LED readout, superior durable materials, flexible organization and storage, reliable heating with uniform and efficient heat transfer, and increased productivity with glass door option for visual access to supplies.environmental Benefit: • Features energy-efficient heating system for

lower wattage and BTU consumption• Incorporates energy-efficient construction

material for enhanced heat retention• Paperless documentation with digital data

recorder to manage and store data

Caviwave™ pro ultrasonic Cleaning Systemssteris.com/productsThe Caviwave Pro offers cleaning options for everything from delicate ophthalmic instruments to heavy orthopedic sets to valuable daVinci® 8mm and 5mm EndoWrist® Instruments. The patented CaviClean Technology found in Caviwave™ Pro Ultrasonic Cleaning System is a simultaneous multi-frequency design that creates optimal ultrasonic action and noise reduction.environmental Benefit: • Recycles chamber water up to 10 cycles,

minimizing water consumption• Manufactured with recyclable materials• Utilizes biodegradable cleaning chemistry

Harmony® leD & vleD Surgical lighting and Visualization Systemssteris.com/productsHarmony LED & vLED Surgical Lighting and Visualization Systems optics provide best-in-class performance in terms of high illuminance, Color Rendering Index (CRI), rendition of deep reds (Rg), excellent shadow control, and longer lamp life (30 times more) and one-third less heat emission than halogen bulbs, while its HD-capable suspension renders virtually every image signal in stunning clarity. Modern lighting technology paired with traditional suspension, plus a variety of configurations and optional features and accessories, provides a unique high-quality system to meet your needs and budget.environmental Benefit: • Uses 34 percent less energy; lasts

30 times longer than halogen• Produces 33 percent less heat output

compared to halogen, requiring less energy to cool the OR environment

• Light housing, suspension, and controllers made from non-toxic, reusable materials



http://sterimedsystems.com

http://steris.com/products








STeriS Corporation cont’dHarmony iq® Or integration Systemssteris.com/productsThe Harmony iQ OR Integration System is an easy-to-use suite control panel to route images, video, audio, and data to any monitor, recording device, or remote location. It controls OR infrastructure: lights, music systems, and teleconferencing. It enables each imaging device to perform at its optimum level and deliver unrivaled image quality, including endoscopes, robotics, C-arms, PACS, and HD surgical cameras. We provide dependable expert planning, installation, and technical support to design and deliver precisely the OR integration system that best suits your needs and budget.environmental Benefit: • All monitors and electronics meet all

ENERGY STAR requirements• Conserves energy by using hibernation

mode and one-touch technology to power off all cameras and monitors

paTHOGOn™ uV Disinfection Systemsteris.com/products The PATHOGON UV Disinfection System is designed to enable automated disinfection of clean, dry, environmental room surfaces using germicidal UVC energy. After completion of the manual cleaning process, the PATHOGON UV Disinfection System can be employed to automatically deliver a calculated dose of germicidal UVC energy, which alters the DNA of aggressive pathogens to reduce or kill them. The process produces no ozone or secondary contaminants. Rooms can be re-occupied immediately after treatment.environmental Benefit:• Uses UVC energy to automatically

disinfect environmental surfaces• Process does not produce any ozone

or secondary contaminant• ”Green tipped” lamps produce less mercury

than standard fluorescent bulbs

prolystica® Cleaning Chemistriessteris.com/products Prolystica® Cleaning Chemistries is a full line of instrument reprocessing chemistries including point-of-use solutions, manual cleaning chemistries, automated washing chemistries, and descalers and neutralizing detergents.environmental Benefit:• Biodegradable ingredients• Packaging is 99-percent recyclable• Uses less chemistry per gallon of water

than traditional chemistries• Innovative smaller packaging: less

plastic, smaller footprint• Neutral pH enzymatics and detergents

STeriS Corporation cont’drealView® Visual Workflow management Systemsteris.com/productsRealView Visual Management Software is designed with the principle that your staff should never have to make a choice between documentation and patient care. Enabled by a Real Time Location System (RTLS) and the hospital’s EMR, it combines the patient’s real-time location information, scheduling information, and simple push-button inputs to create a complete view of the perioperative environment, with minimal data entry.environmental Benefit:• Uses low voltage Power Over Ethernet

(POE) for its Real-Time Location System (RTLS) deployment of sensors

• Recycles batteries for its wireless application• Offers paperless documentation

reliance® epS endoscope processing Systemsteris.com/productsThe Reliance® EPS Endoscope Processing System offers a safe alternative to aldehydes in a validated system designed specifically for use in the GI Department. The system safely accelerates throughput with an easy-to-load, virtually connector-less dual scope automated processor. No more processing scopes in the same HLD solution two, three, or even 40 times, making it safer for the patient. It eliminates staff exposure hazards associated with toxic glutaraldehyde and other aldehyde-based HLD solutions by using a dry oxidizing chemistry.environmental Benefit: • The Reliance® DG Dry Germicide

chemistry container is recyclable• Reliance DG chemistry use—dilution has a

neutral pH and is safe to rinse down the drain

reliance® Synergy™ Washer/Disinfectorsteris.com/productsThe Reliance Synergy Washer/Disinfector is designed to meet increasing reprocessing needs of hospital CSSDs and Ambulatory Surgery centers through improved efficiency and reduced utility consumption. Synergy introduces new washing systems technology to address key customer concerns such as shorter cycle times, reduced operational cost, environmental impact, increased throughput, and greater confidence in cycle outcomes.environmental Benefit:• Uses 62 percent less water than

previous generation technology• High impingement spray arm



STeriS Corporation cont’dreliance® Vision™ multi-Chamber Washer/Disinfectorsteris.com/productsThe Reliance Vision Multi-Chamber Washer/Disinfector is a total solution that delivers higher value and performance in a smaller footprint for a lower overall operational cost with less environmental impact. The automated multi-chamber system provides a larger capacity for maximum throughput and a comprehensive process with unprecedented performance.environmental Benefit: • Uses 13 percent less water consumption

than previous technology• High impingement spray arm



reliance® Vision™ Single-Chamber Washer/Disinfectorsteris.com/productsThe Reliance Vision Single-Chamber Washer/Disinfector is a total integrated washing solution. It features the newest innovations in the single-chamber market by combining the latest technology with a groundbreaking design to provide maximum throughput and unparalleled performance. It processes high volumes of medical devices, utensils, and delicate instruments quickly, efficiently, and safely while being simple to operate and maintain.environmental Benefit: • Uses 72 percent less water than

previous-generation technology• High impingement spray arm



revital-Ox® enzymatic Detergents and accessoriessteris.com/products Revital-Ox Enzymatic Detergents and Accessories is a range of endoscopy cleaning and disinfecting products that delivers peace of mind for hospitals, staff, and patients because of its palpable superiority. From pre-cleaning and transport through cleaning and disinfecting, Revital-Ox provides an effective, efficient, and environmentally thoughtful approach to cleaning valuable endoscopic equipment.environmental Benefit:• Packaging is 99-percent recyclable• Sponges contain 20 percent organic soy• Neutral pH enzymatic











STeriS Corporation cont’drevital-Ox resert® xl HlD High level Disinfectantsteris.com/products Revital-Ox Resert XL HLD is an oxidative chemistry, not an aldehyde. Its patented formula contains the active ingredient Accelerated Hydrogen Peroxide (AHP) at a reduced level of 2 percent. At this level, Revital-Ox Resert requires no special ventilation under normal use conditions and has no irritating odor. Best of all, Revital-Ox Resert only requires one rinse, for faster processing times in your AER and manual reprocessing areas. Revital-Ox Resert achieves microbial efficacy in just 8 minutes at 20°C, compared with 10 minutes or longer for other brands.environmental Benefit: • Biodegradable ingredients• Packaging is 99-percent recyclable• Passes aquatic toxicity standards• Natural ingredients break down to oxygen and water• No detoxification required for disposal

STeriS Surgical Tables: amSCO® 3085 Sp STeriS® 4085 STeriS® 5085 STeriS® 5085 SrTsteris.com/products A superior operating table is the foundation for better patient outcomes. Versatile, easy to use, and built for today’s patients and procedures, there’s a solution for every operating room and budget with STERIS’s wide range of surgical tables.environmental Benefit:• Optional base cover constructed of highly

recyclable thermoform polymer with proven durability and cleaning compatibility

• Tables and accessories do not contain latex, mercury, PVC, or DEHP

STeriS V-prO® max low Temperature Sterilization Systemssteris.com/productsSTERIS V-PRO maX Low Temperature Sterilization Systems are above the curve in versatility and productivity. The system processes dual-channel surgical flexible endoscopes with the option of using a 35-minute Flexible Cycle, a 55-minute Lumen Cycle, or a 28-minute Non-Lumen Cycle. The chamber’s 136L usable space processes up to two times more Lumen devices per load than STERRAD 100NX and NX, and processes two Surgical Flexible Scopes or one Surgical Flexible Scope and non-lumened load up to 24 pounds.environmental Benefit:• Automatic standby mode conserves

utilities when unit is not in use• Vaprox® HC Sterilant breaks down

into water and oxygen• 15 cycles per sterilant cup minimizes waste

STeriS Corporation cont’dStreamline® Scrub Stationsteris.com/products Thermoformed Streamline scrub sinks are available in single- or dual-bay configurations to fit the space (and budgetary) needs of community hospitals and Ambulatory Surgery Centers. The durable and easy-to-clean seamless basin has built-in antimicrobial protection. Other features include hands-free operation, two faucet head options, and a unique eye-wash station attachment.environmental Benefit: Made of recyclable thermoform polymer

SYSTem 1e® liquid Chemical Sterilant processing Systemsteris.com/products The SYSTEM 1E Liquid Chemical Sterilant Processing System is designed to improve the flow of the OR with minimal costly inventory and increased productivity, allowing maximum surgical procedures with reduced resources. In 23 minutes, you’re ready for the next procedure. Liquid chemical sterilization provides fast reprocessing for cleaned, reusable, immersible, and heat-sensitive critical and semi-critical devices. S40™ Sterilant Concentrate is a powerful liquid chemical sterilant that eliminates all microbial life. Its compact footprint makes it convenient and ideal for a variety of locations.environmental Benefit:• S40™ Sterilant Concentrate use—dilution has

a neutral pH and rinses safely down the drain• S40™ Sterilant Concentrate outer cup is recyclable• 30-percent reduction in water consumption

when compared to previous model

Vaproquip™ Decontamination roomsteris.com/productsThe VaproQuip Decontamination Room is designed to enable decontamination of clean, dry, noncritical equipment, furniture, and environmental surfaces using STERIS’s VHP® Generator and Vaprox® 35% Hydrogen Peroxide Sterilant. The VaproQuip Decontamination Room is a landmark advance in health care environmental contamination control technology. When Vaprox Sterilant is applied in the sealed room as a low-temperature dry vapor, it is effective against a broad spectrum of biological organisms (spores, bacteria, viruses, and fungi), leaving no residue and no lingering odor.environmental Benefit:• Uses Vaprox® hydrogen peroxide sterilant,

which breaks down into inert components consisting of water vapor and oxygen

• Process does not produce any harmful byproducts or residue

STeriS Corporation cont’dVerify™ Bowie Dick Test packssteris.com/products The VERIFY Bowie Dick Test Pack consists of a series of air removal and steam penetration barriers. A chemical indicator is located in the center of each pack. The test pack is placed into an empty steam sterilizer chamber and does not require a retaining device. During processing, steam must displace the air through the barrier material within the pack. A uniform change from yellow to blue/purple on the indicator sheet indicates that all the air was removed and replaced by steam. The advanced technology in our thermochromic ink formulation can aid in the detection of steam quality issues.environmental Benefit:• Manufactured without lead or other heavy metals

and may be disposed of as regular waste• Composed of 95 percent recycled material

Vision® 1321/1327 Series Cart and utensil Washer/Disinfectorsteris.com/productsThe Vision 1321/1327 Series Cart and Utensil Washer/Disinfector delivers maximum throughput and unparalleled performance because it is more productive, more intuitive, and more green. The unique Hexaclean spray pattern technology and the enhanced drying system allow a cycle to be completed in 10 minutes. The single-touch icon buttons are intuitive, and the washer features convenient record keeping capabilities.environmental Benefit: • Lowest water consumption per fill of any washer• Recycles 70 percent of water during each

cycle (excludes instrument cycle)• 10-minute cycles reduce utility consumption• Uses Ultra Concentrate Chemistries to


Stryker Sustainability Solutions medical Device reprocessing and remanufacturing888-888-3433stryker.com/en-us/divisions/sustainability Stryker Sustainability Solutions is a division of Stryker that leads the industry’s pursuit of more sustainable and responsible use of resources in health care. Stryker Sustainability Solutions provides advanced medical device reprocessing and remanufacturing services that deliver substantial supply-cost savings to leading health care organizations so hospitals can make a difference for the environment and use resources in the best way possible to deliver improved care.environmental Benefit: In 2012, Stryker Sustainability Solutions’ health care customers saved $242 million and diverted 7.6 million pounds of waste from our nation’s landfills.











http://stryker.com/en-us/divisions/sustainability

Tibotec Therapeutics Division of Centocor Ortho Biotech products, l.p. (Johnson & Johnson)inTelenCe® (etravirine)32-14-60-3639intelence-info.comINTELENCE (etravirine) 100 mg tablets are a non-nucleoside reverse transcriptase inhibitor (NNRTI) approved by the U.S. Food and Drug Administration (FDA) in January 2008. INTELENCE is approved for treatment-experienced patients who have HIV strains that are resistant to an NNRTI and other HIV drugs. INTELENCE works by blocking HIV’s reverse transcriptase enzyme.environmental Benefit: The manufacturing process was changed to increase yield, reduce methylene chloride use 60 percent by recycling back into the process, and reduce spent waste solvents by 540,000L per year.

Velmed, inc.STOpper Corner protector 724-449-3200velmedinc.com/stopper.htmlThe STOPPER brand Foot and Corner Shield (Corner Protector) prevents holes, rips, and tears in sterilization wraps from heavy and sharp corner surgical trays. The STOPPER is a multi-use reposable product that will not retain moisture or bottom out when placed on the bottom corners of a surgical tray. The products are lint- and residue-free. The STOPPER will reduce the amount and use of Blue Wrap. It also will reduce the amount of rapid processing of surgical trays or instruments that have been compromised with a hole, rip, or tear.environmental Benefit:• Reposable• Reduces Blue Wrap use• Recyclable with any type of plastics• The material is environmentally friendly

and in compliance with regulations• Used in all types of sterilizers• Latex free

Velmed, inc. cont’dStopper edge protectorvelmedinc.com724-449-3200The Stopper Edge Protector will help prevent holes, rips, and tears along the horizontal edges and underneath surgical trays. In addition, the Edge Protector elevates the surgical tray off the sterile wrapping and allows for easier sliding of the tray. Elevation of the surgical tray allows for better air circulation for faster drying times and sterilant dispersion. The product can be used in steam, EtO, and plasma (Sterrad) sterilization and is a multi-use product. The Stopper Edge Protector can be cut to size and is very economical to use.environmental Benefit: • Latex- and PVC-free• Totally recyclable with any type of plastics• Does not contain any known added sources of

lead, cadmium, mercury, or hexavalent chromium that exceed the maximum level permitted

• Reduces the amount of Blue Wrap use

VernacareVernacare System800-268-2422vernacare.comVernacare is an established world leader in providing environmentally responsible solutions for human waste disposal that improves infection control. Vernacare’s system combines biodegradable bedside products such as bedpans, urinals, and emesis basins made of bleach-free, post-consumer newsprint with a specially designed disposal unit. Our approach eliminates the hazardous task of rinsing over open sinks and toilets while eliminating plastic product usage, thereby reducing landfill deposits. This “closed” system provides an environmentally safe alternative for human waste disposal.environmental Benefit:• Made from 100-percent post-consumer newsprint• Utensils are bleach- and dye-free• Biodegradable, unlike plastic utensilsGpOs/Distributors: Premier, Broadlane, Novation, MedAssets, Health Trust Purchasing

Vistakon pharmaceuticals, llC (Johnson & Johnson)aCuVue® OaSYS® Contact lenses904-443-3723acuvue.com/products-oasys-family.htmACUVUE OASYS Brand Contact Lenses help improve vision.environmental Benefit: They contain SFI or FSC certified secondary packaging, 30 percent PCR secondary packaging, use 25 percent less primary packaging than leading brands, and changed manufacturing processes to reduce VOC emissions by 9 tons annually.

WHr architects, inc.WHr architects’ Sustainable Design initiative (SDi)713-852-3751whrarchitects.comWHR is committed to environmental awareness and is pleased to offer services for sustainable facility design. We believe sustainable design represents a greater commitment to the community and eco-region by investing in the health of the environment, population, and its resources. WHR has a large staff of LEED® Accredited Professionals and an in-house Sustainable Design Leader, which enables us to lead the detailed coordination of sustainable design and provide the most cost-effective, seamless, and efficient documentation process possible for all sustainable projects, including LEED projects. environmental Benefit: WHR projects are designed with AIA 2030 goals in mind, often to LEED standards, and incorporate the following benchmarks: site conservation, energy efficiency, water reduction, healthy materials, financial success, and social satisfaction.

xenex Disinfection ServicesDisinfection System800-553-0069xenex.comXenex’s patented pulse xenon UV room disinfection system is used for the advanced environmental cleaning of health care facilities. The Xenex system has been repeatedly shown to integrate smoothly into hospital cleaning operations because of its speed and ease of use. The Xenex mission is to eliminate bacteria, viruses, and spores in the patient environment that can cause hospital-acquired infections, and to become the new standard method for disinfection in health care facilities worldwide.environmental Benefit: Xenex uses xenon, a non-toxic method of disinfection.GpOs/Distributors: HPG


http://intelence-info.com

http://velmedinc.com

http://velmedinc.com

http://www.vernacare.com

http://acuvue.com/products-oasys-family.htm

http://www.whrarchitects.com

http://xenex.com

Aesculap, Inc. | 800-282-9000 | www.aesculapusa.com

Aesculap, Inc. - a B. Braun company

As the market leader - Aesculap can support your Green Purchasing Initiatives while reducing your Operating Expenses without sacrificing product quality■ Reusable System reduces Environmental Impact ■ Reusable System lowers Operating Expense ■ Recognized worldwide leader in product quality

To learn more about Aesculap’s SterilContainerTM System, please visit our website at www.aesculapusa.com to download the latest catalog or call 1-610-984-9287 to speak with the Product Manager.

Aesculap Sterile Containersvs. Blue Sterile Wrap

Green Healthcare ✔Reusable ✔Low Cost ✔Minimizes Waste ✔

AesculapSterile

Containers

BlueSterileWrap

If you want to go GREENIf you want to go GREEN

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Don’t goBLUE!

SterilContainer Green AD.indd 1 4/10/13 2:51 PM

meDiCal prODuCTS

Blood products and SuppliesOrtho-Clinical Diagnostics, Inc (Johnson & Johnson)

CathetersB. Braun Medical

Gloves, examinationKimberly-Clark

intravenous (iV) productsB. Braun Medical Baxter International Inc.Hospira, Inc.

linen and apparelKimberly-Clark Lac-Mac Limited

medical Device materialsBayer MaterialScience

medical Device packagingBeacon Converters, Inc. DuPont Medical and Pharmaceutical Protection

medical product DesignLDI Corporation NewGen Surgical, Inc.

medication DispensingOmnicell, Inc.

monitoring & Diagnostic equipment & SuppliesLifeScan, Inc. (Johnson & Johnson) Ortho-Clinical Diagnostics, Inc (Johnson & Johnson)Philips

Operating Table padsSizewise

patient Care productsAugustine Temperature Management Johnson & Johnson Consumer Products Company, Inc.Kimberly-ClarkMcNeil Consumer Healthcare Division of McNEIL-PPC, Inc. (Johnson & Johnson)Neutrogena CorporationSizewise

patient WarmingAugustine Temperature Management

pharmaceuticalsB. Braun Medical Centocor Ortho Biotech, Inc. (Johnson & Johnson)Cilag Pharmacueticals (Johnson & Johnson)Janssen Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc. (Johnson & Johnson)McNeil Consumer Healthcare Division of McNEIL-PPC, Inc. (Johnson & Johnson)Omnicell, Inc.Ortho-McNeil Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc. (Johnson & Johnson)Tibotec Therapeutics Division of Centocor Ortho Biotech Products, L.P. (Johnson & Johnson)

post-mortem & mortuary SuppliesAction Bag Company

respiratory Therapy productsARC Medical, Inc.

Skin CareJohnson & Johnson Consumer Products Company, Inc. Neutrogena CorporationSizewise

Sterile processing, Sterilization, & High-level Disinfection products3M Health Care Advanced Sterilization Products Division of Ethicon (Johnson & Johnson)Aesculap, a division of B. Braun MedicalBelimedPro-Line Solutions, Inc. (Eco-Zyme & Eco-Base) thru SSISteriMed Medical Waste SolutionsSTERIS CorporationVelmed, Inc.Xenex Disinfection Services

Stretcher padsSizewise

Surgical/anesthesia products & Or SuppliesAesculap, a division of B. Braun Medical Anesthetic Gas Reclamation LLCARC Medical, Inc.Compression Therapy ConceptsEthicon Endo Surgery Inc (Johnson & Johnson)Kimberly-ClarkSizewiseSTERIS CorporationVelmed, Inc.

Surgical/Or equipmentSTERIS Corporation

CateGoRieS of

Products and Services


nOn-meDiCal prODuCTS

Building & Furniture productsConstruction Specialties, Inc. Naturepedic

Facilities, maintenance, Fleet & Waste management SuppliesJohnson & Johnson Consumer Products Company, Inc. Pro-Line Solutions, Inc. (Eco-Zyme & Eco-Base) thru SSISTERIS CorporationVernacare

Xenex Disinfection Services

Food & Food Service productsMcNeil Nutritionals , LLC (Johnson & Johnson)

mattressesNaturepedic

packagingBeacon Converters, Inc.

Safety productsOmnicell, Inc. Vistakon Pharmaceuticals, LLC (Johnson & Johnson)

Waste and recycling productsAction Bag Company Centurion Service GroupCovidienPCR America (Printer Cartridge Recycle)SteriMed Medical Waste Solutions

SerViCeS

Consulting: management, Compliance, Communications38 North Solutions Capaccio Environmental Engineering, Inc.CimetricsCLASS 5 EnergyGrumman/Butkus AssociatesGT Environmental, Inc.Healthy Buildings (Healthy Buildings International (HBI) and Healthy Buildings Solutions (HBS)Kessler Consulting Inc.Mazzetti Nash Lipsey BurchResource Recycling Systems, Inc.

engineering, architectural, & Design ServicesBoulder Associates Architects Capaccio Environmental Engineering, Inc.Grumman/Butkus AssociatesHealthy Buildings (Healthy Buildings International (HBI) and Healthy Buildings Solutions (HBS)Mazzetti Nash Lipsey BurchResource Recycling Systems, Inc.WHR Architects, Inc.

Group purchasing OrganizationsHealthTrust Premier healthcare alliance

in-Hospital Services and StaffingBioPure Health Healthy Buildings (Healthy Buildings International (HBI) and Healthy Buildings Solutions (HBS)HHA ServicesMedSpeed

Software licensing Services & SoftwareCimetrics

Sterile processing, Sterilization, & High-level Disinfection productsBioPure Health

SuD reprocessing ServicesSterilmed Stryker Sustainability Solutions

Surplus equipment, auctions, inventories, & appraisalsCenturion Service Group

Training and Certification ServicesHealthy Buildings (Healthy Buildings International (HBI) and Healthy Buildings Solutions (HBS) Resource Recycling Systems, Inc.

Waste Treatment, Handling, recycling, and minimization ServicesCenturion Service Group GT Environmental, Inc.Kessler Consulting Inc.Kimberly-ClarkOSM Recycling, LLCPCR America (Printer Cartridge Recycle)Resource Recycling Systems, Inc.Stericycle

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DiSClaimer OF WarranTieSThe information in the Supplier Directory listings is provided “AS IS” without any warranties of any kind, either express or implied, including but not limited to, warranties of design, merchantability or fitness for a particular purpose, or arising from a course of dealing, usage, or trade practice. Further, Practice Greenhealth does not warrant that the results obtained will be useful or will satisfy the user’s requirements. The user’s sole and exclusive remedy for damages and/or loss in any way connected with the use of this information shall be limited to the amount paid to access the Supplier Directory listings. Under no circumstances shall Practice Greenhealth be liable to the user or any other person for any special, incidental, or consequential damages arising out of inability to access Practice Greenhealth’s Supplier Directory listings or errors or inaccuracies in the data content, or lack of environmental preferability of the products or companies listed. Additionally, Practice Greenhealth shall not be liable or deemed to be in default for any delay or failure in performance or interruption resulting directly or indirectly from any cause or circumstance related to these Supplier Directory listings; equipment or telecommunications failure; labor dispute; or failure of any third party to perform any agreement with Practice Greenhealth. The inclusion of a product or service in the Supplier Directory does not carry any endorsement or certification by Practice Greenhealth of the listing company, products and/or services.

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healthY foodS

tainted feedHealth care’s role in banning arsenic in animal agriculture.by saPNa e. thottathiL, PhD aND

Lucia sayre, ma, heaLth care Without harm’s heaLthy fooD

iN heaLth care Program aND the saN fraNcisco bay chaPter of

PhysiciaNs for sociaL resPoNsibiLity

ARSEnIC IS a naturally occurring element in the Earth’s crust and can be found throughout our environment in the air, land, and water. however, when combined with other elements besides carbon, inorganic arsenic can be harmful to human health. Chronic exposure to inorganic arsenic can lead to adverse health effects, including several types of cancer, body systems’ failures, developmental defects, diabetes, cardiovascular disease, and many other types of illnesses.1 While sources of drinking water, soil, and food staples such as rice and shellfish can become contaminated naturally with inorganic arsenic, mining and industrial operations, as well as tobacco smoke, pollute the environment with the element.

For decades, communities in the U.S. were also being exposed to inorganic arsenic through another medium: poultry production. The U.S. Food and Drug Administration (FDA) historically allowed the routine use of inorganic arsenic in poultry feed, for the purposes of growth promotion and feed efficiency, as an antimicrobial agent, and to give the bird meat an artificial pink hue for aesthetics. According to estimates, nearly 70 percent of the broiler chickens raised annually (over nine billion birds in 2008) were typically fed arsenic.2 This is a practice that has never been approved as safe or necessary in several countries of the European Union.

Arsenic residues have been found in broiler meat, and as arsenic is passed through the birds, it has ended up back on agricultural fields in the form of fertilizer. Run-off from poultry production has also led to the contamination of water supplies.

The FDa Withdraws approvals of arsenicals after pressured by Health Care Groups For years, health professionals decried the unnecessary increase of inorganic arsenic levels in the environment and the food supply as a result of agricultural practices. Four years ago, a group of organizations, including health Care Without harm and the Oregon and San Francisco chapters of Physicians for Social Responsibility, brought forth a citizen petition to the FDA to remove arsenic from animal agriculture. When

the FDA did not respond, they filed a lawsuit in the spring of 2013.

In September 2013, the FDA finally reacted, and announced that it will withdraw 98 of 101 approvals given to arsenic-based animal drugs, which covers three of the four arsenic-containing compounds approved for animal feed. The FDA’s momentous decision around these chemical additives would have been unlikely to occur without the advocacy efforts by the health care sector.

Health Care Support leads to a 2012 arsenic Ban in poultry in marylandThe FDA’s decision and the key role that the health care sector played in banning most arsenic-containing compounds from animal agriculture on the national scale was not without precedent. health care professionals in Maryland took action just a year earlier, to ban arsenic in poultry production throughout the entirety of the state.

The small state of Maryland produces a large number of broiler chickens, over 300 million on an annual basis, making it the eighth largest poultry producer in the U.S.3 Many of its poultry farms are located on the Eastern shore of the state, along the Chesapeake Bay, the largest estuary in the country.

Unfortunately, the environmental health of the Chesapeake Bay has been deteriorating for years. One significant source of pollution has been waste run-off from poultry farms, full of nutrients like nitrogen and phosphorous, leading to algae blooms within the body of water. Another pollutant has historically been arsenic. Researchers found that arsenic routinely fed to chickens was being excreted in their waste, which was running off from farms and contaminating and accumulating in the Chesapeake Bay watershed.

Given the environmental footprint of poultry production, as well as emerging evidence that there were higher levels of arsenic in chicken meat that had been raised with the chemical element,4 the government of Maryland adopted a ban on arsenic additives in chicken feed in the spring of 2012.

The collective voice of the health care and public health communities helped lead to this


HCWH, Physicians for Social Responsibility, and concerned citizens petitioned the FDA to

remove arsenic from animal feed.

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ban, through a long-running legislative battle. 2012 had been the third consecutive year that the state legislature considered prohibiting arsenic use in poultry production Maryland. The American Academy of Pediatrics-Maryland Chapter, Baltimore Medical System, Carroll hospital Center, the Maryland Dietetic Association, the Maryland nurses Association, MedChi-the Maryland State Medical Society, and Union hospital of Cecil County all publicly supported the arsenic ban.

Carroll hospital Center and Union hospital of Cecil County had also been procuring local and arsenic-free poultry for Thanksgiving and national nutrition Month in March for a few years by then, in support of sustainable meat production within the state. According to Louise Mitchell, the health Care Without harm healthy Food in health Care state coordinator in Maryland, “these hospitals were already doing work on sustainable purchasing, and when they learned about arsenic, they reached out to their suppliers to make changes in the poultry they were serving in their facilities.” Procurement efforts by these hospitals

helped lead to increasing awareness about inorganic arsenic, and the eventual legislative change within the state.

How you can help and stay involved:To learn more about arsenic, read health Care Without harm’s fact sheet, Feeding Arsenic to Poultry, is this Good Medicine? www.noharm.org/lib/downloads/food/Feeding_Arsenic_to_Poultry.pdf

If you are in hospital food service, check out health Care Without harm’s Guide to Eco-Labels: www.noharm.org/lib/downloads/food/Poultry_Eco-Labels.pdf

Another good resource if you are in hospital food service is health Care Without harm’s Guide to Sourcing Sustainable Poultry: www.noharm.org/lib/downloads/food/Purchas_Sustainable_Poultry.pdf

If you are a clinician, check out healthy Food in health Care’s Food Matters’ page, which has several educational resources about arsenic and other chemicals in the food system: www.healthyfoodinhealthcare.org/foodmatters.overview.php

references1 World Health Organization, Arsenic

Fact Sheet, www.who.int/mediacentre/factsheets/fs372/en/

2 USDA, Poultry annual slaughter statistics, usda.mannlib.cornell.edu/MannUsda/viewDocumentInfo.do?documentID=1497

3 Maryland State Archives, Agriculture, http://msa.maryland.gov/msa/mdmanual/01glance/html/agri.html

4 Nachman KE, et al., Roxarsone, inorganic arsenic, and other arsenic species in chicken: a U.S.-based market basket sample, Environ Health Perspect 121(7):818–824 (2013); http://dx.doi.org/10.1289/ehp.1206245.


http://www.noharm.org/lib/downloads/food/Feeding_Arsenic_to_Poultry.pdf



http://www.noharm.org/lib/downloads/food/Poultry_Eco-Labels.pdf

http://www.noharm.org/lib/downloads/food/Poultry_Eco-Labels.pdf

http://www.noharm.org/lib/downloads/food/Purchas_Sustainable_Poultry.pdf

http://www.noharm.org/lib/downloads/food/Purchas_Sustainable_Poultry.pdf

http://www.healthyfoodinhealthcare.org/foodmatters.overview.php

http://www.healthyfoodinhealthcare.org/foodmatters.overview.php

http://www.who.int/mediacentre/factsheets/fs372/en/

http://www.who.int/mediacentre/factsheets/fs372/en/

http://msa.maryland.gov/msa/mdmanual/01glance/html/agri.html

http://msa.maryland.gov/msa/mdmanual/01glance/html/agri.html

http://dx.doi.org/10.1289/ehp.1206245

http://dx.doi.org/10.1289/ehp.1206245

healthieR hoSPitalS initiative

epp pleDge sIgnersInova Health System

North Shore LIJ Health SystemFairview Health Services

Gundersen Lutheran Health System, Inc.Stanford University Medical CenterKaiser Permanente Health System

University HospitalsThedaCare

UC Davis Health SystemVirginia Mason Medical Center

The more we purchase, the more

we create waste. JaNet broWN, Director, faciLity

eNgagemeNt, Practice greeNheaLth Director, coNteNt aND outreach,

heaLthier hosPitaLs iNitiative

you are What you buyOUR TRASh is the stuff we buy. The stuff we buy becomes our trash. While many hospitals start their sustainability journey with a focus on managing waste, it’s only a matter of time before they realize that to truly impact the waste stream and the environment for the long term, they have to learn from the waste generated by the products and services they purchase and use in the delivery of care.

health care is a place of healing—and toxic chemicals, excessive packaging, and sheer volumes of waste are not conducive to a healing environment. If we think of purchasing as the tollbooth to an exclusive club, we can control the flow of materials into health care and the environment. now, visualize the purchasing value analysis team as the gatekeeper. A cast of characters outside are jockeying for position—trying to do everything they can to get in the door. It’s up to the gatekeeper to keep the bad ones from entering. So how do we tell the good guys from the bad guys?

We can start with Practice Greenhealth’s Standardized Environmental Questions for Medical Products. The standardized disclosure language was a team effort developed by Practice Greenhealth, Amerinet, healthTrust, MedAssets, novation LLC, and Premier healthcare alliance—with input and review by membership suppliers, hospitals, and health systems. Using a standardized list of product disclosure criteria helps the supply chain respond to the sector’s growing interest in healthier products and services. The disclosure covers chemicals of concern, recyclability, packaging details, waste prevention opportunities, and more. hospitals can pledge to use the disclosure questions on the Practice Greenhealth website.

Goals of the Standardized questionsThe development of the Standardized Questions for Medical Products seeks to achieve several goals:�� Provide a supply chain tool to identify key environmental attributes of concern to the health care sector in order to inform purchasing decisions.�� Facilitating collaboration among the largest purchasers of medical products to accelerate the demand for and increase the purchase of products and services that—based on evidence—reduce environmental and human health impact on patients, staff, and the community.

�� Inform and educate the health care commu-nity—including suppliers, purchasers, health care professionals, and others—about environ-mental and public health concerns important to health care and the communities served.�� Create a consistent platform to reduce the RFI/RFP burden on suppliers. Each purchasing entity remains free to decide what to do with the information obtained in response to the questions.�� Improve the availability of cost-effective and environmentally preferable products and services and reduce the environmental/public health footprint of the health care sector.�� Engage suppliers in the process to inform them of the product attributes that are of the greatest concern and provide them the opportunity for input into refining the questions for additional clarity.

Using the Standardized Environmental Questions for Medical Products is a requirement of the healthier hospitals Initiative’s Smarter Purchasing Challenge. Any hospital enrolled in the Smarter Purchasing Challenge must pledge to use the disclosure language when contracting for medical products.

Once hospitals make this commitment, they take on one, two, or all three goals of the healthier hospitals Initiative’s Smarter Purchasing Challenge:

The healthier hospitals Initiative is about strength in numbers. The more hospitals that commit to one of the goals of the Smarter Purchasing Challenge, the more powerful the message to the supply chain. The 13 hhI sponsoring health systems alone represent $200 billion in purchasing dollars. hospitals have the power in the marketplace to send a strong message that they can provide high quality patient care, reduce costs and demonstrate their commitment to healthier environments. Green cleaning, healthier food, safer chemicals—it starts with purchasing.

Join the massive groundswell and sign onto hhI’s Smarter Purchasing Challenge. Check out the various case studies, sharing calls and webinars. Pull your team together and demonstrate the power of purchasing and realize the benefits—to the environment, to the bottom line, to the patient, and to the staff.

Learn more at www.healthierhospitals.org.


https://practicegreenhealth.org/gsc/standardized

https://practicegreenhealth.org/gsc/standardized

https://practicegreenhealth.org/gsc/pledge

https://practicegreenhealth.org/gsc/pledge

http://www.healthierhospitals.org

THE XENEX ROOM DISINFECTION SYSTEM

THE RESULTS ARE IN(AND THEY’RE UNDENIABLE)

1. “Results just in: UV room technology decreases infection rates.” Press Release, Cooley Dickinson Hospital; May 24, 2011.

2. Stibich, et al. Infection Control & Hospital Epidemiology (ICHE). March, 2011.3. Cost of care saving estimated over 6-month period, Q1 and Q2 2011, Cone Health

MRSA reduction initiative which included using the Xenex room disinfection system.

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