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Environmental Training Program: A Frontline Worker Engagement Approach to Greening Healthcare Worker Engagement and Leadership Development
Environmental Training Program: A Frontline Worker Engagement
Approach to Greening Healthcare
Worker Engagement and Leadership Development
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Presentation Notes
Good Afternoon. My name is Scott Goodell I am work with the SEIU UHW Education Fund and I coordinate our Environmental Training Program, otherwise know as ETP. In a nutshell, ETP is a frontline worker training program to help hospitals reduce their environmental impact through participatory education to support leadership development and process improvement. We are very proud of our successes and are eager to expand our work where unions and employers are willing to work together for specific outcomes that support the Triple Bottom Line.
Worker Engagement and Leadership Development
Healthcare’s Environmental Footprint
• 8% of Greenhouse Gas emissions in U.S.
• Top 10 water user in a community
• 2 million tons of waste produced every year
• Chemicals of concern in products in food, materials, products
Gerwig, Kathy.Greening of Healthcare. NY,NY. Oxford University Press, 2015. Print
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The healthcare industry is as much a part of the problem as it is a key player in addressing public health problems generated by the environmental crisis.
Worker Engagement and Leadership Development
This footprint contributes to human heath issues
Weather Event Health Effects
Heat Waves Heat Stress
Extreme Weather Events Injuries, Drowning, population movement
Drought, Floods, increased mean temperature
Vector-, food-, and water-borne diseases
Drought, ecosystems, migration
Food and water shortages, malnutrition
Increases in ground-level ozone, airborne allergens, other pollution
11 Employers 4 SEIU Unions 5 Joint L/M Training Fund
Worker Engagement and Leadership Development
Washington -SMC, NWH
Southern CA – Kaiser Permanente LAMC & Riverside, USC+LAC
New York – Montefiore, NYU, Presbyterian
DC/Baltimore – UMC, Dimensions, MD General, Communicare
National partners…
Labor Management Project North Seattle Community College Practice Green Health SEIU Education and Support Fund
Environmental Training Program 2011 Department of Labor Energy Training Partnership Grant
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The Environmental Training Program is a ETP came about initially in 2011 through a grant from the Department of Labor (DOL). The program engaged frontline workers, their departmental-level managers and supervisors, their unions at all levels, and the operational leadership of the institutions in which they worked. EVS workers were targeted for the training because of their key role in waste management, the use of cleaning chemicals, and their mobility and presence throughout the facility, which put them in an excellent position to be the eyes and ears of a hospital initiative on greening health care. It was successfully implemented in 4 regions across the country, representing 11 employers and 5 unions and Post-grant period, the SEIU-UHW Ed Fund was able to continue and expand the program to the MM and FANS departments at LAMC, and we have since moved the program to two new facilities, KP Baldwin and soon at Fremont.
Worker Engagement and Leadership Development
Worker Engagement Worker Empowerment
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Presentation Notes
We aren’t there to train in the traditional sense, rather provide a lens for them to see their work in a different light and improve their impact on healthcare delivery. At the central tenet to our ETP program is worker engagement and empowerment in all facets of the program. Specifically, workers play an active role in the implementation of programs and policies that support a more environmentally friendly health-care system, and also contributed ideas and projects aimed at improving the triple bottom line.
Labor-Management Committees
Green Projects Onsite department-wide worker education
Train the Trainer
College Certificate
ETP- Key Components
• Prepares a small group of motivated frontline workers to co-facilitate training modules to their peers
• Participants often assume leadership roles
Worker Engagement and Leadership Development
Train the Trainer Goal: Develop worker-trainers as institutional resources to support current and future
training in their departments.
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The TTT introduces principles of adult learning, co-facilitation, and presentation, and provides extensive opportunities to practice these skills in a supportive environment. Trainers also learn techniques for working with adult English language learners and participants with low literacy. At the conclusion of this training, the teams are prepared to deliver the 7 modules. Moreover, these trainers become institutional resources to support future training in their departments and throughout the hospital
Worker Engagement and Leadership Development
Overview of Educational Model
• Engaging, hands on and experiential
• Learning, thinking, and reflecting
• Visual and interactive • Participatory & grounded in
principles of adult learning • Peer to Peer facilitation with
professional trainer support
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Workers learn why change is happening, the impact on themselves and their jobs, AND have a say in how it gets enacted Participatory Education model grounded in principles of adult learning Connecting new knowledge to the needs, concerns, and experiences of adults Reflecting on their own life experiences and draw connections between work, the health of patients, environmental sustainability, And cost savings Workers learn to see themselves as change agents and as critical thinkers with a voice in the process
1. Seeing Green (Intro) 2. Talking Green
(communication) 3. Water Conservation 4. Reduction of Waste 5. Energy Conservation 6. Reduction of HAI’s 7. Green Our Work
(Health & Safety)
Worker Engagement and Leadership Development
EVS Training Modules- 90 min
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Modules follow a standardize structure that guides them through the learning process of introducing the topic, reflecting on their own experience with the topic, learning new information through participatory activities, and an assessment. Seeing Green is an introductory module which introduces the concept of “greening” EVS work and builds basic understanding of why environmental sustainability is important to healthcare and the community. Talking about Green is the communication module, helping participants practice the essential skills necessary for communicating about change in different areas of the hospital and for creating an inclusive, respectful learning environment. Reduction of Waste focuses on the difference between waste and trash, methods of handling materials, and how proper handling, disposal, and the use of recycling can reduce hospital costs and reduce the negative environmental consequences of waste. Water Conservation explains how EVS workers can help the hospital lower water use while minimizing the release of toxic waste into the environment. Energy Conservation helps participants understand how energy can be saved at the hospital and at home and how energy conservation impacts costs and the environment. Reduction of Hospital Acquired Infections (HAIs) introduces EVS workers to their own key roles in reducing infection through proper cleaning and disinfecting. Greening Our Work outlines health and safety concerns around toxic chemicals and “green” products, and also lists ways to reduce the risk of workplace injuries when moving, lifting, pushing, and pulling.
Greening Healthcare and Advancing Careers
• Offered through a local Community College
• Project- Based Learning, Dual Instructor
• Learn Excel, PowerPoint, presentation skills, how to make a business case
• Skills learned translate to other areas of work
• Final Project: Presentation to hospital administration and union leaders
Worker Engagement and Leadership Development
Sustainability in Healthcare College Certificate Course
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-IBEST model - Representatives from KP (Tim, Abraham, Leroy) attended a two day meeting they helped shape the design of the course. - Sustainability in Healthcare is designed as a credit bearing certificate course that uses problem posing and problem-solving learning as the central learning lens through which incumbent healthcare workers learn how to apply the various concepts and competencies - Problem Identification: Identification of a green issue, challenge or opportunity that currently exists in a hospital/healthcare environment that an incumbent worker can play a leadership role in helping to implement and that will positively affect the triple bottom line (planet, people and profit/ cost savings). Course Core Competencies: 1. Problem Posing and Problem Identification 2. Communication 3. Leadership in Project Development 4. Sustainability Knowledge 5. Metrics and Measurements 6. Organizational Knowledge Core Competencies Defined:
Greening Healthcare and Advancing Careers
Worker Engagement and Leadership Development
Example Course Project
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Johnny gives his presentation, I go through Stewart’s
Greening Healthcare and Advancing Careers
1. Rechargeable Batteries in Towel Dispensers 2. Recycling Saline and Dialysis Bottles 3. Recycling Plastic Film (Stretch Wrap, Bubble
Wrap, Linen Cart Covers, Patient Garment bags
4. Energy Conservation Initiatives 5. Improving Reuse Programs
1. Pillows 2. Oximeter Sensors
6. Cafeteria Kitchen Recycling 7. And more!!!
Worker Engagement and Leadership Development
Sample Labor-Management Projects
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Batteries: Will reduce purchasing cost by $298/month, eliminate hazardous waste disposal fees $.89/lb. Pallet Stretch Wrap Recycling- almost 200 lbs./ month, 2,400lbs/ year OR Saline recycling: 2,500 bottles/month (previously on program in place) Hemodialysis 1gal bottles: Over 3000/month Energy Conservation Awareness- EEs proactively turning off lights and TVs whenever possible Oximeter Sensors- no one picking up for reprocessing, we help initiate a process- $40, 000 savings estimate
Greening Healthcare and Advancing Careers
Overall Impact of ETP: • Increased awareness of front line
workers’ role in creating a sustainable environment and quality healthcare system.
• Improved labor-management relationships and department moral
• Participants became aware of the need for change and creative problem solving
• Reduction of the hospital’s carbon footprint and cost savings (help need with internal tracking)
Worker Engagement and Leadership Development
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A Frontline Labor-Management Approach to Greening Healthcare
