kaiser permanente case study alternatives assessment meeting december 2, 2004 lynn garske...
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Kaiser Permanente Case Study
Alternatives Assessment MeetingDecember 2, 2004
Lynn GarskeEnvironmental Stewardship Manager
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OverviewKaiser Permanente is the nation’s largest
nonprofit health plan
8.2 million members 30 medical centers431 medical office buildings
•$25 billion annual revenue•136,500 employees•12,300 physicians•9 states and Wash DC
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Environmental Stewardship at KP Environmental Stewardship Vision:
We aspire to provide health care services in a manner that protects and enhances the environment and health of communities now and for future generations.
Focus areas: Green Buildings, Environmentally Responsible
Purchasing, Sustainable Operations
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Why Sustainability Alignment with corporate mission: improve the
health of the communities we serve. Industry practices generate waste, pollution and
consume natural resources Recognized link between building design and
health outcomes Impact of building materials on indoor air quality
and environmental health Planned growth 2004-2013:
25 new hospitals, replacements or significant additions 100 new medical office buildings (MOBs)
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Alternatives Assessments Medical Products:
PVC/DEHP-free products for neonatal units; latex-free and PVC-free exam gloves; mercury-free measurement devices
Safer chemicals: Replacing mercury-based fixatives; selecting
greener cleaners; recyclable solvents Green Buildings:
carpet hard surface/resilient flooring casework
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Evolution of Effort Clinical (with formal protocols) to non-
clinical (we invented protocols)
Initial work on building materials required consultants; today we’re able to conduct most of the activities internally
Key component is objective, independent, transparent verification of vendor claims and test results
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Framework for Assessing Building Materials
Sourcing Mfg Use Post-Use Sourcing (product content)
free of PVC; free of PBTs and carcinogens; post consumer; security of supply
Sustainable manufacturing waste; energy; water; TRI
Use CHPS 1350; Green Seal; our own air sampling performance; aesthetics
Post use recyclability; reuse; take back
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Overview – Casework Project
Project context
Results
Details – limited LCA – 7 vendors Sourcing Manufacturing Use Post-Use
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Project Context Goal:
To improve indoor air quality of the built environment by reducing harmful emissions.
Scope: Particleboard (PB) and Medium-Density
Fiberboard (MDF) that are the foundations of finishings and furnishings.
Project: To identify alternative materials to traditional
PB and MDF bound with urea formaldehyde binders using LCA criteria.
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Review Team
Environmental Stewardship – Research, vendor contact
Cabinet Shops – Performance testing, expertise
Contracting – Pricing and acquisition
NFS Green Buildings Liaison
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Early Research Results – PB/MDF Binders
Urea Formaldehyde – traditional
Lignin – not yet viable for desired applications
Phenol Formaldehyde – not subject to Form. Reg. due to low emissions
Polymeric diphenylmethane diisocyanate - pMDI – low exposure limits for raw product, no detectable emissions after curing
Content Recovered/recycled
wood Forest Certified
Wood – recovered/not
Wheat residuals Rice residuals – local
plants don’t mfg. product
Sugarcane bagasse – not in production
Paper – Mfg. out of business
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Vendors Did not undergo LCA
Enviroboard - rice, wrong product – thick board
Weyerhauser – recovered wood, no response
Temple-Inland, FSC – formaldehyde binder
Acadiaboard Duracane, sugarcane bagasse – out of business
CanFibre – AllGreen, recovered wood, unable to contact
DuraGreen, sugarcane bagasse, out of business
Underwent LCA Sonoco – paper/lignin, out
of business Phenix Bioply –
newspaper, pMDI SierraPine Medite –
recovered wood, pMDI Collins Companies – FSC
wood, urea form. Dow BioProducts
Woodstalk – wheat, pMDI Rodman Industries
Resincore – recovered wood, phenol formaldehyde
Sorm, Inc. – wheat, pMDI
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Life Cycle Analysis - Sourcing PBT’s, carcinogens – binders, pesticides
Rapidly renewable – wheat, rec. wood
Security of supply – capacity available Packaging – minimal, strapping Transportation – rail, truck FSC, SCS certified – recovered wood/not Free of added formaldehyde - binder Sustainable agricultural practices - wheat
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LCA – Sustainable Manufacturing
Waste minimization Water minimization Non-renewable energy minimization Reduced emissions during manufacturing Environmental data:
US EPA - Toxics Release Inventory - http://www.epa.gov/triexplorer/
Scorecard - http://www.scorecard.org/ Environment Canada -
http://www.ec.gc.ca/pdb/npri/npri_home_e.cfm Worker injury data
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LCA – Use: IAQ and Performance
Indoor Air Quality
California High Performance School (CHPS) 1350 emissions – whole unit testing – http://www.chps.net/
CHPS Carcinogen standards
Green Seal http://www.greenseal.org/recommendations.htm
Building Green Inc. http://www.buildinggreen.com/menus/subtopics.cfm?TopicID=5
Performance Machinability
Aesthetics
Durability Strength Water resistance
Maintenance/IAQ
Cabinet Shop findings Wheat PB Recovered wood MDF
Finishes
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LCA – Post Use
Closed loop recyclable
Readily down-cycled
Supplier facilitates end of life disposition
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LCA – General Criteria
Environmental Statement, Mission
Facility locations
Dimensions
Quality assurance
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Resources – Fiberboard, Isocyanates
Green Seal Choose Green Reporthttp://www.greenseal.org/cgrs/CGR_PB&MDF.pdf
ISOCYANATES by Eric LeBreton http://www.tc.gc.ca/canutec/en/articles/documents/isocy.htm
Isocyanates - Risk Assessment and Preventive measures, Nordic supervisory authorities, - Copenhagen 2000 http://www.arbeidstilsynet.no/publikasjoner/rapporter/rapport1eng.html
OSHA info - http://www.osha.gov/SLTC/isocyanates/
Preventing Asthma and Death from Diisocyanate Exposure NIOSH ALERT: 1996DHHS (NIOSH) Publication No. 96-111 http://www.cdc.gov/niosh/asthma.html
report on particleboard/mdf http://www.fiberfutures.org/pages/fiberlinks.html
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KP Decision on Casework
Pursuing RFP on 3 most promising products all are free of added formaldehyde 2 wheat-based products 1 post industrial wood product all are less expensive than current product!
For contracted casework, develop specs and pursue through our GPO
Overall effort considered big win by the KP Green Building Committee
Questions/Comments