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Ontario Hospital Clean Air Challenge by accinent


									                          Ontario Hospital Clean Air Challenge
                               “Hospitals Healing the Environment”

                                     Teleconference Notes
                           Topic: Water Efficiency & Waste Reduction

                                    Wednesday, April 18, 2007

                                     11:00 am – 12:00 pm EST
                                  Conference call number: (416) 507-9740
                                       Participant code: 1007761 #
                                        Toll-Free: 1-866-512-0904

    1. Welcome and introductions


         Eric Card – Windsor Region Hospital
         Dan Crane – Hotel Dieu Grace Hospital - Windsor
         Wayne McLellan – Chatham-Kent Health Alliance - Chatham
         Renee Cowlin – Chatham-Kent Health Alliance - Chatham
         Kim Core Chatham-Kent Health Alliance - Chatham
         Peggy Frew – London Health Sciences Centre - London
         Mark Read - London Health Sciences Centre - London
         Rosilee Peto – Alexandra hospital – Ingersol
         Rick Anderson – Woodstock General Hospital - Woodstock
         John Scram - Woodstock General Hospital - Woodstock
         J.J. Knott - Norfolk General Hospital - Simcoe
         Allan Kelly - St. Mike’s Hospital - Toronto
         Tammy Quigley – St. Mary’s hospital - Kitchener
         Melissa Clarke – Ttrillium Health – Mississauga
         Lina Cesario – Children’s Hospital of Eastern Ontario - Ottawa
         Gord Brown – Children’s Hospital of Eastern Ontario - Ottawa

         Chris Wolnik, Executive Director, C2P2
         Kent Waddington, Project Support

    2. Recap last month
               a. Action items from last month
                      • Green Ribbon Campaign items – Kent provided update on various
                           alternatives and asked members to provide him with feedback on their
                      • Educational Graphic - how to do this? How do we visually capture the
                           various sources of transportation pollution such as if idling, not taking public
                           transit, etc. Kim at Chatham-Kent will look for a sample she may have
                           created as a student.

         ACTION: Kim (Chatham-Kent) to find sample of suitable educational graphic to depict sources
         of pollution resultant from transportation.

         ACTION: Chris Wolnik to investigate suitable educational graphic.
                   •   No Idle booklet of best practice – draft compiled by Kent from materials
                       provided by Liz Vosburgh and Melissa Clarke, has been posted on web site.
                   •   Anti-idling policy – from Melissa Clarke has been posted on web site
                   •   Web–based teleconference - Chris explained to methodology and indicated
                       our June teleconference will be web-based.

   Allan Kelly – St. Michael’s has a bike compound and provides an $80/month transportation
   allowance to all staff for use towards TTC, GO Transit or other travel expenses. Hopes to put
   survey around next month to see how many people use transit. Indicated CEO is adamant that
   the money stays in the budget. Parking is very expensive. No parking at the hospital itself. They
   need people to take public transit. St. Mikes has about 5,000 staff members receiving the

   Kent read brief passage about Mount Royal College (MRC): MRC provides incentives to
   employees who leave cars at home. Incentives include parking pass buyback programme, 10%
   discount and priority parking on passes for carpoolers, two paid taxi rides for a family/medical
   emergency per semester and a new, secure bicycle garage for year-round cyclists. “You don’t
   change society by a major shift,” says Dennis Leask, an instructor at MRC. “What is takes is
   ‘incrementalism’ – small little steps.”

   Brief discussion on topic of “Smart Commute.” London Health Sciences had 300 responses to
   survey and will launch programme in May. Melissa confirmed difficult to run your own car pooling
   database. Smart Commute provides access to database for Greater Toronto Area.

3. Discuss new materials

   A number of alternative sources of water expense savings were mentioned including waterless
   toilets, HVAC and cooling towers.

   St. Mary’s General Hospital (Kitchener) is investigating efficacy of waterless scrubs for the
   operating room in the hopes of saving 8 litres of water per scrub. Also reviewing their ground’s
   sprinkler system and tying it to a rain gauge mechanism to prevent unnecessary use.

   St. Mike’s recently installed an exhaust system related to their cart washer. Instead of spraying
   water to cool steam (4 million litres per year), they now exhaust outside. $10,000 cost to have 3
   year payback. Also, instead of cooling condensate to go to drain they are using chilled water to
   go run through a closed loop.

   Windsor Regional hospital has deployed ‘green handle’ flushometers, an environmentally friendly
   way to shed contents of the toilet bow. System is based upon a two-way lever, disposing of liquid
   or solid waste.

   Chatham-Kent’s St. Joseph’s site is pulling rain water from the roof system for suitable uses.
   Also investigated reclaiming dialysis water to supplement city water for vacuum sealing on

   The question of quantifying water use over time was presented. How do measurement
   opportunities present themselves?

   Norfolk General cut water consumption in half. So drastic was the change in water use that the
   county actually phoned to investigate whether there were problems because of decrease in
   usage. Norfolk uses waterless systems wherever possible.
Kitchener’s St. Mary’s notes difficulty in monitoring due to major construction projects currently at
their site but they are monitoring savings based upon number of times staff scrub throughout a
year. Expect water usage to go up 42% in her area.

The project based at Toronto’s St. Mike’s involved installing meters on the HVAC system. Water
is fed through closed loop to recover heat. City provided $45K rebate as result of savings.

A question was raised regarding the prevalence of thermal solar panels for institutional and
commercial buildings and the chair solicited feedback.

At least one firm is known to be engaged in supplying rooftop solar panels, MONDO Energy.

Chatham Kent representative Wayne McLellan expressed concern that the sites don’t usually
own the equipment and the issue for him has been that gas rates charged by the hardware
supplier are often higher than facilities can negotiate themselves with gas suppliers. His
organization is investigating the installation of solar hardware but will strive to bring it in under his
own internal funds. He noted also that other communities don’t get the same aggressive support
that the city of Toronto provides in such areas as energy and efficiency.


Note that the issue of operating room gases will be discussed in a call later this year.

For a number of years, CHEO has held yard sale and hallway sales to rid themselves of their
surplus office and computer equipment. Aim is to eliminate the equipment, not make money.

Similarly, St. Mikes offers staff furniture and printers, faxes, desks, etc. They also offer an
incentive to the dept. that clears out the most surplus goods. Departments simply fill out a form,
an audit team audits the waste (volume and weight), and a $1,000 prize goes to those who move
the most. All computers are sent to schools.

A warning was offered from Chatham-Kent in that staff receiving free computers often expect the
organization’s IT staff to maintain them and problem solve.

HOW DO WE MEASURE waste and water efficiency?

One option is to weigh materials being diverting from the waste stream. Some sites do this and
have reliable figures to use as sample numbers for future. Some sites use an old linen scale for
the measurements. Other sites estimate their waste only.

CHEO weighs everything for composting, chemical waste recycling and biohazard waste. They
estimate their yard sale waste.

Melissa Clarke raised the interesting question of what happens to the discarded computer waste
when the current recipient washes to dispose of it. Do they then throw it into landfill or dispose of
it in an environmentally friendly fashion? Should we be concerned about how our e-waste is
subsequently disposed of? If you give to schools, how do THEY dispose of them?

Appears there are some reliable and responsible disposal firms out there to handle e-waste.
Chatham-Kent has arrangement whereby they set up a recycling station for staff to bring in items
such as home appliance – toasters, stereos, radios, can openers, etc. The company then recycle
and rebuild what they can, then sell off used computers to public. They recycle as many
         components as possible. Wayne turned a surplus refrigeration unit into a recycle container and
         firm picks up all items contained therein. Firm: digital Friends -

         CHEO has a programme with Canadian Armed Forces whereby CHEO donates used and surplus
         stretchers, chairs, cribs, etc. and truck form North Bay picks up materials and prepares it for
         shipment to third world countries

         St. Mike’s will be working with housekeeping staff and commencing a post-it note campaign to try
         and reduce electricity waste (computers left on, printers, etc.)
          Kitchener currently has a handwashing campaign going on to stress cleanliness so in their case
         it is difficult to campaign to reduce water use. The city installed a number of diverters in the
         dishwashing area to save water.

         Windsor has a supplier of flush valves, which provided stickers that encourage patients and
         public to use correct flush method, “up or down” to help the environment.

    4. Discuss online tools Resources
               a. Tools

         Rick from Woodstock suggested the creation of a master list of recyclable items and suitable
         recycling/disposal sources.

         ACTION: Rick Anderson and Kent to create master recycling list (sources/commodities)

                   b. Dialogue
                   c. Q&A

    5. Present employee initiatives related to topic where applicable

         No additional initiatives noted.

    6. Next Steps

         It was agreed that in order to make up for an earlier missed teleconference that the May 22
         teleconference would span two hours, from 10:00 AM to noon. The topic is Physical Plant.

    ACTION: Kent to circulate Participant List to all members.

    ACTION: Everyone to get back to Kent on choice(s) for Green Ribbon campaign item

    Prepare for next teleconference and deliver upon action items.

    7. End of teleconference

    End of teleconference at 11:59 AM

C:\…\C2P2\GHG\call5\Teleconference_Notes_Water&Waste_070418.doc   04.18.2007

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