Judith Focareta

Magee‐Womens Hospital of UPMC
Ranked #6 for Gynecologic Care by US News & World Report
2010 Partner for Change with Distinction Award and the 2009 DEHP‐Free Award from Practice Greenhealth
Magee‐Womens Hospital Environmental Initiatives
Environmental Health Education
• Staff per workshops & lunch & learn (1350+)
• Postpartum mothers (30,000)
• Children &Adolescents (500+) • Community members per conferences, workshops and classes (10,000+)
• Professional conferences per posters and presentations (6200+)
Facilites/Modeling
• NICU is DEHP and PVC free
• 50% reduction of RMW and 7% increase in recycling in 2010
• 3 Organic Courtyard gardens
My Co‐Presenter, Dr. Noe Copley‐Woods
Waste: The Final Frontier! To Boldly go where no man has gone before…..
Waste in Healthcare
According to Practice Greenhealth
The more than 120,000
Healthcare facilities in
the US create 5 million
tons of waste annually
At Magee we produced an average
of 31 pounds of waste per patient
per day in 2008.
Hospital Waste Streams
Municipal Waste/Ordinary Trash
927 Tons 2008
Monroeville Landfill
Red Bag Waste
429 tons, 2008
Medical waste capable of producing an infectious disease.
Chemo/Pathological
Anything that touches chemo or chemo patient. Identifiable tissues and organs.
Chemo/Path
Medical Waste Incinerator Matthews, NC
E‐Waste
80% of world’s electronics end up in China.
Magee no longer sends e-waste overseas
Tyrone, PA→ Chicago
Reclamare
Hazardous Waste
• Ignitable, corrosive, reactive, or toxic
– Formaldehyde
– Radio nuclides – Solvents
– Batteries
We Recycled 126 tons in 2008
Neville Island Processing Plant
Single Stream Recycling
Any non‐wax paper
Cardboard
Cans
Glass
Plastic 1‐5
RMW Initiative Process
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Waste Audit
Strategically moved and downsized containers
Staff education
Staff education
Improved signage
Lots of multidisciplinary meetings
Goal setting
Education
RMW Waste Reduction
• January of 2009 : 60,764 pounds
• December of 2010: 24, 808 pounds
• 4.2 pounds of RBW per adjusted patient day to 1.65
2010 Magee Waste Stream
0
1400
1200
1000
800
600
400
200
Glo b al
L in ks
H azard o u s
1600
100
90
80
70
60
50
40
30
20
10
0
E -waste
1800
2008
2009
2010
P ath /C h em o
2000
R ed B ag
W a s te
R e c y c lin g
M u n ic ip a l
T o ta l
Waste Comparison
2008
2009
2010
Waste Pyramid
Transforming Healthcare with an Environmental Life Cycle Perspective: Focus on Modes of Hysterectomy
The Vyleater
Recyled Sharps Containers
Ecoliterate Solutions
Innovation
Living machines® for sewage
treatment