l The model predicted energy use index (EUI) is 524 kWh/m2

/yr and an annual

saving of 939 gigajoules (GJ) of gas; 1,071,892 kWh of electricity and a 39 kW demand reduction for a total annual saving of $59,815 compared to a comparable facility built to code.

l The Actual EUI for the one-year period ending June 30, 2016, has been determined to be 242.6 kWh/m2

, less

than half of the figure predicted by the energy model (see Table 1).

l Island Health took what they learnt in the development of the NRGH Emergency Department and applied it to the requirements for the new North Island Hospitals (NIHP) with the added requirement of an energy and greenhouse gas emissions target. Island Health set very ambitious but achievable targets which has resulted in the new much larger facilities being significantly more energy efficient and generating 75 per cent less greenhouse gas emissions than the facilities they are replacing.

A Canadian leader in bringing environmental stewardship practices to the forefront in health care facilities, Toronto’s University Health Network (UHN) was honoured for their sustainability efforts with three Climate Champion Awards in the 2020 Health Care Climate Challenge, in Paris, France on December 4, 2015. UHN received the Gold Award for

Climate Resiliency and Silver Awards for Energy Efficiency and Climate Leadership. Presented by Global Green and Healthy Hospitals, the awards focus on three key areas of the Climate Challenge: Mitigation (reducing health care’s carbon footprint); Resilience (preparing for the effects of extreme weather and the shifting burden of disease); and Leadership (educating staff and the public while promoting policies to protect public health from the consequences of climate change.) Led by the Energy and Environment

department, they breathe life into the motto “UHN: Committed to Patient and Planet Centered Care.” They have won numerous other awards for their groundbreaking programs and put concern for the environment into how they care for and treat patients. UHN’s many achievements include:

l An energy awareness program that combines raising awareness changing behaviours, retro-commissioning and installing more efficient equipment to save energy, including LED lights, energy efficient chillers and the installation of variable speed drives

l Working with Operation Green and other organisations, they collect surplus medical equipment and supplies for developing communities l They participate in several programs to


Table 1: Based on actual results, the savings compared to a facility built to code would be: 3,303 GJ of gas and 2,207,200 kWh of electricity, giving a total annual cost reduction of $215,000.


Model of Facility Built To Code Model of NRGH ED Actual Results 2015/16

ethically recycle toner and print cartridges

l They developed the Krembil Discovery Tower, a world-class research centre, and a LEED Silver certification candidate

l They enabled the operation of a long- running and successful recycling and composting program that saves over a third of their waste from going to landfill, and,

l Enable the operation of an eco- certified green cleaning program which helps protect staff, patients and visitors from toxic chemicals.

l They were the 2016 recipient of the CCHL Energy and Environmental Stewardship Award

Climate Change Resiliency Planning for Health Care Thanks to recent funding from the Ontario Trillium Foundation, the Coalition and its health care partner, University Health Network (UHN), are offering a new program: The Climate Change Resiliency Planning for Healthcare (CCRPH), which will be providing mentoring in climate change resiliency to Ontario’s health services sector. The project team will develop best practice in climate change resiliency for health care facilities, integrate and expand the Coalition’s Climate Change Resiliency Toolkit, establish collaborative learning groups to train health care site facilitators to use the Toolkit at their sites and help organisations become more aware of their level of preparedness for climate change incidents that might negatively impact their ability to deliver care during challenging times. The three-year initiative will also lead to

the development of a climate change resiliency position statement for the health sector and explore opportunities to embed resiliency practices into existing health care priorities such as accreditation and insurance. Thanks to the Ontario Trillium

Foundation grant, the Coalition will be able to facilitate much greater understanding and use of the Health Care Climate Change Resiliency Toolkit, as a mechanism to promote responsible resource stewardship within the health services sector. By increasing the number

594 413 238

kWh/year/m2 Natural Gas

153 111 5

Total Energy Use Index

747 524 243

of organisations using the toolkit, the Coalition will be empowering an even greater number of individuals to reduce the negative impacts their health care facilities have on the environment and enabling increased infrastructure resiliency to climate change events. Through facilitated discussions and expert advice, program participants will be much better prepared to undertake facility assessment and resiliency actions. Participants will have exclusive access

to peer mentoring, and take part in educational webinars, networking conference calls and will develop their skills as climate change resiliency champions in their organisation.


Funder acknowledgements l The leading grantmaking foundation in Canada, the Ontario Trillium Foundation strengthens the capacity of the voluntary sector through investments in community-based initiatives. An agency of the Government of Ontario, OTF builds healthy and vibrant communities:

l The Coalition thanks Health Canada’s Climate Change and Innovation Bureau for their financial contribution in support of climate change and resiliency research and education.

l The Canadian Coalition for Green Health Care is driving leadership in environmentally-sustainable health care practices. As Canada’s premier green health care resource network for over fifteen years, the Coalition empowers the health sector to adopt resource conservation, pollution prevention principles and effective environmental management systems. To learn more visit:

References 1 World Health Organization. (2015). Operational framework for building climate resilient health systems. [Retrieved July 27, 2016]. 189951/1/9789241565073_eng.pdf?ua=1

2 Waddington K, Varangu L, Berry P, Paterson J. Health Care Providers Prepare for Extremes – Climate Change Factors into Facilities Planning. Canadian Property Management, September 2013, 25.


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