1. Turn off the lights or 1000 little steps Kady Cowan Behave Energy Conference University of Oxford, UK September 4, 2014

2. Big Picture University Health Network (UHN) – Largest hospital group in Canada Energy and Environment (EE) – UHN hospital department dedicated to sustainability Energy Management – EE strategy includes technical, process and behaviour change Operation TLC: Care to Conserve – EE program to close the gap between values and behaviour

3. What is TLC? Broadly Roots in Community Based Social Marketing Value people, culture, process and technology equally Develop a process and set course for the future Moving toward a lights off culture Account for complexity in healthcare landscape Imposing a prevention mindset, competing priorities Turn energy conservation from abstract Make it personal at work imbedded into the fabric of UHN

4. What is TLC? Specifically Process: Goals, Commitment, Feedback, Celebration Target audience: champions and management Goal: Eliminate use of excess electricity, get people talking about TLC Target behaviours: lights, computers and equipment off Result: We have achieved a self-sustaining, scalable, effective, fun and no cost program

5. Cast a wide net - Recruit staff Identify Target - easy dpts. Identify Target - self-selected Broaden Scope - Help from managers TIME – move from imprecise phases of hunch to proof INSIGHTS

6. Always On My Mind STRATEGY RESULTS REFLECTION OPERATION TOOL PROGRAM ORGANIZATION CULTURE

7. STRATEGY OPERATION RESULTS REFLECTION TIME Energy Ecosystem Interactions INFORMATION INFLUENCE INTERACTION INSIGHT

8. 2007TIME2014 Why does it matter? Impact Process Fit in @ UHN Possibility Sustainable program Relevant Metrics STRATEGY

9. OPERATION 2007TIME2014 Keep talking about TLC Implement Success and Barriers Program requirements Champions Support What Works?

10. 2007TIME2014 RESULTS Who’s asking? Proof Adjacent Benefits Baseline Monitor and Measure Build on Success

11. 2007TIME2014 REFLECTION Signal ImproveTrends Noise Follow the enthusiasm Successes in common

12. Organization Wide Impact first quarter of 2014 Energy – Consumption Saving 17,000 GJ (6%) Dollars – avoid spending £293k / $535k (CND) Leadership – More resources for Operation TLC Culture – More lights off this year compared to last

13. Organization Wide Impact projections for 2014 Energy – 68,000 GJ (24%) not including staff time and effective investment in the future Dollars – £1.29 million / $2.35 million at least £165k / $300k from behaviour Leadership – CFO asking for energy impacts of all capital projects Culture – People all over UHN talk about TLC everyday

14. Departmental Successes Toronto Medical Discovery Tower Shut the sash (2011) 100 fume hoods consume 5 x the air when open One month after TLC –compliance was already at 88% Behaviour climbed and stuck through December Adjacent benefits of TLC –Celebration = More socially cohesive lab environment TimeInspections (#/month) Hoods inspected (#) Hoods closed (#) Compliance (%) Pre TLC222178101847% Post TLC444343400195%

15. Departmental Successes Radiation Medicine Program Engaged physicians Achieved 28% of their saving target in 6 months (2009 audit) Lighting off overnight jumped from –19% to 39% Computers off overnight –38% to 48% From this first year of auditing we found that potential savings in each department at UHN = $1000 (CND)

16. Departmental Successes Pathology Frontline staff never give up Achieved 23% of their saving target in 6 months (2009 audit) Today all lights are off after hours Laboratories have some of the greatest potential to conserve Staff come up with new ideas at regular meetings

17. Departmental Successes Neuro Rumsey Quick win After TLC computers off went from 32% to 92% in 3 weeks Looking for next win DateJan.17.14Jan.29.14Feb.7.14 Total Off121434 (%)32%38%92%

18. What’s Next? Program Components Help managers make time for staff to fit in TLC Reporting horizontally and vertically what we see and what we know Describe compelling scenarios of the future Proof Micro pilots/Proof of concept Evaluation protocol Collaboration Offer ourselves as a research lab Seeking partnerships

19. Thank You. Kady Cowan kady.cowan@uhn.ca Blog ::: www.talkintrashwithuhn.com Twitter ::: www.twitter.com/UHNTalkinTrash Facebook ::: www.facebook.com/talkintrashwithuhn