1. © 2015 American Society for Healthcare Engineering, a personal membership group of the American Hospital Association 155 N. Wacker Drive, Suite 400 | Chicago, IL 60606 ashe.org | ashe@aha.org | 312-422-3800 ASHE Sustainability Initiative 2015 Chapter Elite Program 1

2. © 2015 American Society for Healthcare Engineering AGENDA 1.Overview and Benefits of Sustainability 2.ASHE/AHA Sustainability Resources Sustainability Roadmap for Hospitals Energy to Care 3.Chapter Elite Status Designation Sustainability Liaison Roadmap Ally Energy to Care Participation Requirements and Application 2

3. © 2015 American Society for Healthcare Engineering In today’s uncertain health care climate, facility managers are faced with the challenge of doing more with less staff, money, and resources. ASHE has promoted sustainability for years and now that energy management has become more and more important in the health care field, the board made sustainability an ASHE strategic imperative in 2015. 3

4. © 2015 American Society for Healthcare Engineering SUSTAINABILITY Sustainability can be defined as meeting the needs of the present generation without compromising the ability of future generations to meet their own needs. 4

5. © 2015 American Society for Healthcare Engineering SUSTAINABILITY (Cont.) In health care, sustainability can refer to the ability of a system to keep doing what it’s doing over time. Health care leaders understand the impact their facilities and practices have on the health and safety of their communities. They also realize how important their decisions are not only to their bottom line, but also how important they become in ensuring the safety and well-being of the environment and their communities. 5

6. © 2015 American Society for Healthcare Engineering BENEFITS OF SUSTAINABILITY Sustainability reduces operating costs. Even small energy cost savings can make a large impact on a facility’s bottom line. Sustainability supports population health Sustainability helps improve the patient experience - It creates a quality environment - It improves facility reputation - It increases employee satisfaction and retention - It allows a hospital to manage risk and regulatory compliance - It demonstrates corporate and social responsibility 6

7. © 2015 American Society for Healthcare Engineering SUSTAINABILTY ROADMAP & ENERGY TO CARE ASHE is working very hard to help members set and achieve sustainability goals. To meet this objective, ASHE created trusted sustainability resources that are specifically tailored for health care facilities. Two ways chapters can reach sustainability goals are by becoming an ally of the Sustainability Roadmap and by encouraging it’s member hospitals to become involved in ASHE’s Energy to Care program. 7

8. © 2015 American Society for Healthcare Engineering Complementary Programs

9. Facility Engineer Share data with Energy to Care Portfolio Manager Acces s tools Dashboard Access Tools Implement, Report Improve, Get recognition Awards Engage, Celebrate Energy to Care and the Sustainability Roadmap: Supporting your energy- reduction efforts Gather and input data

10. © 2015 American Society for Healthcare Engineering SUSTAINABILITY ROADMAP The Sustainability Roadmap is accessible at sustainabilityroadmap.org and is a resource for hospital-specific information and how-to project guides created by ASHE in conjunction with the Association for the Healthcare Environment (AHE) and the Association for Healthcare Resource & Materials Management (AHRMM). 10

11. © 2015 American Society for Healthcare Engineering SUSTAINABILITY ROADMAP (Cont.) Becoming an ally of the Sustainability Roadmap is a pledge that you and your chapter or your facility believe in the value of sustainability. The Roadmap helps organizations integrate sustainable practices into the health care environment. It also provides tools and resources that are unbiased and materials on the site are available for download without charge. 11

12. © 2015 American Society for Healthcare Engineering SUSTAINABILITY ROADMAP (Cont.) Implementing and managing a sustainability program is a journey. The Sustainability Roadmap site can help direct you to best practices in health care facilities management. The resources section is divided by topic with content on each sorted under the following headings: - Talking points - Resource library (articles, books, organizations, and additional resources) - Case studies 12

13. © 2015 American Society for Healthcare Engineering ENERGY TO CARE Another important resource available to ASHE members is the Energy to Care program. This is a free benchmarking and awards program geared toward assisting you and your hospital meet your efficiency goals. The program uses the Energy to Care dashboard that helps identify trends, compare energy usage and reduction efforts to other facilities, and supports patient care by reducing operational costs. 13

14. © 2015 American Society for Healthcare Engineering ENERGY TO CARE - CONFIDENTIALITY Data confidentiality appears to be a common concern among hospitals considering whether to participate in Energy to Care or not. Data will not be distributed or shared with any other entity without the express written consent of the participating healthcare system. Energy to Care’s “Data Use” policy clarifying the confidentiality of the program can be found on the Energy to Care website on the bottom right hand side under “Featured Resources.” 14

15. © 2015 American Society for Healthcare Engineering Information to Gather Before You Begin Before signing in to Energy Star’s Portfolio Manager or Energy to Care for the first time, you need to gather some basic information about your properties. 1.Gross floor area 2.Year of construction 3.Percentage of building that is occupied 4.Parking lot sizes (open, partially enclosed, and completely enclosed 5.12 months or more of utility bills (natural gas and electricity) 6.Number of total meters (natural gas and electricity) including inactive meters 15

16. © 2015 American Society for Healthcare Engineering GETTING STARTED WITH ENERGY TO CARE Putting your energy data into Portfolio Manager can appear to be a daunting and time-consuming task but it should not discourage you from participating in Energy to Care. ASHE ‘s Intern Program participants can help you set up your Energy Star Portfolio Manager account and input the data for you. If your Chapter would like to explore this option to help your hospitals input their data, please contact ASHE and request information on their intern program. 16

17. © 2015 American Society for Healthcare Engineering GETTING STARTED WITH ENERGY TO CARE Once your data is input into Portfolio Manager, log in to energytocare.com and follow these steps to participate and take advantage of the complimentary Energy to Care Dashboard. 1.Enroll in Energy to Care (link to enroll is included) 2.Benchmark data in Portfolio Manager (includes a step-by- step guide to follow as well as a how-to video) 3.Share Portfolio Manager data with ASHE and with BuildingOS (also includes a set-by-step guide and how-to video) Once you’ve finished this process you will be able to manage your energy use better and reduce costs which will provide value back to your organization and support your hospital’s mission of quality patient care. 17

18. © 2015 American Society for Healthcare Engineering CHAPTER ELITE AWARD To promote and encourage Chapter involvement in sustainability and Energy to Care, ASHE developed a special bonus award called Chapter Elite in 2014. Chapter Elite is a unique category added to the current Chapter awards program. It is a higher level available in conjunction with the Platinum, Gold, Silver, and Bronze awards starting with the award cycle in 2015. 18

19. © 2015 American Society for Healthcare Engineering CHAPTER ELITE STATUS By offering Chapter Elite Status as an additional “bonus” award, ASHE is providing incentive for members to continually find ways to promote energy management efforts and in turn, reduce energy usage and cost. Your Chapter Sustainability Liaison is your voice in bringing ASHE’s message to your members. 19

20. © 2015 American Society for Healthcare Engineering CHAPTER ELITE STATUS (Cont.) Your Chapter Liaison plays an integral part in helping your members understand and buy into sustainability. Facilities staff members are caregivers too. They are an important part of delivering exceptional patient outcomes, ensuring patient safety and providing an overall successful patient experience. Facilities staff need to make a commitment to energy efficiency and sustainability that says… “We Put Patients First” 20

21. © 2015 American Society for Healthcare Engineering SUSTAINABILITY LIAISON Your Liaison serves as a “go to” person for your chapter. He or she will provide sustainability information and updates from ASHE that should be shared with your members through presentations, articles in your chapter newsletter, etc. He or she also serves as your chapter’s conduit back to ASHE. Information regarding chapter participation, updates and/or success stories will be communicated back to ASHE through your Chapter Sustainability Liaison. 21

22. © 2015 American Society for Healthcare Engineering SUSTAINABILITY LIAISON JOB DESCRIPTION (intent) 1.The Sustainability Liaison serves and acts as Chapter Champion by raising awareness on the value of sustainability 2.The Sustainability Liaison guides and connects Chapter members to resources available from ASHE 3.The Sustainability Liaison assists and encourages Chapter members to maintain engineering criteria to help reduce operational costs and thereby increase the value and profile of their healthcare facilities to stakeholders and to the C-suite 22

23. © 2015 American Society for Healthcare Engineering SUSTAINABILITY LIAISON JOB DESCRIPTION (intent) 4.The Sustainability Liaison acts as a change agent and data gathering person within the chapter and encourages participation in ASHE’s Energy to Care program. He or she will monitor and report chapter participation 5.The Sustainability Liaison encourages the use of the resources of the Sustainability Roadmap to achieve cost savings 23

24. © 2015 American Society for Healthcare Engineering SUSTAINABILITY LIAISON JOB DESCRIPTION (job function) 1.Serve as a conduit to direct chapter members to ASHE sustainability resources and programs 2.Encourage the chapter education committee to provide opportunities for sustainability speakers to present to chapter 3.Develop, drive, and promote ASHE chapter challenges to encourage savings and develop award programs for savings achieved 4.Provide updates and communicate success stories, best practices, and case studies from chapter members to ASHE 24

25. © 2015 American Society for Healthcare Engineering SUSTAINABILITY LIAISON JOB DESCRIPTION (job function) 5. Attend quarterly conference calls and/or webinars hosted by ASHE 6.Provide sustainability updates for the chapter newsletter and in reports to their ASHE Regional Director(s) 7.Gather statistics for Energy to Care chapter participation and report them to ASHE 8.Encourage chapter members to become ASHE members 25

26. © 2015 American Society for Healthcare Engineering We encourage you to choose your Sustainability Liaison with care. This is not a short-term commitment and should not be considered a chapter position that changes annually. Since your Sustainability Liaison is your chapter’s Energy to Care Champion, he or she should be an active participant in the Energy to Care program. 26

27. © 2015 American Society for Healthcare Engineering Beginning with the ASHE Chapter Awards cycle in 2016, your chapter Sustainability Liaison MUST PARTICIPATE in Energy to Care. 27

28. © 2015 American Society for Healthcare Engineering CHAPTER ELITE APPLICATION for 2015 1.Complete the 2015 Elite Award Application 2.Provide the name and contact information of your Chapter Sustainability Liaison for 2016. You must also list the name of your Sustainability Liaison from 2015 and provide proof that he or she participated in all scheduled conference calls during the course of 2015. (Reminder – if your Liaison was not actively involved in Energy to Care in 2015, consider choosing someone who fits the title of “Energy to Care Champion” for 2016. Your Liaison’s hospital or system MUST participate in Energy to Care in 2016). 3.Include the Chapter affiliation level you are applying for and the percentage of member hospitals participating in Energy to Care at the end of 2015 on the Elite application form 28

29. © 2015 American Society for Healthcare Engineering CHAPTER ELITE APPLICATION for 2015 Documentation due in March 2016 1.Submit the same list of Chapter hospitals that was submitted with the 2014 Elite application 2.Submit the same list of Chapter hospitals participating in Energy to Care that was submitted with the 2014 Elite application 3.Submit a new Chapter hospital membership list as of the end of 2015 4.Submit a new 2 nd Chapter hospital list showing the number of hospitals participating in Energy to Care at the end of 2015 5.The number of hospitals participating in Energy to Care MUST BE EITHER 75% of the total number of Chapter hospitals OR it must be 10% higher than the Chapter showed as participating at the end of 2014 in order for the Chapter to achieve Elite Status for calendar year 2015 29

30. © 2015 American Society for Healthcare Engineering CHAPTER ELITE REQUIREMENTS Subsequent Years > 2016 Application due by March 1 of the calendar year 1.Submit a completed Chapter Elite application 2.Chapter board must vote that the chapter renews becoming an Ally of the Sustainability Roadmap. A copy of minutes where board vote is taken must accompany application 3.Provide the name and contact information of your Chapter Sustainability Liaison for the new calendar year. Also provide the name of your Sustainability Liaison from the previous year and proof that he or she participated in all scheduled conference calls during the course of the previous calendar year 4.Submit the same list of Chapter hospitals as submitted with the previous year ‘s Elite application 5.Submit the same list of Chapter hospitals participating in Energy to Care that they did in the previous year’s Elite application 6.Submit a new Chapter hospital membership list as of the end of the previous year 7.Submit a 2 nd Chapter hospital list showing hospitals participating in Energy to Care at the end of the previous year 8.This number must be either 75% of the total Chapter hospitals OR must be 10% higher than the Chapter showed as participating in Energy to Care in the previous year in order for the Chapter to achieve Elite Status 30

31. © 2015 American Society for Healthcare Engineering BENEFITS OF ACHIEVING ELITE STATUS Chapter receives a “special” commemorative plaque that will be presented at ASHE’s annual meeting acknowledging the Chapter’s accomplishment as a Chapter Elite Chapter receives a special patch for it’s banner Chapter has the opportunity for an ASHE representative to present their award at their state hospital association meeting Chapter hospital CEO’s receive a letter acknowledging their local chapter’s accomplishment. Special recognition will go to those hospitals who actively participated in Energy to Care and contributed to achieving the award Chapter receives special acknowledgement and recognition in the ASHE Insider 31

32. © 2015 American Society for Healthcare Engineering SUSTAINABILITY LIAISON CONFERENCE CALLS 2015 Schedule November 3, 2015 - 1:00 p.m. (CST) Sustainability Liaison welcome webinar including an overview of Elite Chapter Award, Energy to Care, and Ally of the Sustainability Roadmap with Luanne Kramer **DATE CHANGE** November 19, 2015 – 11:00 a.m. (CST) Energy to Care webinar with Scott Wallace December 8, 2015 – 10:00 a.m. (CST) How to introduce Energy to Care to hospital administrators and provide proof of program value with Tim Paul December 10, 2015 – 11:00 a.m. (CST) How to develop a challenge program for those participating in Energy to Care. Also includes how to develop ways of reporting and comparing data between chapters with Lamar Davis 32

33. © 2015 American Society for Healthcare Engineering Contact Luanne Kramer at 785-650-2750 luanne.kramer@haysmed.com Questions about ASHE’s Chapter Elite Bonus Award Program? 33