1. Opportunities for Greening Health Care and the and the Environmental and Economic Benefits of the ACT-tex Ultra Micro Fibre Revolutionary Cleaning System Revolutionary Cleaning System Tony Scarlato November 18, 2002

3. Respect for Our Natural Environment The rivers are our brothers. They quench our thirst. They carry our canoes and feed our children. So you must give the rivers the kindness you would give any brother….the air is precious to us…the air shares its spirit with all the life it supports. Chief Seattle, 1854

4. Hospital Profile (as of March 2002 ) Total Beds = 427 227 Acute Care Beds 84 Chronic (52) and Rehab (32) Beds 116 Long Term Care Beds Annual Operating Budget $132 million Growth in Weighted Cases highest year-over-year increase in the province in number of weighted cases

5. Hospital Activity in 2001/2002 62,508 Emergency Visits (increase of 6.5% from previous year) 86,897 Outpatient Visits 15,494 Inpatient Admissions 2,428 Births 1,417,893 Laboratory Tests

6. Current Staffing Compliment (as of September 2002) 1,775 Staff (1,266 FTEs) with More than 800 New Staff in the Last 2 Years Over 300 Affiliated Physicians More than 600 Adult and Student Volunteers

7. York Central Hospital Richmond Hill, Ontario in 2008

8. What is P2? Official Definition The use of processes, practices, materials, products, substances or energy that avoid or minimize the creation of pollutants and waste, and reduce the overall risk to the environment and human health.

9. P2/Greening Opportunities in Health Care Think prevention and reduction Reduce biomedical, chemical and liquid, laboratory, pharmaceutical and hazardous wastes Ensure proper handling and disposal of such wastes Achieve cost savings by conserving raw materials, reducing energy use, and biomedical and hazardous waste generation Establish Win Win Agreements and Partnerships with Suppliers and Service Providers ERP – Give preference to Vendors/Suppliers of Green/Biodegradable and Environmentally Sensitive Products, materials, services and activities.

10. P2 Benefits/Winning Opportunities Reduces costs, improves efficiency, reduces environmental impacts and reduces liabilities. Pollution Prevention Specific Benefits: –Enhanced/minimized regulatory compliance –Reduced liability insurance costs –Lower operational and maintenance costs –Lower risks to public, staff and the environment –Improved staff morale and productivity –Improved products and services

11. Water Pollution Prevention and the ACT Cleaning System from Sweden Background Mid-March 1997 demo to Environmental Services staff, Occupational Health & Safety and Infection Prevention & Control Staff compared and evaluated traditional cleaning methods and techniques Summer of 1998 one of our Medicine Program Areas agreed to participate in the trial The new system put head-to-head with traditional one First bacteria audit conducted during final two weeks of trial in trial area Latter half of 1998 and early 1999 a comprehensive staff education and training program is carried out by FACT INC. staff Supported by scientific evidence on efficacy, York Central Hospital implemented ACT system on June 1, 1999

12. Water P2 and the ACT-tex Cleaning System Benefits of this revolutionary cleaning system: Lower operational costs Lower risks to public, staff and the environment Reduced liability insurance costs-job-related injuries/exposure to chemicals Improved staff morale and productivity-ergonomics Improved products and serviceshappier staff and super effective products ACT-tex system products and tools simplified cleaning procedures

13. The 4Es of A Remarkable Cleaning System Ecological (or Environmentally Friendly) ACT is a complete, water-based cleaning concept.ACT is a complete, water-based cleaning concept. All smooth and impervious surfaces in Hospital are cleaned without use of cleaning chemicalsAll smooth and impervious surfaces in Hospital are cleaned without use of cleaning chemicals System successfully reduced cleaning chemical usage by more than 70%System successfully reduced cleaning chemical usage by more than 70% All products of system are re-usableAll products of system are re-usable Significantly reduced thousands of gallons of effluent-conservative estimation of 50 to 60 thousand gallons per year.Significantly reduced thousands of gallons of effluent-conservative estimation of 50 to 60 thousand gallons per year. Translates to a reduction of about 330 thousand gallons over 5 years.Translates to a reduction of about 330 thousand gallons over 5 years. Reducing municipal energy and resources required to treat contaminated waterReducing municipal energy and resources required to treat contaminated water Overall, ACT system has a very positive impact on the environment.Overall, ACT system has a very positive impact on the environment.

14. The 4Es of a Revolutionary Cleaning System Economical Act System saves York Central Hospital $17,000 to $20,000 annually (a reduction in cleaning chemical usage) System products last longer (with proper use can last over 5 years) than traditional cleaning products Water not wasted on inefficient cleaning techniques Due to ease and efficiency of techniques, light ergonomically sound cleaning tools of system, staff is 30 to 40 percent more productive ACT system is healthier for patients and staff Odours and chemical residue can cause minor to serious allergic reactions With use of ACT system, no odours or chemical residue thus a marked reduction in allergy problems

15. The 4Es of a Revolutionary Cleaning System Effective ACT system effectively removes soil, dirt and microorganisms Unique cleaning power of ACT products due to fineness and shape of micro-fibres and fibre weave Traditional cleaning methods/techniques actually smear dirt/grime and chemical residue around They get surfaces only 70% clean; ACT methods get them 99% clean Fact-effective physical removal of dust/dirt from smooth and impervious environmental surfaces is best for minimizing risk of cross-contamination Proven by our repeated bacterial audits, ACT system dramatically reduces surface bacteria!

16. The 4Es of a Revolutionary Cleaning System Ergonomic ACT system tools are light and ergonomically designed They promote comfortable, safe and easy cleaning Small spray bottles containing only water, combined with light floor mops and hand tools, replace heavy mops and pails Mops and hand tools easily adjust to staff members height Lightweight, adjustable tools allow staff access to hard-to- reach surfaces and fixtures with very little effort Potential for repetitive strain injuries are minimized, consequently reducing staff absenteeism Ergonomic considerations make work safer, easier and more pleasant

17. Opportunities for Greening Health Care and the Environmental and Economic Benefits of the ACT-tex Ultra Micro fibre Revolutionary Cleaning System Conclusion Opportunities for Greening Health Care are found in the official definition of Pollution Prevention Its benefits are real and tangible P2 is a voluntary practical approach available to all who are committed to reducing our environmental footprint Our claims of being environmentally friendly must be supported by deliberate and decisive positive impact on our environment

18. Opportunities for Greening Health Care and the Environmental and Economic Benefits of the ACT-tex Ultra Micro Fibre Revolutionary Cleaning System Without such a deliberate and conscientious effort, sustainable development is not possible! Having most sophisticated system(s) in place for managing pollution after we have created it, is not only the least sensible thing to do but the most costly as well! We are very proud to be the first Hospital/Health Care Centre in North America to implement this revolutionary system. Our Environmental Services staff are equipped with tools and equipment that enable them to personally contribute to the conservation of our natural environment!

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