1. A Program of Our Sponsors An Introduction to Greening Health Care Working together for healthier communities

2. The Living City The Living City is a collaborative initiative among business, communities, governments and other stakeholders to create and deliver programs that achieve significant, measurable change in the sustainability of city regions Under this sustainable community banner, hospitals are invited to work together through Greening Health Care towards excellence in energy efficiency and environmental management This collaborative model is being extended to hospitals across Ontario

3. Energy & Environmental Performance Energy use and environmental impact of a hospital facility are determined by the nature and scale of its services; facility design, condition and operations; and the actions of staff, patients and visitors [ Design [ Age & condition [ Retrofits [ Operations [ Maintenance [ Actions by staff, patients & visitors [ Hospital type [ Hospital services [ Medical equipment

4. Greening Health Care A program to help hospitals work together to improve energy and water use efficiency, lower emissions of solid waste and pollution, and be recognized for fiscal and environmental stewardship Workshops Benchmarking Funding & Resources lower energy & operating costs reduced environmental impact infrastructure renewal government & utility funding fiscal & environmental stewardship

5. Participating Hospitals (June, 2005) Baycrest Centre for Geriatric Care Markham Stouffville Hospital North York General Providence Centre Rouge Valley HS Scarborough Hospital St. Joseph's Health Centre St. Michael's Hospital Sunnybrook & Women's College Health Sciences Centre Toronto Rehabilitation Institute University Health Network West Park Healthcare Centre York Central Hospital

6. Working Together Greening Health Care Website  utilities management system  performance benchmarking  best practices checklists  energy targeting and action planning  monitoring actual savings  on-line utility budgeting and analysis tools  networking

7. Benchmarking Benchmarking energy and water use and waste production identifies best practices, and highlights opportunities for savings  energy  water  waste  load factor  power factor  annual trends  seasonal patterns Overall Change +6,092,863 ekWh +4.2% Year 2 vs. Year 1

8. Peer Learning [ facilitated workshops [ sharing knowledge with peers [ engagement with technical experts [ action plan development [ review and analysis of savings [ problem-solving [ networking

9. Collaborative Projects Where common opportunities are identified, collaborative projects are developed:  participant-directed  evaluation of new technologies  auditing and implementing common measures  engaging product and service suppliers and funding agencies  shared resources  economies of scale  group purchasing

10. Keeping the Score Monitoring actual monthly savings, normalized for weather and pricing differences, highlights successes

11. Recognition Awards Program Reporting Newsletters Media Events [ demonstrating and celebrating fiscal and environmental leadership within each hospital, to governments, and to local communities Most energy efficient hospitals in 2004: West Park Healthcare Centre (chronic care) and Scarborough Grace Hospital (acute care)

12. For more information on Greening Health Care or The Living City, contact: For more information on Greening Health Care or The Living City, contact: Bernie McIntyre Toronto & Region Conservation (416) 661-6600 Ext 5326 bernie@thelivingcity.org