This document discusses leadership strategies for greening hospitals. It begins by describing the leadership shown by Yonsei University Health System in Korea, which established a green task force and implemented initiatives like a building energy management system and greenhouse gas reduction programs. It then discusses the Korean government's support for green hospitals through partnerships and funding. Finally, it outlines the academic leadership of the Korea Society for Green Hospitals in sharing best practices through conferences.
1. How to lead and achieve
results in hospital greening?
Dong Chun Shin, MD, PhD
Professor/Director, Department of Preventive Medicine
/Institute of Environmental Research,
President, Korea Society for Green Hospitals
dshin5@yuhs.ac
4. #LowCarbonHealthCare
Types of Leadership
• Charismatic leadership
: Mahatma Gandhi/ Adolf Hitler/ Martin Luther King Jr.
: Prime Minister Tony Blair/ George Wallace (Governor)
• Transactional leadership
: create concrete incentives to influence followers’ efforts and set out rules
that relate work to rewards.
• Transformational leadership
: induce followers to transcend their self-interest for the sake of the higher
purposes of the group that provides the context of the relationship
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•Contextual intelligence
: a capability to discern trends in the face of complexity
and adaptability while trying to shape events
•Smart leadership
: Effective leaders combine the use of “hard power” –
which is commanding – and “soft power” – which is
persuasive – as circumstances dictate, to achieve “smart
power.”
Types of Leadership
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Lead True-Chapter 11
Gary Cohen
•Founder and president of HCWH
•He struggled for 20 years
•Best products to both patients and environment
•To decrease negative footprint of the healthcare
industry on the environment
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Gary Cohen
•He has the courage and durability
To live true to his values
To pursue monumental change
Regardless of the consequence
•Champion in a situation
with little help and massive resistance
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Content
Greening Leadership in Yonsei University
Health System(YUHS)
Governmental Leadership in Hospital
Greening in Korea
Academic leadership by the Korea Society for
Green Hospitals(KSGH)
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Yonsei University Health System as
the first modern hospital in Korea
“The history of Yonsei University Health System
is the history of medicine in Korea.”
Yonsei University Health System(YUHS) was founded
in 1885 as the first modern medical institution in
Korea by the American medical missionary, Dr.
Horace N. Allen.
Chejungwon, 1885 Severance Hospital, 1900 Severance Hospital, 1962
Severance Hospital, 2017
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Yonsei University Health System
as one of large hospital in Korea
1. Severance
Hospital
Cancer Center
Rehabilitation
Hospital
Cardiovascular
Hospital
Eye & ENT Hospital
Children’s Hospital
2. Dental Hospital
3. Gangnam
Severance Hospital
Cancer Hospital
Spine Hospital
Dental Hospital
4. Yongin Severance
Hospital
5. Wonju Severance
Christian Hospital
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Yonsei University Health System as
one of large hospital in Korea
8,286 employees
(1,554 physicians)
64,087 cases of
operations/year
3,362 beds 14,410 outpatients/day 3,069 inpatients/day
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Yonsei University Health System as a
Green Hospital
• Domestic
• Green Hospital Task Force : Each team(purchasing, facility, building, customers)
reports green hospital activities.
• Participation in the Green Management Project supported by the
government(Ministry of Environment and Korea Environment Industry and
Technology Institute)
• Founding Secretariat for the Korean Society of Green Hospitals
• International
• Member of Global Green & Healthy Hospitals Network
• GGHH Connect Asia-Pacific region
• International conference : CleanMed, Green Hospitals-Asia
• Case study : Energy, Water
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Green Hospital Program
Implement BEMS(Building Energy Management System) based on IT system
Eliminate all mercury-containing medical devices and minimize other toxic chemicals
Introduce green purchasing guidelines
Adequate water and waste treatment and reuse
Established TFT comprising each relevant sector for leadership
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• Ongoing management for greenhouse gas and energy savings,
using based on IT system
• Real-time monitoring and analyzing for energy
2. Building Energy Management System
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LED Solar light
• Power-saving
programs in cooling
and heating facilities
• Save 10% of energy
consumption
• LED in the parking
lots
• Number : 544
• Save about 60,000
dollars every year
• Solar light powered
street lamp
• Number : 8
• Save about 500
dollars every year
BEMS
Power-saving
sensors
• Power-saving
sensors in restrooms
• Number : 200
• Save about 50,000
dollars every
2. Building Energy Management System
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- Decrease in amount
of disposal
- Decrease in power
consumption
- Easy to handle
- Decrease in power
consumption
2. Building Energy Management System
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3. GHG(Green House Gas) Management
•Power-saving programs in cooling and
heating facilities
GHG amount : 31,812ton CO2-eq/year
< Before >
GHG Reduction : 947ton CO2-eq/year
< After >
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3. GHG(Green House Gas) Management
Temperature Maintenance
Summer : 26~28℃ / Winter : 20~23℃
GHG Reduction : 3,085ton CO2-eq/year
Escalator Power Saving Mode
GHG Reduction : 84ton CO2-eq/year
PC Power Saving Mode/Lighting Control
GHG Reduction : 566ton CO2-eq/year
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Low-E glass
Low-E glass installed in the YONSEI Cancer Center
GHG Reduction : 2,123ton CO2-eq/year
Boiler Washing
GHG Reduction : 742ton CO2-eq/year
Eco-pully
Eco-pully applied in the YONSEI Cancer Center
GHG Reduction : 538ton CO2-eq/year
3. GHG(Green House Gas) Management
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High Efficient Equipment
(Motor & Electric transformer)
GHG Reduction : 457CO2-eq/year
Electric power production used Solar battery
Solar power plant(20kW) installed on the rooftop of YONSEI Cancer Center
Outdoor lamp(60kW × 7ea) around the YONSEI Cancer Center
GHG Reduction : 15ton CO2-eq/year
3. GHG(Green House Gas) Management
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• Among 239 Mercury sphygmomanometers, 205 were replaced with mercury-
free from 2012.
Type and amount of sphygmomanometers purchased (Jan-Aug,
2013)
4. Chemicals
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ID band: PVC ID band: Tyvek
Recyclable
No hazardous gas when incinerated
Cost reduction by 74%
4. Chemicals
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Green Purchasing Guidelines
- To purchase eco-friendly goods for environmental
conservation
- Green purchasing cases: Flash CT, Symbia T6 and T16
• Save 45% of energy
• Decrease radiation by
50% (safer)
• Save 6% of energy
• Decrease noise by 7dB
5. Purchasing
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Waste Water Management System(Main building B1)
Amount of waste water by source
Lavatories : 534,000L per day
Patient-care-related rooms(+ER, OR) & Laboratory : 261,000L per day
Mimetic diagram of waste water
treatment processes
Monitoring the operating status and
pH of waterControl Center
6. Water & Waste
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RECYCLING WATER SYSTEM(applied since 2005)
Used water from
sink in lavatory
Treatment for water reuse
Toilets Gardening
Recycled water generated : 360,000L per day
Recycled water quality : YUHS’s standard (stricter than
corresponding Act)
Water quality measurement by Institute of Environmental
Research twice a year
Activated carbon replaced four times a year
Treatment process including catalytic oxidation, filtration,
disinfection
6. Water & Waste
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Benefit
Water saving
Water supply cost saved
Approximately $ 164,265 saved in 2016
Future Plans
Strengthening water quality management
Groundwater use as recycled water
More various use : cooling water, car wash, fire control
Increasing the amount of water recycled
RECYCLING WATER SYSTEM
6. Water & Waste
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Management process of medical waste
Hospital Transportation Incineration
Ministry of
Environment
Korea Environment
Corporation
Local Office of
Environment
Data
query
Data
Transmissio
n
Data Data
6. Water & Waste
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Target to reduce GHG emissions 30% by 2020
Annual energy savings : $1.6 million
Replaced old heating/air conditioning equipment
Changed all lights at fire exits to LED
Switched to high efficiency transformer
Increased thermal efficiency of boiler and refrigerators
Installed solar powered streetlights
Controlled supply of air conditioning and heating during summer/winter seasons
Distributed energy reduction guide and regulations
Air conditioning system renovations
Benefit from GHG Management
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Reducing our own carbon footprint and fostering low carbon
Educating staff and public while promoting policies to protect public
health from climate change
We will continue to work to implement energy efficient measures
Energy efficiency improvement through replacement of old equipment
Using environment - friendly building materials
Leading the Way to Low-Carbon Future through Greenhouse
Climate Leadership, Mitigation, and Resiliency
• Promotion Plan
Plan for GHG Management
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Green Hospitals in Korea
• Ministry of Environment & KEITI
(Korea Environmental Industry & Technology Institute)
• Over 37 Hospital signed the MOU for spreading of Green Hospital
• Consulting Education Campaigns Support Fund
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• Promotional weeks for green hospital(twice a year)
• Concentrated pursuit of production and distribution of poster,
implement of campaigns for reduction in in leftover foods and energy-
savings and environmental education
Dissemination Model of Green Hospitals in
Korea Sharing of outcomes
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Share value and vision by
transformational leadership
Just Save Money?
Just Event?
Just Recycle?
In Korea, Green Hospitals??
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“2014 Korea Green Hospital International Seminar”
(November, 2014)
“The 1st Conference of
Korea Society for Green Hospital”
(August, 2013)
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“Asia Hospitals Responding to Climate Change”
(October, 2015)
Second Global Green and Healthy
Hospitals Asia Conference
Sharing country experiences on greening health
systems
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Challenges so far
• Low level of understanding even among healthcare workers
-> more promotion and sharing information
• Primarily concentrating on energy section
-> leadership with environmentally comprehensive view
• Lack of research – low level of interests among academics
-> stimulate research activities through KSGH
• Lack of data to analyze(e.g. indoor air quality)
