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North Shore LIJ Health System
Environmental Assessment:
MOU SemiAnnual Report
November 22, 2010
Environmental Protection Agency
Region 2
Andrew Bellina, PE
Senior Policy Advisor
212-637-4126
Jose Pillich
Michael Wanser
Research Analysts

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Accomplishments
Reductions of 8,055 MTCQ2e
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Clean Energy
Energy Efficiency
Water Efficiency
Recylcling & Waste Reduction
Cleaner Vehicles 4 Construction
Landscaping
Composting
Memorandum of Understanding
On April 21, 2010, North Shore LIJ Health System signed a
Memorandum of Understanding (MOU) pledging to become an
environmental steward by implementing a number of green initiatives
that would reduce its carbon footprint and further improve our planet's
environment. This partnership with the United States Environmental
Protection Agency (EPA) and North Shore LIJ Health System has
resulted in reducing energy, water and solid waste production across
their operations.
Reduction in Environmental Footprint
North Shore LIJ Health System has provided an update
documenting its green initiatives. The EPA has analyzed
the submitted information and generated an environmental
footprint reduction estimate for the organization. Due
to the progressive green efforts of the organization, the
hospital has managed to reduce its carbon footprint by
8,055 MTC02e*.
Environmental
Metrics
Total Sector
(MTC02e)
Cost
Savings
Energy Conservation
4,880.7
$765,610
Solid Waste
2008.5
$69,760
Water Conservation
1,166.4
$98,600
Total (MTC02e)
8,055.6
$933,970
"Metric Ton Carbon Dioxide Equivalent
Environmental Metrics
Cost Savings
So id
Waste
Energy
1,000 2,000 3,000
MTC02e Reduction
So id
Waste
Water
$200,000 $400,000 $600,000
Dollar Savings
Continuous Improvements
The environmental footprint reduction generated for North Shore LIJ Health System is an estimate based on current
knowledge. Certain environmental data points cannot be converted to carbon dioxide equivalents because scientific
models do not currently exist. As calculation methodologies improve, future environmental assessments wiil be updated
to include any new greenhouse gas reduction estimates.

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Accomplishments
Reductions of 8,055 MTCQ2e
Greenhouse Gas Equivalencies
What does the reduction of 8,055 MTC02e represent ?
The organization's effort is equivalent to any of the following:
• Carbon dioxide emissions from 335,625 propane
tanks used for home barbeques
• Carbon dioxide emissions from gasoline carried by 108
tanker trucks


• Carbon dioxide emissions from burning 42 railcars'
worth of coal



—A
: I
Annual greenhouse gas emissions from 1,540 vehicles
Carbon dioxide emissions from 906,074 gallons of gasoline
Carbon dioxide emissions from 18,733 barrels of oil
consumed
Carbon dioxide emissions from the energy use of 686 homes
for one year

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Environmental Metrics
MOU
Signing
Nov 2010
Update
Total Conversion
(MTC02e)
Cost
Savings





Energy Conservation/Energy Star




Total Savings (MTC02e)

4,880.7
4,880.7
$765,610
Miscellaneous Energy Conservation

3,100,000 kwh
2,159.7
$319,610
HVAC, Chiller & Electrical




Bulb Replacement (energy saving from bulb replacement)

10,000 bulbs
348.3

Gas Savings

446,000 therms
2,372.7
$446,000
Fuel Oil Savings









Alternative Energy




Total Savings (MTC02e)


0.0
$0
On-Site Solar




On-Site Wind




On-Site Geothermal




On-Site Combined Heat and Power

4 plants


Purchase of Green Energy/Green Power









Water Conservation/WaterSense




Total Savings (MTC02e)

1166.4
1,166.4
$98,600
Miscellaneous V\foter Conservation

34,000,000 gal
1,166.4
$98,600
Low Flow/Hands Free Faucets




Low Flow Toilets




Low Flow Shower Heads




Low Flow Urinals




Waterless Urinals









Solid Waste/Industrial Materials Reuse/Green Products




Total Savings (MTC02e)

2008.5
2,008.5
$69,760
Mixed Recyclables (includes V\fostewise)

579 tons
1,719.6
$23,160
Reduction/Green Products




Re-Use/Purchase of Materials with Recycled Content




Pallets Waste Avoided/Wood Recycled




Use of Recycled Steel during Construction




Use of Recycled Plastic during Construction




Use of Recycled Aluminum during Construction




Use of Recycled Concrete during Construction




Use of Coal Combustion Products - Katz Women's Hospital




Recycled C&D Waste (masonry/wood/sheetrock/fines)

1,165 tons
288.9
$46,600
Cardboard (construction/non-construction/sharp containers)




Mixed Metal (construction/non-construction)




Paper, Mixed




Plastic, Mixed (bottles,construction/non-construction .sharp containers)




Food Donation (\Naste diversion)




Fluorescent Bulbs




Ceiling Tiles Recycled




Carpet Recycled




Waste Oil Recycled




Magazines / Third Class Mail




Newspapers




Office Paper




Textbooks




Fly Ash




Aluminum Cans




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Environmental Metrics
MOU
Signing
Nov 2010 I Total Conversion
Update | (MTC02e)
Cost
Savings





Glass




HDPE









Green Landscaping




Total Savings (MTC02e)


0.0
$0
Green Roofs




Porous Pavement




Grass




Low / No Mow Area




Re-use of Collected Stormwater




On-Site Use of Compost




Moisture Sensing Sprinklers




Number of Trees




Acres of Trees




Reflective Roof




Synthetic Turf




Native Plants









Electronics/EPEAT




Total Savings (MTC02e)


0.0
$0
Recycling of Electronics




Re-Use/Donation of Used Computers




Toner/Ink Recycling and Use of Recycled Ink




Battery Recycling




Purchase of EPEAT Products









Mass Transit




Total Savings (MTC02e)


0.0
$0
Miles Avoided









Transportation




Total Savings (MTC02e)


0.0
$0
Hybrid Vehicles




Electric Vehicles




Alternate Fuel Vehicles




Biodiesel Vehicles




Clean Construction Vehicles




LNG Vehicles




Smartway Transporters




Bike Racks









LEED Projects




Total Savings (MTC02e)


0.0
$0
Silver -10%




Gold -17%




Platinum - 20%









MTC02e Savings




Total (MTC02e)
0.0
8,055.6
8,055.6
$933,970
Energy
0.0
4,880.7
4,880.7
$765,610
Water
0.0
1,166.4
1,166.4
$98,600
Solid V\foste
0.0
2,008.5
2,008.5
$69,760
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Health System
North Shore-Long Island Jewish
PRO^
2010
North Shore LIJ Health System Additional
Green MOU Accomplishments and Cost Savings
Since the North Shore - LIJ sustainability Program officially started in April 2010, it has achieved notable progress towards the goal of making all
aspects of the health system as environmentally responsible as appropriate. The North Shore - LIJ sustainability Council successes include:
-	The introduction of a comprehensive recycling program at each hospital, under which provision has been made throughout each facility for the
separation and collection of recyclable materials.
-	An in-service training program is being developed for the employees at each hospital to learn about the proper disposal of the several waste streams
so as to minimize waste and increase the amount of waste that can be separated and recycled.
-	Each hospital, under the EPA WasteWise Program, is analyzing each waste stream and will develop a plan to further reduce the volume of the waste
streams and to focus on those waste streams that are most susceptible to recycling.
-	North Shore - LIJ is also working in close collaboration with the Procurement Department in order to be able to purchase cleaning supplies and floor
care supplies that are packaged in environmentally responsible packaging. For example, while the Health System previously bought floor finish, sealer
and wax packaged in five gallon plastic pails, the Procurement Department, in collaboration with their Environmental Services team, now receives
these items packaged in small cardboard boxes with a thin plastic bladder which is much easier to dispose of and is biodegradable.
-A micro-fiber mop system has also been instituted. There are two important benefits to this approach, which is different from the traditional method
of cleaning hospital rooms with cotton mops. This technique is not only more sustainable, it also improves disinfection of hospital rooms, which
has made it a preferred approach to professionals in the Health System with oversight over infection control. This should also lead to a noticeable
reduction in the usage of floor care products. The way the micro-fiber mop is manufactured requires less saturation of the mop than the conventional
cotton mop. The mop is used once, whether in one patient room or similar space; after which the mop heads are properly stored and then cleaned and
sanitized so they can be reused. This greatly reduces the chances of infections spreading through cross contamination, which were much higher with
the cotton mops.
-	The Health System has partnered with the US Drug Enforcement Administration's first Drug Take-Back Day on Saturday, September 25, 2010. This
program helps to reduce the amount of unused prescription drugs that currently enters landfills and drinking water systems.
-As an Energy Star Partner, a comprehensive energy management strategy has been implemented at North Shore University Hospital at Manhasset.
This initiative included but was not limited to the installation of a new energy efficient chiller, new variable speed pumping systems, computerized boiler
control systems as well as a complete lighting retrofit program. Implementation of energy conservation measures is ongoing at Franklin and there are
plans to continue implementation at the other Health System sites.
-	North Shore - LIJ is working closely with their engineers and lighting designers to design daylight harvesting systems to help reduce direct energy
use by lighting fixtures as well as reducing the cooling load of the facilities. It is expected that this lighting control modality will become the system
standard for all new and retrofit projects when applicable.
-	Occupancy sensors have been installed on all spaces in which this technology is appropriate to the occupancy. Lighting sensors help control both
energy use and lighting pollution.
-	Detailed Energy Star audits have been completed at seven hospital sites; Manhasset, Long Island Jewish, Franklin, Glen Cove, Plainview, Staten
Island and Syosset.
-	A Sustainability Working Group has been established to organize and administer the EPA Green MOU programs. Task Forces on Waste Reduction,
Energy Efficiency and Communications have been organized and held meetings.
-	The Health System is committed to pursuing LEED certification for all projects that fall under the Green Building Design and Construction Rating
System, as well as substantial projects which fall under the Interior Design and Construction Rating System. Currently, more than 25 projects have
been registered for certification. We are beginning to seek certification on our existing building stock through the Green Building Operations and
Maintenance Rating System. It is anticipated that Glen Cove Hospital will become the pilot facility for this effort. Glen Cove Hospital has recently
achieved the highly regarded Energy Star Award for superior energy efficiency for the second year in a row.
-	North Shore - LIJ is currently reviewing proposals from photovoltaic installation companies for potential demonstration projects at Health System
facilities. Potential projects include a 50 KW rooftop arrays and a "car port" style ground and/or garage mounted arrays that could be integrated with
electric car charging stations.
-	The Health System has 4 combined heat and power plants that capture waste heat and uses it for steam that would otherwise be exhausted to the
atmosphere. They have also joined the EPA Combined Heat and Power Program.
- North Shore - LIJ is also investigating the use of on-site food waste digesters that will eliminate most food waste from the solid waste stream.

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