EPA Hospitals Newsletter

Look to this page to find the upcoming events for hospitals sent out by Janet Bowen from the EPA. To subscribe to this newsletter send an email to Bowen.Janet@epa.gov.

May 31, 2012

Check out item #20. EPA RICE webinar on 6/14/12 is full. Two new dates were added.

Announcements
1. Last Chance: EPA Rain Garden training: June 7&8, 2012 at Brockton VA – Consider forwarding to appropriate staff of attending yourself!
2. Healthier Hospitals Initiative (HHI) – New England hospitals participating 

Regulatory Updates
3. Reciprocating Internal Combustion Engine (RICE) NESHAP and NSPS, proposed rule changes, 5/22/12
4. Area Source Boiler NESHAP Tune-up Guides
5. EPA Inaction in Identifying Hazardous Waste Pharmaceuticals May Result in Unsafe Disposal, 5/25/12
6. New Permit for Stormwater Discharges from Construction Sites, Webinar Materials

Tools/Resources
7. EPA CHP fact sheet: Waste Heat to Power Systems, May 18, 2012
8. EPA Launches New Green Infrastructure Website
9. MD H2E May 2012 News Roundup

Articles/Press Releases
10. Hospital hit over waste disposal rule State fines $205,000 for violation, 5/31/12
11. Measuring Sustainability, 5/1/12 (for food service)
12. IRS allows hospitals to claim credit for environmentally responsible activities, 6/1/12
13. Healing gardens benefit hospital patients, families, staff, 5/13/12
14. Healthy Interiors: If These Walls Could Talk, 5/15/12
15. Connecting Sustainability to the Healthcare Mission, 5/17/12
16. LED fixture manufacturers target health care facilities, May 2012
17. Research Opens Doors to UV Disinfection Using LED Technology, 5/15/12
18. Finding the Safer Alternative, 5/24/12
19. Choosing A Safer Disinfectant, 4/18/12

Upcoming Webinars
20. Save the Dates: Two Webinars Added! EPA Webinars on Engine Regulations and Proposed Rule Changes June 14, 20, 25, and 28, 2012
21. Policies to Prevent Pharmaceutical Waste: Looking at Sample Waste, 6/4/12, 1-2 EST
22. Webinar-The Autism Revolution: Thinking about environment and food, 6/11/12, 3pm EST

Disclaimer: Some of the events, articles and websites listed in this email are not sponsored by EPA. EPA is listing them for your information only. EPA is not responsible for their content and does not endorse any commercial product, service, enterprise, or policy that may be included. 

Announcements

1. Last Chance: EPA Rain Garden training: June 7&8, 2012 at Brockton VA – Consider forwarding to appropriate staff of attending yourself!
Hospitals have a unique opportunity to connect patients and staff to nature through healing gardens that can also be designed to manage stormwater. It would be great if more hospitals incorporated rain gardens and other sustainable landscaping into your site planning. I encourage you or someone from your hospital that works on grounds/landscaping to attend this free EPA training. I promise you will get your hands dirty and leave inspired! 

At the training, you will learn how to site, size, design, install and maintain rain gardens to reduce stormwater runoff and help improve our waterways. 

Location: Brockton, MA at the VA Medical Center 
Time: Thursday June 7th from 9am-4:30pm and Friday June 8th from 8:30am-12pm.

Please e-mail your contact information (name, facility, telephone, fax, address, and email) as soon as possible to Marie Iacono, EPA Federal Facilities Program at iacono.marie@epa.gov Additional questions, please call Anne Fenn, Federal Facilities Program Manager at(617) 918-1805 or Myra Schwartz, Assistance and Pollution Prevention at (617) 918-1696.

2. Healthier Hospitals Initiative (HHI) – New England hospitals participating 
The Healthier Hospitals Initiative (HHI) is a national campaign to implement a completely new approach to improving environmental health and sustainability in the health care sector. Eleven of the largest, most influential U.S. health systems, comprising over 475 hospitals with more than $20 billion in purchasing power, worked with Health Care Without Harm (HCWH), the Center for Health Design and Practice Greenhealth to create HHI as a guide for hospitals to reduce energy and waste, choose safer and less toxic products, and purchase and serve healthier foods. 

To join, go to http://healthierhospitals.org/get-involved/enroll-now 

There are already several New England hospitals signed on including: Partners HealthCare (MA), Bradley Hospital (RI), Norwalk Hospital (CT), Leonard Morse Hospital (MA), Framingham Union Hospital (MA); Yale New Haven Hospital (CT), Covenant Health Systems and Beth Israel Deaconess Medical Center (MA).

Regulatory Updates

3. Reciprocating Internal Combustion Engine (RICE) NESHAP and NSPS, proposed rule changes, 5/22/12
On May 22, 2012, the EPA Administrator signed proposed rule changes to the Reciprocating Internal Combustion Engine (RICE) NESHAP and NSPS. To get a copy of the signed proposed amendments and fact sheet visit: http://www.epa.gov/ttn/oarpg/new.html

4. Area Source Boiler NESHAP Tune-up Guides
EPA HQ posted a Tune-up Guide for Owners & Operators and a Tune-up Guide for Technicians. To find these documents, visitwww.epa.gov/boilercompliance and look under “More Information” or see these direct links below: 
http://www.epa.gov/ttn/atw/boiler/imptools/tune-up_guide.pdf 
http://www.epa.gov/ttn/atw/boiler/imptools/boiler_tune-up_guide-v1.pdf 

5. EPA Inaction in Identifying Hazardous Waste Pharmaceuticals May Result in Unsafe Disposal, 5/25/12
http://www.epa.gov/oig/reports/2012/20120525-12-P-0508.pdf

6. New Permit for Stormwater Discharges from Construction Sites, Webinar Materials
EPA issued a new permit for stormwater discharges from construction sites. The 2012 construction general permit (CGP) is required under the Clean Water Act and replaces the existing 2008 CGP that expired February 15, 2012. The new permit includes enhanced protections for surface waters, including provisions to protect impaired and sensitive waters. It also provides new flexibilities for operators, e.g. for emergency projects. The permit is effective where EPA is the permitting authority: Idaho, Massachusetts, New Hampshire, New Mexico, Washington, D.C., and most U.S. territories and in Indian country lands. For more information, webinar materials, and webinar recording see http://cfpub.epa.gov/npdes/stormwater/cgp.cfm .

Tools/Resources

7. EPA CHP fact sheet: Waste Heat to Power Systems, May 18, 2012
Waste Heat to Power Systems” provides facility managers, developers, and other interested parties with an overview of WHP’s technical and economic potential and a summary of market factors. Specifically, the paper includes: 

· Introduction to WHP and a description of key WHP technologies
· Key factors that affect the economic feasibility of WHP in the industrial sector
· Description of the most promising industrial sector WHP applications
· Typical installed costs and generating costs for WHP
· Current market penetration of WHP systems in the United States 
· Market barriers to WHP
· Case studies of successful WHP projects
To view, go to: http://www.epa.gov/chp/documents/waste_heat_power.pdf 

8. EPA Launches New Green Infrastructure Website
EPA’s Office of Water is pleased to announce the release of its new Green Infrastructure website to better communicate the principles and practice of green infrastructure to municipalities, developers, and the general public. Designed to be a one-stop shop for resources on green infrastructure that features improved navigability and up-to-date content, site offers a wealth of publications and tools developed by EPA, state and local governments, the private sector, non-profit organizations, and academic institutions. The new content emphasizes the multiple environmental, social, and economic benefits associated with green infrastructure. The new site also provides access to the latest research developed by EPA’s Office of Research and Development.

To view, go to http://water.epa.gov/infrastructure/greeninfrastructure/index.cfm#tabs-1 

9. MD H2E May 2012 News Roundup
MD H2E continues to be in awe of the sustainability work being done in Maryland hospitals and is eager to see (and help support) what comes next! In this edition:· Anne Arundel Medical Center Trailblazer Event Recap
· Maryland Hospitals Donate Scrubs Overseas
· Submit an abstract to MD H2E November Conference
· A Look at Earth Day Celebrations throughout Maryland
· Hospital Leadership Support Crucial in Going Green
· 2012 Practice Greenhealth Award WinnersView at: http://mdh2e.org/wp-content/uploads/2012/05/MDH2E-May-2012-News-Roundup.pdf

Articles/Press Releases

10. Hospital hit over waste disposal rule State fines $205,000 for violation, 5/31/12
Concord Hospital will pay $205,000 in fines for hazardous waste violations that included disposing of medications in the trash instead of handling them separately, according to a settlement it reached with the state last week. The hospital is the first health care facility in New Hampshire to face civil penalties for this type of violation, said Senior Assistant Attorney General Allen Brooks. 
http://www.concordmonitor.com/article/332887/hospital-hit-over-waste-disposal-rule?CSAuthResp=1338464352%3A9r5idfl1b4us5ri20m2270mhb7%3ACSUserId%7CCSGroupId%3Aapproved%3A6FD35CB5B7D6DA44007AE7565717A99E&CSUserId=94&CSGroupId=1 

11. Measuring Sustainability, 5/1/12 (for food service)
Taking steps toward developing a sustainable foodservice operation is not nearly as difficult or intimidating as it once was. To borrow a comparison from the fashion industry, few would argue with the assertion that green has become the new black in foodservice the past three or four years. And the popularity of green continues to grow as many operators begin to track their results and realize a positive return on their investments, which can lead to the introduction of more black — this time in the form of ink on a balance sheet. Simply put: The more foodservice operators can quantify their sustainable success, the more they want to do in this area.

Conducting energy audits, including simply comparing year-to-year utility bills, represents one component of measuring sustainability. But today’s operators can take advantage of other opportunities for more detailed sustainability measurement.

To view the article, go to: http://fesmag.com/features/foodservice-issues/9802-measuring-sustainability

12. IRS allows hospitals to claim credit for environmentally responsible activities, 6/1/12
http://www.chausa.org/Pages/Publications/Catholic_Health_World/Catholic_Health_World_Archive/2012/June_1/IRS_allows_hospitals_to_claim_credit_for_environmentally_responsible_activities/

13. Healing gardens benefit hospital patients, families, staff, 5/13/12
http://multibriefs.com/ViewLink.php?i=4fb15b0bddcf4

14. Healthy Interiors: If These Walls Could Talk, 5/15/12
http://www.healthcaredesignmagazine.com/article/healthy-interiors-if-these-walls-could-talk?spMailingID=39218841&spUserID=NzYwMTE0NDMwS0&spJobID=143576245&spReportId=MTQzNTc2MjQ1S0 

15. Connecting Sustainability to the Healthcare Mission, 5/17/12
http://multibriefs.com/ViewLink.php?i=4fba89b271922

16. LED fixture manufacturers target health care facilities, May 2012
http://www.hfmmagazine.com/hfmmagazine_app/jsp/articledisplay.jsp?dcrpath=HFMMAGAZINE/Article/data/05MAY2012/0512HFM_FEA_Marketplace&domain=HFMMAGAZINE

17. Research Opens Doors to UV Disinfection Using LED Technology, 5/15/12
http://multibriefs.com/ViewLink.php?i=4fba8a9d1038a 

18. Finding the Safer Alternative, 5/24/12
http://www.healthcaredesignmagazine.com/blogs/shandi-matambanadzo/finding-safer-alternative

19. Choosing A Safer Disinfectant, 4/18/12
http://www.cleanlink.com/cp/article/Choosing-A-Safer-Disinfectant–14212?source=CL-Homepage-#1-052112

Upcoming Webinars

20. Save the Dates: Two Webinars Added! EPA Webinars on Engine Regulations and Proposed Rule Changes June 14, 20, 25, and 28, 2012

June 14 webinar is full! Please consider switching to another date!

This two-part webinar summarizes EPA regulations for stationary reciprocating internal combustion engines (RICE) and potential revisions. Identical webinars will be presented: on Thursday June 14 from 1:00 p.m. to 3:30 p.m. Eastern Daylight Time; on Wednesday 20, 2012, from 1:00 p.m. to 3:30 p.m. Eastern Daylight Time; on Monday June 25, from 12:30 to 3:00 p.m. Eastern Daylight Time; and on Thursday June 28, from 12:30 to 3:00 p.m. Eastern Daylight Time. 
The latter two webinars have been added due to unprecedented high demand and because the June 14 event is full and over-subscribed. The June 20 is event is nearing capacity.

Important Note: If you are registered for June 14 and can switch to the June 25 or June 28 date that will help reduce the demand on the June 14 and 20 events and allow us to accommodate everyone. Unfortunately, the webinar registration system does not stop registering participants once the 1,000 person capacity has been reached. Therefore, you may receive confirmation of your registration even though the program has been over-subscribed. The first 1,000 people to log on to a webinar will be able to participate. 

Under these regulations facilities with stationary emergency engines must track their use to avoid exceeding annual hourly limits on non-emergency use. Some non-emergency stationary engines will be subject to emission limits and stack testing requirements in 2013, and needed to submit initial notifications that were due in August 2010 for diesel engines and February 2011 for gasoline and gas-fired engines (see http://epa.gov/region1/rice/).

Melanie King, the RICE rule writer, will first explain EPA’s National Emission Standards for Hazardous Air Pollutants (NESHAP) and New Source Performance Standards (NSPS) for stationary RICE. At 2:00 p.m. she will discuss changes to them that EPA has proposed. Roy Crystal of EPA Region 1 (New England) and Heather Valdez of EPA Region 10 (Pacific Northwest) will then explore compliance issues in rural Alaska and for other sectors. They will also present tools for compliance. The webinars will include questions and answers.

These events are free but space is limited. To register go to:

June 14: full/oversubscribed (please do not register)

June 20: https://www2.gotomeeting.com/register/514296986

June 25: https://www2.gotomeeting.com/register/650447050

June 28: https://www2.gotomeeting.com/register/772668218
21. Policies to Prevent Pharmaceutical Waste: Looking at Sample Waste, 6/4/12, 1-2 EST
The Product Stewardship Institute is offering this free webinar. Some pharmaceutical companies offer samples of their branded medications to physicians and clinics to distribute to patients. Samples used by their expiry dates do not pose a waste problem and may even reduce waste by allowing patients to try a new medication that they receive in a small quantity before filling a full prescription.

Samples that expire onsite, however, must be managed as waste. This can be time consuming and expensive. In the worst cases, though this is not a common practice, pharmaceutical manufacturers have unloaded soon-to-expire samples onto clinics to avoid managing the drugs as waste. This webinar will explore potential opportunities to reduce sample waste.

To register for this free webinar, go to https://www3.gotomeeting.com/register/649805830

22. Webinar-The Autism Revolution: Thinking about environment and food, 6/11/12, 3pm EST
Conditions affecting children’s behavior and brain development, like autism and ADHD, are exploding in prevalence. The CDC estimates autism now is diagnosed in 1-in-88 children, a more than 70 percent increase over just six years. These increases leave many parents, and clinicians, with questions about what’s causing autism and how we can work to prevent it. This webinar focuses on new science that’s revolutionary in what it uncovers about the contribution of environment, toxic chemicals and food to these problems. 

Find out more and/or register at https://www2.gotomeeting.com/register/249624594

This email update was provided by Janet Bowen of EPA. I am the EPA Region 1 Healthcare Sector Coordinator. I am available to help you address any challenges you might be facing as you work to reduce your hospital’s environmental impacts, especially on mercury elimination , waste reduction , green building, energy conservation and reduction of use of toxic chemicals . I welcome the opportunity to share your successes with other hospitals that may be facing similar situations. My intention in these e-mails is to share information that may help in your work. Please feel free to reply and let me know how this e-mail network can be more helpful for you, or if you have any questions or concerns. Also let me know if you would prefer not to receive these messages. 

Janet Bowen, EPA Region I
(617) 918-1795
Bowen.Janet@epa.gov
www.epa.gov/region1/healthcare

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