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Annual Sustainability Report FY14-15
A Year of Leadership
As you know, UC San Francisco (UCSF) is a leader in healthcare, but you may not know that both the UCSF Campus and Medical Center (UCSFMC), which includes Mt Zion Hospital, Children’s Hospital San Francisco, Moffitt/Long Hospitals at Parnassus, Betty Irene Moore Women’s Hospital and Bakar Cancer Hospital at Mission Bay, are also leaders in healthcare sustainability. UCSF is dedicated to transforming health worldwide through research, graduate-level education in the life sciences and health professions and excellence in patient care, as well as through innovative sustainability programs. Over the past five years, UCSF has continued to build significant momentum toward tackling formal sustainability goals.
This online Sustainability Annual Report summarizes the entire UCSF Campus’ key accomplishments for the 2014-15 Fiscal Year (FY15). It also includes goals for FY16. Where available, it presents data separately for the UCSF Campus and the UCSFMC. Where data is reported for both, we refer to the entire UCSF Campus. For a summary of the accomplishments for the UCSF Campus see the Campus Sustainability Highlights. For a separate summary of accomplishments at the UCSFMC, see the Medical Center Sustainability Highlights.
A key achievement for FY15 was the opening of the new UCSFMC at Mission Bay on February 1, 2015. The Gateway Medical Building, Betty Irene Moore Women’s Hospital, Bakar Cancer Hospital and the Benioff Children’s Hospital received a LEED gold certification. All buildings feature green design elements such as roof top gardens and terraces, natural daylighting, energy efficient ventilation systems, green interiors, water recovery and reuse. An energy-efficient design resulted in 50% less power usage than the average US hospital and water conservation measures will save four million gallons of potable water per year.
In FY15, UCSF’s leadership in sustainability was recognized by Practice GreenHealth with a Top 25 Environmental Excellence Award, and three Circle Awards of Excellence in the climate, green building and leadership categories.
Organization of Report
This report includes a summary of the key achievements over the past year for the following categories:
- Sustainability Leadership
- Climate Change
- Zero Waste
- Sustainable Food
- Toxics Reduction
- Culture Shift
- Sustainable Operations
- Green Building
- The UCSF Medical Center (UCSFMC) received recognition from Practice Greenhealth for achieving the Top 25 Environmental Excellence Award, the highest achievement in a field of over 1,300 hospitals. This award is a result of significant achievements in sustainable leadership, energy savings, water conservation, waste reduction, employee engagement, and greener chemicals. Diego Castellani, Dan Henroid, Sarah Janssen, and Dick Chan were present in Portland to accept the award.
- UCSF was recognized at one of the 50 Greenest Hospitals in America through an independent review by Becker’s Hospital Review, a prestigious industry periodical.
- UCSF hosted the US Green Building Council’s Building Health Forum at the Mission Bay Campus, highlighting and sharing best practices regarding the multiple health benefits of LEED-certified buildings. Despite a big storm the day of the event, over 125 architects, building owners and design engineers attended, helping to position UCSF as a leader. UCSF was also featured in Sustainable Business Magazine, highlighting the sustainability efforts and practices throughout the entire campus, as well as the medical center.
- The Chancellor’s Advisory Committee on Sustainability (CACS) was renamed the UCSF Advisory Committee on Sustainability (UACS) to better reflect it’s role on the campus. The UACS has taken a leadership role in supporting a comprehensive sustainability strategy and implementing measures that will help the campus and medical center become leaders in promoting a healthy environment and a sustainable future.
- UCSF is certified “Storm Ready” by the US National Weather Services. This is especially relevant for our climate mitigation efforts.
- Sign Healthcare Without Harm’s Health Care Climate Council, which is consistent with the UC Policy on Sustainable Practices and the UC Climate Summit recommendations.
Goal: To achieve 1990 levels by 2020 and carbon neutrality by 2025.
- UCSF is working hard to reduce its carbon emissions based upon five major sources: electricity, natural gas, fleet vehicles, commute and air travel. UCSF’s total square footage has doubled since 2000 and with the opening of the Mission Bay Hospitals, an additional one million square feet was added. This increase in square footage makes achieving this emissions goal more challenging. The UCSF Strategic Energy Plan (SEP), the Greenhouse Gas Reduction Strategy, along with strategies being developed at the UC system-wide level, will assist UCSF to meet this challenge. Figure 1 shows GHG emissions for the campus and medical center and the impact of Tier 1 and Tier 2 reduction strategies. Please note that the table does not include emissions from Scope 3 nor leased spaces.
- For the CY2015, UCSF Campus achieved energy savings of 1.8 M kWh and 50,000 therms.
- Since FY05, the UCSF Campus reached a remarkable 10% total campus-wide energy reduction, despite adding the following buildings: five offices, five laboratories, one housing and one community center. Since FY05, UCSF Campus achieved a normalized 24% reduction in energy use per square foot due to aggressive energy efficiency retrofits for air handling units, chillers, occupancy-based ventilation control, server room containment and control adjustments, insulation, steam system improvements and reduced simultaneous heating and cooling.
- A Request for Proposal was issued for Power Purchase Agreement (PPA) of multi-site rooftop Solar PV systems on 6 to 8 UCSF-owned buildings.
- A lab equipment survey was completed in laboratories at the Parnassus campus.
- The Clinical Laboratory at China Basin completed a Chiller Replacement Project and variable frequency drive (VFD) installation, which saves 746,222 kwH per year and over $40,000 per year. This was part of our Strategic Energy Partnership (SEP) with PG&E.
- Replaced halogen lights in all elevators with LEDs.
- Quarterly review and ranking of all UCSF owned buildings by energy use and water consumption shared with building operators.
- Implemented a rebate program for replacement or retirement of ultra-low temperature (ULT) freezers, freezers and refrigerators. Eight energy efficient ULT freezers were rebated $5,000 with the replacement of old ULT to save half the energy use.
- Completed verification and reporting to The Climate Registry (TCR) for 2013, compliance reporting to California Air Resources Control Board (CARB) for CY2014 and reported the Greenhouse Gas Reduction Strategy (part of the 2014 Long Range Development Plan) to American College and University President’s Climate Commitment (ACUPCC).
- Hired a space management director to optimize space usage.
- Replaced lights with LED outdoor lighting in various building locations.
UCSF received over $900,000 in rebates from PG&E for energy projects, including:
- $829,839 rebate for design/construction of the new Mission Bay Medical Center to be 10% more efficient than the current Title-24 standards through PG&E’s Savings-By-Design Program, contributing to a 50% reduction of energy use over a conventional hospital.
- $161,139 rebate for the Clinical Laboratory at China Basin Chiller Retrofit Project with installation of a high efficiency Variable Frequency Drive (VFD) air handling system.
- UCSF achieved 2014 Best Workplace for Commuters (for the 3rd time) and winner of the Gold Award by National Center for Transit Research and the US EPA (for 5th year in a row).
- Beginning in 2014, the single occupancy vehicle (SOV) rate was tracked separately for the campus and medical center. Overall, drive alone rate fell from 34% to 32%. On campus, for FY15, the SOV rate was 29% for the campus and 39% for the UCSFMC.
- Installed eight dual (Level 1) EV charging stations in the new, 600 space Mission Bay Children’s Hospital garage, which can accommodate 16 vehicles.
- UCSF received silver level Bicycle Friendly University.
- Bi-level, motion sensitive energy efficient lighting now in Mt. Zion garage.
- Horizon Coach Lines provides alternative transportation to up to 60 commuters with daily bus service from Marin County.
- UCSF’s online carpool matching through Zimride now has over 2,000 users and 572 active ride postings.
- Installed a new 58-bike capacity bicycle cage (Mission Bay Children’s Hospital Garage), as well as a stand alone “air kit” and “fix-it station”. Also installed stand-alone bicycle “air kit” upgrades at both the Mission Bay 3rd Street and Parnassus Irving Street garages.
- Added a new compressed natural gas (CNG) shuttle for Mission Bay operations.
- According to the 2015 Transportation Survey results walking/biking increased 2% and use of campus shuttles and public transportation increased 1% each. Carpools and Vanpools decreased 1% each and motorcycles and telecommuting remained constant at 1%.
- GPS system now in all UCSF Campus shuttles, allowing for real time arrival and departure times, which helped to increase shuttle ridership.
- Encouraged the use of teleconferencing and WebEx to reduce travel emissions between campuses and others.
- Install solar PV on feasible buildings based upon rooftop square footage and configuration, space inventory.
- Implement high efficiency HVAC system design in conjuncition with Clinical Sciences Building (CSB) seismic retrofit project.
- The UCSF Strategic Energy Partnership (SEP) program energy savings goals for CY2016 (campus only) are 1.9 M kWh (2.3% of total) and 100,000 therms (1% of total).
Goal: To reduce water use by 36% from baseline by 2020.
- Both the UCSF Campus and UCSFMC have exceeded the previous 20% water reduction goal early. The Unversity of California system has set a new water efficiency goal of 36% reduction by 2025, compared to a 2007 baseline using the Weighted Campus User metric. UCSF campus has already a 30% reduction from baseline towards the updated water efficiency goal.
- Overall water use on UCSF Campus was reduced by 13%, from 201M gallons in FY14 to 174M gallons in FY15. As reported to UCOP, in FY15, UCSF consumed 11,129 gallons of potable water per capita. This is a 28% reduction from its FY 2007- 08 to FY 2009-10 baseline. The campus has therefore met the 2020 Policy goal of reducing potable water consumption by 20% below the baseline five years early.
- UCSFMC outperformed the 2020 policy goal of reducing potable water consumption by 20 percent below the baseline. As reported to UCOP, current annual water usage for FY15 is 353 annual gallons per Adjusted Patient Day, a 33.2% change from baseline average. Overall water use at the medical center was reduced by 13%, from FY14.
- UCSF’s first Water Action Plan was completed, water-using equipment was inventoried and water rebate programs were implemented through SF Water.
- Irrigation control updates for the terraced grass roofs at the Eli and Edythe Broad Center of Regeneration Medicine and Stem Cell Research Building (RMB), saving UCSF an estimated 700,000 gallons of water per year.
- Irrigation was reduced by 85% at the Mission Bay campus.
- Genentech Hall centralized glass wash facility was replaced with new energy/water efficient washers.
- Replaced 50 showerheads for a savings of over 500,000 gallons per year and replaced 260 toilets/urinals, which will save 5M gallons per year.
- Transportation cut water usage by 30-40% by washing campus shuttles with low water use practices.
- At the new Medical Center at Mission Bay, water efficiency measures and the irrigation plan will save more than two million gallons of potable water per year. The Medical Center at Mission Bay hosts one of very few extensive water conservation systems (rainwater capture) located on a large, urban hospital site. Efficient domestic water fixtures and water-saving appliances have been installed in all buildings.
- UCSF Housing Services took a range of actions to conserve water in FY15, including replacement of old and inefficient fixtures such as toilets, showerheads and laundry machines at Avenue Houses, Aldea San Miguel and Mission Bay. Housing Services received a $125 rebates from the San Francisco Public Utilities Commission (SFPUC) on the purchase of each new $200 toilet. New showerheads were given to Housing Services from the SFPUC and new sink aerators are being provided at no charge by the Energy Alliance.
- Convert current sprinkler irrigation to drip irrigation at Parnassus landscaped areas
- Eliminate once through water cooling on all new sterilizers
- Replace Bulk Sterilizers at Mission Bay Helen Diller building which are using 5% of total campus water
- Connect campus water meters to the controls system for high-level data analysis.
- Initiate a Water Balance Study at Mission Bay campus to evaluate opportunities for future recycled water sources
- Retrofit once through water-cooled Cold Rooms at the Parnassus campus to recirculated cooling water
Goal: To achieve zero waste by 2020.
- Waste diversion on campus in FY15 increased from 67.6% to 71.8% as a result of intensive efforts to improve data accuracy and a range of campus recycling programs to reduce waste, reuse materials, compost and recycle. Construction and deconstruction waste diversion is included in this number.
- Programs to reduce waste included: monthly e-waste collection events, move-out clean-up days, ongoing education and improved waste sorting education.
- In FY15, UCSFMC diverted 44% of its waste through its recycling and composting programs, such as patient room recycling, composting of paper towels in bathrooms and composting 90% of all patient and retail food waste. This is up from 34% from the previous year due to the move from Parnassus to Mission Bay.
- Several e-waste collection days were held at Parnassus to promote electronic waste recycling.
- Reprocessing of single use devices in the OR, Cath lab and patient care units diverted 44,822 pounds of waste, generating $1.04M in savings. Over the past four years, $3.5M was saved through participation in reprocessing of surgical and medical devices throughout the medical center. Continued savings are anticipated by adding new products to the approved reprocessing list each year.
- The campus implemented a National Plastics Council grant to install eight bottle fillers on drinking fountains to encourage hydration and eliminate plastic water bottle waste at Parnassus and Mission Bay. Additional funding provided installation of 34 more bottle fillers campus wide.
- UCSF Retail Services in conjunction with UCSF Recycling conducted education and outreach to raise awareness that coffee cups can be composted. Signage was created and set on tabletops at several campus restaurants, decreasing coffee cup waste by 56%.
- 82.4 tons of potential waste was reused, including 60 tons of campus surplus, six tons of building materials and 11.5 tons of books.
- Duplex Printing Pilot: Convert 100 existing printers to default print-double sided.
- Explore post-incision recycling in the OR.
- Implement reusable isolation gowns.
- Develop and implement Zero Waste Event program.
- Regularly offer Bulky Item and E-Waste Clean out days.
- Complete waste sorting cell phone app.
- Promote mindful consumption at events.
- Implement APEX double sided printing at the UCSFMC.
- Implement new partnerships with MedShare to promote reuse of medical supplies.
Goal: To incorporate best and economically viable, environmentally preferable purchasing practices.
- BearBuy users now have the option to purchase 100% post-consumer waste (PCW) recycled content paper. The new 100% recycled copy paper is both cheaper and more earth friendly and in the future will be the default for paper purchases. Before this change, UCSF used an average of around 69 trees worth of virgin pulp a month. Due to the change to 100% PCW paper, UCSF reduced this to three trees worth of virgin pulp, due to Documents and Media needing some 30% PCW for heavy print jobs.
- All new printers, computers, laptops, servers and LCD screens are Energy Star.
- Through Print Management Program, copy machines are leased, 100% PCW provided and recycled cartridges used as part of the service.
- All new laptops, desktop computers and printers are EPEAT.
- All possible cleaning supplies are Green Seal certified.
- Implement Print Management Program across entire campus.
- Promote use of 100% PCW paper.
- Implement 100% PCW custodial paper across entire campus and medical center.
- Work with Office Max to institute reusable totes instead of cardboard boxes.
Goal: To purchase 20% sustainable food by 2020.
- UCSF is a leader in modeling healthy, sustainable food choices for patients, staff and visitors. At a 2014 townhall, UC President Janet Napolitano commended UCSF for its sustainable food efforts, notably efforts to eliminate antibiotics from the meat it serves at UCSFMC. Antibiotics free chicken and beef became cost competitive when UCSF brought vendors and network support from other hospitals together.
- UCSF Retail Services achieved 18% of total spend on sustainable food and is on-track to meet the goal of 20% sustainable food by 2020.
- UCSFMC Nutrition and Food Services, which supplies food service for patients and visitors at all three SF medical center locations, exceeded the UCOP sustainable food goal by 6.7% six years early, with sustainable food spend at 26.7%.
- The medical center now serves only antibiotic-free chicken on its patient and retail menus. In February 2014, all bulk ground beef, beef patties and beef stew meat was converted to Estancia grass fed and finished, hormone free, antibiotic free and pasture raised beef. The medical center now also offers a $4.50 grass-fed, antibiotic-free hamburger. In order to offer more sustainable meats, UCSFMC trimmed conventional meat purchases with offerings such as “Meatless Mondays” and other strategies for reducing waste.
- UCSF Retail Services and Pacific Coast Farmers’ Market Association (PCFMA) continued to bring the UCSF community a weekly Farmers’ Market at Parnassus and Mission Bay. Both locations offer a variety of local, seasonal fruits, vegetables and nuts, flowers, quick bite and hot food items.
- UCSF was highlighted in Triple Pundit in an article titled, “3 Tips for Transforming Hospital Food Into Something More Sustainable.”
- A community garden at Mission Bay has been established with collaboration with Nomad Gardens.
- In May 2015, UCSF Retail Service’s newest campus food vendor, Caffe Central, opened with 100% USDA Organic and Fair Trade Certified coffee.
- As part of the UC Global Food Initiative (GFI) the Office of the President launched a fellowship program that sponsored two UCSF graduate students to pursue a project. Along with 51 other fellows announced in December 2014, two UCSF students received a $2,500 award to address food-related issues: Jacob Mirsky and Jonathon Schor.
- UCSFMC offers an on-demand meal service program that reduces food waste as food is only provided upon request of the patient except in special circumstances.
- The medical center serves organic baby food for pediatric patients. The following organic baby foods are now in use: organic apples, apple sauce, bananas, carrots, carrots/corn, chicken/brown rice, peas, sweet potatoes, pears and turkey/squash. This switch came as result of both the priorities of the Sustainable Food Working Group and external pressures from parents.
- Despite rising costs, the medical center continues to use cage-free eggs from Wilcox Family Farms. The eggs are sustainably farmed from chickens with outdoor access, vegetarian feed, no GMOs or antibiotics and Food Alliance and American Humane Society Approved. The medical center also continues its use of American Humane Society-approved cage-free liquid and hard-boiled eggs.
- Ban sugar-sweetened beverages on campus and at the medical center.
- Update and print select Smart Choice collateral materials.
- Maintain antibiotic-free meat purchases and continue to explore opportunities to expand at UCSFMC.
- Retail Services continue to work towards 20% by 2020 goal.
Goal: To incorporate best practices in reducing the use of Chemicals of Concern for human health, excluding those managed by Environmental Health & Safety in operations and activities at UCSF facilities.
- Due to negative health and environmental impacts, UCSF has eliminated Triclosan, a common antibacterial compound, from hand soaps at both the Medical center and campus.
- All possible cleaning supplies are now Green Seal-certified at both the medical center and campus.
- The Office of Sustainability financially supported an updated publication of Toxic Matters, which educates parents about how to prevent toxic chemical exposures at home, at work and in the community that can be harmful to reproductive health.
- Update the Pediatric Environmental Health Toolkit and enable app-like access.
- Update Pediatric Environmental Health Specialty Unit (UCSF PEHSU) brochure for childcare providers.
- Include Chemicals of Concern in performance criteria for interiors for future construction projects.
Goal: Encourage the UCSF community to act more sustainably.
- 2015 LivingGreen Fair was held at the Mission Bay Conference Center. Over 1,500 attendees and 80+ vendors enjoyed the new venue. Booths highlighted green laboratory practices, sustainable products, food, transportation and UCSF’s sustainability programs.
- At the 5th Annual Sustainability Awards, Chancellor Hawgood presented awards to faculty, staff, student and team categories and 20 LivingGreen office and lab certifications. In addition, five LivingGreen clinic/unit certifications were awarded. Over 120 attendees enjoyed the sustainable vegetarian lunch and slide show of the five campus-wide award winners. Winners included Yelena Libova, a registered nurse in the Neurological ICU; the Mt. Zion Cancer Research Engineering team, Michael Dziadek, Alberto Alfaro, and Marco Dias; Anya Desai, a third year medical student at UCSF; Todd McGregor, Assistant Director of Housing Administration for Campus Life Services and a volunteer member of the Water Conservation Work Group and Dr. Gina Solomon, an occupational and environmental medicine specialist.
- The Green Challenge was created by the Academic Senate Committee on Sustainability and supported by Senior Vice Chancellor John Plotts to challenge the UCSF community to submit innovative sustainability ideas. Twenty-two ideas were submitted and vetted by a committee of several faculty members. The top two proposals were selected to proceed with phase two, which entailed submittal of a pilot, implementation plan or proof of concept. Artemio Cardenas, Analyst in the Academic Senate Administration, was awarded a $5,000 prize for his idea and $25,000 to implement engaging digital displays of UCSF energy and carbon emissions data to educate and engage building occupants.
- The LivingGreen website had over 69,000 unique visitors and over 100,000 hits in FY14, prompting international interest. Several tours were given to visiting healthcare professionals and administrators from Korea and China.
- Employee engagement activities included offering a 15 percent discount on residential solar photovoltaic installations and over $12,000 in discounts and rebates on Nissan Leaf electric vehicles.
- The Building Health Initiative, a cross-sector coalition of 45 companies and institutions committed to revolutionizing procurement strategies, fostering healthier communities and ultimately, reframing green building as a public health issue, held its inaugural Building Health Forum December 11, 2014 at UCSF. Despite the big storm that day, over 260 participants gathered together to hear a range of experts speak about new research and best practices in building materials, energy, water, and interiors. Experts included Arlene Blum, Executive Director, Green Science Policy Institute, Solange Gould, Senior Research Associate, Public Health Institute Center for Climate Change and Health, Judy Levin, Pollution Prevention Director, Center for Environmental Health and Debbie Raphael, Director, San Francisco Department of the Environment. Topics addressed at the forum included: removing flame retardants, climate change and health, and materials transparency. Debbie Raphael, Director, San Francisco Department of Environment, commented, “The speakers embodied the idea of bringing the best science to the field of green building and health. I left inspired to go back and explore all the opportunities we have to create a built environment that heals, not just houses, its occupants.”
- Following an international planning meeting for the Global Green and Healthy Hospitals Network (GGHH), a project of Health Care Without Harm (HCWH), an international group of health care sustainability and waste management experts toured UCSF Medical Center. The tour provided the visitors an overview of how waste is managed at the hospital and highlighted other sustainability initiatives. The group included sustainability and waste management experts from China and Korea.
- Develop a fun and actionable digital display of informative messages on energy, water and carbon.
- Provide training to increase the use of Jabber to improve productivity.
- Enable managers to develop an offsite office work plan for their department.
Goal: To develop sustainable practices in the maintenance and operation of UCSF facilities.
- The School of Nursing building was certified as a LEED – EBOM (Existing Building Operations and Maintenance), no easy task in a building from 1972.
- The Parnassus Ambulatory Care Center’s Heart and Vascular Clinic Renovation (ACC4) was submitted to US Green Building Council for LEED-Silver Certification for Commercial Interiors (LEED-CI).
Note: This program is on hold to evaluate the benefits of additional certifications.
Goal: All new construction must be certified LEED-NC Silver or better.
- The UCSF Benioff Children’s Hospital, the Betty Irene Moore Women’s Hospital, the Bakar Cancer Hospital and the Gateway Medical Building all received LEED gold certifications. All buildings feature green design elements such as roof top gardens and terraces, natural daylighting, energy efficient ventilation systems, green interiors, water recovery and reuse. An energy-efficient design resulted in 50% less power usage than the average US hospital and water conservation measures will save four million gallons of potable water per year.
- To date, UCSF has a total of 17 LEED certifications.
- Mission Bay’s Block 25A, also known as Mission Hall Global Health and Clinical Sciences Building, is a new 264,000 square foot building recently finished at the Mission Bay campus. The unique design process resulted in a building that is expected to qualify for LEED Gold. UCSF used an innovative process that required the architect and the general contractor to partner and bid on the project together, resulting in cost savings and pushing the green building envelope. Green aspects include: larger north-facing windows provide for well-balanced daylight; an under floor air distribution (UFAD) system and a high thermal mass structural frame that resulted in more than 30% energy savings and each work station has its own air vent, which can be controlled by the occupant, reducing wasted energy. Other energy saving touches include light sensors that turn lights automatically off in unoccupied rooms and desks that have energy-saving LED tasks lights. Each work station has a very small trash can and a larger recycling bin, which are self-emptied at central locations to encourage recycling. Recycling and compost bins are well labeled and located throughout the building near centrally located kitchen areas. A flexible design incorporates workstations, open collaboration spaces called ‘huddles’ and private meeting spaces. This “activity-based” design maximizes the use of space.
- Coordinate with Toxics Reduction Work Group to include reduction of chemical exposure through Performance Criteria and Chemical inventory in Archibus, a space management system which maps locations of various attributes such as chemical storage.
- Offer LEEDv4 training to project managers in Capital Programs, Real Estate, Medical Center and Facilities Management.
- Create additional Performance Criteria specifically for laboratory buildings.
- Training for Lab managers on use of the Lessons Learned Database.