Commission on Excellence and Innovation in Health

Series 13: Environmental Sustainability in Healthcare

The Improvement and Innovation Showcase brings together teams from across the health system to connect, share and explore their experiences of working towards better healthcare for all South Australians.

Our Improve­ment and Inno­va­tion Show­case brings togeth­er teams from across the health sys­tem to con­nect, share and explore their expe­ri­ences of work­ing towards bet­ter health­care for all South Australians. 

As per the Strate­gic Direc­tion (20242027), we recog­nised that reduc­ing the health system’s impact on cli­mate change and iden­ti­fy­ing oppor­tu­ni­ties to adapt to its impact is crit­i­cal to a sus­tain­able health sys­tem. The Showcase’s 13th Series aimed to sup­port this and was themed as Envi­ron­men­tal Sus­tain­abil­i­ty in Health­care’. We were excit­ed to col­lab­o­rate with the SA Health Cli­mate Change Exec­u­tive Gov­er­nance Group to deliv­er this series in antic­i­pa­tion of the launch of the SA Health Cli­mate Change Framework!

Improve­ment and Inno­va­tion Show­case 39: It’s Everyone’s Prob­lem! The Impact of Cli­mate Change in Healthcare

Dr Kim­ber­ly Humphrey (Pub­lic Health Med­ical Con­sul­tant and Cli­mate Change Lead, SA Depart­ment of Health and Wellbeing)

The chang­ing cli­mate is an exis­ten­tial threat and described by the UN Sec­re­tary Gen­er­al as a code red for human­i­ty’. Aus­tralia is one of the coun­tries on the front­lines of cli­mate-health impacts, includ­ing increas­ing in extreme weath­er events, changes in infec­tious dis­eases pat­terns, and food and water secu­ri­ty. These impacts will place unprece­dent­ed pres­sure on our health sys­tem and are exac­er­bat­ing exist­ing health inequities, with vul­ner­a­ble groups and rur­al com­mu­ni­ties most affect­ed. The health­care sec­tor alone is respon­si­ble for almost 5% of glob­al green­house gas emis­sions and if it were a coun­try, it would be the fifth largest pol­luter on Earth. Under a busi­ness as usu­al’ sce­nario, emis­sions from health­care could triple between now and 2050

Join Kim­ber­ly to hear why the respon­si­bil­i­ty to address the impact of cli­mate change in health­care rests not with just a few but every­one who works in it!

Improve­ment and Inno­va­tion Show­case 40: High Val­ue Health­care is Low Car­bon Healthcare

Dr Kate Charlesworth (Med­ical Direc­tor, Cli­mate Risk & Net Zero Unit, NSW Health) (MBBS(Hons), MPH, FAF­PHM, PhD)

As we face the unprece­dent­ed chal­lenge of cli­mate change, it is wide­ly acknowl­edged that a sub­stan­tial pro­por­tion of health care is waste­ful and low val­ue. Low val­ue care remains stub­born­ly com­mon and may be increas­ing, includ­ing in low- and mid­dle-income coun­tries. Recent esti­mates show that about 30% of health care is waste­ful or low val­ue, and a fur­ther 10% is harm­ful. How does low val­ue care inter­sect with cli­mate risk in rela­tion to its car­bon footprint?

Join Kate to hear how we all have a role to play in lead­ing sus­tain­able mod­els of clin­i­cal care and explore why bet­ter val­ue, low car­bon emis­sions mod­els of clin­i­cal care are urgent­ly needed.

Improve­ment and Inno­va­tion Show­case 41: Waste Reduc­tion in Healthcare

Sarah Rip­ley (Sus­tain­able Health­care Man­ag­er Cli­mate and Health Alliance)

Chris Bar­ber (Man­ag­er, Cor­po­rate Oper­a­tions, Women’s and Children’s Hospital)

Kirs­tine Warne­ford (Equip­ment Advanced Nurse Man­ag­er, Women’s and Children’s Hospital)

Decar­bon­is­ing the Aus­tralian health sys­tem health­care sec­tor is a col­lec­tive effort and encom­pass­es a range of areas. The health sys­tem gen­er­ates mul­ti­ple waste streams. The emis­sions foot­print of this waste depends on the type of waste and the method of dis­pos­al, which can include recy­cling, com­post, land­fill and incineration.

Join Sarah from the Cli­mate and Health Alliance along­side Chris and Kirs­tine from the Women’s and Children’s Health Net­work (WCHN) to hear about the envi­ron­men­tal impacts of hos­pi­tal waste and exam­ples of local decar­bon­i­sa­tion ini­tia­tives in our hospitals.

Improve­ment and Inno­va­tion Show­case 42: Sus­tain­able Design in Healthcare

Jack Noo­nan (Port­fo­lio Man­ag­er, New Women’s and Children’s Hos­pi­tal Project)

The built envi­ron­ment con­sists of all the human-made aspects of people’s sur­round­ings, includ­ing hos­pi­tals, facil­i­ties, roads and oth­er con­nect­ing tran­sit sys­tems. Build­ings con­tribute to cli­mate change through their con­struc­tion, main­te­nance and dai­ly oper­a­tion. This includes the mate­ri­als they use; their loca­tion; and elec­tric­i­ty, gas and water usage. It is esti­mat­ed that cap­i­tal expen­di­ture for health care build­ings alone, includ­ing expen­di­ture on the build­ing of new hos­pi­tals and retro­fitting or upgrad­ing of estab­lished hos­pi­tals, rep­re­sents 8% of total Aus­tralia health care emis­sions. How­ev­er, this fig­ure only con­sid­ers emis­sions from phys­i­cal con­struc­tion and upgrades and not build­ing ener­gy use.

Join Jack to learn about health facil­i­ty life­cy­cle emis­sions and envi­ron­men­tal­ly sus­tain­able design prin­ci­ples from both a new build (i.e. SA’s new Women’s & Children’s Hos­pi­tal) and exist­ing facil­i­ty perspective.