NEBRASKA MEDICINE UNIVERSITY of NEBRASKA MEDICAL CENTER

UNIVERSITY of NEBRASKA MEDICAL CENTER and NEBRASKA MEDICINE Sustainability Master Plan, 2014–2023

1 Table of Contents | Main | Appendix The UNMC/NM Sustainability Master Plan was updated as of March, 2016. The energy, emissions, water, campus planning, and waste baselines were updated due to the availability of more accurate data and information.

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navigation bar 2 Table of Contents | Main | Appendix UNMC/NM’s health-oriented missions, Executive Summary which focus on providing extraordinary patient care, health education, and re- Sustainability is Vital Introduction search to serve Nebraska and the region. “Nebraska Medicine is proud to partner For example, by reducing electricity use with UNMC on this vital path toward The University of Nebraska Medical on campus, UNMC/NM help decrease a more sustainable future. This joint Center and Nebraska Medicine (referred to the amount of emissions and pollution endeavor will reap environmental, social, as UNMC/NM throughout this Executive produced by fossil-fueled power plants and financial benefits, and help us Summary) have been building a strong supplying the energy. This aids in reduc- achieve our mission.” foundation in sustainability over the past ing asthma attacks, chronic bronchitis, two decades as demonstrated by their emergency room visits, and even pre- Bill Dinsmoor campus-wide mixed recycling program, mature death. Therefore, incorporating Chief Executive Officer a significant reduction in recent energy the principles of sustainability into what Nebraska Medicine consumption, and a campus culture that UNMC/NM do everyday will not only “I’m really pleased to values sustainability. In a recent survey of help accelerate their vision of becoming “Our sustainability initiative with UNMC/NM employees and students, over Nebraska Medicine is strongly connected know that I work for an a world-renowned health sciences center, 90 percent of respondents indicated it is but it also demonstrates their commit- to our collective, campus-wide focus on organization that cares important to them that UNMC/NM are ment to improving community health. improving community health. By em- about the environment committed to sustainability and actively bracing the opportunities presented by and is moving forward try to conserve energy and natural resourc- Financial Opportunities sustainability, we will exemplify environ- with sustainable es on campus. Similarly, approximately mental stewardship, reduce costs, better options.” nine out of every ten respondents reported Sustainability also presents a tremendous serve the community, and demonstrate there is a connection between environ- opportunity for UNMC/NM to reduce our commitment to being a world- - UNMC/NM Survey mental stewardship and UNMC/NM’s long-term costs by conserving energy and renowned academic health sciences Respondent health-oriented missions. resources. Many of UNMC/NM’s peers in center.” higher education and the health care in- This Sustainability Master Plan represents dustry have begun to seize this opportu- Dr. Jeffrey Gold the next step for UNMC/NM in their con- nity by adopting their own sustainability Chancellor tinuous and integrated effort to consume and climate action plans. The financial University of Nebraska Medical Center fewer resources, even while expanding benefits are projected to be substantial. the campus, and to provide strategic The Commonweath Fund found that sus- direction across their operations over the tainability initiatives in the health care next decade. It also represents the two industry could save $15 billion over the Methodology & Structure organizations’ ongoing commitment to next ten years by implementing a pack- work together toward common goals. This Plan reflects information collected age of relatively simple “interventions.” primarily throughout fiscal years 2013 Mission Alignment UNMC/NM have already seen notable and 2014 from interviews, surveys, financial savings by reducing energy use. site visits, open houses, advisory team Sustainability entails protecting human If UNMC/NM achieve the goals in this meetings, conversations, research, and and environmental health, and using plan, they could reduce annual costs re- analyses. It also incorporates content and resources wisely so as to provide for the lated to water, trash hauling, and energy baseline data from Nebraska Medicine’s future while meeting current needs. by $1 million to $3 million by 2023. original Energy & Sustainability Master These concepts line up very well with Plan, which was approved in the spring

3 EXECUTIVE SUMMARY Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023 of 2011. The collected information and Goals Materials: All Outgoing Material data were used to establish joint baselines, goals, and strategic recommendations in Each of the operational areas previously Reduce the total annual weight of outgo- Definitions listed has one or more goals. If UNMC/NM ing material (waste and recycling) by 25 eight key areas of UNMC/NM’s operations: CO eq: refers to are able to achieve the goals related to percent by the end of 2023 (baseline: 7.5 2 • Emissions carbon dioxide energy, water, and materials, they will sig- million pounds per year as an annual • Energy equivalent, which nificantly reduce annual expenses, decrease average of fiscal years 2011 and 2012) • Water is a metric that is their environmental impact, and help • Materials commonly used to improve community health. Materials: Recycling • Transportation and Parking compare the emis- Increase the annual percent of materials di- • Food Services See “Definitions” to the right for explana- sions from various verted from the landfill to 35 percent by the • Campus Planning tions of the acronyms used for the base- greenhouse gases end of 2023 (baseline: 22.9 percent as an an- • Campus Engagement line metrics below. regarding their nual average of fiscal years 2011 and 2012) global warming The Plan specifically focuses on Emissions potential. UNMC/NM’s operations at their main Transportation and Parking Reduce annual greenhouse gas emissions by campus at 42nd & Dewey. Satellite clinics Increase to 20 percent the percentage of kW: A watt is and other smaller campuses (e.g., Bel- 30 percent by the end of 2023 and achieve a commonly climate neutrality (zero net emissions) by commuting trips that occur by modes oth- levue Medical Center) are not included. er than driving alone in a conventionally- used measure of Despite this initial strategic focus, the 2050 (baseline: 154,793 metric tons per year electrical power of CO eq in calendar year 2010) fueled vehicle by the end of 2023 (baseline: Plan suggests expanding sustainability- 2 12.7 percent as of a March 2012 survey) consumption. kW related support and services to these areas Energy: Buildings equals one thou- in the future. Additionally, baselines and Food Services Waste sand watts. goals were not established for the areas of Reduce annual building energy consump- MMBtu: Btu refers research and academics per UNMC/NM’s tion by 25 percent by the end of 2015, Divert at least 90 percent of kitchen and to a British Ther- preference to focus primarily on sustain- and an additional 10 percent by the café waste from reaching a landfill by the mal Unit, which able operations. However, long-term strat- end of 2023 (baseline: 2,369,866 source end of 2023 (baseline: there is no specific is a standard unit egies are included that address incorporat- MMBtu in calendar year 2010) baseline; achievement will be known ing sustainability into these areas. when the goal is reached rather than rela- of energy that is Energy: Electricity Demand tive to a given baseline value) commonly used The Plan also discusses UNMC/NM’s peers when combin- in higher education and health care to Reduce annual peak electricity demand Campus Planning ing other units of highlight recent sustainability-related by 25 percent by the end of 2015, and an Maintain the current density of 73,327 energy (e.g., watts trends in these industries and the noted additional 10 percent by the end of 2023 gross square feet (GSF) of built space per of electricity and operational areas. (baseline: 28,920 kW in August 2010) developed acre, which includes all therms of natural To provide context for the significance of Water Consumption UNMC/NM campus buildings and parking gas) to express sustainable operations, the connections garages (baseline: 73,327 GSF of built space total energy con- between environmental health, commu- Reduce annual gallons of water consumed per developed acre as of December 2010) sumption. MMBtu nity health, and the eight key operational by 10 percent by the end of 2023 (baseline: equals one million areas are illustrated on the final page of 225,164,787 gallons per year as an annual Campus Community Engagement Btu. average of calendar years 2010 and 2011) this Executive Summary. Achieve a Sustainability Engagement Score of 75 by the end of 2023 (baseline: 45 per

Table of Contents | Main | Appendix 4 combined results from surveys conducted Optimize Equipment Operations Install Low-Flow Water Fixtures in September 2012 and December 2012) Optimizing building energy equipment The majority of UNMC/NM’s water con- Top Recommendations operations to minimize the total amount sumption is for indoor domestic purpos- of equipment online and to improve the es. Installing appropriate low-flow fix- The strategies recommended in the Sus- operational sequence of the system is tures across campus will decrease water use tainability Master Plan were culled from crucial to maximizing energy efficiency and mitigate expected water rate increases. ideas generated by multiple individuals and ensuring the success of other major from Nebraska Medicine, UNMC, and So- energy reduction efforts. Implement Waste and Recycling dexo, including staff, students, adminis- Process Improvements trators, and faculty. In addition, strategies Standardize Building Controls were identified by researching activities Expanding the number and uniformity of Completing the planned building control at other higher education institutions, recycling receptacles across campus and system upgrade will enable Facilities Man- health care organizations, businesses, and improving recycling education for staff, agement and Planning staff to monitor governmental agencies. The strategies students, and visitors will help dramati- and adjust building systems in real time “I believe we have in the Plan are those that will have the cally reduce the amount of UNMC/NM and dynamically respond to changing largest impact and are the most feasible. waste that is routed to a landfill. the responsibility of conditions inside and outside of build- Given that the Plan’s primary intent is promoting the health ings, thereby increasing efficiency. to set a broad sustainability vision for Develop a Transportation Plan of our communities and Implement TDM Programs and the natural UNMC/NM while including the most Focus on Lighting important and effective strategies that environment, in A campus-wide lighting audit and subse- UNMC/NM’s location in midtown will help UNMC/NM achieve the vision, a Omaha presents unique challenges and addition to individual detailed analysis, including a cost/benefit quent retrofit to increase the efficiency of patients, since they are lighting will reap quick savings. There are opportunities. A Transportation Plan analysis of each strategy, was not per- that integrates a vision for pedestrians, all interconnected.” also abundant opportunities to save light- formed. Such an analysis is an important cyclists, transit users, and vehicles to next step in some cases. ing energy through operational adjust- - UNMC/NM Survey ments. efficiently travel to and through campus Respondent The strategies are organized into actions will help UNMC/NM capitalize on its that are achievable in the short term or Implement IT-Related Energy location. Related transportation demand long term. Of the short-term strategies Conservation Measures management (TDM) programs, such as included in the Plan, there are fourteen subsidizing transit passes, will also help that present high-impact, high-return A wide variety of strategies can be further cost-effectively reduce parking demand. opportunities for UNMC/NM: explored and implemented related to Information Technology (IT) equipment. Monitor Indoor Air Quality and Sign the American College and These strategies range from activating Minimize Toxics in Buildings University Presidents’ Climate power management features on computers and other equipment to reducing the Proactively testing indoor air quality in Commitment (ACUPCC) number of printers through networking UNMC/NM buildings on a recurring basis and making necessary adjustments, as By doing so, UNMC/NM will join over and use of multi-function machines. well as minimizing the introduction of 680 other leading colleges and universi- harmful toxics via equipment and materi- ties in working to combat climate change. als used in buildings, will help promote optimal work and clinical environments.

5 EXECUTIVE SUMMARY Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023

Establish an Office of Integrate Sustainability into 2. Account for and reduce use of green- Sustainability Strategic Planning house gas- and chlorofluorocarbon- based refrigerants Due to the complexity of coordinating UNMC’s current Strategic Plan includes Energy multiple, simultaneous actions noted in an action item focused on developing this Plan, UNMC/NM would greatly ben- a joint Sustainability Master Plan and 3. Resolve building system temperature efit from establishing an Office of Sustain- generally commencing with implementa- differentials ability and employing a full-time Sustain- tion. Continuing to include sustainability 4. Optimize equipment operations ability Manager. This individual would and specifying implementation activities 5. Integrate automation technologies for represent both organizations and play an in subsequent versions of UNMC/NM’s re- building systems integral role in managing, supporting, spective Strategic Plans would greatly ben- and reporting on sustainability efforts. efit both organizations. Future Strategic 6. Standardize building controls Plans could include specific action items 7. Install a flue gas economizer to cap- Create an Executive related to energy and water conservation, ture and reuse waste heat Sustainability Council waste reduction, greenhouse gas emis- 8. Conduct a comprehensive lighting sions, and/or educating the public about audit and upgrade With support from the Sustainability community health benefits connected to 9. Improve building envelopes Manager, an executive-level sustainability sustainability. “I would like to see steering committee with representatives 10. Implement additional energy [UNMC/NM] be a from both organizations would help fully Adopt a Sustainability conservation measures related to leader in sustainability.” implement the Plan, set sustainability information technology Statement or Policy - UNMC/NM Survey policy, and integrate sustainability into 11. Include energy-related criteria when campus operations and decision-making. Developing and adopting a joint, high- making purchasing decisions for elec- Respondent The committee would report to the level sustainability statement or policy trical office and medical equipment UNMC Chancellor and executive leader- that provides a clear definition of sustain- ship at Nebraska medicine. ability and its connection to community 12. Improve UNMC/NM vehicle fleet health will make UNMC/NM’s institu- efficiency Track and Communicate tional commitment more transparent and Water Progress help guide future sustainability activities in conjunction with this Plan. 13. Specify low-flow and other efficient Regularly tracking the right data and fixtures in any new buildings or measuring progress versus the stated goals Strategies Summary renovations are extremely important. Communicat- 14. Install low-flow faucet aerators that ing progress to individuals across campus This is a complete, albeit abbreviated, list reduce the flow rate to 0.5 gallons and the community, as well as noting the of the short-term strategies recommended per minute or less related financial, public health, and envi- in the Plan. Top recommendations are in ronmental benefits, helps keep everyone bold. For more detail, refer to the respec- 15. Track, monitor, and communicate wa- engaged. This includes adding sustain- tive sections of the Plan or the Appendix. ter consumption on a more frequent ability activities and related public health and detailed basis benefits as part of Nebraska Medicine’s Emissions 16. Create a Landscape Management Plan that incorporates water-wise strate- annual community benefit report. 1. Become an ACUPCC signatory gies, policies, and techniques

Table of Contents | Main | Appendix 6 Materials 29. Establish a Healthy and Sustainable 43. Create an executive-level sustain- Foods Task Force to zero in on ad- ability steering committee repre- 17. Implement paper reduction ditional healthier food options and senting both organizations initiatives, such as default duplexing waste reduction strategies and modified printing quotas 44. Track and communicate progress to 30. Eliminate Styrofoam from food ser- employees and students 18. Adopt sustainable procurement vice operations policies 45. Continue to include and fully 31. Transition back to using more reus- integrate sustainability into organi- 19. Implement trash and recycling able dishes and flatware zational strategic planning process improvements, such as increasing recycling receptacles 32. Expand sustainable food education 46. Adopt a joint sustainability state- and education and promotional efforts ment or policy 20. Reduce lab-related trash by moving 33. Sign Health Care Without Harm’s 47. Join Practice Greenhealth and the toward more reusable or recyclable Healthy Food in Health Care Pledge Association for the Advancement of materials and providing education Campus Planning Sustainability in Higher Education 21. Implement specific waste reduction 48. Formalize and integrate the two green Follow these three principles when “[UNMC/NM] should strategies in the Surgical Services teams (Energy Advocates Team and making campus planning decisions: have an incentive Department UNMC LiveGreen) 34. Foster a mix of building uses to 49. Expand education and communica- program for people to Transportation and Parking bike, walk, and take improve area vibrancy tion efforts public transportation 22. Develop a Transportation Plan that 35. Use building placement and 50. Provide recognition opportunities to work.” integrates a vision for pedestrians, streetscape design to support active that are consistent and noteworthy transportation options cyclists, public transit, and vehicles 51. Incorporate sustainability into em- - UNMC/NM Survey 23. Improve the pedestrian experience by 36. Provide high-quality public spaces ployment and training elements, Respondent addressing dangerous pedestrian in- to encourage interaction and such as job descriptions and orienta- tersections and improving wayfinding support healing tions 24. Promote and support transit use In addition: 52. Support satellite locations and organi- 25. Expand bicycling infrastructure such 37. Incorporate elements of this Plan zational partners as trails, bike lanes, sharrows, bike into the Facilities Development Plan 53. Conduct community outreach regard- parking, and cyclist showers 38. Implement a de-construction ing sustainability 26. Provide flexible transportation approach to building removal programs, such as car-sharing and 39. Improve the tree canopy Conclusion emergency-ride-home programs 40. Proactively monitor indoor This Plan builds on a foundation of past 27. Support sustainable vehicle use such air quality efforts by UNMC/NM to adopt sustainable practices in specific areas of their as carpooling, fuel-efficient vehicle 41. Minimize toxics in buildings use, no-idling policies, and reduction operations. Going forward, the Plan of surface parking Campus Engagement provides a road map to achieving a more comprehensive and strategic ap- 42. Establish an Office of Sustainability Food Services proach to sustainability consistent with and hire a Sustainability Manager 28. Focus on diversion of food waste into UNMC/NM’s commitment to improving a more sustainable waste stream the health of Nebraska.

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Emissions. Certain emissions are known to lead to human health and environmental problems such as asthma and acid rain, in addition to contributing to climate change. Energy. The vast majority of UNMC/NM’s greenhouse gas emissions are the result of burning fossil fuels to produce energy. Burning these natural resources also contributes to local air pollution. The impacts of both have significant effects on human health. Transportation and Parking. While active transportation options can support physical and mental health, more than 87 percent of UNMC/NM’s employees commute in single-occupant, Water. Using water wisely and ensuring SUSTAINABLE conventionally-powered vehicles, which widespread access to clean water is OPERATIONS: collectively impact local air strongly connected to community health. quality, generate emissions, and deplete Water availability will become even more natural resources. critical in the Midwest due to the impact Connections with of climate change in the next few decades. Environmental & Materials and Waste. Diverting waste Community Health from the landfill can prevent negative environmental impacts including harmful Campus Planning. A well-planned effects on ground water, nearby surface campus will result in improved health water, air quality, and soil quality. Diverting through enhanced walkability on waste also reduces methane gas emissions. and off campus, shorter and more active commutes, and faster healing through stronger connections with the natural world. Food Services. Most of the food produced in the world today requires large amounts Campus Engagement. Increasing of water and chemicals to produce, as well staff and student engagement as energy to be transported from “farm with sustainability will accelerate to plate.” These activities generate a large UNMC/NM’s progress toward their amount of emissions while introducing goals and improve employee and pesticides, artificial fertilizers, and other student satisfaction, decrease turnover, pollutants into the environment. and aid recruitment. 8 Section Page Executive Summary 3 Introduction 11 Plan Overview 11 Sustainability at UNMC/NM 13 Peer Evaluation 15 Baselines, Goals, and Strategies Emissions 17 Energy 19 Water 21 Materials 23 Transportation and Parking 25 Food Services 27 Campus Planning 29 Campus Engagement 31 Appendix 35 Acknowledgements 86

9 TABLE OF CONTENTS Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023

CONTENTS

Table of Contents | Main | Appendix Appendix UNMC/NM are not alone in their view accomplishments by and opportunities Introduction that sustainability—meeting present for UNMC/NM. The overall key findings needs without compromising the abil- are: Given the strong connection between ity of future generations to meet their • The continued success of sustainabil- sustainability and community health, the needs—is an opportunity.3 Sustainability ity at UNMC/NM will depend on the University of Nebraska Medical Center programs and initiatives have been grow- successful alignment of sustainability and Nebraska Medicine (referred to as ing tremendously on higher education initiatives with the strategic mission of UNMC/NM throughout this Plan) see campuses and in the health care industry. reducing their environmental footprint advancing community health. The UNMC/NM community is very as a strategic opportunity to achieve • There has been significant and impres- supportive of an expanded sustainabil- their integrated missions, which includes sive success related to building energy ity initiative. In a recent survey of stu- advanciny their commitment to commu- efficiency and conservation. nity health and improving the health of dents and employees, over 90 percent of Nebraska.1 respondents indicated it is important to • There is widespread support for expan- them that UNMC/NM are committed to sion of UNMC/NM’s sustainability ef- While environmental and health benefits sustainability and actively try to conserve forts. Consequently, the campus would “I’m really pleased to are key drivers of UNMC/NM’s sustain- know that I work for an energy and natural resources. Similarly, benefit from a formally-adopted, ability activities, there are multiple other approximately nine out of every ten re- consistent definition of sustainability organization that cares benefits to be realized: happier and more spondents reported there is a connection and an organizational statement that about the environment engaged employees and students, an between environmental stewardship and highlights UNMC/NM’s commitment and is moving forward overall better campus environment, and UNMC/NM’s health-oriented missions. to sustainability and its connection to with sustainable decreased costs. community health. options.” UNMC/NM’s previous sustainability ef- The fiscal case for sustainability in the forts are commendable. Various projects • The sustainability efforts at UNMC/NM - UNMC/NM Survey health care industry is particularly strong. focusing on energy efficiency and waste could be better connected to one Respondent A 2012 report by the Commonwealth reduction have especially demonstrated another and supported by a Sustain- Fund found that if a relatively simple significant financial and environmental ability Manager and an executive-level package of sustainable “interventions” benefits. This Sustainability Master Plan sustainability steering committee to were deployed in every hospital across leverages these past efforts and sets forth ensure consistent and effective imple- the country, savings could exceed $5.4 a clear vision for how UNMC/NM can mentation. billion over five years and $15 billion take advantage of the opportunities sus- 2 • Several efforts have yielded very im- over ten years. tainability presents. It charts a course for pressive results, but their connection a sustainable future—economically, envi- The estimates on UNMC/NM’s potential to environmental impact and public ronmentally and socially—by spelling out cost savings and avoided costs are also health are often under-communicated. noteworthy. If UNMC/NM meet their specific goals and strategies that will help goals by the end of 2023 for reducing UNMC/NM achieve their community energy, water, and waste, they have the health-oriented missions. Plan Overview potential to save: Key Findings The Sustainability Master Plan is the • Water: $50,000 annually result of interviews, surveys, site visits, The Planning Team identified five key • Trash Reduction: $35,000 annually open houses, advisory team meetings, findings. These concepts cut across spe- conversations, research, and analyses • Energy: $1-$3 million annually cific areas of the Plan and broadly reflect

11 INTRODUCTION Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023 conducted primarily throughout fiscal years 2013 and 2014. It also represents an expansion of Nebraska Medicine’s Sustainability Aligns with UNMC/NM’s Missions original Energy & Sustainability Master and Visions Plan adopted in April 2011 and the two organizations’ ongoing commitment to work together toward common goals. Taking advantage of sustainability-related opportunities acknowledges both the positive impact of sustainable health care operations on community The collected information and data were health and the benefits of incorporating sustainable practices across both used to establish critical baselines for key organizations. Doing so enhances and strengthens the alignment between measurements of sustainable practices UNMC/NM’s goal to provide a positive working environment, its commitment and informed the development of the to community health, and the sustainability of the natural environment. The Plan. The overall goal of the Plan is to alignment means that sustainable practices are a mechanism for achieving strategically advance UNMC/NM’s sus- their organizational missions and visions. tainability efforts over the next decade.

The Plan addresses several operational UNMC areas that each impact sustainability: Mission: The mission of the University of Nebraska Medical Center is to im- • Emissions prove the health of Nebraska through premier educational programs, • Energy innovative research, the highest quality patient care, and outreach to • Materials • Water underserved populations. • Transportation and Parking Vision: The partnership of UNMC and Nebraska Medicine will be a world- • Food Services renowned health sciences center that: • Campus Planning • Delivers state-of-the-art health care; • Campus Engagement • Prepares the best-educated health professionals and scientists; For each area, the Plan provides a • Ranks among the leading research centers; baseline performance metric or metrics, a • Advances our historic commitment to community health; goal for each metric, and recommended • Embraces the richness of diversity to build unity; strategies that will help UNMC/NM • Creates economic growth in Nebraska. achieve the goals. The Plan specifically focuses on NEBRASKA MEDICINE UNMC/NM’s operations at their main Mission: Serious medicine. Extraordinary care. campus at 42nd & Dewey. Satellite clinics and other smaller campuses (e.g., Bel- Vision: To be the region’s premier provider by serving our patients and com- levue Medical Center) are not included. munity through extraordinary care, the finest people, and academic and Despite this initial strategic focus, the private practice medicine. Plan suggests expanding sustainability- related support and services to these areas in the future. Additionally, baselines and goals were not established for the areas of

Table of Contents | Main | Appendix 12 research and academics per UNMC/NM’s generations to meet their own needs. that provides extraordinary health care. preference to focus primarily on sustain- Therefore, when broadly defined, sustain- Part of the vision also includes advancing able operations. However, long-term strat- ability encompasses actions to conserve a historic commitment to community egies are included that address incorpo- resources, prevent pollution of resources, health. This organizational ambition rating sustainability into these areas. and regenerate resources when possible. aligns well with sustainability-related actions such as reducing the amount While background information and Sustainability touches nearly every of harmful or toxic substances released strategies for each section are presented element of an organization’s opera- in the built and natural environment; at a summary level in the Plan, the tions. And given that UNMC/NM are creating smaller amounts of waste; and Appendix provides additional detail large organizations with extensive op- carefully managing financial, human, about the various strategies, UNMC/NM’s erations, the sphere of sustainability at and natural resources in unison. past actions, and how each operational UNMC/NM is large as well. The follow- area can support UNMC/NM’s sustain- ing page illustrates and briefly explains “I believe we have ability initiative. the connection between key areas of Previous Work the responsibility of UNMC/NM’s operations and sustainabil- This Plan builds upon a foundation of promoting the health Sustainability at ity. While these connections are explored previous sustainability work completed of our communities in more depth in the Appendix, at a by UNMC/NM. Past sustainability ef- and the natural UNMC/NM high level, sustainability has strong ties forts include continuous expansion of environment, in to community health and the environ- the campus-wide recycling program, the ment, UNMC/NM’s integrated vision, addition to individual Although individuals often associate sus- development of Nebraska Medicine’s and previous work completed by both patients, since they are tainability with recycling, water conser- original Energy & Sustainability Master organizations. all interconnected.” vation, and energy conservation, sustain- Plan in 2011, and a series of excellent ability encompasses much more. In its education and awareness programs con- - UNMC/NM Survey essence, sustainability means making Community Health and ducted by UNMC/NM’s two green teams Respondent decisions that meet present needs with- the Environment (the Energy Advocates Team and UNMC out compromising the ability of future LiveGreen). Additionally, recent energy Emissions, air and water pollution, efficiency and conservation efforts spear- extraction of natural resources, and fac- headed by the Facilities Management tors in the urban environment have been and Planning Department have achieved Sustainability is Vital linked to community and environmental significant financial and environmental benefits, and garnered attention from the percent of health problems. Sustainability helps reduce these harmful impacts by reducing U.S. Department of Energy. Given this employee and emissions, reducing pollution through past success and UNMC/NM’s commit- 89student respondents conserving resources, and increasing ment to sustainability, the two organiza- to a recent sustainability survey individuals’ awareness of how they can tions are now intensifying the extent to at UNMC/NM indicated there is a help achieve these beneficial outcomes. which they explore all aspects of sustain- connection between environmen- ability throughout their operations. tal stewardship and UNMC/NM’s Vision Alignment health-oriented missions. UNMC/NM’s integrated vision is to be a world-renowned health sciences center

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Materials and Waste. Diverting waste Community Health from the landfill can prevent negative environmental impacts including harmful Campus Planning. A well-planned effects on ground water, nearby surface campus will result in improved health water, air quality, and soil quality. Diverting through enhanced walkability on waste also reduces methane gas emissions. and off campus, shorter and more active commutes, and faster healing through stronger connections with the natural world. Food Services. Most of the food produced in the world today requires large amounts Campus Engagement. Increasing of water and chemicals to produce, as well staff and student engagement as energy to be transported from “farm with sustainability will accelerate to plate.” These activities generate a large UNMC/NM’s progress toward their amount of emissions while introducing goals and improve employee and pesticides, artificial fertilizers, and other student satisfaction, decrease turnover, pollutants into the environment. and aid recruitment. 14 that sustainability and health care have nizing the causes and impacts of global Peer Evaluation much in common: a desire to provide for warming and a commitment to take the future, an attention to the whole as specific action with a goal to reduce and UNMC/NM have peers in higher well as the parts, and a pledge to protect neutralize greenhouse gas emissions. As education and the health care industry. human and environmental health.5 of January 2014, more than 680 higher- In both fields, sustainable practices are education institutions have signed onto The UCSF plan, completed in 2011, quickly becoming commonplace as more ACUPCC, including three schools in addresses and includes goals in areas and more organizational leaders real- Nebraska: Central Community College, such as campus planning, energy, food ize the importance of sustainability to College of Saint Mary, and Creighton services, education and communication, health-focused educational and opera- University. tional missions. green buildings, purchasing, transportation, and recycling. Examples Green Campuses Higher Education of goals in the UCSF plan include: divert 75 percent of waste from the landfill by In the 2013 edition of Princeton Review’s Colleges and universities are integrating the end of 2014; continually reduce the Guide to Green Colleges, 322 colleges sustainability into their operations at a percent of workers, staff, and students earned a spot on the list (Creighton rapid pace, and many of UNMC/NM’s arriving to campus by single-occupancy is the only Nebraska school). The list “I would like to see peers have well-organized sustainability vehicles; and reach emissions levels equal recognizes schools “that have made a [UNMC/NM] be a plans and initiatives. It is less common to the year 1990 by the year 2020. notable commitment to sustainability.” leader in sustainability.” for stand-alone medical schools to The Guide reports that per a 2012 survey, have their own sustainability plans, Other plans provide examples of over 60 percent of student respondents - UNMC/NM Survey but many traditional universities with what UNMC/NM are striving for. indicated that information about a Respondent medical school programs and medical Harvard Medical School has a goal of school’s commitment to the environ- centers have a strategic plan in place reducing emissions 30 percent below ment would be very important in assess- that addresses sustainability and covers its 2006 baseline by 2016 and conducts ing whether to attend a given college their professional schools and medical sustainability assessments of its or university. Institutions listed in the facilities. In either case, there are a laboratories. Duke University’s climate Guide to Green Colleges include many number of goals and best practices action plan calls for climate neutrality Big Ten Conference schools and institu- included in the existing sustainability by 2024, which will include changes to tions with notable medical schools, such plans from these peers that are relevant on-campus emissions sources, as well as as Johns Hopkins University, Stanford to UNMC/NM. purchasing emissions offsets. In 2012, University, and the University of Chi- Yale University set a waste diversion cago.7 For example, the University of California goal of 50 percent by 2016 and plans to San Francisco (UCSF) is the only UC achieve this goal by increasing recycling AASHE campus solely dedicated to graduate and reducing food waste. education in health and biomedical The Association for the Advancement sciences, related research, and patient ACUPCC of Sustainability in Higher Education care, making it similar to UNMC/NM.4 (AASHE) is a nonprofit organization that The American College and Univer- Also like UNMC/NM, UCSF is a top-rated provides resources, professional develop- sity Presidents’ Climate Commitment primary care medical school. UCSF’s ment, and a network of support for its (ACUPCC)6 is a voluntary pledge recog- own Sustainability Action Plan notes member institutions. Currently, AASHE

15 PEER EVALUATION Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023 has over 800 colleges and university Health Care Industry In addition to the substantial environ- members, including the following Ne- mental benefits and financial savings braska institutions: University of Nebras- The health care industry is fully embrac- that have topped one billion dollars over ka-Lincoln (UNL), University of Nebraska ing sustainability as well given the direct the last five years by its award-winning Omaha (UNO), University of Nebraska ties to community health, the related member hospitals, Practice Greenhealth Kearney (UNK), Central Community employee engagement benefits, and op- projects that engaging just 25 percent of College, College of Saint Mary, Creighton portunities to reduce costs. In a 2012 Cli- the entire U.S. hospital market to com- University, Doane College, and Metropol- mate Disclosure Project report, 97 percent plete feasible energy and waste reduction itan Community College (MCC).8 AASHE of S&P 500 health care companies sur- initiatives could save billions of dollars also offers the Sustainability Tracking, veyed reported that they now have board for the health care sector, which echoes Assessment, & Rating System (STARS), or executive-level oversight for sustain- previously noted research conducted by which is a framework for higher educa- ability.11 There are also numerous organi- the Commonwealth Fund. tion institutions to measure their sustain- zations, initiatives, and certifications that As more health care facilities and hospi- ability performance. UNL and UNO have have arisen over the past decade focused tals become aware of the financial op- already participated in STARS earning specifically on sustainability policies and portunities connected to sustainability bronze ratings.9 practices within the field of health care. and the pressure to cut costs continues to Sustainable Funding One of the most well-respected, nonprofit build in light of shifting reimbursement member organizations dealing with sus- models attributed to health care reform, More and more institutions are making tainability in health care, Practice Green- sustainability will continue to become a financial commitment to sustainabil- health, has over 1,260 member hospitals, even more of a mainstream focus within ity. According to the 2012 Greening the health systems, and health care facilities, the health care sector. It is a cost-effective Bottom Line report from the Sustainable including five from Nebraska: Alegent means by which health care organiza- Endowments Institute, green revolving Creighton Health; McCook Community tions can better achieve their community funds (GRF) are sustainability financing Hospital; and Catholic Health Initiatives’ health-oriented missions, while demon- mechanisms that have grown 15-fold in Good Samaritan Hospital, Saint Elizabeth strating environmental stewardship. the past decade alone. There are 79 GRFs Regional Medical Center, and Saint Fran- on 76 campuses in 31 U.S. states and two cis Medical Center. Canadian provinces. Over 900 energy Baselines, Goals, efficiency projects have been initiated us- In 2013, Practice Greenhealth reported ing GRF funding.10 that out of the 200 top-performing mem- and Strategies ber hospitals, three out of every four in- Many institutions with a medical school dicated they have a formal plan in place The following sections each address an on campus again show up on the list of that guides their sustainability efforts. area under UNMC/NM’s operations that schools with a GRF: Stanford University, Seventy percent of these hospitals also impacts sustainability. The Plan provides University of Minnesota, Harvard report having a full-time sustainability of- a snapshot of where UNMC/NM stand University, University of North Carolina, ficer who helps oversee implementation in each area by providing baseline data. and the University of Pennsylvania. of initiatives, which Practice Greenhealth It then shows one or more goals in each has deemed critical per its research, area, as well as recommended strategies along with the presence of an engaged for achieving those goals. executive team.12

Table of Contents | Main | Appendix 16 Emissions Goals Secondary Recommendations Short Term • Continue aggressively working toward Emissions affect human health and the greater energy efficiency, conservation, environment. Air pollution from burn- Reduce greenhouse gas emissions by 30 and innovation ing fossil fuels has direct health impacts percent by the end of 2023 • Incorporate renewable sources into that contribute to asthma, respiratory UNMC/NM’s energy generation mix irritation, chronic bronchitis, premature Long Term death, acid rain, and ground-level ozone Achieve climate neutrality by 2050 (zero • Advocate for a cleaner mix of energy 13 (which leads to smog). Greenhouse net emissions) generation by OPPD gases also negatively affect the environ- • Purchase emissions offsets ment due to their contribution to climate Recommended Strategies change, which will impact Nebraska Please note that the emissions section through more extreme weather events There only a few emissions-specific strat- of the Appendix provides more detailed such as drought, storms, and heavy rain egies listed in this section because many information regarding these primary and events.14 of the recommended strategies from secondary recommendations. other areas can each significantly reduce “I think it is great As shown in Figure 1, UNMC/NM’s larg- emissions. Therefore, the emissions- that [UNMC/NM] is est amount of emissions is attributed to related strategies noted below are aimed addressing sustainability purchasing electricity, which is generated more at UNMC/NM’s organization-wide Sustainability is Vital issues and greenhouse by Omaha Public Power District (OPPD) approach to reducing emissions. gases.” as a result of primarily burning coal, a fossil fuel that produces air pollution and The strategic recommendations for emis- - UNMC/NM Survey greenhouse gases during combustion.15 sions are divided into “primary” and 32,588 Respondent “secondary.” The primary recommenda- passenger vehicles produce the Baseline tions offer a foundation upon which same amount of annual green- UNMC/NM can build. The secondary house gas emissions as UNMC/NM As defined by the Greenhouse Gas Pro- recommendations provide examples of does over the course of a year.17 tocol, Scope 1 emissions are all direct possible strategies UNMC/NM might emissions from sources that are owned use to build on that foundation and to or controlled by UNMC/NM. Scope 2 achieve the emissions goals. emissions are emissions that are a conse- quence of the consumption of purchased Primary Recommendations Sustainability is Vital electricity, heat, or steam. Scope 3 emissions are other indirect emissions.16 • Sign the American College and Univer- American col- sity Presidents’ Climate Commitment lege and univer- UNMC/NM’s greenhouse gas emissions sity presidents baseline is 154,793 metric tons of CO eq • Account for and reduce use of green- 684 2 have already signed the American per year, based primarily on calendar house gas and chlorofluorocarbon- College and University Presidents’ year 2010 (see Figure 1). based refrigerants Climate Commitment.

17 EMISSIONS Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023

UNMC/NM Emissions Baseline Profile Energy (MMBtu) Emissions (MtCO2eq) Scope 1 Sources On Campus Stationary* 634,998 33,890 0.1 Refrigerants & Chemicals -- 140

0.4 Direct Transportation 9,413 688

Scope 2 Sources Purchased Electricity 551,432 113,087

Scope 3 Sources Transmission & Distribution Losses 34,082 6,990

*natural gas, fuel oil #6, and diesel TOTAL: 154,793

Figure 1 The graph above shows the baseline annual emissions profile for UNMC/NM. The data used for the emissions components are primarily from calendar year 2010; however, due to a lack of Helpful Definitions available 2010 data for some transportation fuel consumption, supplemental data were used

from calendar years 2011 and 2012 to establish an annual emissions baseline and profile. CO2eq: refers to carbon dioxide equivalent, which is a metric that is commonly used to compare the emis- Baseline emissions from refrigerants and chemicals account for less than 0.1 percent of UNMC/NM’s annual emissions and are not shown in the chart. Following the Climate sions from various greenhouse gases regarding their Registry guidelines, refrigerants R-22, R-12, and R-11 are not reported in this GHG global warming potential. MtCO2eq refers to metric

inventory. The Climate Registry sets guidelines for GHG reporting based on tons of CO2eq. international and interdisciplinary agreements. MMBtu: Btu refers to a British Thermal Unit, which Per standard protocol for this level of a greenhouse gas profile, only transmission and dis- is a standard unit of energy that is commonly used tribution losses were included for Scope 3 emissions, which entail indirect greenhouse gas when combining other units of energy (e.g., watts of emissions from sources not owned or directly controlled by the respective organization. For electricity and therms of natural gas) to express total example, the Scope 3 emissions connected to UNMC/NM employee and student commuting energy consumption. MMBtu equals one million Btu. and business travel were omitted. The widely accepted Campus Carbon Calculator, which is managed by the University of New Hampshire Sustainability Institute and the Clean Air kW: A watt is a commonly used measure of electrical Cool Planet organization, was used to complete the baseline greenhouse gas inventory.18 power consumption. kW equals one thousand watts.

Table of Contents | Main | Appendix 18 Energy Baselines Peak Electricity Demand The baseline figure for energy includes Reduce peak electricity demand by 25 The majority of the energy that the consumption of electricity, natural percent by the end of 2015, and an ad- UNMC/NM consume is in the form of gas, generator diesel, and fuel oil for the ditional 10 percent by the end of 2023 electricity (see Figure 3). As noted previ- calendar year 2010. ously, OPPD generates this energy for Recommended Strategies UNMC/NM by primarily burning coal, Primary Metric a fossil fuel that produces air pollution Energy strategies fall into the categories • Total annual building energy con- and greenhouse gases during combus- of short term and long term. Short-term sumption tion. Significant energy is also consumed strategies are generally actionable within • Baseline: 2,369,866 source MMBtu on campus as natural gas, and a small five years, and long-term strategies may (calendar year 2010) portion of the energy profile entails fleet fall into the five- to ten-year time frame fuel, generator diesel, and fuel oil. • Annual peak kilowatt demand or as opportunities evolve. • Baseline: 28,920 kilowatts (August While fleet fuel is categorized as part the Short Term 2010) “It would be wonderful UNMC/NM energy mix, it is not includ- • Resolve the building system tempera- if [NM/]UNMC ed in the energy goal metric due to its Secondary Metric ture differentials to enable building implemented solar and relatively small part of total energy and equipment to operate more efficiently wind power on top of the the lack of readily available data. How- The secondary metric is normalized for and predictably buildings and also in the ever, fleet fuel is included as part the total size of campus facilities and for • Modify and optimize equipment parking lots.” of UNMC/NM’s emissions profile. weather fluctuations, and it can potentially be used to compare the UNMC/NM operations to minimize the total - UNMC/NM Survey While reducing fleet fuel would not campus to other health care and univer- amount of equipment online and im- Respondent reduce energy consumption, most of the sity facilities. prove the operational sequence of the driving by fleet vehicles happens on and system in order to maximize efficiency around UNMC/NM campus. Therefore, • Weather-normalized energy-use as tested and verified any reduction in fleet fuel use-either intensity per square foot through cleaner vehicles or less driv- • Baseline: 508 kBtu per square foot ing- will have a direct positive impact on (based on 4,537,543 square feet, patients by improving air quality on and which does not include parking around campus. garages) Sustainability is Vital Leveraging the success of previous energy-efficiency and conservation efforts on Goals campus, the goals and strategies in this 12,828 section primarily focus on energy used Building Energy typical Nebraska homes use the in buildings. Achieving these goals could Reduce annual building energy consump- same amount of electricity in a year save UNMC/NM between $1 million to tion by 25 percent by the end of 2015, that UNMC/NM consumes annu- $3 million per year by 2023 and help and an additional 10 percent by the end ally; this is roughly equivalent to the limit air pollution and emissions, thereby of 2023. energy used by used by Papillion promoting environmental and commu- and Beatrice households combined. nity health.

19 ENERGY Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023

• Meeting part of UNMC/NM’s electricity needs with on-site, small-scale renewable energy generation (see Figure 2) • Integrating alternative fuel (such as natural gas or electric) vehicles into UNMC/NM’s fleet • Exploring opportunities to supplement or replace shuttle services with more efficient options • Developing a dedicated revolving fund Figure 2 for efficiency projects The images above show two pieces of Creighton University’s renewable energy generation equipment. The image on the left shows four 1.2 kilowatt vertical axis wind turbines. The Please note that the energy section of the image on the right shows part of an 85 kilowatt solar array located in a parking lot that Appendix provides more detailed infor- also provides shade. Within the next decade, UNMC/NM could begin exploring options to mation regarding these short-term and incorporate similar small-scale renewable energy generation on their own campus to offset long-term strategies. purchased electricity, reduce their emissions, and increase their energy resiliency.

• Implement automation technologies • Include energy-related criteria when UNMC/NM 2010 Building Energy Consumption Profile to operate equipment at its highest purchasing computers, office equipment, (Source MMBtu) efficiency at all flow points and electronic medical equipment • Complete the process of standard- • Improve UNMC/NM vehicle fleet Electricity izing and upgrading building control efficiency through proactive mainte- Natural Gas systems nance, scheduled vehicle turnover, and consolidation • Install a flue gas economizer on the 0.2 main stack to capture waste heat Generator Diesel Long Term & Fuel Oil produced by the boilers and reuse it to Continue to identify partnership oppor- make hot water for the system tunities with public and private enti- • Conduct a comprehensive lighting ties to develop innovative projects on audit and upgrade to incorporate campus that help achieve UNMC/NM’s more efficient lighting and energy goals and demonstrate their enhanced, energy-saving lighting commitment to being an energy leader. control technologies Strategies include:

• Improve building envelopes • Obtaining part of UNMC/NM’s trans- Figure 3 portation fuel from a biofuels producer The pie chart above shows the breakdown of energy consumption by • Implement additional energy conser- UNMC/NM. The largest two areas are electricity and natural gas. vation measures related to information technology Table of Contents | Main | Appendix 20 Secondary Metric • Track, monitor, and communicate Water water consumption on a more The secondary metric is normalized for frequent and detailed basis UNMC/NM’s water consumption typi- the total size of campus facilities, and it cally peaks in the mid-to-late summer can potentially be used to compare the • Create a Landscape Management coinciding with the time of year that UNMC/NM campus to other health care Plan that incorporates water-wise requires the heaviest cooling loads and and university facilities. strategies, policies, landscaping, and ir- the peak time for irrigating lawns and rigation techniques • Water-use intensity per square foot landscaping. UNMC/NM’s past energy • Baseline: 53 gallons per square foot conservation projects have reduced Long Term (based on total water consumption building water demand. Specifically, • Explore potential applications for and 4,537,543 square feet, which annual building water use decreased 36 pervious pavement on campus to re- does not include parking garages) percent from calendar year 2010 (see duce water runoff Figure 4). Goal • Pilot a system to use rainwater or reuse The goal and strategies for this section grey water in a current or future build- “Incorporating plants seek to build on this recent success and Water Consumption ings on campus on campus that don’t primarily focus on the other two areas of Reduce annual gallons of water by 10 Please note that the water section of the need as much water opportunity regarding water use: irriga- percent by the end of 2023 Appendix provides more detailed infor- would help save water.” tion and indoor water use (see Figure 5). By achieving their 2023 goal, UNMC/NM mation regarding these short-term and - UNMC/NM Survey will significantly reduce the amount of Recommended Strategies long-term strategies. Respondent water that needs to be treated and sup- Water strategies fall into the categories plied to campus, and they will potential- of short term and long term. Short-term ly save up to $50,000 annually. strategies are generally actionable within “Using rainwater five years, and long-term strategies may or grey water for Baselines fall into the five- to ten-year time frame or as opportunities evolve. landscaping purposes The baseline figure for water is the Sustainability is Vital would be great.” total annual gallons of water used by Short Term Olympic-size - UNMC/NM Survey UNMC/NM and represents an average of swimming pools calendar years 2010 and 2011. • Specify low-flow toilets and other Respondent efficient fixtures in any new buildings 341 would be filled Primary Metric or renovations by the amount of water consumed by UNMC/NM in a typical • Total annual water consumption • Install low-flow faucet aerators that year. • Baseline: 225,164,787 gallons per year reduce the flow rate to 0.5 gallons per minute or less where appropriate

21 WATER Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023

UNMC/NM Building Water Use UNMC/NM Water Consumption Profile 200

Indoor

Chiller/Boiler 150 Irrigation

100 Millions of Gallons

Figure 5 0 The graph above shows the breakdown of UNMC/NM’s average annual water 2010 2011 2012 2013 consumption based on the average of calendar years 2010 and 2011. Over two-thirds of the water is used for indoor consumption, while the remaining UNMC/NM Fiscal ear water is used for heating and cooling buildings or outdoor irrigation. Figure 4 The graph above shows water consumed by UNMC/NM for separately me- tered building use. More water efficient building operations and fixing leaks decreased water consumption in the past few years, resulting in a 36 percent decrease in annual building water use.

Table of Contents | Main | Appendix 22 • Recycling Diversion: percent of Recommended Strategies Materials total outgoing materials diverted Medical center campuses have a diversi- to recycling Materials-related strategies fall into the fied waste profile consisting primarily of • Baseline: 22.9 percent (1.8 million categories of short term and long term. the following material streams: trash, reg- pounds) Short-term strategies are generally ulated medical waste, hazardous waste, actionable within five years, and long- pharmaceutical waste and recycling. Secondary Metric term strategies may fall into the The secondary metric is normalized for five- to ten-year time frame or as The recycling category encompasses a opportunities evolve. mix of materials, including mixed paper, the total size of campus facilities. This plastic, tin, scrap metal, and fluores- metric can also potentially be used to Short Term cent tubes. Over the past two decades, compare UNMC/NM to other health care UNMC/NM have made great strides in and university facilities. • Implement paper reduction initiatives, such as paperless meetings, default the area of recycling by expanding the • Waste generation intensity per types of material collected and diverting duplexing, and departmental printing square foot reduction goals over 21 million pounds of recyclable ma- • Baseline: 1.27 pounds per square terial. Despite this success, there are still foot (based on 5,749,502 pounds of • Infuse sustainability principals into “[UNMC/NM] should be many opportunities to further expand annual material that is not recycled procurement policies and processes a leading advocate and the program and to employ different and 4,536,868 square feet, which waste reduction strategies that limit the • Implement trash and recycling process model of comprehensive does not include parking garages) improvements such as increasing recy- recycling and reuse.” amount of outgoing material that needs to be processed. Waste generation intensity per full-time cling receptacles and education - UNMC/NM Survey equivalent (FTE) employee and student • Reduce lab-related trash by moving If UNMC/NM employ the strategies in was also considered as a secondary Respondent this section and achieve their 2023 waste toward more reusable or recyclable metric. However, due to lack of available materials and providing education reduction and recycling goals, they will data regarding FTE employees who are dramatically reduce the amount of mate- primarily located on UNMC/NM’s 42nd • Implement waste reduction strategies rial routed to a landfill and potentially & Dewey campus, this secondary metric in the Surgical Services Department save up to $35,000 annually. was not included. As this data becomes and other medical areas known for available, UNMC/NM should consider generating high volumes of waste Baselines tracking this intensity metric. Long Term The baseline values for annual disposal and recycling diversion for UNMC/NM Goals • Enhance surplus store technologies to allow easier access to inventory represent averages calculated from data Total Outgoing Material for fiscal years 2011 and 2012. Figure 6 • Adopt actions that support the goal of shows the breakdown of specific waste Reduce the total annual weight of sending zero food waste to the landfill types that make up the baseline. outgoing material by 25 percent by the end of 2023 Please note that the materials section Primary Metrics of the Appendix provides more detailed information regarding these short-term • Total Disposal: the total annual Diversion Rate and long-term strategies. weight of all outgoing materials (waste Increase the percent of outgoing materi- and recycling) als diverted (recycled) from the landfill to • Baseline: 7.5 million pounds per year 35 percent by the end of 2023

23 MATERIALS Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023

Profile of UNMC/NM’s Outgoing Materials Figure 6 The graphs to the left show the profile of outgoing materials for the baseline and what that profile might look like if UNMC/NM reaches the 25 percent overall reduction and 35 percent recycling diversion goals. The total amount of regulated medical waste (RMW), hazardous waste, and pharmaceutical waste captured currently is unlikely to decline because UNMC/NM perform very well relative to other large medical campuses. Most of the reduction will likely occur through trash diversion. It is important to also note that the graph on the right is slightly smaller in size because if UNMC/NM achieve their overall 25 percent reduction goal, they will decrease the total weight of outgoing material (both waste and 0.6 recycling), thereby, shrinking the pie. This can be accom- plished through efforts to reduce waste on the front end, such as ordering supplies with less packaging, so that less waste disposal and recycling are necessary. Additionally, 0.8 since RMW, hazardous waste, and pharmaceutical waste presumably will not see significant reductions, the per- Baseline Goal centage of the profile for these special waste streams will (avg. of Fs 2011 and 2012) (2023) likely increase, but the total amount will remain the same.

Trash 5,071,408 lbs. 3,054,461 lbs. Recycling 1,709,499 1,957,988 Sustainability is Vital Regulated Medical Waste 636,057 537,048 The combined weight RCRA and non-RCRA 42,038 44,754 of 746 female Asian Hazardous Waste, 746 Thelephants is equal and Pharmaceutical Waste to the total annual weight of UNMC/ TOTAL 7,459,002 lbs. 5,594,251 lbs. NM’s trash, regulated medical waste, hazardous waste, and pharmaceutical waste.

Table of Contents | Main | Appendix 24 Transportation and Secondary Metric Short Term • Total Parking Spaces: the number of • Develop a Transportation Plan that Parking parking spaces available on campus. integrates a vision for pedestrians, cy- • Baseline: 8,925 (calendar year 2012) clists, public transit users, and vehicles Parking cost, availability, and demand on and around campus A parking space ratio (number of full- reduction programs can influence the time equivalent employees and students • Improve the pedestrian experience by transportation choices of staff, students, per parking space) was also considered addressing dangerous pedestrian inter- and visitors when traveling to campus. as a secondary metric. However, due to sections and improving wayfinding With approximately 15,000 individuals lack of available data regarding full-time • Promote and support transit use (see traveling to campus daily19, UNMC/NM’s equivalent employees who are primarily Figure 8) and partner with Metro Tran- campus has a significant impact on the located on UNMC/NM’s 42nd & Dewey sit as it expands its services in central traffic in midtown Omaha. Adopting campus, this metric was not included. Omaha and along Dodge Street policies that encourage use of active or As this data becomes available in the lower-emission transportation options future, UNMC/NM should consider • Support expanding bicycling infra- “[UNMC/NM] should can reduce road congestion, reduce pol- tracking this intensity metric, which will structure on and around campus have an incentive lution, promote healthy lifestyles, and provide another approach for compar- such as trails, bike lanes, sharrows, program for people to preserve infrastructure. ing UNMC/NM to other health care and bike parking, cyclist showers, and bike bike, walk, and take university facilities. sharing (see Figure 9) public transportation to Baselines • Provide flexible transportation pro- work.” UNMC/NM employees and students Goal grams, such as car-sharing and emer- - UNMC/NM Survey completed a transportation survey in Commuter Mode Split gency-ride-home programs (see Figure Respondent March 2012. The survey provided the 9), and a flexible work hours program baseline data for this Plan (see Figure 7). By the end of 2023, increase to 20 percent the percentage of commuting trips • Support sustainable vehicle use such Primary Metric that occur by modes other than driving as carpooling, fuel-efficient vehicle alone in a conventionally-fueled vehicle use, no-idling policies, and reduction • Mode Split: the percent of employees of surface parking and students commuting to campus by a means other than driving alone Recommended Strategies Long Term in a vehicle. Transportation and parking-related strat- • Incorporate a new transit or transpor- • Baseline: 12.7 percent egies fall into the categories of short term tation center into the campus master and long term. Short-term strategies are plan generally actionable within five years, and long-term strategies may fall into the Please note that the transportation and five- to ten-year time frame or as oppor- parking section of the Appendix pro- tunities evolve. vides more detailed information regarding these short-term and long-term strategies.

25 TRANSPORTATION & PARKING Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023

Mode Split for Commuting Trips Figure 8 Both MCC’s Pass to Class Active Modes* program and UNO’s MavRide program provide free transit 12.7% Drive Alone** passes for students. In Spring 2011, when only 400 passes Figure 7 were provided, UNO stu- Comparison of the current dents using MavRide passes mode split for active commut- reduced driving trips to ing to the UNMC/NM 42nd & campus by 52 percent, sav- Dewey campus and for Omaha, ing an average of 129 park- 87.3% Nebraska, and the United ing spaces per day. UNMC/ States. Omaha data is based on NM could explore a similar values in the Environmental type of program for students Element of the City of Omaha’s and/or staff to alleviate UNMC/NM Comprehensive Plan. United parking demand and limit 42nd & Dewey Campus States data is based on U.S. Cen- single-occupant vehicle trips sus BureauActive information.Modes1 to campus.

2 18.0% Drive Alone * Active Modes include public transit, bicycling, walking, and carpooling. ** Drive Alone reflects the percentage of commuters driving 82.0% alone in a vehicle.

Omaha Active Modes1

Drive Alone2 22.4% Figure 9 Bicycle sharing (B-cycle, left image) is already present on the UNO campus. Addi- tionally, car sharing (Zipcar, right image) is available at UNO, UNL, and Creighton University. These programs allow students and staff to rent cars and bicycles by the hour for a nominal fee to run errands, get to appointments, or deal with emergencies. 76.6% Similar programs could be implemented at UNMC/NM to support individuals who carpool, walk, bike, or use transit to commute to/from campus, thereby, reducing parking demand and emissions.

United States

Table of Contents | Main | Appendix 26 Baseline • Expand sustainable food education Food Services and promotional efforts There is no specific metric or baseline Over the past decade, the movement to for food services. Due to the nature of • Join hundreds of health care organiza- create healthier, more sustainable food the goal, its achievement will be known tions in signing Health Care Without systems and to reduce food waste on when it is reached rather than relative to Harm’s Healthy Food in Health Care hospital campuses has intensified. On a given baseline value. Pledge, which will demonstrate a com- average, more than 20 percent of a large mitment to procuring local, nutritious, hospital’s total waste is food waste (see Goal and sustainably-produced food Figure 10), despite the fact that almost Long Term everything coming out of the kitchen Food Services Waste and dining areas could be recycled or fed • Bring more agriculture to campus by By the end of 2023, divert at least 90 into a biological process (e.g., compost- hosting community supported agri- percent of kitchen and café waste from ing, anaerobic digestion, food for farm culture or a farmers market to give 20 reaching a landfill animals). employees and students easier access “There should be a While there are numerous ways that Recommended Strategies to fresh foods commitment by the food service operations can be more • Grow more food on campus by ex- university and hospital sustainable, many of the short-term Food services-related strategies fall into panding the herb gardens and looking to become a zero strategies that are listed primarily focus the categories of short term and long for creative ways to incorporate a com- landfill facility.” on eliminating waste. The goal is for term. Short-term strategies are generally munity garden on site UNMC/NM’s food service operations actionable within five years, and - UNMC/NM Survey to become zero-waste, which the Zero long-term strategies may fall into • Increase and track the amount of food Respondent Waste International Alliance defines as the five- to ten-year time frame or as served and purchased in the cafés that achieving at least 90 percent diversion opportunities evolve. is sourced from local and organic sup- pliers of all waste from the landfill or incinera- Short Term tor.21 There are also short- and long-term Please note that the food services section strategies that focus on increasing the • Focus on diversion of food waste into of the Appendix provides more detailed amount of sustainably-produced food of- a more sustainable waste stream information regarding these short-term ferings and promoting healthier lifestyles • Establish a Healthy and Sustainable and long-term strategies. through good food choices. Foods Task Force to zero in on ad- By working with its long-term food ser- ditional healthier food options and vices vendor, Sodexo, which has demon- waste reduction strategies “Please work on reducing waste in the strated a good foundation and willing- • Replace Styrofoam products with more cafeteria, especially the styrofoam.” ness for adopting sustainable food service sustainable options in cafés and pa- operations, UNMC/NM have the oppor- - UNMC/NM Survey Respondent tient food services tunity to further reduce the waste that they produce as well promote healthy • Transition back to more reusable food choices in alignment with their dishes and flatware in thecafés community health-oriented missions.

27 FOOD SERVICES Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023

UNMC/NM’s Food Waste Diversion Potential

Recycling 21.5% 20.0% Food

7.2% Trash

0.6% Regulated Medical 50.7%

Hazardous

Figure 10 Practice Greenhealth estimates that up to 20 percent of a health care facility’s Sustainability is Vital waste is actually compostable food waste. The striped portion indicates the portion of trash that could potentially be diverted to compost or used as animal Styrofoam feed on a farm. clamshell con- 280,000tainers were used on campus through food services in 2012, not including off-campus vendors that cater. This number of clamshells placed end-to-end would be 39 miles Sustainability is Vital long. This material does not break down in a landfill. percent of UNMC/NM employees and students 78 who completed a recent survey indicated they would like to see an increase in healthy and sustainable food options served in campus cafés.

Table of Contents | Main | Appendix 28 It is important to note that this metric Broader strategies not included with the Campus Planning should be used only as a guide, rather principles above entail: than a definitive measure of campus • Incorporating elements of the Sustain- The UNMC/NM campus has a weekday planning success. ability Master Plan into the Facilities population of around 15,000. Accord- Development Plan ingly, UNMC/NM maintain a Facilities The campus density baseline is 73,327 Development Plan to provide a vision GSF per developed acre as of December • Implementing a de-construction and direction for growth on campus. 31, 2010. approach to building removal The campus planning section provides Goal • Improving the tree canopy a few sustainability-related principles • Proactively monitoring indoor air that can supplement the Facilities Devel- Campus Density quality opment Plan. These principles encourage making the campus a more vibrant, Maintain the 2010 density of 73,327 • Minimizing toxics in buildings active, and sustainable place for employ- gross square feet of built space per devel- Please note that the campus planning ees, students, patients, visitors, and the oped acre “I would love to live section of the Appendix provides more surrounding community. close to work to Recommended Strategies detailed information regarding these minimize commute short-term and long-term strategies. times and energy Baseline The strategies for campus planning take usage, but none of the Maintaining relatively high density on the form of three guiding principles that current options in the and around campus provides better com- can infuse concepts of sustainable development into the Facilities Development area appeal to me.” patibility with transit, access for pedes- Sustainability is Vital Plan. The principles are not as specific as trians and bicyclists, and it often drives Population rank of the - UNMC/NM Survey economic development while combating strategies, but there are specific actions Respondent sprawl. As such, a density metric was UNMC/NM can take that follow these UNMC/NM cam- created for the campus that measures the principles. Examples of these specific 14pus as compared to amount of built space per developed acre actions are listed in the Appendix, while communities across Nebraska: as follows, the three principles include: just after Scottsbluff (15,039) [NM GSF + UNMC GSF + Clarkson GSF] ÷ • Fostering a mix of building uses to and just before South Sioux City (13,353).22 [(NM acres + UNMC acres + Clarkson acres) – Major improve area vibrancy Green Space*)] • Using building placement and *Major green space is green space larger than .25 acres. streetscape design to support active transportation options where GSF = gross square footage of all buildings and parking garages on UNMC, • Providing high-quality public spaces Nebraska Medicine, and Clarkson College to encourage interaction and property (see Figure 11). GSF does not support healing include surface parking lots.

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2010 UNMC/NM Main Campus

UNMC Main Campus 2010 Greenspace 18.1Acres

Buildings/Hardscape 90.5 Acres

Total Land 108.6 Acres

Greenspace 18.1 Acres Building/Hardscape 90.5 Acres Total Land 108.6 Acres

Figure 11 The aerial map above shows a breakdown of the 2010 UNMC/NM campus land use with developed areas in red and “major” green space in green. Of the 108.6 acres total campus acres (as of December 31, 2010), approximately 18.1 acres were significant green space (16.7 percent).

Table of Contents | Main | Appendix 30 Date: 2/11/2016 0 to 100 (see Figure 12). A higher Sustain- • Track and communicate progress to em- Campus Engagement ability Engagement Score indicates that ployees and students more employees and students are highly • Fully integrate sustainability into In addition to serving as a major medi- aware of UNMC/NM’s sustainability ef- organizational strategic planning cal center educating approximately forts, highly knowledgeable about how 3,500 professional students each year, to conserve energy and resources while at • Adopt a joint sustainability statement UNMC/NM also represent two of the work or school, and regularly engage in or policy that demonstrates institution- largest employers in the City of Omaha various conservation behaviors on cam- al commitment and the State of Nebraska with over pus. 10,000 employees. These employees and • Join Practice Greenhealth and the Asso- students have demonstrated support for The baseline Sustainability Engagement ciation for the Advancement of Sustain- UNMC/NM’s past sustainability efforts Score for UNMC/NM is 45, based on the ability in Higher Education average of the awareness, knowledge, and and for the continued expansion of the • Formalize and integrate the two green behavior frequency metrics. initiative. Per a recent survey, over 90 per- teams cent of employee and student respondents “It’s important to indicated that it is important to them that Goal • Expand campus education and commu- let the [UNMC/NM] UNMC/NM are committed to sustainabil- nication efforts and conduct commu- community know the ity. Much of this support is the result of Employee and Student nity outreach regarding sustainability results of efforts and the educational efforts of the two campus Engagement • Provide recognition opportunities green teams: UNMC LiveGreen and Ne- that even the smallest Achieve a Sustainability Engagement actions and behaviors braska Medicine’s Energy Advocates Team. • Incorporate sustainability into employ- Score of 75 by the end of 2023 ment and training elements, such as add up to make a UNMC/NM can build upon this founda- job descriptions and orientations difference.” tion of support and further engage em- Recommended Strategies ployees and students about sustainability • Support satellite locations and orga- - UNMC/NM Survey by implementing the strategies noted Engagement-related strategies involve nizational partners, such as Bellevue Respondent in this section. By doing so, UNMC/NM engaging staff and students, as well as es- Medical Center and Clarkson College will foster an organizational culture that tablishing mechanisms that provide orga- actively supports and is invested in the nizational support and help communicate Long Term efforts to the community. The strategies sustainability goals and initiatives, as well • Incorporate sustainability into curricu- fall into the categories of short term and as embed environmental consciousness lum by developing specific courses or long term. Short-term strategies are gener- into daily business decisions and institu- integrating specific topics into existing ally actionable within one to five years, tional projects. classes. and long-term strategies most likely will Baseline fall into the five to ten year time frame. • Include sustainability and its relation to public health into research goals Results from two anonymous online sur- Short Term • Integrate sustainability as part veys distributed to UNMC/NM employees • Establish an Office of Sustainability and of UNMC/NM’s respective brands and students in September 2012 and De- hire a full-time Sustainability Manager cember 2012 were combined and aver- Please note that the engagement section aged to establish a baseline Sustainability • Create an executive-level sustainability of the Appendix provides more detailed Engagement Score, which can range from steering committee representing both information regarding these strategies. organizations

31 ENGAGEMENT Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023

UNMC/NM Campus Community Engagement Metrics

Sustainability Engagement Score: Baseline 45 Figure 12 Average of desired responses Establishing a baseline for en- for awareness, knowledge, Goal 75 gagement around sustainability and behavior involves a combination of several 0 10 20 30 40 50 60 70 80 score metrics related to awareness, knowledge, and behavior. Mea- surements of awareness, knowl- Awareness: Extremely or Very Familiar 24 edge, and behavior are shown How familiar are you with 45 UNMC LiveGreen / Energy Advocates Somewhat Familiar in the lower three graphs. The and UNMC/NM’s e orts to conserve Slightly Familiar 18 percent of respondents in the top energy and resources?* category for each of these metrics 13 Not Familiar At All are averaged to determine the baseline Sustainability Engage- 0 10 20 30 40 50 60 70 80 percent ment Score. The baseline and goal for the Sustainability Engagement Knowledge: Extremely or Very Knowledgeable 38 Score are shown in the How knowledgeable do top graph. you consider yourself to be Somewhat Knowledgeable 55 about conserving energy and Slightly Knowledgeable 7 resources at work/school? Not Knowledgeable At All 0

0 10 20 30 40 50 60 70 80 percent

Behavior: Always or Most of the Time 73 “UNMC LiveGreen and EAT How often do you personally Sometimes 16 [Energy Advocates Team] participate in certain actions have done an excellent job of when your are working or going Rarely 7 to school at UNMC/NM?** promoting initiatives on campus. Never 3 Their efforts are definitely making 0 10 20 30 40 50 60 70 80 an impact.” percent Baseline Goal - UNMC/NM Survey Respondent * With the awareness question, respondents were asked about their specic organization and green team (e.g., UNMC respondents were asked about familiarity with UNMC LiveGreen and UNMC’s sustainability e orts). ** Actions include: turning o lights, using fewer lights or lowering light levels, unplugging nonessential appliances, using reusable food and beverage containers, printing double sided, opening doors manually, shutting o computer monitors, recycling condential paper, recycling plastic and metals, and closing blinds on hot, sunny days. It is important to note that positivity bias can occur when respondents self report the frequency of socially-desirable behaviors, which can result in slightly inated responses.

Table of Contents | Main | Appendix 32 4 “The University of California, San 10 Sustainable Endowments Institute, Conclusion Francisco (UCSF) is a leading university Greening the Bottom Line: The Tren To- dedicated to promoting health world- ward Green Revolving Funds on Campus, As a leading academic health sciences wide through advanced biomedical http://greenbillion.org/wp-content/up- center, UNMC/NM have a tremendous research, graduate-level education in the loads/2011/10/GreeningTheBottomLine. opportunity to become a regional, life sciences and health professions, and pdf (accessed on January 15, 2013). if not national, sustainability leader. excellence in patient care. It is the only 11 PriceWaterhouseCoopers, Accelerating UNMC/NM are already receiving nation- campus in the 10-campus UC system Progress Toward a Lower-Carbon Future: al attention from the U.S. Department dedicated exclusively to the health sci- Carbon Disclosure Project S&P 500 Cli- of Energy for their energy efficiency and ences.” quoted from http://www.ucsf. mate Change Report (2012), available at curtailment efforts. edu/about. http://www.pwc.com/gx/en/sustainabil- It is clear that UNMC/NM aspire to be 5 UCSF, UCSF Sustainability Action Plan 2, ity/publications/carbon-disclosure-proj- a 21st-century leader in patient care, April 2011, available at http://campuslife- ect/index.jhtml (accessed on December health sciences instruction, and research. services.ucsf.edu/upload/sustainability/ 1, 2012). UNMC/NM can support these aspirations files/SAP5_ExecSummary_with_Appen- 12 Practice Greenhealth, 2013 Sustain- through all aspects of their operations dix_1-4.pdf (accessed on November 28, ability Benchmark Report. Available to by embracing the relationship between 2012). community health and sustainability. members only at https://practicegreen- 6 ACUPCC Signatory List, available health.org/tools-resources/sustainability- at http://www.presidentsclimatecom- benchmark-report-members (accessed on Notes mitment.org/signatories/list (accessed March 1, 2014). on December 30, 2013) (showing 684 13 U.S. Environmental Protection 1 UNMC, UNMC Planning Information signatories to date, including 2,151 GHG Agency, Effects of Air Pollutants – Health and Quality Indicators iv, (April 2012), inventories and 533 climate action Effects, available at http://www.epa.gov/ available at http://www.unmc.edu/me- plans submitted). dia/retreat/2012piqi.pdf (accessed on eogapti1/course422/ap7a.html (accessed November 28, 2012). 7 Princenton Green Guide to Colleges on December 2, 2012). 2013 edition), available at http://www. 14 Presentation: Dr. Song Feng, Faculty, 2 The Commonwealth Fund, Novem- princetonreview.com/green-guide.aspx School of Natural Resources at University ber 2012 Issue Brief, Can Sustainable (accessed on November 12, 2013). Hospitals Help Bend the Health Care Cost of Nebraska Lincoln, Climate Change and Curve, available at http://www.greenrib- 8 Association for the Advancement of Nebraska: What does our future hold?, (Oc- boncommission.org/downloads/bend- Sustainability in Higher Education, AAS- tober 20, 2012), Community meeting at ing_the_curve.pdf (accessed on Decemer HE Mission, Vision, and Goals, available First United Methodist Church, Omaha, 20, 2012). at https://stars.aashe.org/institutions/ Nebraska. (accessed on January 15, 2013). 3 United Nations World Commission on 15 Omaha Public Power District, 2013 Environment and Development (1987), 9 Association for the Advancement Annual Report, available at http://www. Our Common Future (Brundtland Report), of Sustainability in Higher Education, oppd.com/prodconsump10g/groups/ Oxford University Press. Current Stars Participants, available at web/documents/webcontent/22_008153. https://stars.aashe.org/institutions/ (ac- pdf (accessed February 15, 2014). cessed November 8, 2013).

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16 Greenhouse Gas Protocol, available at http://www.ghgprotocol.org/ (accessed December 12, 2012). 17 Environmental Protection Agency, Greenhouse Gas Equivalencies Calculator, available at http://www.epa.gov/cleanen- ergy/energy-resources/calculator.html (accessed December 8, 2012). 18 Clean Air Cool Planet, Campus Carbon Calculator, available at http://cleanair- coolplanet.org/campus-carbon-calculator/ (accessed on December 20, 2012). 19 UNMC, 2006–2015 Facilities Develop- ment Plan 37 (2006), available at http:// www.unmc.edu/wwwdocs/UNMC_Dev- Plan_2006_2015.pdf (accessed November 8, 2012). 20 Practice Greenhealth, Sustainable Food, accessible at https://practicegreenhealth. org/topics/sustainable-food#_edn4 (accessed December 20, 2012). 21 Zero Waste International Alliance, Zero Waste Business Recognition, available at http://zwia.org/standards/zw-business- principles/b/ (accessed December 20, 2012) 22 U.S. Census Bureau, State and County QuickFacts, available at http://quickfacts. census.gov/qfd/states/31000.html (accessed December 21, 2012).

Table of Contents | Main | Appendix Appendix 34 Section Page Appendix: Emissions 37 Energy 40 Water 46 Materials 51 Transportation and Parking 57 Food Services 63 Campus Planning 69 Engagement 80

35 APPENDIX Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023

APPENDIX

Table of Contents | Main | Appendix Appendix EMISSIONS

37 APPENDIX - EMISSIONS Table of Contents | Main | Appendix Global business trends are even stron- mitment (ACUPCC), UNMC/NM will Background: ger. In 2013, Global Compact–Accenture publicly solidify their commitment to completed a study that surveyed over sustainability. Signatories recognize the Additional Details 1,000 top executives from 103 different existence and dangers of global warm- countries. The results indicated that 93 ing, commit to “creating a climate action Interviews and meetings with individuals percent see sustainability as important to plan to achieve climate neutrality as from UNMC/NM revealed a consensus their company’s future success, and 96 soon as possible,” and agree to imple- on campus that climate change is a pres- percent think sustainability issues should ment a few tangible actions to reduce ent reality, is primarily caused by human be fully integrated into the strategy and greenhouse gases while the plan is being activity, and is having a negative impact operations of a company.2 developed. on human health. Many individuals also acknowledged that there has been no An appropriate and reasonable, yet bold, vision or consensus on how aggressively Previous Success goal for UNMC/NM is to reach climate UNMC/NM need to act to mitigate and neutrality by 2050 (i.e., zero net emis- adapt to climate change. UNMC/NM have reduced greenhouse gas sions). Many of the strategies outlined in emissions by more than 20,000 metric this Plan will help UNMC/NM achieve Acknowledging and acting upon the risks tons of CO2eq as a result of recent energy this goal, but they are just the beginning. and opportunities associated with sus- conservation efforts that decreased over- Achieving climate neutrality may require tainability is increasingly common in the all annual energy use by approximately the following additional actions: business world. According to a September 340,000 MMBtu. 2012 Climate Disclosure Project report • Continuing to aggressively work to- authored by PriceWaterhouseCoopers1, a ward greater efficiency, conservation, growing majority of S&P 500 companies Strategies: and innovation in energy consump- see managing climate change as a busi- tion beyond 2023. ness imperative: Additional Details • Incorporating renewable sources into • 92 percent reported board or execu- UNMC/NM’s energy generation mix. tive-level oversight for climate change Account for Refrigerants Renewable energy can be obtained di- and sustainability initiatives. rectly through generation or through Develop an accurate, campus-wide mea- renewable energy certificates. • 74 percent identified climate change sure of refrigerants used annually and opportunities that have the potential develop a plan to reach zero use of green- • Advocating for a cleaner mix of to generate a substantive change in house gas- and chlorofluorocarbon-based energy generation by Omaha Public business operations, revenue, refrigerants in new and replacement Power District (OPPD). OPPD’s power and expenditures. heating, ventilation, air conditioning, is primarily generated by fossil fuel and refrigeration building equipment. combustion. UNMC/NM benefit when • 73 percent are integrating climate renewables become a larger portion of change with overall business strategy. Make a Public the energy generation mix. • 83 percent have incorporated Commitment • Engaging in actions that offset emis- climate change into enterprise sions and purchasing emissions offsets risk management. By signing the American College and are the final pieces of the puzzle. University Presidents’ Climate Com-

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There are dozens of actions that offset emissions, such as planting trees. UNMC/NM may also purchase credits to offset its emissions, but in doing so must ensure the veracity of those credits. By signing onto ACUPCC, UNMC/NM will become the fourth higher education institution in Nebraska to make the commitment and the first in the University of Nebraska system. The most important component is the commitment to be climate neutral, which was widely supported by the Sustainability Master Plan Advisory Team and by student representatives from the Graduate Student Association and Student Senate. Notes 1 PriceWaterhouseCoopers, Accelerating Progress Toward a Lower-Carbon Future: Carbon Disclosure Project S&P 500 Climate Change Report (2012), available at http:// www.pwc.com/gx/en/sustainability/publications/carbon-disclosure-project/index. jhtml (accessed on December 1, 2012). 2 Accenture and United Nations Global Compact, The UN Global Compact-Ac- centure CEO Study on Sustainability 2013, available at http://www.accenture.com/ SiteCollectionDocuments/PDF/Accen- ture-UN-Global-Compact-Acn-CEO- Study-Sustainability-2013.PDF (accessed October 12, 2013).

Table of Contents | Main | Appendix Appendix 39 ENERGY

40 APPENDIX - ENERGY Table of Contents | Main | Appendix rates faster than the planet can naturally Background: absorb those gases, which contributes to Previous Success climate change. The impacts of climate Additional Details change around the world include rising Strategic Energy Initiative sea levels and generally warmer tem- Fossil fuels currently dominate the peratures.3 As a result of climate change, UNMC/NM embarked on a Strategic energy generation profile for the local the Midwestern United States, including Energy Initiative in 2009 with a focus on electricity grid that supplies electricity Nebraska, will experience more extreme energy efficiency measures in buildings. 1 to UNMC/NM. Unchecked use of fossil weather events, such as drought, storms, This initiative contained three primary fuels is the antithesis of sustainability and heavy rain events.4 These will likely objectives: 1) decrease operating ex- because fossils fuels are a finite resource combine with warmer nights, an expenses and increase operating revenues, and their extraction and combustion tended growing season (but one with less 2) reduce consumption, and 3) adjust the contribute to countless environmental total rainfall and more evaporative water business model. There are several actions and health issues. loss), shifting populations of historically under each objective, but the primary Fossil fuel extraction includes native species, and warmer winters that driver is the goal to reduce UNMC/NM’s various forms of mining and drilling create improved conditions for disease energy consumption and demand by 25 that inevitably impact the landscapes vectors such as biting insects and ro- percent by 2015. 5 and ecosystems where those activities dents. Consequently, the ecological Because of the strategic initiative, occur. Furthermore, although coal and disruptions of climate change will have UNMC/NM have completed several suc- natural gas are currently abundant negative impacts on the environment, cessful projects with a total positive cost domestically, oil is not and must be public health, and the economy. impact of millions of dollars. In addition imported from around the world, which Although fossil fuels create many direct to starting with simple actions like stan- requires the emission of unhealthy and indirect issues for human health and dardizing expectations for temperature greenhouse gases during the lengthy the environment, they will remain a part set points in UNMC/NM’s written Energy transportation process. of our energy mix for the foreseeable Management Policy, three particular Different types and grades of fossil fuels future. The best way to mitigate these projects have had the greatest impact on produce varying levels of air pollution effects in the short term is to focus on UNMC/NM’s energy consumption so far: as a result of the combustion process. energy efficiency and conservation. Do- • Adding heat recovery chillers to the Air pollution has direct health impacts ing so provides immediate benefits and Durham Research Towers, which that contribute to asthma, respiratory reduces the challenge of eventually meet- decreases the amount of heat released irritation, chronic bronchitis, premature ing energy needs using cleaner and safer to the atmosphere and reduces the death, acid rain, and ground-level ozone renewable energy sources. UNMC/NM need for steam from the central utility (which leads to smog).2 Most of these have already started to do their part in plant. This project cost $1.4 million effects are localized around combustion reducing their energy needs, and over the and has an expected payback of three sources, such as coal-fired power plants, next ten years, they can take additional years. and particularly in urban areas dense steps to shift their own energy supply to with internal combustion engines. include renewable resources. • Installing new chillers at the central utility plant. This project increases Fossil fuel combustion also releases the overall plant efficiency while also greenhouse gases into the atmosphere at reducing the use of ozone-depleting

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chlorofluorocarbon refrigerants. This the completion of other building effi- fied. This includes integration of auto- project included switching chilled wa- ciency projects resulted in a 20 percent mated and electronic control for the ter distribution to a variable supply as lower demand for electricity compared entire system. well as installing new plant controls. to 2010. This peak demand reduction decreased UNMC/NM’s demand charge Integrate Automation • Although currently in progress, the for the following twelve months and third project involves updating build- Technologies saved UNMC/NM hundreds of thousands ing control systems in the largest of dollars. Implement automation technologies buildings on campus. The new system to operate equipment at its highest ef- will allow for monitoring and adjust- ficiency at all flow points. Actions may ing building systems in real time and Strategies: include installing: at the room level. Along with the improved controls, some outdated Additional Details • Variable speed primary and equipment will be upgraded, such as secondary pumps installing variable frequency drives • Variable speed condenser pumps on fans and pumps. This project will Short Term • Variable tower fans continue throughout all UNMC/NM Resolve Building System buildings. The final cost will be just • Pump flow technology to automati- under $6 million with a payback of Temperature Differentials cally adjust flow rate based on kW and less than three years. Resolve the building system temperature differential pressure measurements differentials on campus to enable build- Behavior Change ing equipment to operate more efficient- Standardize Building Controls UNMC/NM have also made great strides ly and predictably. Actions to support UNMC/NM are in the process of com- with energy conservation in terms this strategy include, but are not limited pleting a building control system up- of occupant behavior. In particular, to: grade based on technology offered by UNMC/NM’S respective green teams, • Passing all chilled water through a Siemens. Once completed, the upgrade each conducted a “shut off the lights” load before returning to a chiller. will enable UNMC/NM Facilities Man- campaign and installed light switch agement and Planning to monitor and stickers around the campus to remind • Eliminating de-couplers and three- adjust building systems in real time and individuals to turn off the lights when way valves. dynamically respond to changing condi- leaving their office or meeting rooms. • Resolving bottlenecks at the central tions inside and outside of the buildings. In addition, UNMC/NM facilities staff utility plant. and green team members initiated a Install a Flue Gas Economizer curtailment campaign during the hottest Optimize Equipment Operations Install a flue gas economizer on the main days of summer by asking individuals Modify and optimize equipment op- stack to capture waste heat produced by to turn off lights, unplug office equip- erations to minimize the total amount the boilers and reuse it to make hot water ment when not in use, and close blinds of equipment online and improve the for the system. in their offices. During the summer of operational sequence of the system to 2012 (which was the hottest on record) maximize efficiency as tested and veri- these curtailment efforts combined with

Table of Contents | Main | Appendix Appendix 42 Lighting Audit and Upgrade Energy Efficiency in Information UNMC/NM would encourage or require Technology purchasing office equipment, computers, There is a tremendous opportunity to and peripherals that are registered with save energy by upgrading lighting tech- UNMC/NM operate a large amount of the Electronic Product Environmental nology in applicable medical areas and information technology, such as com- Assessment Tool (EPEAT) or are Energy in older campus buildings that have not puters, printers, copiers, servers, projec- Star certified. Additionally, future pur- recently been renovated. There are also tors, monitors, and other equipment. All chases of diagnostic imaging equipment areas, especially in newer buildings, that these items collectively use a substantial and other electronic medical equipment may have more lighting than needed in amount of energy, typically around 15 would be among the top 25th percentile general and/or when sufficient daylight percent of the energy consumed by a for lowest energy consumption for their is present. Additionally, in some areas, standard office building.6 respective class. outdoor lighting is on during the day, but it appears unnecessary (see Figure IT-related energy conservation actions Improve Fleet Efficiency 13). Upgrades and changes may include may include: UNMC/NM are cognizant of the need for items such as installing: • Implementing or activating power efficiency in their vehicle fleet and have • More efficient lamps and light bulbs management software or features for started looking at options such as small and dimming capabilities in various computers, projectors, and monitors diesel utility vehicles to replace larger buildings or displays (see Figure 13). trucks. Some additional actions that will improve fleet efficiency and reduce fleet • Photosensors and timers for both • Incorporating “wake on LAN” capa- energy use are: interior lighting near windows and all bilities to allow computers to be shut exterior lighting down while allowing access for up- • Ensuring existing fleet vehicles are dates or virtual private network use. well-maintained and operating as • Motion and occupancy sensors in efficiently as possible. classrooms, conference rooms, group • Evaluating the setup and operation of study rooms, offices, and restrooms any servers or server rooms to identify • Identifying unused vehicle resources and plan for opportunities to reduce and looking for opportunities to • Light emitting diode bulbs in appli- energy use. downsize the fleet without impacting cable medical areas, such as operat- employee mobility. ing rooms, which save energy and • Reducing the number of desktop print- improve thermal comfort of staff and ers through networking and use of • Upgrading to more efficient vehicle patients multi-function machines in central models when replacing a vehicle at locations. the end of its useful life. Improve Building Envelopes Energy-Related Purchasing • Exploring specific opportunities Assessing and improving building enve- Criteria to replace current vehicles with lope issues can help reduce cooling and more efficient vehicles now, such heating loads. A number of actions can Adopting energy-related purchasing as replacing vehicles used for food be considered such as limiting air infiltra- criteria and selecting energy-efficient service deliveries with lighter, more tion, increasing insulation, and improv- computers, office equipment, and elec- efficient electric vehicles. ing roof surface reflectivity. tronic medical equipment will help significantly reduce energy use. Ideally,

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Visualizing Short Term Strategies…

Figure 13 Lighting. There are opportunities across campus to save energy through lighting improvements. Clock- wise from upper left: outdoor lights atop a parking garage are on during the day; skywalk lighting on when daylight is sufficient; waiting room lamps using inefficient incandescent bulbs rather than compact fluorescent or LED bulbs; interior space near windows using excess artificial light during daytime hours; inefficient T12-type fluorescent lamps, which are still present across campus, create a telltale artifact (red stripes) in this digital photo; indoor space between DRC I and DRC II with abundant daylight has excessive artificial light during the day.

Information Technology. The left photograph shows a computer center where nearly every monitor is on even though no one is using the computers. By contrast, most of the monitors in the right photograph appear to be turned off and not wasting energy.

Table of Contents | Main | Appendix Appendix 44 Long Term Notes Energy Innovations 1 The majority of Omaha Public Power Continue to identify partnership oppor- District’s total supply capability starts tunities with public and private enti- as coal, natural gas, or oil per its Annual ties to develop innovative projects on Report 2013, available at http://www. campus that help achieve UNMC/NM’s oppd.com/InvestorsFinance/FinancialIn- energy goals and demonstrate their com- formation/22_001331 (accessed March mitment to being an energy leader. Such 12, 2014). innovations may include: 2 U.S. Environmental Protection Agency, • Obtaining part of UNMC/NM’s trans- Effects of Air Pollutants – Health Effects, portation fuel from a local biofuels available at http://www.epa.gov/eo- producer. gapti1/course422/ap7a.html (accessed on December 2, 2012). • Meeting part of UNMC/NM’s electricity needs with on-site renewable 3 Sierra Club and Climate Recovery Part- energy generation, including covering nership, Climate Change: The Challenge of rooftops or parking areas with solar Our Time executive summary, available photovoltaics and small-scale wind at http://www.sierraclub.org/crp/down- generation. loads/SierraClub-CRP-Executive-Summa- ry.pdf (accessed on December 2, 2012). • Integrating alternative fuel (such as natural gas or electric) vehicles into 4 Presentation: Dr. Song Feng, Faculty, UNMC/NM’s fleet by working with School of Natural Resources at University entities like Metropolitan Utilities of Nebraska Lincoln, Climate Change and District. Nebraska: What does our future hold?, (Oc- tober 20, 2012), Community meeting at • Exploring partnership opportunities First United Methodist Church, Omaha, with Metro Transit to supplement or Nebraska. replace shuttle services. 5 Id. Institutionalize a Green 6 Energy Information Administration, Revolving Fund Office Buildings: How do they use energy UNMC/NM will benefit from institution- and how much does it cost?, available at alizing their commitment to reinvesting http://www.eia.gov/emeu/consumption- energy savings into efficiency projects. briefs/cbecs/pbawebsite/office/office_ This will help ensure that funding for howuseenergy.htm (accessed on Novem- sustainability-related projects continues ber 15, 2012). when leadership transitions occur.

45 APPENDIX - ENERGY Table of Contents | Main | Appendix WATER

46 APPENDIX - WATER Table of Contents | Main | Appendix equipment like lawn mowers, blowers, With respect to domestic water use Background: and vehicles used to transport people inside buildings, UNMC/NM have been and equipment. proactively installing low-flow and low- Additional Details consumption faucets and fixtures during Water conservation is also particu- major renovations and new construc- larly important in Nebraska. The state’s Water and sustainable sites are consid- tion for at least the past decade. Records agricultural industry uses significant ered together because water is one of the show that nearly a dozen buildings on amounts of both surface water and aqui- most significant items to consider when campus are now equipped with low-flow fer water for irrigation. Climate change evaluating the sustainability of outdoor or low-consumption faucets or fixtures. is expected to impact Nebraska’s water sites. Water use encompasses water con- However, in several locations the low- resources by mid century; Nebraska is sumption in buildings and outdoors, and flow fixtures allowed soap residue and expected to have much more frequent, sustainable sites addresses the techniques debris to build up in the pipes, requiring more severe, and longer lasting droughts for designing and maintaining outdoor the reinstallation of regular faucet heads. as a result of climate change.4 Water- space. Both areas have ties to sustainabil- UNMC/NM are exploring options to ad- smart landscaping on UNMC/NM’s ity, although in the case of site manage- dress this issue. ment, the connections may not be obvi- campus would make UNMC/NM bet- ous at first. For UNMC/NM, water and ter prepared to handle the increasingly Energy- focused renovations at the cen- sustainable sites are important due to the frequent drought conditions expected in tral utility plant are helping to decrease location of the 42nd & Dewey campus the coming decades. chiller/boiler water use. For example, a reheat loop was added to capture usable in the Saddle Creek watershed and be- Finally, cleaning, processing, and pump- heat that would otherwise be rejected cause water is an important resource in ing water requires significant energy through the chillers and cooling towers. Nebraska. use. The nation’s wastewater plants and Some reduction is also due to reconfigur- drinking water systems spend about $4 Site features such as rain gardens, ing and upgrading valves and pumps as billion per year on energy to treat water.5 pervious pavement, and bioswales help well as increasing overall system effi- Therefore, using less water reduces emis- to retain and clean outdoor water as ciency. it percolates back into the ground, pro- sions and saves energy. viding habitat, flood control, and im- Outdoors, UNMC/NM have made prog- proving water quality by filtering Previous Success ress in their landscape design to select out particulates.1 more native and drought-tolerant plants, particularly in the new student plaza. UNMC/NM’s water consumption typical- Sustainable landscaping requires less However, most of the campus lacks ly peaks in the mid-to-late summer coin- application of fertilizers and pesticides. these features and could benefit from ciding with the time of year that requires These chemicals can be transported into an updated approach to sustainable site the heaviest cooling loads and the peak buildings through air handling equip- management. ment or foot traffic, creating health haz- time for irrigating lawns and landscap- ards for patients, visitors, staff, students, ing. UNMC/NM’s energy conservation and others.2 Reduced lawn and landscape and construction projects have reduced maintenance also creates a better heal- the water demand for building water use, ing, learning, and research environment leaving irrigation and chiller/boiler use as by reducing noise3 and emissions from the primary reduction opportunities.

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re-installed. Paybacks for installing low- native and drought-tolerant vegetation Strategies: flow aerators are often less than a year. that also provides habitat and pro- motes biodiversity (see Figure 14). Additional Details Monitor Building Water Use • Exploring future opportunities to cap- Similar to the building systems for en- ture and use rainwater or grey water Short Term ergy, develop a method or system for for irrigation. periodically tracking building water use Low-Flow Fixtures and monitoring trends in order to iden- • Using low-nitrogren and low-phos- phorous fertilizers that are free of Specify low-flow toilets and other tify opportunities. This may also include: pesticides. fixtures in any new buildings or reno- • Establishing water use targets for spe- vations. Such fixtures should meet or cific buildings. • Increasing the use of stormwater man- exceed the standards of Leadership in agement techniques, such as green Energy & Environmental Design (LEED) • Providing regular water use data to key roofs, rain gardens, bioswales, and for New Construction or Major Renova- users and occupants, perhaps by lever- pervious pavement. tions (2009),6 which include: aging a kiosk or dashboard focused on energy use. • Commercial toilets: 1.6 gallons per Long Term flush (gpf) or lower • Implementing an education and awareness campaign around water Pervious Pavement • Commercial urinals: 1.0 gpf or lower conservation similar to the campaigns Pervious pavement (i.e., pervious con- • Restroom faucets: 0.5 gallons per focused on curtailing peak electricity crete, porous asphalt, and concrete or minute (gpm) at 60 pounds per square use. plastic paving stones) allows water to seep through, rather than forcing it inch (psi) or 0.25 gallons per cycle for Landscape Management Plan faucets on a timer to runoff into the sewer system. This The first step to managing outdoor water technology is in use at a handful of large • Showers: 2.5 gpm at 80 psi use and reducing noise and pollution commercial locations in Omaha today, Kitchen equipment may exceed these from landscape maintenance is to create and will become more prevalent in the values, but it should be as efficient as an environmentally-sensitive Landscape near future. possible while meeting the needs of food Management Plan. The plan should in- service operations. clude actions such as: Second-Use Irrigation Water Both rainwater and grey water from Low-Flow Faucet Aerators • Policies to optimize water use, such as minimizing water applications and buildings could be used for irrigation in Identify and install low-flow aerators that restricting them to optimal times and lieu of purchasing processed and treated reduce the flow rate to 0.5 gallons gpm weather conditions. water from Metropolitan Utilities Dis- or less, where possible (see Figure 14). trict. Effective implementation of either The aforementioned issue regarding the • Avoiding water applications on imper- method will likely require some ad- build up of soap residue and debris in the meable surfaces. vanced planning and may be best suited pipes must be rectified before additional • Transitioning campus landscapes to for an application in a new UNMC/NM low-flow faucet aerators are installed or building.

Table of Contents | Main | Appendix Appendix 48 Visualizing Short Term Strategies…

Figure 14 Low-Flow Faucet Aerators. The faucet shown on top has Sustainable Landscaping. Sustainable landscaping incor- no aerator installed. Faucet aerators introduce tiny air bub- porates species that are native to or adaptable to the local bles into the stream to reduce the flow and reduce splash- climate. UNMC/NM have begun to incorporate more native ing. Low-flow faucet aerators, shown at bottom, go even and drought-tolerant species that echo the Nebraska prairie, further to reduce the flow. Use of aerators is not consistent primarily in the student plaza area as shown above. Over throughout UNMC/NM’s buildings, but they could reduce time, UNMC/NM can apply similar landscaping across faucet water use by 30 percent or more. campus, reducing the amount of water, fertilizer, and labor needed to maintain it.

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Notes

1 United States Department of Agricul- ture Natural Resources Conservation Service, Bioswales, available at ftp://ftp-fc. sc.egov.usda.gov/IA/news/BioswalesFS. pdf (accessed on November 24, 2012). See also http://en.wikipedia.org/wiki/Bioswale 2 Practice Greenhealth, Green Guide for Health Care Operations Pilot v. 2.2 05-3 (2008). 3 Joseph, Anjali, Sound Control for Im- proved Outcomes in Healthcare Settings, The Center for Health Design Issue Paper #4 (January 2007), available at http:// www.healthdesign.org/sites/default/files/ Sound%20Control.pdf (accessed Novem- ber 28, 2012). 4 Presentation: Dr. Song Feng, Faculty, School of Natural Resources at University of Nebraska Lincoln, Climate Change and Nebraska: What does our future hold?, (October 20, 2012), Community meeting at First United Methodist Church, Omaha, Nebraska. 5 U.S. Environmental Protection Agency, ENERGY STAR for Wastewater Plants and Drinking Water Systems, available at http://www.energystar.gov/index. cfm?c=water.wastewater_drinking_water (accessed November 24, 2012). 6 U.S. Green Building Council, LEED 2009 for New Construction and Major Reno- vations 23, available at https://new.usgbc. org/sites/default/files/LEED%202009%20 Rating_NC-GLOBAL_07-2012_8c.pdf (accessed on November 24, 2012).

Table of Contents | Main | Appendix Appendix 50 MATERIALS

51 APPENDIX - MATERIALS Table of Contents | Main | Appendix It is 20 times more effective at trapping Background: heat in the atmosphere than the most Strategies: well-known greenhouse gas: carbon di- Additional Details oxide. In the U.S., landfills are the third Additional Details largest contributor of methane gas into “Reduce, Reuse, Recycle” is a slogan often the atmosphere, constituting around 18 Short Term associated with sustainability, and for percent of U.S. emissions of methane.3 many in the general public it represents Paper Reduction Initiative the first step toward acting in a sustainable manner. It is simple, catchy, and a Previous Success There is an opportunity for UNMC/NM good place to start. However, sustainabil- to establish a clear expectation that paper ity and the environmental issues of today Since starting its initial recycling pro- use will be minimized through paper- have become more complex since this gram in 1989, UNMC/NM have made reduction actions such as: great strides in the area of recycling. slogan was coined decades ago. • Supporting paperless meetings Over the past two decades, UNMC/NM through use of information technol- A more modern vision of sustainable have diverted an estimated 21 million ogy, including providing electronic materials management embraces the pounds of paper, cardboard, and other documents rather than printing. concept of manufacturing every material recyclable material from the landfill. The item as something that can be “broken program has expanded over the years, • Where possible, set duplex printing as down and circulated indefinitely in in- and UNMC/NM currently have the abil- the default for existing printers and dustrial cycles,” including products that ity to recycle mixed paper, cardboard, 1 copiers. are repairable rather than disposable. aluminum, plastic, tin, scrap metal and • Encourage departments to coordinate Until society, and especially corporations, fluorescent tubes. embrace this new paradigm, the concepts with IT workstation support to set up of reduce, reuse, and recycle will play an The most effective way to reduce the new computers to print duplex by important role in reducing human dam- amount of waste and recycling that default. needs to be handled is to reduce the vol- age to our natural environment. • Encourage departments to set print- ume and quantity of materials purchased ing reduction goals and to work with As one considers the environmental on the front end.4 Some departments procurement and printing services to impact of material and waste, it is impor- within UNMC/NM are trying to take sus- track and monitor printing usage. tant to remember there is a much greater tainable steps like ordering materials that impact than material physically taking result in less wasted packaging, clustering • Encourage UNMC faculty to pro- up space in landfills. Landfills are feder- orders to reduce shipments, and ordering vide course materials only in digital ally regulated because they can threaten only what will be needed. formats (see Figure 15). the quality of nearby ground and surface water, air quality, and soil quality.2 • Utilize UNMC’s eSHOP features that reduce the need for paper forms and Landfills also release methane gas, which storage. contributes to climate change and negatively impacts human health. Methane • Continue to expand OneChart is an extremely potent greenhouse gas. PATIENT (electronic access to records) to all relevant medical areas and

52 APPENDIX - MATERIALS Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023

encourage patients to access summary • Developing a list of targeted materials Trash and Recycling reports online instead of receiving to avoid when purchasing new prod- Improvements printed copies. ucts; examples include mercury, brominated flame retardants (BFRs) The outgoing materials stream of the Sustainable Procurement polyvinyl chloride (PVC), di-2-ethyl- campus was heavily studied as part of a Policies and Practices hexyl phthalate (DEHP), Bisphenol A waste reduction initiative during fiscal (BPA), and volatile organic compounds year 2011. Although implementation of Include sustainability considerations in (VOCs). actions from that process are ongoing, procurement practices by inquiring about there are additional opportunities to con- vendors’ sustainability practices and as- • Identifying and adopting sustainable tinually improve handling of trash and signing value to product characteristics, procurement policy metrics to as- recyclables on campus, including: such as life-cycle cost, environmental sess progress; examples include total impact, recycled content, reduced pack- number and percentage of products • Increasing the number of trash and aging, energy efficiency, and emissions. purchased with identified environ- mixed recycling receptacles at major This approach can identify products or mental criteria and total number and entrances to campus buildings, near services that meet functional needs while percentage of certified sustainable outdoor gathering areas, and indoor supporting UNMC/NM’s efforts to reduce products purchased (GreenSeal, Eco- commons areas accessible by visitors. waste, reduce energy use, increase recy- logo, EPEAT, etc.). • Continuing to enhance and expand cling, and reduce harmful chemicals in In addition, ensure that individuals and the current recycling program to reach buildings. Supportive actions include the departments are aware of sustainable all campus areas with uniform con- following: purchasing options by highlighting, or tainers and signage (see Figure 15). • Establishing policies and procedures allowing vendors to highlight, sustain- • Implementing beverage container for investigating waste prevention op- able products. Examples may include: recycling in patient rooms. portunities in the supply chain pur- • Establishing a “green” product store • Offering recycling opportunities in all chasing process. or identifying more sustainable prod- cafés. • Phasing in waste-reduction and other ucts with a particular icon on UNMC’s environmental criteria into contracts eSHOP program. • Continuing to evaluate opportunities to improve and expand on-campus and specifications for products and • Decreasing small shipments and collection opportunities for special services; this could also include requir- duplicate orders by using combined items such as alkaline batteries, cellu- ing key contractors (e.g., Sodexo) to re- carts in eSHOP. port annually on sustainability efforts lar phones, eyeglasses, light bulbs, and and related benefits to UNMC/NM. • Setting recycled content copier paper printer cartridges. as the default option when purchasing • Continuing to review and analyze the • Requiring contractors to recycle non- paper in eSHOP. RCRA construction and demolition waste and recycling collection system materials and to report estimated or • Working with Nebraska Medicine’s pri- in order to improve efficiency for Envi- actual amounts of recycling by type of mary office supplies vendor to clearly ronmental Services staff and the waste material. identify and promote more sustainable and recycling haulers. options.

Table of Contents | Main | Appendix Appendix 53 • Ensuring that all satellite locations Services Department and other medical Long Term have mixed recycling containers and areas known to produce high volumes of collection services. waste, including the following: Enhancements to the Surplus Reduce Lab-Related Trash • Continuing to expand the purchase Store and use of reprocessed single-use UNMC/NM currently have systems Research labs present many challenges devices and collect these items. and opportunities for materials man- whereby unwanted furniture may be cen- agement since they generate a variety • Transitioning to using more reusable trally collected and stored and, depend- of waste types and sometimes in large textiles and supplies, such as reusable ing on its condition, redeployed within quantities. Opportunities to reduce the surgical towels, gowns, patient warm- UNMC/NM. The current systems can be amount of trash, and increase recycling ing devices, back table covers, mayo enhanced with a more user-friendly and coming from research labs include: stand covers, basins, and grounding robust online or intranet store intended pads. to improve the turnover and reuse of • Increasing the use of reusable equip- furniture on campus. ment and decreasing disposable • Continuing to evaluate and reformu- equipment. late medical procedure kits to reduce Food Waste Diversion excess supplies and identifying op- • Providing additional resources to edu- portunities to replace disposable items In the next decade, UNMC/NM should cate researchers and research assistants with reusable items where demonstrat- identify a solution for diverting food on how to divert the various waste ed safe and economically viable. waste from the landfill. Options may streams produced in the research labs. include providing food scraps to a local • Implementing the use of portable fluid swine farmer or direct composting. Some • Exploring specific protocols, such as a management systems to avoid the use action in this area will be necessary to green lab certification program, to give of disposable suction containers. reach the 2023 zero waste goal for all the laboratories specific and achievable food service operations waste. action steps with a specific end result. • Continuing to recycle blue sterilization wrap and evaluate the purchase Implement Waste Reduction and use of more rigid sterilization con- Strategies in Surgical Services tainers (i.e., reusable hard cases). In a hospital setting, the Surgical Services • Continuing to offer a recycling pro- Department typically generates the most gram for rigid plastics, paper, and card- revenue, uses the most medical supplies, board, and provide periodic education and produces the most waste. Recent for staff about appropriate separation studies have shown that the Surgical of regulated medical waste. Services Department produces approximately 20 to 30 percent of a hospital’s total waste volume even though it has a rather small spatial footprint.5 However, there are multiple waste reduction opportunities for Nebraska Medicine’s Surgical

54 APPENDIX - MATERIALS Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023 Visualizing Short Term Strategies…

Figure 15 Paper Reduction. As individuals, especially Trash and Recycling Improvements. Im- Additional and Standard Containers. students, become more accustomed to work- proving the logistics related to trash haulers’ Although there is some similarity among ing with notebook computers, tablet com- compactor service can reduce the amount recycling and trash containers on campus, puters, and smartphones, UNMC/NM have of trash that accumulates on the docks, sav- there are several dozen different container an opportunity to strategically reduce the ing time for both Environmental Services’ variants when considering size, shape, and amount of paper consumed on campus. As employees and trash haulers. In addition, color, and there are almost as many different shown in the image above, the majority of increasing recycling rates will reduce the signs. Over 1,800 employee and student sur- students in this small group class appear to amount of trash and eventually the frequen- vey respondents indicated they would like to be taking notes or viewing handouts using cy by which compactors are pulled, making see UNMC/NM add more recycling containers computers rather than paper. fewer trips for trucks and reducing green- on campus that are clearly marked and have house gas emissions. consistent signage regarding what is collected.

Table of Contents | Main | Appendix Appendix 55 Notes

1 McDonough, William and Braungart, Michael, Cradle to Cradle: Remaking the Way We Make Things 5 (2002). 2 U.S. Environmental Protection Agency, Growndwater Monitoring Requirements: Municipal Solid Waste Landfills, available at http://www.epa.gov/osw/nonhaz/municipal/landfill/financial/gdwmswl.htm (accessed on November 26, 2012). 3 U.S. Environmental Protection Agency, Inventory of U.S. Greenhouse Gas Emissions and Sinks, http://epa.gov/climatechange/ ghgemissions/usinventoryreport.html (accessed on March 10, 2013). 4 U.S. Environmental Protection Agency, Sustainable Materials Management: The Road Ahead 16 (2009) (listing “Green Procurement” as a facet of materials management), available at http://www. epa.gov/smm/pdf/vision2.pdf (accessed on November 26, 2012). 5 Practice Greenhealth, Greening the Operating Room Initiative Project Overview, available at http://www.practicegreenhealth.org/initiatives/greening-operating- room (accessed on November 28, 2012).

56 APPENDIX - MATERIALS Table of Contents | Main | Appendix TRANSPORTATION and PARKING

57 APPENDIX - TRANSPORTATION Table of Contents | Main | Appendix UNMC/NM own about 9,000 parking for studies, extracurricular activities, and Background: spaces. The fact that an estimated 15,000 social media, and saves money for other people (including employees, staff, local expenses—is expected to persist as Additional Details students, patients, and visitors) travel to Generation Y ages.5 the campus every day makes UNMC/NM UNMC/NM will remain attractive or- Abundant, free, or low-cost parking uniquely situated to create positive ganizations for the next generation of induces people to drive by lowering the change that will ripple throughout Oma- students, researchers, physicians, and cost of owning and operating a personal ha. In particular, UNMC/NM’s policies employees by actively encouraging and vehicle. Thus, more individuals choose to around parking and transportation can supporting improvement and expan- own and drive a personal vehicle, which support individual choices that are better sion of transportation options, particu- has an overall negative impact on the for the environment, and therefore, bet- larly around its 42nd & Dewey campus. environment and community health. ter for community and individual health. UNMC/NM are uniquely positioned— This pattern is important because if As an employer, UNMC/NM can take both geographically and operationally— the rate of car ownership and opera- strategic action now to increase the to implement sustainable practices that tion remains at current levels while the rate of employees using carpools, pub- simultaneously address the transporta- Omaha metro area population surpasses lic transit, bicycling, and flexible work tion needs of a growing community and 1 1.3 million by 2050, there simply will options so its workforce is prepared for campus population while also reducing not be enough road space or parking the impact of a growing Omaha popula- harmful impacts on community and stalls for everyone to drive to and within tion. Additionally, employees who use environmental health. midtown Omaha by 2050. Shifting trips diverse transportation options can avoid to more sustainable modes (e.g., carpool- the stress of driving alone in heavy or ing, public transit, bicycle) has multiple delayed traffic while commuting, which Previous Success sustainability-related benefits such as: benefits the employer through higher job UNMC/NM’s past actions relative to satisfaction, improved employee recruit- • Decreasing the demand for costly and transportation and parking have fo- ment and retention, and better produc- finite supplies of fossil fuels and keep- cused on providing space for employ- tivity at work.2 ing money within the local economy ees, students, and visitors to store their that would have otherwise been spent In addition, the benefits arising from vehicles while on campus. While this on fuel. access to diverse transportation options approach is consistent with recommen- • Reducing the amount of pollution are increasingly attractive to a growing dations from multiple sources,6 it means from the combustion of fossil fuels and influential demographic. The Fron- that UNMC/NM have not yet analyzed that create environmental and tier Group reports that Americans in the potential benefits of more diverse health hazards. the 16-to-34 age group drove 23 per- transportation options and commuting cent fewer miles per year in 2009 than programs. • Promoting more active modes of in 2001.3 In the same time frame, the In the face of anticipated growth on transportation that benefit individual number of 14- to 34-year-olds without campus and in the region by 2050, health. a license increased from 21 percent up UNMC/NM may not be able afford to 26 percent.4 In addition, the growing • Reducing time lost and emissions gen- to continue to provide a parking preference among Generation Y not to erated due to vehicle congestion on space for roughly every 1.5 individu- local streets and highways. own a car—because it leaves more time

58 APPENDIX - TRANSPORTATION Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023 als. UNMC/NM can stay ahead of that many small and large scattered surface • Working with the City of Omaha to growth by embracing its urban setting, lots along with several structured lots. An reduce speed limits on streets that pass and—as stated in its 2006–2015 Facilities integrated plan considering employer- through campus to make the environ- Development Plan—taking advantage based traffic demand management, active ment safer for pedestrians and quieter of the “opportunity to exercise thought- transportation, building placement, and for healing patients. ful use of land and building sites, care- the consolidation of surface lots would ful management of transportation, make parking management much easier Promote and Support Transit and greater emphasis on quality urban and improve the overall layout of the Use design.” campus. UNMC/NM are ideally located to support Recently, UNMC/NM have started to The Sustainability Master Plan Advisory public transit use as it lies in the heart explore solutions beyond parking expan- Team expressed broad support for this ac- of Omaha’s midtown area. Currently, sev- sion alone. For example, UNMC/NM tion, recognizing the need to improve di- en of Metro Transit’s 37 bus routes serve have been incorporating more bicycle verse transportation choices and options the UNMC/NM campus providing many parking with their newest buildings, on campus. Such a plan should consider options for employees who currently and just recently installed bicycle tool and analyze the following strategies. use transit.7 UNMC/NM can do more to stations at both the Durham Research encourage employees and students to use Towers and the Student Life Center. By Improve the Pedestrian public transit by: proactively supporting more diverse Experience transportation choices, UNMC/NM will • Working more with Metro Transit to be following suit with other leading ur- Not everyone—whether an employee, expand and improve service in mid- ban university and health care campuses student, or visitor—lives close enough town Omaha. to UNMC/NM to walk to campus. How- as well as helping to improve transporta- • Promoting Metro’s services on cam- ever, every person is a pedestrian at some tion in around campus for decades to pus by highlighting lines that serve point in his or her day whether they come. campus and where they go; informing drove, bicycled, or used another mode of people on how to ride the bus, how to transportation to get to campus. There use the bike racks on the bus, and the Strategies: are a number of areas on or near campus presence of “park and ride” locations; where pedestrian-related infrastructure and selling passes on campus. Additional Details can be improved, which include, but are not limited to the following: • Joining the Metro Partners Program and purchasing transit passes for • Working with the City of Omaha to Short Term employees at a discount with a sub- address pedestrian issues along 42nd sidy for employees. This can be tax- Develop a Transportation Plan Street, particularly at Dodge, Emile, deductible for applicable employers or and Leavenworth, and where Farnam Develop a Transportation Plan for the tax-free for employees. campus that integrates a vision for crosses Saddle Creek. • Providing free transit passes for stu- pedestrians, cyclists, mass transit us- • Evaluating and redesigning interior dents to use for commuting to and ers, and vehicles to efficiently travel to and exterior wayfinding for building from campus (see Figure 16). and through the campus. Currently, occupants, particularly patients UNMC/NM’s parking is spread across and visitors.

Table of Contents | Main | Appendix Appendix 59 Expand Bicycling Infrastructure Provide Flexible Transportation Promote the Use of Sustainable Bicycle use is growing throughout the Programs Vehicles and Practices country. In Omaha, bicycle commuting A campus-wide, transportation-focused Parking is a key consideration of any 8 doubled over the past decade. Omaha survey conducted in March 2012 re- large urban organization. Although park- was also designated as a bronze-level Bi- vealed that many individuals view the ing is very expensive to build and main- cycle Friendly Community by the League loss of flexibility as limiting their trans- tain, a certain amount of it is necessary, 9 of American Bicyclists and launched portation choices. There are actions especially in a historically auto-depen- a successful bicycle sharing system in UNMC/NM can take to overcome this dent city like Omaha. However, there 2011. The momentum around bicycling barrier and increase the number of indi- are a number of actions that can help to indicates that in the coming years more viduals who walk, bike, use mass transit, reduce the number of single-occupant people are likely to use a bicycle for and/or carpool to commute to and from vehicles traveling to and through campus transportation. UNMC/NM can continue campus, such as: as well as reduce the demand for parking to play a role in supporting bicycling by: spaces, such as: • Implementing a car-sharing system • Improving access to and through on campus, such as Zipcar (see Figure • Providing a special permit for carpool campus for people riding bicycles, in- 16), to allow employees and students users and designating preferred park- cluding extending the Field Club Trail who are on campus without a vehicle ing spaces for carpooling. across Leavenworth Street and improv- to have access to one at an hourly • Setting up an institutional account ing the accessibility and prominence rate. Individuals can use the vehicle with a service that facilitates carpool- of bicycle parking. to travel to an appointment, to run an ing, such as MetrO! Rideshare or errand, to get to lunch, or to address • Creating or designating a facility that Zimride. provides showers and lockers for bi- an emergency. • Designating preferred parking space cyclists. This facility may also include • Promoting or creating an emergency- throughout campus for employees, covered bicycle parking. ride-home program to provide a ride students, and visitors who use low- home after work for employees or stu- • Incorporating concepts from Campus emission, high-efficiency vehicles, dents who miss the last transit stop or Planning Principle 2 (using building such as gasoline-electric hybrids, a carpool due to unplanned overtime placement and streetscape design to electric vehicles, motorcycles, and or off-peak shift hours. promote active transportation), such scooters. as adding sharrows where appropriate • Implementing a bicycle sharing system • Creating a new fee structure for park- (e.g., sections of 42nd Street and Emile (see Figure 16) on campus to afford ing that is designed to reflect the true Street) and supporting bike lanes on similar flexibility as a car-sharing cost of parking, but also provides busier streets (e.g., Farnam Street); see system. This service may also provide greater flexibility to individuals who page 73 for more details. intra-campus transportation options may not be driving to campus every and recreational opportunities as a day or every month. healthy way to break up the workday. • Continue to issue more parking • Encouraging managers to allow em- permits than the number of avail- ployees to either work from home able spaces while seeking to reach a or work a four-day, ten-hour per day ratio of allocated to actual spaces that workweek as appropriate.

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Visualizing Short Term Strategies…

Bicycle Sharing. The B- Cycle bike sharing system was successfully piloted in the Aksarben Village and UNO area in 2011 and 2012. Indi- viduals obtain a membership for a nominal fee and then have access to a bike and can return it to any station. Such a system could provide both recreation and transportation opportunities for individuals on the UNMC/NM campus and at the East Campus Corporate Pavilion (Midtown Crossing).

Figure 16 Transit Passes for Students. The UNO MavRide program provides free transit passes for up to 800 students per year. The display shown above was once full of route maps to help students navigate the Metro Transit system. Students using the MavRide program in Spring 2011 (when only 400 passes were provided) reduced driving trips to campus by 52 percent, saving an average of 129 parking spaces per day.10 UNMC/NM could explore a similar type of program for students and/or staff to alleviate parking Car Sharing. There are several companies that provide car-sharing services. Zipcar is the most demand and limit single-occupant vehicle popular such service, and is already present at Creighton University (shown above), UNL, and trips to campus. UNO. Car sharing allows individuals to rent cars by the hour for a nominal fee in order to run errands, get to appointments, or deal with emergencies during the work day, and is an excellent complement to carpooling or commuting by walking or transit.

Table of Contents | Main | Appendix Appendix 61 recognizes the benefits of other trans- tion growth projections may come out at http://www.omaha.com/money/blog/ portation options. of the Metropolitan Area Planning more-omaha-commuters-bike-and-walk- Agency’s Heartland 2050 study (in prog- to-work/article_b2075696-e039-11e3- • Where surface lot construction is ress) or from the Greater Omaha Cham- 8bcd-001a4bcf6878.html (accessed on truly unavoidable, incorporating ber of Commerce Economic Develop- May 22, 2014). methods to reduce stormwater runoff ment Strategy. such as pervious pavement, rain gar- 9 The League of American Bicyclists, dens, and bioswales. 2 The Association for Commuter Trans- Award Database, available at http://bike- portation, Commuter Choice Brochure 2, league.org/bfa/awards (accessed May 20, Long term available at http://www.commuterchoice. 2014). com/cc_brochure.pdf (accessed on No- 10 UNO Student Government, MavRide Campus Transportation Center vember 8, 2012). Executive Summary 2011, available at Work with Metro Transit to create a 3 Frontier Group and U.S. PIRG Educa- http://www.unomaha.edu/healthed/Ma- physical space on campus to act as a tion Fund, Transportation and the New vRideExecutiveSummary.pdf (accessed on hub for transportation users, particularly Generation: Why Young People Are Driving November 21, 2012). transit riders and bicyclists, by provid- Less and What It Means for Transportation ing some indoor waiting space for transit Policy 1, 2, 7, 23 (April 2012), available at users and shower and locker facilities http://www.uspirg.org/sites/pirg/files/re- for cyclists. Collocate the center with ports/Transportation%20%26%20the%20 another community-focused use, such as New%20Generation%20vUS_0.pdf (ac- restaurants, shopping, or public services cessed on November 15, 2012). (e.g., a library). For example, Metropoli- tan Community College incorporated a 4 Id. at 11. transit center at its South Omaha campus 5 Id. at 14. that also includes a police office and city library. 6 UNMC, 2006–2015 Facilities Develop- ment Plan 37 (2006), available at http:// www.unmc.edu/wwwdocs/UNMC_Dev- Notes Plan_2006_2015.pdf (accessed November 8, 2012). 1 UNL Bureau of Business Research, Omaha Area Projections to 2050: The 2007 7 Metro Transit routes 2, 3, 11, 15, 55, Update Final Report 41 (2007) (show- 92, and 98 pass by or travel through the ing a projected population in 2050 of campus. See Metro Transit System Map, 1,333,243 for the 12-county area around available at http://www.ometro.com/bus- Omaha, including 972,641 in Douglas system-page/system-map (accessed on and Sarpy Counties alone), available at November 21, 2012). http://nlc1.nlc.state.ne.us/epubs/U2720/ 8 Soderlin, Barbara, More Omaha Com- B037-2008.pdf (accessed on November muters Bike and Walk to Work, Omaha 15, 2012). Different and larger popula- World Herald (May 19, 2014) available

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63 APPENDIX - FOOD SERVICES Table of Contents | Main | Appendix Midwest region has the second-highest • 32 percent of respondents indicated Background: percent of adults considered obese at 29 “healthy and sustainable food” was percent.6 important to them (ranked third Additional Details behind waste reduction and recycling Health care facilities should be modeling (65 percent) and energy efficiency and safe, responsible, and nutritious eating There are three distinct points in the conservation (61 percent). food system that each independently behaviors. In contrast, many hospitals affect sustainability and health: continue to serve a variety of processed Clearly, staff and students understand and fried foods, trans fats, sugared bever- the connection between UNMC/NM’s Production, Processing, ages, and produce saturated with pesti- health-oriented missions and healthy, Packaging and Distribution cides—both to their patients and to their sustainable food. staff. The world’s typical methods of food By working with their food services production, processing, packaging and Food Waste and Disposal vendor, Sodexo, to increase the amount distribution are reliant on fossil fuels and of healthy, sustainable and less-wasteful More than 20 percent of a major hospi- other unhealthy contaminants. The aver- foods, UNMC/NM stand to benefit in the tal’s total waste is food waste.7 All of this age piece of food travels between 1,500 following ways: waste must be handled, which requires and 2,500 miles from farm to plate,1 great amounts of energy. It also produces • Serve as a model for healthy sustain- emitting greenhouse gases through methane (a particularly potent green- able eating for their staff, students, ground, water, and air transport. Accord- house gas) once it finds its way into visitors, and patients. ing to a 2006 report from the United the landfill. Nations Food and Agricultural Organiza- • A healthier workforce that has fewer tion, the global food system as a whole Fortunately, there is a major movement workers’ compensation claims, fewer produces nearly 40 percent of worldwide to create healthier, more sustainable sick days, and is more productive 8 carbon emissions.2 Furthermore, our food food systems and to reduce food waste throughout the day. systems often require intense amounts of on hospital campuses. Additionally, • A cleaner environment through the water and pesticides, antibiotics for meat there is overwhelming support within reduction of emissions associated with and poultry, and can contaminate our UNMC/NM for moving toward more the production, preparation, and han- 3 water supply via runoff. sustainable food service operations. dling of food and related food waste. Responses to the recent Sustainability Food Preparation and Survey were very indicative of such sup- Consumption port. They include: Previous Success What Americans eat is dramatically im- • 83 percent either strongly agree or Sodexo serves as UNMC/NM’s primary pacting our health. In a 2012 issue of the agree that they would support a transi- food services vendor on campus. As a Journal of Health Economics, researchers tion to more sustainable food contain- large, international company, Sodexo is reported that the United States is spend- ers. committed to sustainability as evidenced ing an additional $190 billion a year on • 78 percent either strongly agree or by the extensive coverage of sustainabil- medicine as a result of obesity.4 A stag- agree that UNMC/NM should increase ity in its online materials and in its 2012 gering 68 percent of the U.S. population 9 the healthy and sustainable food op- Sustainability Report. Sodexo’s Fresh In- is considered obese or overweight.5 The tions served in the cafés. spirations program is a worthy beginning

64 APPENDIX - FOOD SERVICES Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023 and provides a good foundation for local could also help develop a sustainable improvements. Other noteworthy sus- Strategies: food policy or vision statement repre- tainable efforts include: senting both organizations, which would Additional Details illustrate the connection between sus- • Increased recycling in the Clarkson tainable food offerings, sustainable food Café, the Nebraska Café, and both operations, and UNMC/NM’s health- kitchens. Short Term oriented missions and commitment to • Purchasing some locally-sourced foods Divert More Food Waste improving community health. when feasible and in-season. Nearly everything coming out of the Elimination of Styrofoam and • Involvement in a local community kitchen and dining areas could be recy- Transition Back to Reusables garden. cled or fed into a biological process (e.g., composting, anaerobic digestion, or food • Recycling cooking oil. Concerns about the prevalence of poly- for farm animals). If food service opera- styrene foam (i.e., Styrofoam) were • Maintaining a small herb garden near tions are going to achieve zero waste by frequently mentioned during interviews the Nebraska Café. the end of 2023, the most important and survey comments (see Figure 17). and most complicated component of the • Purchasing energy- and water-efficient The Sustainability Master Plan Advisory waste profile to address is food waste. equipment and reducing energy use Team and the Graduate Student Associa- tion and Student Senate representatives through strategic start up of kitchen There are several large institutions in recommended that elimination of poly- equipment. Omaha that are interested in finding styrene foam from food service opera- solutions to food waste. In order for a • Donating over 1,000 pounds to local tions be a top priority. feasible solution to be identified, it is food banks per year. important for economies of scale to exist. The initial focus should be on replacing In early 2011, UNMC/NM analyzed A vendor interested in collecting food foam takeout containers with recyclable the sustainability of the campus’ food waste needs to have several sources in or reusable containers. If a takeout pro- service operations as measured by the order to make it economical. As such, the gram is preferred, UNMC/NM could work Green Guide for Health Care (GGHC) first step is to convene other interested with Sodexo to develop a pilot program Operations rating system. The results parties to discuss plans and barriers. of the GGHC benchmarking indicated that incorporates the following compo- that food service operations achieved Healthy and Sustainable Foods nents: only one of the seventeen available Task Force • A reusable container rental program credits. While much has changed since wherein participants pay a set fee to Develop a Healthy and Sustainable Foods the benchmark was established, there “rent” a container. are still many available opportunities to Task Force that includes Sodexo represen- help make food service operations more tatives and staff and student stakeholders • Upon presenting the necessary sustainable at UNMC/NM. Plus, the from UNMC/NM. The Task Force would documentation, participants are foundation of support by Sodexo, as well be charged with identifying additional served their food in the reusable take- as employees and students, is solid, and waste reduction opportunities in food out container. services and identifying healthier food there is interest and desire to build on • Once finished with their meal, the and beverage options. The Task Force that foundation. container must be returned to a café.

Table of Contents | Main | Appendix Appendix 65 Visualizing Short Term Strategies…

Figure 17 Styrofoam Reduction. Staff and student interviews and responses Food Waste Diversion. Top: The recently renovated Clarkson Café from the Sustainability Survey revealed strong support for eliminating has a built-in area for sorting recyclables from trash (top), which the use of polystyrene foam containers in the cafés. Because this mate- helps divert waste on the customer side. Middle: Kitchen staff are rial is difficult to recycle, it often ends up in the landfill. Therefore, to already diverting certain materials as well. Bottom: However, this reach zero waste, food service operations will likely need to find reus- trash receptacle contains recyclable and compostable materials that able or recyclable alternatives for foam clamshells, plates, bowls, and are currently being sent to the landfill. This will need to be addressed cups. to achieve zero waste.

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• Participants are responsible for return- program and the multitude of other ac- vested on campus. Space constraints may ing the container, but a partnership tivities and accomplishments. As progress be an issue, but through creative plan- with Sodexo’s Environmental Services continues, there will be several possibili- ning, many nontraditional spaces could staff could be considered wherein ties for incorporating additional educa- be used to grow food (e.g., roof tops). Ya- Environmental Services collects and tional and promotional efforts (e.g., more hoo in Sarpy County successfully created returns the containers. information at the point of selection for an on-site corporate community garden. diners, drawing the attention of diners to These types of programs exist in other healthier foods, themed days focused on Increase Local and Organic institutional organizations, but are not a sustainable food topic, etc.). Integrating as common in health care settings. They Food Sourcing these activities and educational efforts are challenging to set up, but when done with UNMC/NM’s wellness programs Set and work toward goals for food right, they reduce waste, save money, would also be beneficial. sourced from either local sources or is or- and create jobs. ganically grown. Sodexo is already mov- In addition to considering a reusable Long Term ing toward more local and organic food, takeout container program, UNMC/NM but these offerings are not highlighted should work with Sodexo to evaluate Bring Agriculture to Campus on menus or in cafés, and there is not an explicit goal to reach certain thresholds other opportunities to replace disposable During interviews and group discus- plates and flatware with reusable options. of either. Both are opportunities sions, staff and students consistently for improvement. Sign the Healthy Food in Health mentioned that hosting a community supported agriculture (CSA) drop off site Care Pledge and/or farmers market on campus would Notes Both UNMC/NM and Sodexo can join be desirable. These actions would give 1 Halweil, Brian, Worldwatch Paper #163: hundreds of health care organizations employees and students easier access Home Grown: The Case For Local Food In and food service contractors committed to fresh fruits and vegetables. There are A Global Market 6 (2002), available at to sustainable food by signing Health some liability concerns, which must be http://www.worldwatch.org/node/827 Care Without Harm’s Healthy Food in overcome, but multiple other higher (accessed on November 28, 2012). Health Care Pledge. This act will demon- education institutions and health care fa- strate a commitment to procuring local, cilities have made such a program work. 2 World Future Council, Cultivating the nutritious, sustainably-produced food as The CSA drop off site, in particular, could Future: Food in the Age of Climate Change part of a holistic approach to preventive likely be implemented in the very short 7, available at http://www.worldfuture- medicine that protects patients, staff, and term. council.org/fileadmin/user_upload/PDF/ communities. cultivating_the_future.pdf (accessed on Grow More Food on Campus November 28, 2012). Food Education and Promotion Continue installing herb gardens and 3 Practice Greenhealth, Sustainable Food, Develop and implement a Sustainable expand into vegetable gardens. Growing available at http://practicegreenhealth. Food Education and Promotion Plan. As food on site is one of the best ways to org/topics/sustainable-food (accessed on a large international company, Sodexo reduce the greenhouse footprint of the November 28, 2012). has a commitment to sustainability as food served. The transportation emis- demonstrated by its Fresh Inspirations sions are eliminated when food is har-

Table of Contents | Main | Appendix Appendix 67 4 Harvard School of Public Health, The Obesity Prevention Source, available at http://www.hsph.harvard.edu/obesity- prevention-source/obesity-consequences/ economic/ (accessed on November 28, 2012) (citing “Cawley J., Meyerhoefer C., The medical care costs of obesity: an in- strumental variables approach. J. Health Econ., 2012; 31:219-30”). 5 Centers for Disease Control and Pre- vention National Center for Health Sta- tistics. Fast Stats: Obesity and Overweight, available at www.cdc.gov/nchs/fastats/ overwt.htm (accessed on November 28, 2012). 6 Centers for Disease Control and Pre- vention, Adult Obesity Facts, available at http://www.cdc.gov/obesity/data/adult. html (accessed on November 28, 2012). 7 Practice Greenhealth, Sustainable Food, available at http://practicegreenhealth. org/topics/sustainable-food (accessed on November 28, 2012). 8 Partnership for Prevention and U.S. Chamber of Commerce, Healthy Work- force 2010 and Beyond 9 (2009), available at www.prevent.org/downloadStart. aspx?id=18 (accessed on November 28, 2012). 9 Sodexo, 2012 Sustainability Report So- dexo North America, available at http:// bettertomorrow.sodexousa.com/s/docs/ report.pdf (accessed on May 27, 2013).

68 APPENDIX - FOOD SERVICES Table of Contents | Main | Appendix CAMPUS PLANNING

69 APPENDIX - CAMPUS PLANNING Table of Contents | Main | Appendix • Serving as a catalyst for increased tion in 2009 (see Figure 18). The fol- Background: transit options and reducing barriers lowing UNMC/NM buildings have also Additional Details to increased transportation options. obtained LEED certification: • Placing a higher value on the embed- • Center for Nursing Sciences (see Figure UNMC/NM occupy an important loca- ded energy of existing buildings 18). while decreasing the likelihood of tion in the heart of midtown Omaha. • Harold M. and Beverly Maurer Center urban sprawl. The campus covers over 100 acres, for Public Health (see Figure 18). contains over 6,400,000 gross square feet • Creating stronger neighborhoods • Home Instead Center for Successful of building space, and has an estimated with a diverse mix of residents and Aging workday population of almost 15,000 housing alternatives. 1 people. In comparison to other Nebraska • Truhlsen Eye Institute communities and parts of Omaha, one • Fostering innovation by providing thing is clear: the campus is big and places for people to get together and As the emphasis of facility development influential. The way that the campus share ideas. shifts toward strategic research and patient care priorities, as well as ensur- develops effects the surrounding neigh- • Attracting the most talented staff and ing adequate campus infrastructure and borhood and the City of Omaha. students. increasing campus operational effective- This influence is not lost on UNMC/NM • Helping to reduce stress and encourag- ness, UNMC/NM are now in a position leadership. Numerous interviews and ing healing while helping people forge to take advantage of the opportunity to discussions with Sustainability Master bonds with the natural world. create a midtown campus that provides Plan Advisory Team members and other an even better work environment for stu- The last ten years of physical growth leaders illuminated several comments ac- dents and staff, a healthier environment and development have largely focused knowledging the effect UNMC/NM have for patients, and a positive and engaging on renewing education space and replac- on the city. Many spoke of UNMC/NM’s force in the surrounding community. commitment to being a positive catalyst ing inadequate outpatient clinical facili- for development on and around campus ties, and the vast majority of building that provides benefits to the community has occurred east of 42nd Street.2 In just Principles: such as: the last five years, nearly 600,000 square feet of space has been added in six build- Additional Details • Appealing to students, employees, and ings, most of which are on the east end visitors to live near campus, thereby of campus.3 This section is written at a slightly higher shortening their commute, limiting altitude than the others in that it offers The University of Nebraska system com- emissions and pollution, and reducing three guiding principles that UNMC/NM mitted to building according to “uni- demand for parking. may consider when making campus versity sustainable design guidelines,” planning decisions. These guiding • Improving employee, student, and resulting in new LEED-certified buildings principles incorporate sustainability- community health through increased on campus. The Michael F. Sorrell Center related concepts, and support a vision numbers of people who are “out and for Health Science Education building for the campus and the surrounding about” as pedestrians, and preserving became the first University of Nebraska neighborhood that provides adequate open space and critical nature and system building to earn LEED certifica- natural habitats. and appropriate density with a mix of

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Figure 18 The Michael F. Sorrell Center for Health Science Education (left) opened in 2008 and was the first building in the University of Nebraska system to receive LEED certification from the U.S. Green Building Council. Consistent with UNMC/NM’s Facilities Development Plan, the Sorrell Center has been a catalyst for both additional green renovation and construction on campus, and for the creation of the student plaza (see Figure 21), an inviting and dynamic public space on UNMC/NM’s campus.

The College of Nursing received an addition in 2010 that was awarded a LEED certification in 2011, bringing UNMC/NM’s number of LEED buildings to two. The College of Nursing addition is north of the student plaza area created alongside the Sorrell Center.

The College of Public Health was established in 2006, and by 2011 it had a new building on campus. The Harold M. and Beverly Maurer Center for Public Health is expected to become LEED certified and bring UNMC/NM’s total of LEED buildings to three. The College of Public Health sits at the eastern edge of the student plaza.

Table of Contents | Main | Appendix Appendix 71 uses, pedestrian-friendly design, multiple The way in which the campus grows, the an interest in improving the housing op- transportation alternatives, access to na- way in which land is used, and the man- tions near campus to allow more individ- ture, and safety. The principles outlined ner in which buildings are placed will uals to experience a walkable, live-work- below, if followed, will ensure that have a profound and long-lasting impact play lifestyle around campus. Mixed-use UNMC/NM are able to achieve that vi- on the neighborhood, UNMC/NM’s emis- neighborhoods also make transit more sion while implementing specific projects sions related to employee and student practical because people can more easily in their Facilities Development Plan. commuting, and their ability to attract link trips without cars when their desti- and retain top talent. nations are closer together. More and more people want to live in an urban environment like the one that sur- Other Benefits rounds the UNMC/NM campus. Young Principle 1: Foster a Millennials and older Baby Boomers are mix of building uses to Beyond being more sustainable, particularly attracted to urban living mixed-use areas can help foster innova- and shorter commutes.4 Several students improve area vibrancy tion by providing places for people to get together and share ideas. In addition, a interviewed noted that they pined for A key characteristic of a high-quality vibrant area on and around UNMC/NM’s more and better housing on and imme- urban environment is the presence of a campus will help attract the most talent- diately surrounding campus so that they large amount of activity. The best way ed staff and students.6 Market surveys by can walk to and from campus and get to activate a space is to provide people research and professional organizations everything they need (dining, retail, ne- a variety of reasons to be there (e.g., indicate that while most Americans pre- cessities) in the immediate walkable area. work, shopping, dining, and socializing). fer single-family homes, a growing per- Examples of this kind of community in Mixed-use areas create spaces that are cent of the population desires to live in Omaha can be found in Midtown Cross- more continuously occupied than areas mixed-use neighborhoods that improve ing and Aksarben Village, as well as the devoted to a single use, and continuous accessibility, walkability, and incorporate business districts of Dundee, Benson, and occupation tends to make an area feel public transit.7 South 24th Street. The type of density safer. When combined, the presence of that many are seeking presents impor- different types of destinations placed tant challenges and opportunities for close together and increased feelings of Strategies to Consider for UNMC/NM campus planners. As stated safety encourage people to walk from Principle 1 in the 2006–2015 Facilities Development place to place,5 which is a healthier and Plan: more sustainable option than driving. The recommendations below will help UNMC/NM achieve more seamless “The dense urban context constrains and mutually beneficial integration with the campus and limits the Medical Connection to Sustainability the surrounding community while offer- Center’s ability to grow in area. On A walkable neighborhood is more sus- ing campus occupants a variety of entic- the other hand, it presents an impor- tainable because less fuel is consumed ing activities. tant opportunity to exercise thought- when trips by car are replaced with trips ful use of land and building sites, by walking. This is especially true in Short Term careful management of transporta- neighborhoods with housing as part of tion, and greater emphasis on quality the mix of uses. During interviews, stu- Develop densely along transportation urban design.” dents and many staff members expressed corridors. Provide—and support private

72 APPENDIX - CAMPUS PLANNING Table of Contents | Main | Appendix developers who will provide—a dense building placement and streetscape Building Placement mix of uses along major transporta- design. Transit thrives when origins and tion corridors bordering campus, such destinations achieve a certain level of Where buildings are placed in relation to as Leavenworth, Farnam, and Harney density along its routes. Higher density, each other and the street, as well as the Streets, and Saddle Creek Road (see Fig- transit-oriented development (including design of the street itself, does much to ure 19). a greater mix of uses) leads to a greater influence how easy it is to move around number of potential transit riders near an area by any form of transportation. Long Term transit stops, justifying more frequent Buildings placed a consistent distance from the street support wayfinding ef- Build “transformable” buildings. Cre- service and better quality buses (or forts by creating a visually digestible area. ate buildings that can be easily trans- trains). These outcomes, in turn, attract 8 Additionally, consistent setbacks can formed from one use to another, even more riders. Of course, when tran- produce a space that feels comfortably thereby meeting current and future sit riders arrive at their destination, they enclosed to pedestrians, like an outdoor usage needs and decreasing building become pedestrians. Thus, any improve- room, especially when a line of buildings demolition waste. ments to the pedestrian realm between transit stops and the rest of campus assist is located close to the street. Active first Create mixed-use development. Place in promoting transit use. floors with many windows add to this and support the private placement of sensation of comfort, as people feel safer restaurants, coffee shops, and retail shops Connection to Sustainability when they know other people are present on and near campus. and can see them. Active transportation options provide Increase housing options. Create and many environmental benefits at a rela- Streetscape Design support the private creation of more and tively low cost. People walking or riding various housing options on or near cam- bicycles to UNMC/NM are not burning Traffic calming features on streets can pus to give options to people who desire fossil fuels, they are not adding to the also help enhance the pedestrian realm to live near campus, to make the area traffic congestion on and around cam- by reducing the potential for conflicts more attractive to potential residents, pus, and they do not require automobile between pedestrians and automobiles, and to reduce the need to drive. parking spaces. Transit users provide and reducing the severity of injuries many of the same benefits. By increasing when collisions do occur. Examples of Principle 2: Use support for transit, UNMC/NM would traffic calming practices include curb not only reduce their need for parking bump outs at intersections, narrow traf- building placement spaces while improving the health of fic lanes, raised and marked crosswalks, and streetscape design their staff, students, and visitors; it would parallel parking, and street trees; many substantially improve the efforts toward are already in place in select locations to promote active sustainability of the entire metropolitan on campus (see Figure 20). The practices area while helping to provide a needed cue drivers to slow down and raise the transportation options transportation option for many of the visibility of pedestrians. In addition, road As one of Omaha’s major organizations, area’s residents. Finally, the campus will markings for bicycles (e.g., bike lanes or UNMC/NM can support use of multiple be safer with fewer collisions, especially sharrows) have been shown to reduce transportation options in the area. This vehicle-pedestrian. Moving about cam- automobile speeds and increase driver support can be achieved politically, pus on foot will be quicker, easier, and awareness while providing a designated economically, and physically through safer. place for bicycle traffic.

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Visualizing Principle 1: Creating Mixed-Use Areas

Figure 19 This aerial photograph from April 2011 looks westward across the campus. It illustrates how dominant parking has become on the south (left) and east (bottom) areas of campus. In at least a few cases, UNMC/NM’s parking areas are located next to arterial roads like Leav- enworth and 42nd Street. These corridors are prime areas for dynamic, mixed- use development.

42nd

LEAVENWORTH

NORTH NORTH

Table of Contents | Main | Appendix Appendix 74 Strategies to Consider for along all streets in and around campus Connections to Sustainability and create active ground floors with Principle 2 plenty of windows. In most cases, these public spaces should incorporate elements of the natural To encourage clean and healthy transpor- Support dense and mixed uses along world, which are conducive to healing tation options through campus planning, major corridors. Major corridors include and general human well-being. Access to UNMC/NM can design their campus to Leavenworth and Farnam Streets and trees and other plants can help reduce make quality transit feasible and bicy- Saddle Creek Road. This type of develop- stress and encourage healing10 while cling and walking feel safe and easy. The ment encourages transit development. helping people forge bonds with the strategies below will help bring about Advocate for transit service improve- natural world. In addition, trees are great these outcomes. ment. Advocate politically for improved at providing shade and blocking wind Short Term regional transit service, and work with or sound and creating habitat for local Metro Transit to provide faculty, staff, wildlife. Well-designed public spaces can Install additional traffic calming fea- and students with transit passes. also aid in stormwater runoff. Finally, the tures. Continue installing traffic calm- natural elements often found in public ing features on all streets in and around Principle 3: Provide high- spaces are carbon sinks and help to clean campus. Sections of 42nd Street and the air. Emile Street—well-traveled streets cutting quality public spaces to Characteristics of a Good Public through campus—already incorporate encourage interaction some traffic-calming features, but these Space efforts should be expanded throughout and support healing. There are several key characteristics campus. The overall streetscape design that all good public spaces have. They should be pedestrian-oriented with au- Thoughtfully designed public spaces pro- include: tomobiles moving at pedestrian-friendly vide places for people to meet, converse, relax, and heal. Well-designed and man- speeds. • Providing activity options for people, aged public space encourages social inter- including abundant and varied places Install bicycle trails and routes. Work action, physical activity, and local pride.9 to sit and interact with others.11 with the City of Omaha and other lo- Many Omahans express great pride when cal agencies and nonprofits to develop talking of UNMC/NM and the campus. • A mixture of fixed and moveable a network of bicycle trails and routes By creating more public spaces that are chairs, benches, and ledges arranged through campus, including connecting welcoming not only for students, staff, to promote interaction. to the Field Club Trail. Install sharrows and patients, but the community writ- • Access to breezes can be nice, but on streets such as 42nd and Emile Streets, large, UNMC/NM will improve commu- people generally favor spaces with ef- and support bike lanes on busier streets nity health, build a stronger local econ- fective wind blocks. such as Leavenworth, Farnam, and Har- omy, and help reduce environmental ney Streets, and Saddle Creek Road. impacts UNMC/NM’s student plaza—and • Easily accessible from wherever people skating rink specifically—is an excellent generally spend time, near where Long Term example of a forward-thinking and wel- people eat, take breaks, or wait along a Create “street walls”. Create develop- coming public space (see Figure 21). well-travelled pedestrian route. ment with consistent and small setbacks • Quickly accessible by foot.

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Visualizing Principle 2: Streetscape Design

Figure 20 The photograph to the left looks north along 42nd Street between Emile and Dewey Streets. This section of 42nd incorporates several good streetscape features including a marked crosswalk through a median that helps to calm traffic, pedestrian level lighting, and trees. The buildings on the west side of the street also have a consistent setback from the street, helping to strengthen the sense of place. By contrast, the buildings on the east side of the street (out of frame) have an irregular setback from 42nd Street.

The two images to the immediate left show a shared lane marking, or “sharrow” (top) and an accompanying street sign (above). Although bicycles may legally ride in the street in most cases, these markings signal to drivers that bicycles are encouraged to use the full lane on this specific street, making it safer for drivers and cyclists. Omaha has been installing sharrows in a few areas, including some downtown (Capital Avenue, 15th Street), midtown (Burt Street), and Pine Street in Aksarben Village.

Table of Contents | Main | Appendix Appendix 76 Strategies to Consider for Other Recommended should proactively test indoor air quality in all buildings on a recurring schedule Principle 3 Strategies and make adjustments to ensure standards from Energy Star, LEED, and/or UNMC/NM can inspire campus occu- In addition to the strategies mentioned the American Society of Heating, Refrig- pants by creating more great places for above with each of the three guiding erating, and Air Conditioning Engineers people to meet and sit. The following principles, there are additional short- (ASHRAE) are met. suggestions can help UNMC/NM foster term and long-term strategies related creative interactions while encouraging to buildings and campus planning that Minimize Toxics in Buildings. Minimize relaxation and healing: UNMC/NM should pursue within the the introduction of harmful toxic, carci- next ten years. nogenic, and persistent bioaccumlative Short Term substances via equipment and materials Short Term • Create small, usable public spaces. used in buildings, furnishings, and clean- Create and improve small usable Incorporation into the Facilities De- ing services. Activities can include, but public spaces throughout the campus. velopment Plan. The next update to the are not limited to the following: Locate them near paths of heavy pe- Facilities Development Plan will occur in • Continuing to employ an Integrated destrian travel, where people may stop 2016. Many of the elements of this Sus- Pest Management program that uses to eat, or where they wait. tainability Master Plan should be explic- the least toxic products possible and itly incorporated therein. • Supply large amounts of seating in only as a last resort. public spaces. Include ledges, benches, Building deconstruction. Implement • Developing a list of targeted materials and fixed and moveable chairs. Ar- a deconstruction approach to building to avoid when purchasing new prod- range the seating so that people can removal. Doing so will preserve for sale ucts. face each other rather than placing a or reuse as many useful fixtures as pos- series of benches in one line. sible and capture value from recyclable • Expanding the use of rubber flooring or reusable materials such as concrete, or other non-PVC flooring to addition- • Provide wind blocks and sun/shade brick, wood, metals, and sheet rock. The al medical areas, which do not require mixture. Provide ample wind blocks Sustainability Master Plan Advisory Team stripping and waxing. and a mixture of sun and shade in was particularly supportive of this strat- public spaces. Do not place seating in • Using low VOC cleaning and floor care egy. UNMC/NM should explore incorpo- large open areas with no protection products labeled Greenseal or Ecologo rating these concepts into future demoli- from the elements or sense of enclo- in LEED certified and non-LEED build- tion and deconstruction agreements. sure. ings. Improve the Tree Canopy. Reduce the • Incorporate the natural world. • Using microfiber mops and cleaning heat island effect and impact on microcli- Furnish public spaces with trees cloths in LEED certified and non-LEED mate and biodiversity by planting na- and other plants to encourage inter- buildings. tive trees to improve the tree canopy on action with the natural world while campus. • Continuing to expand use of low-mois- providing shade, habitat, blocking ture carpet extractors. wind and sound, and creating a sense Monitor Indoor Air Quality. Indoor air of enclosure. quality is currently checked only when • Transitioning to DEHP-free devices in odor issues are reported. UNMC/NM the neonatal intensive care unit.

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Visualizing Principle 3: Public Spaces

Figure 21 The student plaza area (top two images) creates a variety of interesting and inviting outdoor spaces for students, staff, and the public. Dynamic public spaces like this contribute to sustainability by promoting healthy activity, social interaction, scenery, and fresh air. In addition, the large oval provides recreational exercise in the form of public outdoor ice skating in the winter months.

This rooftop terrace sits between Clarkson Tower and the Eppley Institute. It provides outdoor access for individuals on upper floors and better scenery for building occupants looking down at what would otherwise have been an unappealing rooftop. UNMC/NM can continue to incorporate similar public spaces in and around future buildings.

Table of Contents | Main | Appendix Appendix 78 • Refraining from using or purchasing Update-2012.pdf (accessed on December and Prospects 5–8, 122–124 (2004), avail- products or equipment with mercury. 2, 2012). able at http://onlinepubs.trb.org/onlinepubs/tcrp/tcrp_rpt_102.pdf (accessed on • Reducing or completely eliminating 3 UNMC, Campus Growth, available at December 2, 2012). ethylene oxide (EtO) and glutaralde- http://www.unmc.edu/publicrelations/ hyde from device disinfection and growth.htm (accessed on December 2, 9 Sustainable Places, Public Space Benefits, sterilization processes. 2012). availableasdf from The National Archive. Available at: http://webarchive.nation- 4 El Nassar, Haya, Subdivisions Go Urban Long Term alarchives.gov.uk/20110118095356/ as Housing Market Changes, USA Today http:/www.cabe.org.uk/sustainable- Harvest daylight. Design new and reno- (May 15, 2012), available at http://usa- places/public-space/benefits (accessed on vated buildings to harvest daylight (and today30.usatoday.com/money/economy/ December 2, 2012). reduce energy use from lighting) and housing/story/2012-05-15/housing-fills- incorporate views for all occupants. in-urban-areas/54979594/1 (accessed on 10 Louv, Richard, The Nature Principle: Install green roofs. Incorporate green December 12, 2012). Reconnecting with Life in a Virtual Age (2012). roofs on new buildings and any applica- 5 Jacobs, Jane, The Death and Life of Great ble current buildings, especially for areas American Cities (1961). In particular, 11 Whyte, William H., The Social Life of that are part of the patient viewshed. refer to chapter 8, “The Need for Primary Small Urban Spaces 23–49, 40–47 (1980). Act as a neighborhood center. Con- Mixed Uses.” An interesting film interpretation of the findings can be found online at http:// sistent with developing an increasingly 6 CEOs for Cities, The Young and Restless vimeo.com/21556697 (accessed on vibrant, mixed-used campus, position in a Vibrant City 50 (2005) by CEOs for December 2, 2012). UNMC/NM to act like a neighborhood Cities lists on p 50, available at http:// center, not just a medical center, to www.centerforhoustonsfuture.org/cms- encourage more interaction with the Files/Files/The%20Young%20and%20 Omaha community (e.g., people would Restless%20in%20a%20Knowledge%20 eat lunch there, hold events there, a cen- Economy.pdf (accessed on December 2, ter for healthy living, etc.). 2012) (listing vibrancy and the presence of amenities as attractors of talent). See Notes also Florida, Richard, The Economic Geog- raphy of Talent (2000). 1 UNMC, 2006–2015 Facilities Develop- 7 Victoria Transport Policy Institute, ment Plan 10 (2006), available at http:// Where We Want To Be: Home Location www.unmc.edu/wwwdocs/UNMC_Dev- Preferences and Their Implications for Smart Plan_2006_2015.pdf (accessed November Growth 15 (2012), available at http:// 8, 2012). www.vtpi.org/sgcp.pdf (accessed on No- 2 UNMC, 2006–2015 Facilities Devel- vember 15, 2012). opment Plan Mid-Plan Progress Report 8 Transportation Research Board, TCRP (September 2011), available at http:// Report 102 Transit-Oriented Development in nebraska.edu/docs/facilities/FDPUNMC- the United States: Experiences, Challenges,

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80 APPENDIX - ENGAGEMENT Table of Contents | Main | Appendix foster an organizational culture that • Carrying out a series of educational Background: actively supports and is invested in the events during Earth Week 2011, 2012, organization’s sustainability goals and and 2013. Additional Details initiatives. • Hosting lunch and learn events for Research has consistently shown that employees and students. organizations with engaged employees Previous Success • Incorporating information about tend to demonstrate higher levels of UNMC/NM’s sustainability efforts in UNMC/NM’s engagement efforts in- productivity, greater profits, and signifi- new employee orientation. cantly higher retention rates.1 Fortunate- volving the topic of sustainability have ly, sustainability and corporate social re- primarily been coordinated by two cam- • Promoting energy conservation ac- sponsibility have been identified as a top pus green teams: UNMC LiveGreen and tions on select days during the sum- driver for increasing employee engage- Nebraska Medicine’s Energy Advocates mer seasons of 2011, 2012, and 2013 ment at UNMC/NM and thus affecting Team. These volunteer teams of more to avoid reaching a new daily peak these key business metrics.2,3 Recent stud- than 100 total employees and students, usage. each overseen by a leadership committee, ies have found that employees generally • Achieving high awareness levels focus on fostering an organizational cul- prefer to work for an organization that is among UNMC/NM employees and stu- ture of energy and resource conservation environmentally responsible and takes dents regarding green team efforts. steps beyond regulatory compliance.4 by engaging employees about sustainability issues and initiatives. Both teams As a result of the aforementioned and This is supported by the UNMC/NM started in roughly 2010 and have shown other Energy Advocates Team and UNMC Sustainability Survey in which over 90 success in engaging students and staff LiveGreen efforts, these volunteer green percent of employee and student re- through their educational efforts and by teams have helped UNMC/NM save spondents indicated that it is important implementing initiatives that promote thousands of dollars and prevent over to them that UNMC/NM are commit- environmental behaviors. Some of their 1,000 metric tons of carbon dioxide ted to sustainability and actively try to employee and student engagement ac- equivalent from being emitted into the conserve energy and resources. Further- complishments include: atmosphere. more, organizations that are committed to environmental stewardship and that • Developing robust, user-friendly, and provide opportunities to get involved frequently visited webpages with vari- with sustainability initiatives tend to be ous resources related to sustainability. more successful at recruiting and retain- • Implementing voluntary online pledge ing highly talented employees and recent programs focused on promoting con- 5 college graduates. servation behaviors in the workplace Beyond the aforementioned reasons, resulting in over 3,500 employee and engaging and educating employees about student participants. sustainability also helps embed a sense • Launching a “Flip the Switch” cam- of environmental consciousness into paign encouraging people to shut off daily business decisions as well as larger the lights in unoccupied workspaces. institutional projects. Ultimately, it helps

81 APPENDIX - ENGAGEMENT Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023 Strategies: Track and Communicate • Including sustainability activities Progress and related public health benefits in Nebraska Medicine’s community ben- Additional Details It is paramount that UNMC/NM regular- efit report. ly track and measure progress versus the • Including regular updates in UNMC stated sustainability goals, and commu- Short Term Today and The Week e-newsletters nicate this progress to individuals across regarding UNMC/NM’s efforts and campus and the community. Providing Establish an Office of progress. Sustainability timely and relevant feedback and clearly articulating the related financial, pub- • Developing a user-friendly dashboard The magnitude of UNMC/NM’s lic health, and environmental benefits and mobile kiosks that display build- operations warrants more resources are important elements to maintaining energy and resource consumption dedicated to overseeing and coordinating ing engagement of UNMC/NM staff data in real-time for staff and students. sustainability efforts. In light of this, it and students. Additionally, establishing • Developing a joint, email-based would be very beneficial for UNMC/NM mechanisms for staff and students to program for submitting sustainability to establish an Office of Sustainability provide suggestions on how UNMC/NM ideas and feedback that ensures ano- and employ a full-time Sustainability can further improve their sustainability nymity while still providing the op- Manager who represents both organiza- efforts will also strengthen engagement portunity to track topics and responses tions. This individual and his or her po- levels. Actions that support this strategy (similar to Nebraska Medicine’s Good tential future staff would play an integral may include, but are not limited to: role in managing, supporting, tracking, Idea Program). • Incorporating an online dashboard on and reporting on sustainability efforts Integrate Sustainability into across campus. The manager would also the UNMC/NM sustainability webpage ideally be involved in UNMC/NM’s high- that highlights and tracks progress to- Strategic Planning ward UNMC/NM’s sustainability goals. level strategic planning discussions to UNMC’s current Strategic Plan includes ensure sustainability is integrated into • Incorporating quarterly sustainabil- an action item focused on developing future plans. ity updates at key leadership meet- a joint Sustainability Master Plan and ings (e.g., Department Administrator generally commencing with implementa- Create an Executive Roundtables, Chancellor’s Council tion. Continuing to include sustainability Sustainability Council meetings, Employee Forums, Student and specifying implementation activities Senate meetings, etc.). in subsequent versions of UNMC/NM’s With support from the Sustainability respective Strategic Plans would greatly Manager and the Office of Sustainability, • Producing an annual UNMC/NM benefit both organizations. Future Stra- an executive-level sustainability steer- sustainability report that is made avail- tegic Plans could include specific action ing committee with representatives from able to all employees, students, and items related to energy and water conser- both organizations would help fully the community. vation, waste reduction, greenhouse gas implement the Plan, set sustainability • Requesting an annual, formal update emissions, and/or educating the public policy, and integrate sustainability into from key vendors highlighting their about community health benefits con- campus operations and decision-making. sustainability efforts on campus and nected to sustainability. The committee would ideally report to quantifying the related impacts (e.g., the UNMC Chancellor and executive Sodexo, Stericycle, SterilMed, etc.). leadership at Nebraska Medicine

Table of Contents | Main | Appendix Appendix 82 Adopt a Sustainability members. Joining this organization and • Allocating annual funding for a green Statement or Policy its 800 member institutions will also pro- team budget. vide additional resources and support for • Establishing a partnership with Developing and adopting a joint, high- UNMC/NM as they pursue their sustain- UNMC/NM’s Public Relations and level sustainability statement or policy ability goals. Marketing Departments to have the that provides a clear definition of sus- Special Events division formally assist tainability and its connection to com- Formalize and Integrate with coordination of Earth Week and munity health will make UNMC/NM’s Volunteer Green Teams other potential, large sustainability institutional commitment more transpar- Presently, the Energy Advocates Team events. ent and help guide future sustainability represents Nebraska Medicine and activities in conjunction with this Plan. • Working with Student Senate and the UNMC LiveGreen represents UNMC. Currently, two other University of Ne- Graduate School Association to de- Both of these volunteer green teams braska campuses are in the process of ap- velop a student sustainability officer have played integral roles in helping proving a high-level statement or policy. position for their respective councils foster a campus culture that is support- To the extent practical, these collective and have these two representatives ive of sustainability. In many cases, they statements or policies could synch across serve on the green team leadership have worked together on activities such the university system while aligning with committee. as Earth Week and energy curtailment any unique missions or strategies of a campaigns. Integrating these two green • Including more clinical area represen- particular campus. teams and formalizing the members’ tatives on the green team leadership Join Practice Greenhealth roles and team activities will help ensure committee as well as employees from that resources are used effectively, activi- satellite locations. Practice Greenhealth is a nonprofit ties align with the Plan and the efforts • Formalizing the role of green membership organization and is well of the proposed Executive Sustainability respected as a source for best practices re- team leadership committee mem- Council, and a culture of sustainability is bers and securing consistent and garding sustainability in the health care institutionalized at UNMC/NM. sector. By joining this organization and institutionalized supervisor support for its 1,260 member health care facilities, There are a number of opportunities to employees to participate on the com- UNMC/NM will have access to a wide help formalize an integrated green team mittee. and support its initiatives, which primar- variety of technical resources and sup- Expand Education and port as well as resources aimed at engag- ily focus on promoting environmental ing and educating staff on the topic of behaviors and awareness, addressing Communication Efforts operational improvements, and iden- sustainability. Expand education and communication tifying policy changes that align with efforts regarding sustainability and the Join AASHE UNMC/NM’s sustainability goals. Some connection between health and environ- of these opportunities include, but are The Association for the Advancement mental stewardship. Over the past couple not limited to the following: of Sustainability in Higher Education of years, the Energy Advocates Team and (AASHE) is a nonprofit organization that • Rebranding the integrated green team UNMC LiveGreen have shown tremen- provides resources, professional develop- to communicate a new, unified team dous success in educating employees ment, and a network of support for its to the campus community. and students about sustainability and

83 APPENDIX - ENGAGEMENT Table of Contents | Main | Appendix SUSTAINABILITY MASTER PLAN 2014–2023 promoting various conservation efforts. Provide Recognition • Incorporating a general expecta- In addition to continuing these efforts, Opportunities tion into the job descriptions for all actions to support this strategy may in- new hires noting that employees are clude, but are not limited to: Identify and develop opportunities for encouraged to support energy and staff, students, and departments to be resource conservation efforts. • Continuing to host sustainability- recognized for sustainability-related ef- focused lunch and learn events for • Including the “support of forts. In 2011, UNMC LiveGreen estab- employees and students. UNMC/NM’s sustainability efforts” as lished the Green U program to recognize an evaluation metric for performance • Developing online training modules staff that engage in certain environmen- appraisals related to all new hires. for employees who would like to tal actions. UNMC/NM can leverage and learn more about sustainability and expand upon this current small-scale • Incorporating detailed information UNMC/NM’s environmental efforts, recognition program to further motivate about UNMC/NM’s sustainability which could possibly serve as an offi- and engage staff and students. In addi- efforts and opportunities for involve- cial departmental “green ambassador” tion to the Green U, actions to support ment into new student orientation. training program. this strategy may include: • Continuing to include information • Implementing a monthly or quarterly • Establishing a formal award granted about UNMC/NM sustainability efforts online challenge series that encourages on an annual basis to an employee, and opportunities for involvement in employees to engage in new environ- manager, and department that demon- new employee orientation. mental behaviors and provides the op- strate success with regard to conserva- portunity to track progress and related tion and helping UNMC/NM reach Support Satellite Locations and environmental benefits; this could be their sustainability goals. Organizational Partners integrated with UNMC/NM’s respec- • Developing an online-based, work- tive wellness programs. This Plan primary focuses on baselines, place sustainability checklist for de- goals, and strategies directly connected • Providing two-to-four hour leadership partments to assess efforts and receive to UNMC/NM’s 42nd & Dewey campus. immersion trainings on sustainability recognition. As progress is made at the 42nd & Dewey for the proposed Executive Sustainabil- campus, it is important for UNMC/NM • Establishing a green lab certification ity Council, the integrated green team, to expand their focus and include satel- program for research areas. and possibly other UNMC/NM leaders. lite locations and clinics by providing It would be a simple and straightfor- • Identifying and applying for local and them with support and services to help ward way to quickly ensure campus regional sustainability-related awards. them be more sustainable. This also leaders have a common foundation of includes working with key organiza- knowledge on the scope, purpose, and Incorporate Sustainability Into tional partners, such as Bellevue Medical benefits of sustainability. Employment and Training Center and Clarkson College, to help them implement strategies that will • Implement initiatives aimed at educat- When a new employee or student starts engage staff regarding sustainability and ing patients, visitors, and supporters working or training at UNMC/NM, improve operations to help them reduce about UNMC/NM’s efforts and the it is important to introduce them to their environmental impact. connection between sustainability and UNMC/NM’s sustainability efforts and public health. highlight related expectations and opportunities. Actions that support this strategy may include, but are not limited to:

Table of Contents | Main | Appendix Appendix 84 Conduct Community Outreach Long Term Notes Regarding Sustainability Incorporate Sustainability Into 1 Gallup Consulting, Employee Engage- As important and influential organi- Curriculum ment: What’s Your Engagement Ratio? 1–9 zations in the Omaha metropolitan (2010), available at http://www.gallup. community and the regional area, Develop new courses related to sustain- com/strategicconsulting/employeeen- UNMC/NM have the opportunity to ability and health and/or incorporate gagement.aspx (accessed on November effectively promote sustainability off sustainability topics and the positive 27, 2012). campus as well. Actions that support this effects of sustainable practices on com- strategy may include, but are not limited munity health into relevant, existing 2 Towers and Perrin Global Workforce to: courses. Study, Closing the Engagement Gap: A Roadmap for Driving Superior Business • Establishing a formal sustainability Include Sustainability into Performance 20 (2007), available at http:// speaker series in conjunction with Research Goals www.towersperrin.com/tp/showhtml. the College of Public Health that jsp?url=global/publications/gws/index. is advertised and open to the Incorporate sustainability and the htm&country=fra (accessed on Novem- local community. relation to community health into ber 27, 2012). UNMC/NM’s research goals and/or fund • Working with local media to com- 3 National Environmental Education research in the respective schools that municate UNMC/NM’s sustainability Foundation, The Business Case for En- focus on green initiatives. This could efforts and benefits to the community. vironmental and Sustainability Employee entail partnering with the integrated Education 3–13 (2010), available at www. • Sharing info on sustainability and best green team and the proposed Executive neefusa.org/BusinessEnv/white_paper_ practices with local businesses, com- Sustainability Council. munity groups, and schools. feb2010.pdf (accessed on November 27, Integrate Sustainability Into 2012). • Pursuing partnership grants and identifying community partners to help UNMC/NM Brands 4 Stika, Nicole and Council for Small Enterprise, Sustainability Drives Recruit- fund and coordinate sustainability As UNMC/NM make significant, vis- ment and Retention 1 (2010), available at projects that make the local commu- ible progress toward their sustainability http://www.cosemindspring.com/Topics/ nity more sustainable. goals, it would be advantageous to work Sustainability/Greening%20Your%20 with UNMC/NM’s Public Relations and • Working with the City of Omaha and Business/Sustainability%20Drives%20 Marketing Departments to integrate sus- other local organizations to promote Recruitment%20and%20Retention.aspx tainability as part of their brands so that sustainability. (accessed on November 27, 2012). they can position themselves as a world- renowned health sciences center that is 5 Id. also a leader with regard to sustainability.

85 APPENDIX - ENGAGEMENT Table of Contents | Main | Appendix Acknowledgments Chancellor Vice Chancellor for Academic Affairs Jeffrey P. Gold, M.D. H. Dele Davies, M.D. Chief Executive Officer Vice Chancellor for Business & Finance Bill Dinsmoor Donald Leuenberger Chief Human Capital Officer Vice Chancellor for External Affairs Paulette Davidson Robert D. Bartee Chief Nursing Officer & Vice President Vice Chancellor for Research of Patient Care Services Jennifer Larsen, M.D. Rosanna Morris Linda Wilkie, Institutional Research Analyst/Coordinator College of Dentistry John Reinhardt, D.D.S., Former Dean Advisory Team Pamela Bataillon, Former Assistant Vice Chancellor of Business & Finance College of Medicine Shannon Boerner, M.D., Assistant Professor, General Internal Medicine Bradley Britigan, M.D., Dean Rick Boldt, Environmental Services Liaison, Transportation, and Recycling Michael McGlade, Senior Associate Dean for Administration Jeffrey Elliott, Director of Procurement and Materials Management College of Nursing Thomas Hoffman, Sodexo Director, Food and Nutrition Juliann Sebastian, Ph.D., Dean Sue Holmes, Clinical Laboratory Safety and Continuing Education Coord. Kelly McDonald, Director of Administration & Operations Melinda Pearson, Manager, Architecture and Engineering Services College of Pharmacy Tina Spencer, Manager, Bookstore & Parking Operations Doug Stringfield, Operations and Maintenance Manager Courtney Fletcher, Pharm.D., Dean Tom Strudl, Director of Resource Control James Gamerl, Director for Administration Deborah Thomas, Senior Associate Vice Chancellor for Business and Finance College of Public Health Paul Turner, Sodexo Director, Environmental Services Jane Meza, Ph.D., Senior Associate Dean Andrew Jameton, Ph.D., Former Professor Individual Support Laura Bashus, Administrator Sandra Amendola, Administrative Assistant School of Allied Health Professions Maedi Bell, Data Coordinator Kyle Meyer, Ph.D., Dean Margaret Boyce, Employee Relations Specialist Student Senate & Graduate Student Association Mark Bowen, Director of Government Relations Vito Caragiulo, Director of Chemical Safety Faisal Ahmed, UNMC Student Senate President (2012 - 2013) Nicholas Combs, Director of External Campus Infrastructure Amanda Lakamp, UNMC Graduate Student Assoc. President (2012 - 2013) Gregg Dahlheim, Senior Corporate Communications Project Coordinator Krupa Savalia, UNMC Student Sentate President (2013 - 2014) Darren Dageforde, Director of Utilities

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Kim Daubenmier, Recruiter Planning Team Jacqueline Diggle, Former Manager of General Supply Sarah Emanuel, Certified Wellness Program Coordinator UNMC/NM Michael Faber, Manager of Capital Projects Ken Hansen, Associate Vice Chancellor of Campus Facilities, Management, Daniel Grice, CAFM Administrator and Planning, UNMC & Nebraska Medicine Cindy Hanssen, Manager of Executive Physicals Melanie Stewart, Chair of UNMC LiveGreen and Former Research Kara Haworth, Corporate Communications Specialist Resources Manager Tramy Hoang, UNMC Graduate Student Don Futrell, Former Executive Director of Facilities Management and Planning, Nebraska Medicine Suzanne Johnson, Operational Improvement Specialist Julian Ivey, Web Designer & Developer Verdis Group Richard Kmiecik, Former Director of Strategic Energy Initiatives Kay Carne John Larson, Energy Systems Operations Manager Sally Hopley Paula LeGrande, Sodexo Operations Manager Daniel Lawse Nicole Lindquist, Former Social Media Specialist Craig Moody Pamela McCright, Senior Buyer Steven Osberg Nicole McCoid, Procurement System Specialist Brent Ribble Kathryn Nelson, Procurement Manager Chris Stratman Jonathon Nguyen, Sodexo Operations Manager Thomas Payne, UNMC Grounds Supervisor Joseph Pecha, Accountant Mindy Owen, Procurement Theresa Pikschus, Office Associate Anne Rivas, UneMed Office Assistant Kimberly Rothgeb, BRT Education Program Coordinator prepared by: John Russell, Assistant Vice Chancellor for Human Resources Carolyn Schaeffer, UNMC Graduate Student Ryan Shaw, Web Graphic Designer Carmen Sirizzotti, Division Director of Employee Relations Jaclyn Smith, Assessment Associate 1516 Cuming Street Julie Sommer, Former Clinical Research Associate Omaha, NE 68102 Catherine Tran, UNMC Medical Student Colleen Tworek, College of Nursing Office Associate (402) 681-9458 Terrence Vail, Facilities Operations Coordinator www.verdisgroup.com Debbie Vidlak, Researcher [email protected] Kristin Watkins, Administrator Twitter: @verdisgroup Denise Wessling, Accountant

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