Author: Bob Biggio

  • Essential hospitals can access funds for climate readiness — but they need to act now

    Essential hospitals can access funds for climate readiness — but they need to act now

    As we turn the page on the hottest year in recorded history, it’s clear that the climate crisis is a health crisis. Deadly heat domes, catastrophic floods, and choking wildfires take a growing toll on lives and health. Health care facilities are increasingly at risk from climate disruption and are struggling to adapt. Fortunately, funding is readily available to build infrastructure resilience — if hospitals take action now to access it.

    Essential hospitals are critical first responders in the climate crisis

    Leading medical journals have declared climate change the “greatest threat” to public health and that threat is unfolding in emergency rooms and health clinics nationwide. Clinicians face an ever-larger caseload of climate-related illnesses, from heatstroke to worsening chronic disease. Last fall, floods in Tennessee turned hospital corridors into whitewater rapids, while patients were rescued from the roof by helicopter. And extreme weather, along with chronically underfunded utility grids, has caused a dramatic increase in power outages in recent years. During these outages, lifesaving medicines go bad, electronic health records are inaccessible, and essential medical equipment — including ventilators — shuts down.

    Essential hospitals are especially hard hit. Because climate change reveals — and exacerbates — social inequities, the people served by essential hospitals are also those most vulnerable. These facilities play an indispensable role in the health care system by treating people who can’t afford to pay due to economic hardship and by serving rural and historically underserved and marginalized communities. This critical role doesn’t come without cost. In 2023, essential hospitals provided nearly $9 billion in free or reduced-cost care and US communities faced 28 weather and climate disasters that each resulted in $1 billion in damages.

    The good news is that essential hospitals — and the rest of the health care sector — can better serve patients and prepare for climate disruption by investing in sustainability and resilience. For example, efficiency upgrades can dramatically reduce energy use, freeing financial resources for patient care. Solar panels augmented with battery storage can keep the lights on — and the ventilators running — when the larger grid goes down. Also, the health care sector accounts for an estimated 8.5 percent of total US greenhouse gas emissions and hospitals are the second most energy-intensive facilities in the country. So, reducing hospitals’ energy use and emissions will lower climate risks for everyone.

    Capital is available for resilience investments and the ROI is significant

    Funding is available to make hospitals more sustainable and resilient. For many hospitals, strategies to better leverage existing real estate assets combined with funding from sources like utility grant programs and the Inflation Reduction Act (IRA) can unearth the capital needed for infrastructure and energy efficiency upgrades. The IRA made historic investments in climate solutions, prioritizing aid to low-income, rural, and marginalized communities. Essential hospitals, with their thin margins and vulnerable patients, have the most to gain from these investments. As of mid-January, $74 billion in IRA direct funds (i.e. grants) have been committed. Furthermore, many IRA programs and tax incentives remain available and popular, being successfully used for significant investments in districts all across the US and political spectrum.

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    Essential hospitals can access funds for climate readiness – but they need to act now

  • Creating Healthier Hospitals: Healthcare Real Estate Optimization

    Creating Healthier Hospitals: Healthcare Real Estate Optimization

    Hospitals save lives, but they also consume vast amounts of energy and resources in the process. Healthcare leaders face an ongoing conflict between doing whatever it takes to care for patients while managing limited natural resources and the potential for over-carbonization. In other words, human-health solutions can also create a planet-health problem.

    Overhauling a health system’s infrastructure to be more sustainable can be expensive and time-consuming. However, when done properly, the costs may be offset by operating and financial improvements that make it truly viable. What can healthcare providers do to maintain — or even improve — patient care while also reducing their negative impact on our environment and increasing profitability?

    The future of healthcare is inseparably linked with sustainability, and it begins with the buildings in which care is delivered. Making real progress involves more than recycling. Healthcare real estate optimization is a proven solution designed to address these challenges head-on. It’s a comprehensive, action-minded approach that prepares hospitals for a healthier and more profitable future. 

    Let’s examine how real estate optimization can transform any healthcare system into an archetype of financial success, environmental stewardship, and a healthier future for everyone.

    Why Healthcare Real Estate Optimization?

    As healthcare facilities evolve and add services, it often results in departments being located in whatever space is available at the time. Over time, the overall design of the campus can become less efficient, translating to higher operating costs and unnecessary consumption. (In other words: wasted resources.) Optimizing real estate and realigning departments and functions can use space more efficiently and free up resources that can help achieve the organization’s growth objectives — which involves improving energy consumption and resiliency. 

    Healthcare real estate optimization begins with a clear understanding of a health system’s current state. Through meticulous analysis, sustainability experts can assess a facility’s energy consumption, space use efficiency, and overall functionality to establish a data-driven foundation for developing a customized plan to address problems and propose solutions.

    The goal? Redesign a health system that prioritizes financial growth, more balanced asset management, improved patient well-being, and prudent environmental stewardship — all within the facility’s existing walls.

    Planning a Real Estate Optimization Strategy

    Real estate optimization is not an easy task, which is why most health system executives turn to multiple consultants — various business, real estate, facility, architecture, and engineering experts — to guide them through the process. Ultimately, all of these areas are directly connected to sustainability, and looking at them holistically will achieve better outcomes.

    The key strategies typically involve:

    Healthcare real estate optimization experts start with implementing cost-effective upgrades, such as occupancy sensors, optimized HVAC controls, and energy-efficient lighting systems. They may also explore central plant upgrades, heat recovery systems, and electrification opportunities that can significantly reduce operating costs and environmental impact. Hospital campuses are often built with significant redundancy. A more strategic approach involves leveraging their existing infrastructure to improve energy consumption and resiliency.

    If there are ways to increase efficiency within a facility’s existing footprint, the real estate optimization process will uncover it. Experts will analyze space allocation and workflow patterns to find opportunities for improvement. This may involve rearranging departments, streamlining patient flow, or repurposing underutilized areas.

    Sometimes, the most sustainable solution involves a change in physical footprint. It’s important to consider options like selling, right-sizing, or repurposing buildings that are too large, inefficient, or whose age essentially makes them incompatible with future modern healthcare needs. Leveraging those facilities can free up capital for strategic acquisitions or the construction of new, sustainable facilities in locations that better serve your growing needs.

    Making sustainability a reality usually requires a significant upfront investment. An effective real estate optimization analysis will explore funding sources, such as grants, rebates, public-private partnerships, sustainability bonds, and strategic leasing, that can help finance a health system’s sustainability initiatives.

    What Implementing Healthcare Real Estate Optimization Entails

    Unlike other commercial enterprises, hospitals can’t afford to shut down for extended periods of time while renovations take place. Implementing infrastructure upgrades requires extensive project management and implementation oversight from beginning to end (plus ongoing oversight and follow-up after the improvements have been completed). 

    Whether it takes months or years, the objective is to ensure a smooth transition and minimize disruption to your ongoing operations.

    Optimizing healthcare real estate for sustainability requires a multifaceted team of engineering, finance, real estate, sustainability, technology, and hospital operations specialists. It sounds complex (and it is), but it’s essential to address every aspect of a health system’s sustainability goals to create a comprehensive strategy that aligns with your financial and environmental objectives.

    An expert sustainability partner like Oakwell streamlines this process. They have the tools, resources, and expertise to handle every aspect of the optimization journey, which will save time, minimize any administrative burdens, and ensure seamless project execution.

    Actionable Plans for Achievable Results

    Healthcare real estate optimization depends on measurable results. Hospitals need detailed, actionable plans that address their needs, avoid downtime, and stay within budget. After all, you want tangible benefits accompanied by a return on investment. Real estate optimization is a highly viable and valuable tool that, when integrated into your current strategic planning, will help propel a healthcare system toward a more sustainable future. 

    Implementing sustainability strategies can be expensive, but the long-term savings are substantial. Securing funding for sustainability projects, however, can be a hurdle. Be sure to work with financing experts with specific healthcare sustainability experience. They can remove financial roadblocks and source or supply the necessary funding to turn vision into action.

    The Results are Worth the Journey

    The team at Oakwell includes seasoned professionals with extensive experience overseeing large-scale projects, managing expansive real estate portfolios, and integrating sustainability goals into corporate strategies. Our deep understanding of the healthcare landscape allows us to provide full support throughout any health system’s sustainability journey.
    Remember, healthcare real estate optimization is about more than the realized cost savings; it represents a strategic investment in the future. By fully utilizing your real estate assets, you can enhance efficiencies, create a healthier environment for patients and staff, and demonstrate your commitment to climate responsibility. These benefits also help enhance recruitment and retention, build a philanthropy pipeline, acquire sustainability bonds, and elevate your hospital’s reputation for being more proactive in caring for your community.

    Contact us to learn more.