Stage 4
Measuring and Reducing Supply Chain Emissions (Scope 3, categories 1 and 2)
In Stage 4, “Measuring and Reducing Supply Chain Emissions (Scope 3, categories 1 and 2),” health care organizations focus on the greatest sources of their overall greenhouse gas emissions: the goods and services they buy, including capital goods (supply chain). In the supply chain, greenhouse gas emissions accumulate much like a food chain. The extraction and production of raw materials generate emissions, which are then carried into the manufacturing of supplies and equipment, introducing additional embedded greenhouse gases. This process continues through distribution, use, and final disposition, with each phase adding its own emissions. Health systems that purchase goods may not have control over the entire chain, but they can choose suppliers who actively work to reduce greenhouse gas emissions throughout the entire product life cycle.
This stage involves quantifying supply chain emissions and initiating measurement and reporting. Engaging supply chain partners, advocating for sustainable practices, and adopting relevant metrics and standards are essential components of this stage. Through these actions, health care organizations can significantly reduce their greenhouse gas emissions and contribute to a more sustainable, equitable, and resilient environment.
Stage 1
Recognizing the Benefits of Environmental Sustainability and Resilience
Stage 2
Implementing Business Practices, Organizational Planning and Accountability Structures
Stage 3
Measuring and Reporting Direct and Energy Emissions
Stage 4
Measuring and Reducing Supply Chain Emissions (Scope 3, categories 1 and 2)
Stage 5
Measuring and Reducing Other Emissions
Stage 6
Striving for Continuous Improvement

Stage 4
Measuring and Reducing Supply Chain Emissions (Scope 3, categories 1 and 2)
Stage 5
Measuring and Reducing Other Emissions
Stage 3
Measuring and Reporting Direct and Energy Emissions
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Actions
Begin measuring and reporting supply chain emissions
- Conduct an assessment to identify and quantify Scope 3, Category 1 and 2 emissions. A major source of emissions for most health care delivery organizations is from the tangible products purchased, such as medical supplies, personal protective equipment, and office supplies (category 1), and capital goods, such as machinery and durable equipment (category 2)
- Gather procurement data to identify spending on products with a focus on tangible products and capital goods bought in a year
- Identify contracts that are due to be renewed/rebid in the coming 12 months for first review
- Use available calculators to estimate emissions from purchased products and capital goods based on spend data
- Identify suppliers that account for your organization’s highest spend on products
- Request product-level emissions from your largest suppliers. While most will not have this data, your request signals the marketplace that it is an expectation for the future
- Gather procurement data to identify spending on products with a focus on tangible products and capital goods bought in a year
- Begin measuring and reporting supply chain emissions
Carbon Accounting 101 (National Academy of Medicine)
Catalyzing Collective Action to Decarbonize Healthcare (Kaiser Permanente / Health Care Without Harm / Accenture)
Clinical Decarbonization Prioritization Tool (Health Care Without Harm)
EPA Scope 3 Inventory Guidance
GHG Protocol
GHG Protocol Online Training
Corporate Value Chain (Scope 3) Standard (GHG Protocol)
Health Care Emissions Impact Calculator (Practice Greenhealth)
Net-Zero Value-Chain Support Hub
Reprocessing Carbon Emission Calculator (Association of Medical Device Reprocessors)
Roadmap to Addressing Scope 3 Emissions for Healthcare Organizations (OCCHE; Archived)
SBTI
Sustainability Roadmap for Health Care (American Hospital Association)
Transforming The Medical Device Industry: Road Map To A Circular Economy
Promote and support clinician leadership in reducing supply chain emissions
- Integrate clinicians in identifying and selecting lower emissions products, such as inhalers that do not contain environmentally harmful propellants
- Engage clinicians in reviewing surgical supplies and procedure kits to reduce the volume of unused items
- Involve clinicians in identifying opportunities for more sustainable supplies that safeguard patients and maintain clinical quality while reducing emissions
Clinical Decarbonization Prioritization Tool (Health Care Without Harm)
Environmentally sustainable surgical systems
The Growing Importance of More Sustainable Products in the Global Health Care Industry (Johnson & Johnson)
Sustainable Procurement in the Health Care Sector
Set achievable goals and develop an implementation plan to support diverse, locally-owned suppliers, fostering stronger, more climate-resilient communities
- Adopt product sourcing protocols from the Healthcare Anchor Network that increase purchases from local and diverse-owned businesses (majority owned and operated by members of traditionally underrepresented groups)
- Engage with suppliers, supplier groups, and your Group Purchasing Organization (GPO) to communicate the need to reduce supply chain emissions
Catalyzing Collective Action to Decarbonize Healthcare (Kaiser Permanente / Health Care Without Harm / Accenture)
Decarbonizing Health Care: New Policies Can Build Markets for Low-Carbon Supply Chains (Georgetown Climate Center)
Decarbonising Healthcare Supply Chains (Sustainable Markets Initiative)
Environmentally sustainable surgical systems
EPA Scope 3 Inventory Guidance
Engage and Support your Suppliers (World Economic Forum)
GHG Protocol
GHG Protocol Online Training
Corporate Value Chain (Scope 3) Standard (GHG Protocol)
Net-Zero Value-Chain Support Hub
Roadmap to Addressing Scope 3 Emissions for Healthcare Organizations (OCCHE; Archived)
Sustainability Roadmap for Health Care (American Hospital Association)
Require emissions performance in procurement protocols to choose products and suppliers
- Embed language from the Climate Excellence Standard for Health Sector Suppliers in Requests for Proposals (RFPs), Requests for Information (RFIs) and contracts and review results during sourcing and contracting
- Prefer suppliers that publicly report third-party verified emissions and have publicly committed to science-aligned targets
Catalyzing Collective Action to Decarbonize Healthcare (Kaiser Permanente / Health Care Without Harm / Accenture)
Climate Excellence Standard for Health Sector Suppliers (Health Care Without Harm)
Clinical Decarbonization Prioritization Tool (Health Care Without Harm)
Decarbonising Healthcare Supply Chains (Sustainable Markets Initiative)
Decarbonizing Health Care: New Policies Can Build Markets for Low-Carbon Supply Chains (Georgetown Climate Center)
Environmentally sustainable surgical systems
Engage and Support your Suppliers (World Economic Forum)
GHG Protocol
GHG Protocol Online Training
Corporate Value Chain (Scope 3) Standard (GHG Protocol)
The Growing Importance of More Sustainable Products in the Global Health Care Industry (Johnson & Johnson)
Net-Zero Value-Chain Support Hub
Sustainable Procurement in the Health Care Sector
Sustainability Roadmap for Health Care (American Hospital Association)
Transforming The Medical Device Industry: Road Map To A Circular Economy
Require sustainable products from supply chain partners
- Reduce procurement of single-use plastic products while demanding more sustainable alternatives
- For instance, request durable alternatives such as reusable isolation gowns, dishware, linens, and surgical supplies
- Reduce packaging used to store and ship products
- Purchase products that can be reprocessed per FDA regulations when single-use devices cannot be avoided
Reprocessing Carbon Emission Calculator (Association of Medical Device Reprocessors)
Five ways to achieve sustainable medical packaging (CAS)
Climate Excellence Standard for Health Sector Suppliers (Health Care Without Harm)
Decarbonizing Health Care: New Policies Can Build Markets for Low-Carbon Supply Chains (Georgetown Climate Center)
Decarbonising Healthcare Supply Chains (Sustainable Markets Initiative)
Engage and Support your Suppliers (World Economic Forum)
GHG Protocol
GHG Protocol Online Training
Corporate Value Chain (Scope 3) Standard (GHG Protocol)
The Growing Importance of More Sustainable Products in the Global Health Care Industry (Johnson & Johnson)
Roadmap to Addressing Scope 3 Emissions for Healthcare Organizations (OCCHE; Archived)
Sustainable Procurement in the Health Care Sector
Transforming The Medical Device Industry: Road Map To A Circular Economy