Standardized Measurement for Health Care Decarbonization: Energy-Related Emissions
Measuring greenhouse gas emissions is an important first step toward reducing them. Establishing a baseline helps health care organizations understand their emissions and identify opportunities to improve energy efficiency, reduce costs, and decrease their carbon footprint over time. This guidance focuses on energy-related emissions because the underlying data are often already available through utility bills, fuel records, and existing energy management systems. By building on these existing data and processes, organizations can begin measuring emissions without developing entirely new systems, creating a practical and accessible starting point. Beginning with a manageable set of energy-related metrics can also help organizations build confidence and capacity in carbon accounting, establishing a strong foundation for eventually expanding to a more comprehensive emissions inventory.
The Climate Collaborative has developed guidance to help hospitals, health care organizations (HCOs), and other health-related organizations begin measuring their energy-related greenhouse gas emissions. Grounded in the Greenhouse Gas (GHG) Protocol, this resource provides a common starting point for emissions measurement across the health sector through the three components below. Designed for organizations of all sizes and technical capacities, these resources may be particularly useful for those with little or no prior experience measuring carbon emissions.
Part 1: Standardized Measurement Framework
A defined set of energy-related Scope 1 and Scope 2 metrics grounded in the GHG Protocol
Organizations can use the framework to identify applicable energy sources and establish a consistent approach to collecting consumption data.
Under the GHG Protocol, Scope 1 emissions are direct emissions from sources owned or controlled by an organization, while Scope 2 emissions are indirect emissions associated with the generation of purchased or acquired electricity, steam, heating, and cooling consumed by the organization.
Suggested Core Metrics
Scope 1: Stationary Fuel Combustion (Direct Emissions)
Scope 1 stationary combustion emissions arise from the combustion of fuels in stationary equipment owned or controlled by an organization, such as boilers and other equipment used to provide building energy.
Organizations should collect fuel consumption data by fuel type and calculate the associated annual emissions.
- Core metric: Annual Scope 1 emissions from stationary fuel combustion, reported in metric tons of carbon dioxide equivalent (MTCO₂e).
- Underlying data: Annual fuel consumption by type, the applicable units of measurement, and the emission factors and calculation methods used.
- Potential data sources: Utility bills, fuel invoices, equipment records, and existing energy management systems.
Organizations should identify which stationary fuels they use and report applicable sources within their organizational boundary. Organizations without stationary fuel combustion sources should indicate that the metric is not applicable.
Scope 2: Purchased Energy (Indirect Emissions)
Scope 2 emissions arise from the generation of purchased or acquired electricity, steam, heating, and cooling consumed by an organization.
Organizations should collect annual energy consumption data by source and calculate the associated emissions using the applicable GHG Protocol accounting methods.
- Core metric: Annual Scope 2 location-based emissions, reported in MTCO₂e, using the applicable Scope 2 accounting method or methods.
- Additional metric, where applicable: Annual Scope 2 market-based emissions, reported separately when required by the GHG Protocol.
- Underlying data: Annual purchased electricity consumption and, where applicable, purchased steam, heating, and cooling; the relevant emission factors; and information needed to apply the appropriate accounting method.
- Potential data sources: Utility bills, metered consumption, energy management systems, supplier records, and electricity procurement documentation.
Organizations should report energy consumption in appropriate physical units, such as kilowatt-hours or megawatt-hours for electricity, and use documented, applicable emission factors to calculate emissions.
The GHG Protocol provides two methods for calculating Scope 2 emissions:
- Location-based method: Calculates emissions using average emissions factors for the electricity grids or other applicable energy systems from which energy is consumed.
- Market-based method: Calculates emissions using qualifying supplier-specific information and contractual instruments, where available and applicable.
Organizations should determine which method or methods are appropriate to their circumstances in accordance with the GHG Protocol and their reporting needs.
Supporting Inventory Information
To support consistent measurement and meaningful comparisons over time, organizations should document:
- The reporting period and facilities included in the inventory
- The organizational boundary and approach used to determine which operations are included
- The source and completeness of energy consumption data, including any estimates
- The emission factors, data sources, and calculation methods used
- The Scope 2 accounting method used and any applicable information about contractual instruments
- The base year, where established, to support tracking changes in emissions over time
Framework Implementation Approach
This framework identifies minimum energy-related metrics and supporting data elements while recognizing that organizations will vary in their experience, resources, and access to data. Organizations should be able to identify which energy sources apply to their operations, determine what information they already collect, and understand what additional information may be needed to calculate their emissions.
Part 3 complements the framework by providing practical resources for translating energy consumption records into emissions results.
Part 2: Suggested Emissions Reporting Platforms
A curated list of emissions reporting platforms evaluated against established criteria to support consistent measurement and reporting
The following reporting platforms have been identified through the Climate Collaborative’s evaluation process as options for measuring and reporting energy-related Scope 1 and Scope 2 emissions. These platforms offer different capabilities for tracking energy consumption, calculating GHG emissions, maintaining historical data, and supporting organizational reporting.
Health care organizations can select platforms based on their existing data systems, reporting needs, and experience with emissions measurement, while ensuring alignment with the Standardized Measurement Framework (Part 1) and applicable GHG Protocol requirements.
Organizations are encouraged to begin with ENERGY STAR Portfolio Manager (ESPM) as a standardized foundation for building-level energy measurement and Scope 2 tracking. They can also integrate data with other platforms that offer additional health care-specific functionality based on their needs.
Reporting Platforms That Meet Identified Criteria
Platform availability and functionality may vary. Organizations should verify that their selected platform supports the necessary energy data collection, emissions calculations, and reporting.
ENERGY STAR Portfolio Manager (ESPM)
Supports building-level energy tracking, performance benchmarking, and the management of energy consumption data over time. It provides a standardized approach to tracking building energy use and can serve as a foundation for organizations beginning to measure their energy-related emissions. Access ESPM >>
Energy to Care
A confidential and complimentary energy reduction program that helps health care facilities track, manage and communicate energy savings. Access Energy to Care >>
Health Care Emissions Impact Calculator
Accounting tool specifically designed to help health care organizations measure their greenhouse gas (GHG) emissions. The calculator can be used to develop a GHG inventory at the facility and/or system level for all Scope 1, 2, and 3 emissions. Access Health Care Emissions Impact Calculator >>
Carbon Disclosure Project (CDP)
Environmental disclosure system to help companies, investors and governments measure, manage and report risk and opportunities across climate change, deforestation and water security. Access CDP >>
Sustain Health Solutions
Comprehensive, tailored services to help healthcare organizations reduce their environmental impact, enhance operational efficiency, and support financial health. Access Sustain Health Solutions >>
How These Platforms Were Selected
A reporting platform must meet all the following requirements to be included:
- Compliant with the GHG Protocol for Scope 1 and Scope 2 emissions reporting
- Ability to store data over time (long-term data retention)
- Accepts multiple energy sources (e.g., electricity, natural gas/methane, fuel oil, wood, district energy)
- Secure data management practices
- Ability to share building identifiers (not emissions or energy data) with NAM for quarterly, aggregate sector reporting
- Alignment with, or support for, The Joint Commission’s Sustainable Healthcare Certification
- Accessible online
Platform Implementation Approach
Organizations can select reporting platforms based on their existing systems, measurement needs, and reporting requirements. They may use more than one platform to support different aspects of energy management, emissions measurement, and reporting.
Part 3 provides additional resources to help organizations evaluate reporting approaches and implement the Standardized Measurement Framework.
Part 3: Implementation Resources
Practical tools, technical resources, step-by-step guidance, and implementation support to help organizations begin measuring their energy-related emissions
These resources support organizations in identifying the energy sources relevant to their operations, locating and organizing the necessary data, calculating emissions, and documenting their measurement approaches. They will also help organizations understand the available reporting platforms and select approaches that align with their needs and reporting requirements. Where possible, the resources align with existing reporting processes and minimize the need for organizations to collect information they already maintain in other systems.
Resources
Carbon Accounting and Emissions Measurement Fundamentals
Measurement Standards and Guidance
Energy Data Collection and Emissions Calculation
Emissions Reporting and Disclosure Platforms
Disclaimer: This resource was prepared by the Sector-Wide Integration and Foundational Transformation (SWIFT) Working Group of the NAM Climate Collaborative and reviewed by members of the Collaborative. Statements in this resource do not necessarily reflect the views of all members of the Climate Collaborative; the NAM; or the National Academies of Sciences, Engineering, and Medicine (National Academies).
External resources are provided based on the expert guidance of Collaborative members and have not been subjected to the review procedures of, nor are they a product of, the National Academies. The resource is intended to help inform and stimulate discussion. It is not a report of the NAM or the National Academies. Copyright by the National Academy of Sciences. All rights reserved.
Related Products