Stage 2

Governance and Organizational Planning

In Stage 2, “Governance and Organizational Planning,” health care suppliers focus on establishing effective governance structures and integrating sustainability into their organizational planning.

This stage emphasizes the importance of leadership commitment, proposing a governance plan with clear steps for characterizing emissions and setting decarbonization goals, selecting metrics and standards, and having strategic alignment to drive sustainable practices throughout the organization. By implementing these measures, organizations can effectively integrate sustainability into their operations, ensure accountability, promote health equity, build partnerships, and enhance resilience.

Actions

Make the case to organizational leadership

Key elements of the case might include: Return on Investment (ROI), business strategy, Key Performance Indicators (KPIs), operational resilience, reputational impacts, customer/shareholder perspective competitive advantage, cost savings, community benefits & health equity, etc.

Accelerating Health Equity and Business Resilience through Decarbonization

The 1.5°C Business Playbook

The Green Print: Advancement of Environmental Sustainability in Healthcare

Health Sector CARES Pledge 

Propose a governance plan outlining steps to establish, define, and catalog carbon emissions. This plan should include the creation of decarbonization objectives, accountability measures, reporting structures, governance processes, performance metrics, and a timeline/transition strategy

  1. Establish a lead sustainability champion and cross-functional team to define climate strategy and roadmap, including timelines and short, medium and long term goals
  2. Measure Scope 1 and 2 baseline emissions (Scope 3 categories where relevant or possible) using GHG protocol accounting
  3. Identify achievable science-based goals/targets for all scopes
  4. Establish process/procedures for conducting a robust, science-based climate risk and opportunity assessment
  5. Incorporate health equity within the governance plan/steps
  6. Benchmark and assess staffing/resource needs
    • Identify financial impact metrics, expenditure metrics, and financial estimates and assumptions
  7. Define a reporting strategy for internal and external stakeholders
  8. Identify potential funding sources
    • E.g., state/federal grants or other incentives

The 1.5°C Business Playbook

Moving Forward Guide

GHG Protocol

GHG Protocol Online Training

FAQs on Target Setting (SBTi)

Accelerating Health Equity and Business Resilience through Decarbonization

Task force on Climate-related Financial Disclosures (TCFD)

TCFD Knowledge Hub

Risk Identification and Site Criticality Toolkit

Microsoft Sustainability Learning Center

Sustainability Accounting Standards Board (SASB)

SASB Materiality Finder

CDP

Global Reporting Initiative

Energize

Activate Program

Renewable Thermal Collaborative

Assess potential partnerships/collaborations with others to build resilience and achieve sustainability goals

E.g., more efficient energy sources, use of AI and other tools to reduce carbon footprint, regional infrastructure improvements, development of a systematic way to use data systems and analytics to measure and manage progress, and to access comparable data sets and deliver critical data to health systems

Decarbonising Healthcare Supply Chains

EcoVadis

Renewable Thermal Collaborative

Best Practices from Top Reprocessing Hospitals

Assess the impact of environmental risk factors and their implications for health equity

Develop an agenda/plan that infuses health equity and community engagement to address the health disparities exacerbated by those environmental risk factors

Accelerating Health Equity and Business Resilience through Decarbonization

Consider how to create transparency/reporting on results

E.g., Scoping for own ESG reports

CDP

Global Reporting Initiative

Overview report: Embedding environmental sustainability into pharma’s DNA

Select metrics & reporting standards for:

  1. Scopes 1-3, e.g., Greenhouse gas protocol, CDP, Global Reporting Initiative (GRI), Sustainability Accounting Standards Board (SASB), Task force on Climate-related Financial Disclosures (TCFD)
  2. Establish a baseline
  3. Resilience, e.g., scope and frequency of assessing physical and transitional climate risk of own operations and most significant suppliers

CDP

Task force on Climate-related Financial Disclosures (TCFD)

GHG Protocol

Sustainability Accounting Standards Board (SASB)

Global Reporting Initiative

GHG Protocol Online Training

Microsoft Sustainability Learning Center

TCFD Knowledge Hub

Risk Identification and Site Criticality Toolkit

Where necessary, develop climate response plans that support employee health and availability, including transportation, food, emergency shelter, generators, etc.

Disaster Available Supplies in Hospitals (DASH) tool

Risk Identification and Site Criticality Toolkit

Sustainability Roadmap for Health Care

Potential Challenges

Leadership Buy-in

Gaining leadership commitment and support for sustainability initiatives may require overcoming skepticism or competing priorities

The 1.5°C Business Playbook

The Green Print: Advancement of Environmental Sustainability in Healthcare

Accelerating Health Equity and Business Resilience through Decarbonization

Role Clarity and Capacity

Clearly defining roles and responsibilities for sustainability and ensuring adequate resources and capacity to fulfill those roles can be challenging

Moving Forward Guide

Microsoft Sustainability Learning Center

Sustainability Roadmap for Health Care

Cultural Shift

Nurturing a sustainability-focused culture may require changing mindsets, behaviors, and practices within the organization

The 1.5°C Business Playbook

Moving Forward Guide

Overview report: Embedding environmental sustainability into pharma’s DNA

Data Collection and Reporting

Establishing effective systems for collecting and reporting sustainability data can be complex, particularly when data sources are dispersed across different functions

GHG Protocol

GHG Protocol Online Training

Global Reporting Initiative

CDP

Sustainability Accounting Standards Board (SASB)

Highlighted Stage 2 Resources