/ en Sat, 26 Apr 2025 14:57:59 -0500 Thu, 24 Apr 25 22:05:05 -0500 /concord/case-studies/mednition-adventist <div></div><div> /* Banner_Title_Overlay_Bar */ .Banner_Title_Overlay_Bar { position: relative; display: block; overflow: hidden; max-width: 1170px; margin: 0px auto 25px auto; } .Banner_Title_Overlay_Bar h1 { position: absolute; bottom: 40px; color: #003087; background-color: rgba(255, 255, 255, .8); width: 100%; padding: 20px 40px; font-size: 3em; box-shadow: 0 3px 8px -5px rgba(0, 0, 0, .6); } @media (max-width:991px) { .Banner_Title_Overlay_Bar h1 { bottom: 0px; margin: 0px; font-size: 2.5em; } } @media (max-width:767px) { .Banner_Title_Overlay_Bar h1 { font-size: 2em; text-align: center; text-indent: 0px; padding: 10px 20px; } } @media (max-width:530px) { .Banner_Title_Overlay_Bar h1 { position: relative; background-color: #63666A22; } } /* Banner_Title_Overlay_Bar // */ .Banner_Title_Overlay_Bar h1 { color: #fff; background-color: rgba(255, 255, 255, .0); box-shadow: none; } @media (max-width:530px){ .Banner_Title_Overlay_Bar h1 { background-color:#000; } } <header class="Banner_Title_Overlay_Bar"><img src="/sites/default/files/2023-06/Concord_Investing_banner1_1170x250.jpg" alt="Banner Image" width="1168" height="250"><div><h1>Adventist Health Glendale Achieves 90% Sepsis Compliance with AI</h1></div></header></div><div class="raw-html-embed"> /* CntMenuSub */ .CntMenuSub{ margin:20px 0px; padding-bottom: 5px; color: #afb1b1; letter-spacing: 1.5px; font-weight: 400; font-size: 11.2px; } .CntMenuSub a{ text-decoration:none } .CntMenuSub .CntMenuBar{ border-bottom: 1px solid lightblue; } /* if includes a logo */ @media (min-width:361px){ .CntMenuSub.CntMenuSubLogo .CntMenuBar{ margin-top: 10px; float: left; width: calc(100% - 425px); } } @media (max-width:767px) and (min-width:361px){ .CntMenuSub.CntMenuSubLogo .CntMenuBar{ float: left; width: calc(100% - 0px); } .CntMenuSub.CntMenuSubLogo img{ width: auto; } } /* // */ .CntMenuSub .CntMenuBar a:after{ content: "|"; 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display: block; box-shadow: 10px 10px 14px -6px rgba(0,0,0,0.75); -webkit-box-shadow: 10px 10px 14px -6px rgba(0,0,0,0.75); -moz-box-shadow: 10px 10px 14px -6px rgba(0,0,0,0.75); } @media (max-width:767px) { .sp_Resource1 .sp_Resource1_holder img { width: 100%; max-width: 150px; } } .sp_Resource1 .btn { margin-top: 20px; } .sp_Resource1_holder h2 span { color: #d50032; display: block; position: relative; font-size: .8em; } <div class="col-md-10 col-md-offset-1 sp_Resource1_holder"><div class="text-align-center col-sm-4 col-md-3"><a href="/system/files/media/file/2025/04/mednition_adventist_health_glendale-casestudy.pdf" target="_blank" title="How Adventist Health Glendale Achieved 90% Sepsis Compliance with AI using Nurse-Led Protocols"><img src="/sites/default/files/2025-04/mednition_adventist_health_glendale-casestudy-247x320.jpg" alt="Cover image" width="247" height="320"></a> </div><div class="col-sm-8 col-md-9"> Scan </h3> --><h2><span>Case Study</span> <a href="/system/files/media/file/2025/04/mednition_adventist_health_glendale-casestudy.pdf" target="_blank" title="How Adventist Health Glendale Achieved 90% Sepsis Compliance with AI using Nurse-Led Protocols">How Adventist Health Glendale Achieved 90% Sepsis Compliance with AI using Nurse-Led Protocols</a></h2><p>This case study documents how Adventist Health Glendale improved sepsis detection and treatment through AI implementation. It describes their journey from a 54% SEP-1 compliance rate to achieving 90% using Nurse-Led Protocol and KATE, an AI system that assists nurses with early sepsis recognition during triage. The study highlights challenges faced, implementation process, results achieved, and how the technology empowered nurses while reducing workload, ultimately improving patient outcomes and earning the hospital ANCC Magnet recognition with nine exemplars.</p><p><a class="btn btn-wide btn-primary" href="/system/files/media/file/2025/04/mednition_adventist_health_glendale-casestudy.pdf" target="_blank" title="How Adventist Health Glendale Achieved 90% Sepsis Compliance with AI using Nurse-Led Protocols"><span>Read Case Study</span></a><span> </span></p></div></div></div> /* y-hr3 */ .y-hr3{ clear: both; } .y-hr3 div:nth-child(2) { border-top: solid 2px lightgrey; margin: 50px 0px; height: 0px } /* y-hr3 // */ <div class="row y-hr3"><div class="col-md-3"> </div><div class="col-md-6"> </div><div class="col-md-3"> </div></div><div class="row spacer"><div class="col-sm-8 col-md-offset-2"><div><a href="https://mednition.com/solutions/?utm_source=aha&utm_medium=web&utm_campaign=aha-concord-portcos&utm_term=2025&utm_content=casestudy" target="_blank" title="Mednition "><img src="/sites/default/files/2024-03/aonl-cta-sponsor-Mednition-834x313.png" alt="Mednition logo" width="417" height="157"></a><h3><a href="https://mednition.com/solutions/?utm_source=aha&utm_medium=web&utm_campaign=aha-concord-portcos&utm_term=2025&utm_content=casestudy" target="_blank" title="Mednition">Mednition</a></h3><p>Mednition is a healthcare AI company empowering emergency nurses to save lives with KATE AI. KATE provides 24/7 clinical risk intelligence while improving operational efficiency, workforce well-being, and financial performance.</p><p>For nurses, by nurses, KATE AI has helped nurses provide care for over 2 million patients walking in through the hospital's front door.</p><p>To learn more about Mednition <a href="mailto:sreilly@mednition.com?subject=I%20would%20like%20to%20learn%20more%20about%20your%20solution&body=I%20would%20like%20to%20learn%20more%20about%20the%20work%20your%20company%20is%20doing%20with%20hospitals%20and%20health%20care%20providers." title="contact Steven Reilly">contact Steven Reilly</a>.</p></div></div></div> /* y-hr3 */ .y-hr3{ clear: both; } .y-hr3 div:nth-child(2) { border-top: solid 2px lightgrey; margin: 50px 0px; height: 0px } /* y-hr3 // */ <div class="row y-hr3"><div class="col-md-3"> </div><div class="col-md-6"> </div><div class="col-md-3"> </div></div> Thu, 24 Apr 2025 22:05:05 -0500 Case Studies /case-studies/2025-04-22-johnson-county-hospital-nebraska <div class="container"><div class="row"><div class="col-md-8"><figure><p><span><strong>The Value of the 340B Program Case Study</strong></span></p><img src="/sites/default/files/inline-images/Johnson-county-hospital-image_0.png" data-entity-uuid="f1108e1e-cc58-47ff-a484-fe62cf31eeb8" data-entity-type="file" alt="Johnson County Hospital Images" width="1487" height="960" class="align-right"></figure><p> </p><h2><span>Who is Johnson County Hospital?</span></h2><p><img src="/sites/default/files/inline-images/jch-circle-image.png" data-entity-uuid="1a0c1c0d-7051-4f24-892c-41f71679a138" data-entity-type="file" alt="Johnson County Circle Logo" width="195" height="147" class="align-left">Opened in 1958 as a county-owned hospital, Johnson County Hospital is an 18-bed critical access hospital based in Tecumseh, Neb., a rural community of 1,800 located in the Southeastern part of the state. It also operates rural health clinics in Tecumseh and neighboring Gage County. Recognizing the broader community’s unique needs — and looking for ways to amplify the hospital’s impact — hospital leaders made the decision to participate in the 340B Drug Pricing Program in 2012. </p><p>Since then, the 340B program has allowed Johnson County Hospital to purchase certain drugs from pharmaceutical companies at a discount and apply the savings to support community programs that it otherwise would not have the resources to implement. With a commitment and dedication to improving health care access and outcomes among some of Nebraska’s most rural residents, Johnson County Hospital is a textbook example of how the 340B program is working as Congress intended.</p><h2><span>Who Does Johnson County Hospital Treat?</span></h2><p><img src="/sites/default/files/inline-images/population-map.png" data-entity-uuid="8f80a304-8b96-47d2-9ea3-a7473bf5924b" data-entity-type="file" alt="Blue Population Served Grid Image" width="250" height="131" class="align-left">Johnson County Hospital is a lifeline for many Nebraskans, including those living in rural areas. The U.S. Census Bureau <a href="https://www.census.gov/quickfacts/fact/table/johnsoncountynebraska/PST045224" target="_blank" title="Census Bureau Stats for Johnson County">estimates</a> the population of Johnson County was 5,200 in 2020, with a population density of just 14.1 per square mile — significantly less than the <a href="https://www.census.gov/quickfacts/fact/table/US/PST045224" target="_blank" title="Census Bureau Table">nationwide average</a> of 93.8. While this creates a strong sense of community, it also means that care options are far less accessible than in urban areas. Statewide, over two-thirds of Nebraska counties are considered “<a href="https://www.nebraskahospitals.org/file_download/inline/59fe69a8-0508-4580-b2fc-a8fe8c09d0d8" target="_blank" title="Report: Nebraska Nursing Workforce Shortage">medically underserved</a>.” Without Johnson County Hospital, patients would be forced to travel anywhere between 45 miles and more than 100 miles away to receive care at the nearest advanced-care hospital.</p><p class="text-align-center"><em>“The 340B program allows us to do even more </em><br><em>for the community without tax dollars being used.”</em><br><span><strong>Olivia Little</strong></span><br>340B Director at Johnson County Hospital</p><h2><span>What’s the Value of the 340B Program for Johnson County Hospital’s Community?</span></h2><p>To strengthen the community’s access to care close to home, Johnson County Hospital has created many important programs with the support of 340B savings. Johnson County Hospital is proud to participate in the 340B program and openly and regularly reports on the benefits made possible through the program. In Fiscal Year 2023-24, Johnson County Hospital provided $831,000 in 340B benefits, including:</p><p><span><strong>Robust Health Services in the Community</strong></span> — Home health is critical to meeting patients where they are, providing care in a safe, familiar environment, and helping patients manage chronic conditions to prevent them from getting worse and requiring more acute care. Johnson County Hospital’s home health department regularly provides free blood pressure checks at local restaurants and coffee shops. It also goes out into the community to provide low-cost toenail care.</p><p><span><strong>Enhanced Transportation Options for Patients</strong></span> — Using 340B savings, hospital leaders recently launched a new interfacility ambulance service to benefit Johnson County Hospital and the surrounding hospitals throughout Southeast Nebraska. Instead of waiting several hours for an ambulance transfer service, patients can now use the in-house ambulance service option. To further ease transportation challenges, Johnson County Hospital used 340B savings to purchase a van that transports patients to and from medical appointments when the local on-demand, publicly funded bus is not running.</p><p><span><strong>Breast Health</strong></span> — Recognizing the high proportion of local women with dense breast tissue, Johnson County Hospital invested in a 3D mammography upgrade through savings from the 340B program. Before this upgrade, one-third of women had to be referred to 3D imaging over an hour away, which can be a barrier for some and increase costs.</p><p class="text-align-center"><em>“For us, our focus is always on the patient </em><br><em>— we must stretch the dollars to serve the</em><br><em> community. Without the 340B benefit, a lot of </em><br><em>these vital services would not be possible.” </em><br><span><strong>Olivia Little </strong></span><br>340B Director at Johnson County Hospital</p><h2><span>340B Hospitals Need Support</span></h2><p>Since it was created in 1992, the 340B Drug Pricing Program has helped improve health care access for millions of Americans without using any taxpayer dollars — just as Congress intended. However, misguided policy proposals and continued unlawful restrictions by pharmaceutical manufacturers are threatening the future and accessibility of the 340B program.</p><p>For example, a growing number of drug companies are implementing restrictions on contract pharmacies and increasing administrative requirements, which make it harder for hospitals like Johnson County Hospital to participate in the 340B program. It also makes it more difficult for independent rural retail pharmacies to keep their doors open, which could force members of the local community to travel many miles to get the medicines they need.</p><p>From coast to coast, Americans need the federal government to protect the 340B Drug Pricing Program so that patients can maintain access to high-quality, affordable care. Leaders in Washington must act to protect the program for the patients and communities it was established to help.</p></div><div class="col-md-4"><div class="external-link spacer"><a class="btn btn-wide btn-primary" href="/system/files/media/file/2025/04/the-value-of-the-340b-program-johnson-county-hospital-member-story-case-study-nebraska.pdf" target="_blank" title="Click here to download the Value of the 340B Program: Johnson County Hospital Member Story Case Study PDF.">Download the Case Study PDF</a></div><a href="/system/files/media/file/2025/04/the-value-of-the-340b-program-johnson-county-hospital-member-story-case-study-nebraska.pdf "><img src="/sites/default/files/inline-images/cover-the-value-of-the-340b-program-johnson-county-hospital-member-story-case-study-nebraska.png" data-entity-uuid="c5b3cca0-2c2f-4638-85d5-56e7266d4a0a" data-entity-type="file" alt="The Value of the 340B Program: Johnson County Hospital Member Story Case Study" width="682" height="882"></a><p><br> </p><p><strong><div class="views-element-container"> <section class="top-level-view js-view-dom-id-0fd1a0b825b34a6349a4afd394e13a90a1c53a9ee105cd31187d21dd1af1f84c resource-block"> <h2 id="340bcasestudies">The Value of the 340B Program: Case Studies</h2> <div class="resource-wrapper"> <div class="resource-view"> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2025-04-22-johnson-county-hospital-nebraska" hreflang="en">Johnson County Hospital | Nebraska </a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2025-04-22T09:03:06-05:00">Apr 22, 2025</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2025-03-11-340b-benefits-patients-and-communities-examples-frontlines" hreflang="en">340B Benefits Patients and Communities: Examples from the Frontlines</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2025-03-11T08:11:21-05:00">Mar 11, 2025</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2024-12-23-our-lady-lake-health-louisiana" hreflang="en">Our Lady of the Lake Health | Louisiana</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-12-23T09:15:03-06:00">Dec 23, 2024</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2024-12-10-uk-st-claire-kentucky" hreflang="en">UK St. Claire | Kentucky</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-12-10T14:58:22-06:00">Dec 10, 2024</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2024-09-19-university-louisville-health-kentucky" hreflang="en">University of Louisville Health | Kentucky</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-09-19T12:55:25-05:00">Sep 19, 2024</time> </span> </div></div> </div> </div> <div class="more-link"><a href="/340b-case-studies">More 340B Case Studies</a></div> </section> </div> </strong></p></div></div></div> h2 { color: #9d2235; } Tue, 22 Apr 2025 09:03:06 -0500 Case Studies /case-studies/2025-03-11-340b-benefits-patients-and-communities-examples-frontlines <div class="container"><div class="row"><div class="col-md-8"><img src="/sites/default/files/inline-images/340B-Benefits-Patients-and-Communities-Examples-from-the-Frontlines-banner.png" data-entity-uuid="208b73d6-be35-4426-8e12-76bc70e792b7" data-entity-type="file" alt="340B Benefits Patients and Communities: Examples from the Frontlines. Staff at Adirondack Health stand together with an award they received. A clinician stands in front of pharmacy shelves. A pharmacist in a hospital fills a prescription. A clinician performs an ultrasound on a pregnant patient. A pharmacist places a prescription drug bottle in a mailing envelope." width="100%" height="100%"><div class="row"><div class="col-md-5"><p>The 340B Drug Pricing Program helps ensure access to care for patients and communities most in need. A bipartisan effort by Congress in 1992 designed the program to protect hospitals from rising drug costs — a dynamic that continues to present major challenges today. Under the program, eligible hospitals and other providers purchase certain outpatient drugs at a discounted price, dispense these drugs to patients through either an in-house pharmacy or through a partnership with a community or specialty pharmacy, and then use the savings to maintain, improve and expand access to programs and services targeted to address the unique needs of the patients and communities they serve.</p></div><div class="col-md-7"><h2>340B Program Fast Facts</h2><div class="row"><div class="col-md-3"><p><img src="/sites/default/files/inline-images/Drugs-icon.png" data-entity-uuid="66831a74-5f49-4795-82e2-d45c71bdfec8" data-entity-type="file" alt="Drug icon" width="157" height="153" class="align-left"></p></div><div class="col-md-9"><p>Drug companies provided an estimated $46.5 billion in discounts to 340B hospitals in 2022, which was only 3% of their global revenues.</p></div></div><div class="row"><div class="col-md-3"><p><img src="/sites/default/files/inline-images/Hospital-icon.png" data-entity-uuid="736f5f27-22d7-438b-95aa-7a1df2f7b7c9" data-entity-type="file" alt="Hospital icon" width="161" height="157" class="align-left"></p></div><div class="col-md-9"><p>There are 2,700 340B hospitals across the U.S., including over 1,200 critical access hospitals; about 60% serve predominantly rural areas.</p></div></div><div class="row"><div class="col-md-3"><p><img src="/sites/default/files/inline-images/Hands-shaking-icon.png" data-entity-uuid="25038372-6325-4496-bf58-5732d5b18d54" data-entity-type="file" alt="Hands shaking icon" width="156" height="156" class="align-left"></p></div><div class="col-md-9"><p>340B hospitals provided nearly $85 billion in total community benefits in 2020, demonstrating their commitment caring for the communities they serve. <>/p></p></div></div></div></div><h3>Drug Discounts for Low-income Patients</h3><h4>Grady Memorial | <em>Georgia</em></h4><p><img src="/sites/default/files/inline-images/Grady-Memorial-logo.jpg" data-entity-uuid="a0a3bd9b-6e2c-421a-9636-352825d0896b" data-entity-type="file" alt="Grady Memorial logo." width="171" height="56" class="align-left">Thanks to the savings generated by the 340B program, no uninsured patient ever pays more than $5 for any formulary prescription at Grady pharmacies. In 2023, Grady provided nearly 900,000 low-cost prescriptions to patients, some of whom were referred to Grady by other providers due to their financial situation.</p><h4>Our Lady of the Lake | <em>Louisiana</em></h4><p><img src="/sites/default/files/inline-images/Our-Lady-of-the-Lake-logo.jpg" data-entity-uuid="78f28903-64fa-4e25-b0af-3b82bb911784" data-entity-type="file" alt="Our Lady of the Lake logo." width="180" height="51" class="align-left">OLOL ensures uninsured patients pay an average of $7.77 for retail prescriptions and $48.05 for specialty medications compared to the non-340B price of $78.13 and $3,937.10, respectively. Further, OLOL offers free delivery of medications to low-income neighborhoods in the greater Baton Rouge area.</p><h3>Medication Management</h3><h4>Renown Regional | <em>Nevada</em></h4><p><img src="/sites/default/files/inline-images/Renown-Health-logo_0.jpg" data-entity-uuid="f88dbe4e-a595-40b1-9b91-0b892f931e2c" data-entity-type="file" alt="Renown Health logo." width="187" height="53" class="align-left">Renown Health has implemented a Meds-to-Beds Program, which offers bedside medication delivery to patients who are being discharged from the hospital and cannot afford their medications. This helps reduce the likelihood of readmissions and improves overall patient outcomes.</p><h3>Labor and Delivery</h3><h4>Golden Valley Memorial Healthcare | <em>Missouri</em></h4><p><img src="/sites/default/files/inline-images/Golden-Valley-Memorial-Healthcare-logo.jpg" data-entity-uuid="01e6cd69-b1c0-4ee4-8b0d-b536401d23cf" data-entity-type="file" alt="Golden Valley Memorial Healthcare" width="147" height="74" class="align-left">GVMH provides high-quality maternity care, accounting for roughly 350 births each year. This is particularly important for the rural population it serves, which otherwise would have to drive over 90 minutes to reach the next nearest birthing center.</p><h3>Nutrition & Diabetes Awareness</h3><h4>Valleywise Health | <em>Arizona</em></h4><p><img src="/sites/default/files/inline-images/Valleywise-Health-logo.jpg" data-entity-uuid="7b2110c2-3f57-453f-a55d-844a18a5edc6" data-entity-type="file" alt="Valleywise Health logo." width="199" height="53" class="align-left">Providing community members with tools and resources to prevent the onset of diabetes and other chronic conditions is vital. In 2020, Valleywise partnered with Arizona Women’s Board and St. Mary’s Food Bank to launch the Valleywise Community Health Center — a food pharmacy program that, through the help of 340B savings, supports residents of one of the most economically disadvantaged areas in Phoenix at greatest risk for diabetes and related health conditions.</p><h3>Mental Health and Substance Use Disorders</h3><h4>University of Louisville Health | <em>Kentucky</em></h4><p><img src="/sites/default/files/inline-images/University-of-Louisville-Health-logo.jpg" data-entity-uuid="45377cf9-4c03-47f3-8091-81acdd4da47a" data-entity-type="file" alt="University of Louisville Health logo." width="207" height="39" class="align-left">Hit hard by the addiction and drug overdose epidemic, Kentucky providers are working hard to address substance use disorder needs. Supported by 340B savings, UofL Health maintains medical detox and long-acting injection clinics and operates one of the largest psychiatric hospitals east of the Mississippi River for patients with emergent behavioral health needs.</p><h3>Patient Support Services</h3><h4>Adirondack Health | <em>New York</em></h4><p><img src="/sites/default/files/inline-images/Adirondack-Health-logo_0.jpg" data-entity-uuid="5a378809-1704-48ba-9937-246213c464df" data-entity-type="file" alt="Adirondack Health logo." width="163" height="60" class="align-left">Adirondack Health's Merrill Center for Oncology is the only outpatient oncology department in the Adirondacks, serving rural residents with chemotherapy and infusion therapies for cancer and blood disorders. Supported by 340B savings, Adirondack Health also supports the oncology travel fund, which offers financial and travel assistance to rural cancer patients who must travel far distances and navigate mountainous terrain to reach the facility.</p></div><div class="col-md-4"><div class="external-link spacer"><a class="btn btn-wide btn-primary" href="/system/files/media/file/2025/03/340B-Benefits-Patients-and-Communities-Examples-from-the-Frontlines.pdf" target="_blank" title="Click here to download the 340B Benefits Patients and Communities: Examples from the Frontlines PDF.">Download the Examples from the Frontlines PDF</a></div><a href="/system/files/media/file/2025/03/340B-Benefits-Patients-and-Communities-Examples-from-the-Frontlines.pdf"><img src="/sites/default/files/inline-images/340B-Benefits-Patients-and-Communities-Examples-from-the-Frontlines-page-1.png" data-entity-uuid="6ecd6a00-674b-4a97-b6a3-eef827d36683" data-entity-type="file" alt="340B Benefits Patients and Communities: Examples from the Frontlines page 1." width="695" height="900"></a></div></div></div> h2 { color: #9d2235; } h3 { color: #003087; } h4 { color: #9d2235; } Tue, 11 Mar 2025 08:11:21 -0500 Case Studies /case-studies/2024-12-23-our-lady-lake-health-louisiana <div class="container"><div class="row"><div class="col-md-8"><img src="/sites/default/files/2025-01/our-lady-of-the-lake-case-study-building-image-1080px.png" data-entity-uuid data-entity-type="file" alt="Our Lady of the Lake Health Building" width="1080" height="615"><h2><span>Who is Our Lady of the Lake Health?</span></h2><p><img src="/sites/default/files/inline-images/image_26.png" data-entity-uuid data-entity-type="file" alt="Our Lady of the Lake Text Image" width="271" height="135" img hspace="15px" vspace="15px" class="align-left">Health, a part of the Franciscan Missionaries of Our Lady Health System, has been a leading provider of high-quality care in the Baton Rouge community for more than 100 years. One of only three Level 1 trauma centers in Louisiana — and the only one in the Capital Region — Our Lady of the Lake is widely recognized for its excellence in heart and vascular care, trauma and emergency care, stroke, cancer care and more. </p><p>With more than 900 licensed beds, 600 providers that cover over 40 specialties, and a network of nearly 15 urgent care clinics and outpatient imaging, physical therapy, rehabilitation and surgery centers, Our Lady of the Lake offers a full range of care with more than 1.4 million clinic visits, 160,538 inpatient days and 226,208 emergency department visits annually. </p><p>Our Lady of the Lake’s ability to provide these wideranging services to patients is due in large part to its participation in the 340B Drug Pricing Program. This participation enables the hospital to invest in a wide range of innovative care programs, community outreach initiatives, and more affordable medications for low-income patients.</p><p class="text-align-center">“Without the savings from the 340B Drug Pricing<br>Program, Our Lady of the Lake would be forced to<br>reduce services and end vital community programs.<br>340B doesn’t cost taxpayers anything, and it<br>helps us provide comprehensive care and improve<br>outcomes for those who need us most.”<br><span><strong>Adria Kerr</strong></span><br>Senior Director of Retail Pharmacy & 340B</p><h2><span>Who Does Our Lady of the Lake Treat?</span></h2><img src="/sites/default/files/2025-01/our-lady-of-the-lake-map.png" data-entity-uuid data-entity-type="file" alt="Map Image" width="226" height="204" hspace="20px" vspace="20px" class="align-left"><p>Our Lady of the Lake has been a leading health care provider in Baton Rouge for 100 years, first opening its doors in 1923. In 2013, Our Lady of the Lake launched an innovative public-private partnership with the State of Louisiana and Louisiana State University, expanding access to care for many more low-income and uninsured patients. More than a decade later, Our Lady of the Lake still plays a vital role in caring for these patients, providing $121 million in uncompensated care and community benefit in Fiscal Year 2022 for the Baton Rouge area — a community investment that has more than doubled from $51.1 million annually in 2010.</p><p>Many of the hospital’s patients are below the federal poverty line, with roughly 29% receiving health care coverage through Medicaid. Reimbursement from government payers like Medicaid and Medicare still falls well below the true cost of caring for patients, leading to financial challenges. The savings generated from 340B are critical in ensuring that Our Lady of the Lake can still provide an exceptional level of care and important community programing for its uninsured and underinsured patients.</p><h2><span>What’s the Value of the 340B Program for Our Lady of the Lake’s Community?</span></h2><p>The 340B Drug Pricing Program is a lifeline for hospitals like Our Lady of the Lake and the patients and communities they serve. The program saves Our Lady of the Lake’s health system around $120 million a year, which helps cover a large amount of uncompensated care and innovative programs that improve health outcomes in the community. In addition, the program enables Our Lady of the Lake to:</p><h3><span>Increase Access to Prescription Drugs</span></h3><p>With the savings generated from the 340B program, Our Lady of the Lake is able to ensure uninsured patients pay an average of $7.77 for retail prescriptions and $48.05 for specialty medications compared to the non-340B price of $78.13 and $3,937.10, respectively. Further, the hospital’s Meds to Beds program helps ensure patients have their medications before discharge. Our Lady of the Lake also offers free delivery of medications to low-income neighborhoods in the greater Baton Rouge area to ensure that patients can access their prescription medications close to home without having to travel to a pharmacy.</p><h3><span>Embed Patient Care Navigators</span></h3><p>Our Lady of the Lake has assigned case managers and social workers to the emergency department to help patients navigate follow-up care after a visit, helping reduce the risk of readmission and increasing follow-up appointment compliance from 23% to 76%.</p><h3><span>Address Food Insecurity and Nutrition.</span> </h3><p>340B savings help fund programs to address food insecurity and improve nutrition in Baton Rouge’s low-income neighborhoods. Our Lady of the Lake’s Geaux <em>Get Healthy</em> program hosts classes to teach community members how to shop for and cook nutritious meals on a budget, helping improve health outcomes for people who are low-income and/or have diabetes.</p><h3><span>Mobile Immunization Clinics</span></h3><p>Our Lady of the Lake began a program to increase access to immunizations through mobile clinics. With buses traveling across the region, the hospital provides immunizations at community centers and schools to those who may struggle to access them otherwise. This program is integral to promoting public health throughout the area and is supported by 340B savings.</p><h2><span>340B Hospitals Need Support</span></h2><p>Hospitals participating in the 340B Drug Pricing Program like Our Lady of the Lake are threatened by potential cuts to the program and ongoing, unlawful restrictions put in place by drug companies. Because of these restrictions, the number of drugs that Our Lady of the Lake can offer at discounted prices has dropped by as much as 75% in recent years. Due to state legislation, some manufacturers have eased restrictions, but their intentions to continue cutting the program’s benefits are clear. For example, one drug company recently announced its plans to move to a rebate model for certain 340B drugs, a fundamental change in the way the program works and in violation of the law. Additionally, new reporting requirements have created a significant administrative burden, forcing the hospital to hire more staff just to keep up with the ever-changing rules and policies.</p><p><span><strong>We need the federal government to continue its support and protection of the 340B Drug Pricing Program so that historically marginalized patients like those served at Our Lady of the Lake can maintain access to high-quality, affordable care.</strong></span></p>h2 { color:#9d2235; } h3 { color:#003087; } </div><div class="col-md-4"><a href="/system/files/media/file/2024/12/our-lady-of-the-lake-health-case-study-value-of-340b-program.pdf"><img src="/sites/default/files/inline-images/cover-our-lady-of-the-lake-health-case-study-value-of-340b-program.png" data-entity-uuid="a8ff2a73-0b42-49ad-afd3-d782befec4cb" data-entity-type="file" width="640" height="828"></a><hr><p><strong><div class="views-element-container"> <section class="top-level-view js-view-dom-id-9040c66f41fa8095eac29340452185d0edf398d1206eec3a758f76e2e4ef8452 resource-block"> <h2 id="340bcasestudies">The Value of the 340B Program: Case Studies</h2> <div class="resource-wrapper"> <div class="resource-view"> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2025-04-22-johnson-county-hospital-nebraska" hreflang="en">Johnson County Hospital | Nebraska </a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2025-04-22T09:03:06-05:00">Apr 22, 2025</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2025-03-11-340b-benefits-patients-and-communities-examples-frontlines" hreflang="en">340B Benefits Patients and Communities: Examples from the Frontlines</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2025-03-11T08:11:21-05:00">Mar 11, 2025</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2024-12-23-our-lady-lake-health-louisiana" hreflang="en">Our Lady of the Lake Health | Louisiana</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-12-23T09:15:03-06:00">Dec 23, 2024</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2024-12-10-uk-st-claire-kentucky" hreflang="en">UK St. Claire | Kentucky</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-12-10T14:58:22-06:00">Dec 10, 2024</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2024-09-19-university-louisville-health-kentucky" hreflang="en">University of Louisville Health | Kentucky</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-09-19T12:55:25-05:00">Sep 19, 2024</time> </span> </div></div> </div> </div> <div class="more-link"><a href="/340b-case-studies">More 340B Case Studies</a></div> </section> </div> </strong></p></div></div></div> Mon, 23 Dec 2024 09:15:03 -0600 Case Studies /case-studies/2024-12-10-uk-st-claire-kentucky <div class="container"><div class="row"><div class="col-md-8"><p><img src="/sites/default/files/inline-images/UK-St-Claire-Welcome-Desk.jpg" data-entity-uuid="5c949aea-9b5a-4b95-8ba7-8f449e20435a" data-entity-type="file" alt="UK St. Claire Welcome Desk with poinsettias on the desk and a Christmas tree covered in doves to the right of the desk." width="1080" height="605"></p><h2>Who Is UK St. Claire?</h2><p><img src="/sites/default/files/inline-images/UK-St-Claire-logo.jpg" data-entity-uuid="e7d21de4-89cd-477e-8ef1-e39542d61b4d" data-entity-type="file" alt="UK St. Claire logo." width="528" height="145" class="align-left">As the largest rural hospital in Eastern Kentucky, UK St. Claire is part of an integrated health system serving as the primary provider across 11 counties in the region and caring for 170,000 patients annually. Having grown from humble beginnings in 1963, UK St. Claire is now the largest employer in the region with more than 1,200 staff, including 125 physicians and 70 advanced practice professionals across 30 medical specialties.</p><p>UK St. Claire operates a multi-specialty medical pavilion, seven primary care locations, two urgent care centers, a pediatrics clinic, home health and hospice services, a counseling center, and a medical equipment and supplies store. Throughout the system, Eastern Kentuckians have access to specialty services such as cardiology, neurology, gastroenterology, pulmonology, and new endocrinology and vascular departments, making UK St. Claire an integral part of the community.</p><p>In addition to their traditional services, UK St. Claire offers a variety of community care programs made possible by their participation in the 340B Drug Pricing Program — a federal program that empowers qualifying hospitals to purchase certain outpatient drugs at a discounted price and develop programs that advance health in their communities. At UK St. Claire, this includes services like the Chronic Care Program to help patients access medications and the Pastoral Care Program to ensure patients have access to follow-up care after a hospital discharge.</p><blockquote><h3 class="text-align-center"><span><em><strong>“The 340B Drug Pricing Program is crucial to our ability to serve Eastern Kentucky's most vulnerable patients. By enabling us to provide discounted medications, rehabilitation services, and other life-saving services, we are able to ensure that everyone in our community receives the care they need.”</strong></em></span></h3><p class="text-align-center"><span><strong>Caitlin Guerin</strong></span><br><span>Director of Pharmacy</span></p></blockquote><h2>Who UK St. Claire Serves</h2><p><img src="/sites/default/files/inline-images/Kentucky-counties-UK-St-Claire-serves.png" data-entity-uuid="5e36acb0-62d5-4c7d-a922-fec043480ea6" data-entity-type="file" alt="Kentucky counties that UK St. Claire serves." width="745" height="407" class="align-left">UK St. Claire serves some of Eastern Kentucky’s most rural patients, providing care that would otherwise require up to 7 hours of driving to access. Many patients in the area live with multiple chronic conditions that require regular specialty care; moreover, many residents in the area are under- or uninsured. UK St. Claire is committed to providing care to patients across their service area, no matter their ability to pay, and relies on savings from the 340B Drug Pricing Program to reach patients who are otherwise unlikely or unable to access care.</p><h2>340B Program Benefits Our Patients</h2><p>The 340B Drug Pricing Program ensures patients can access services like addiction recovery support, oncology services, and medication assistance programs. Without these programs, many patients would not receive this level of care, which could worsen health outcomes for our communities. UK St. Claire’s participation in the 340B program makes it possible to reach patients with limited care options — the goal Congress set for this program at its outset more than 30 years ago.</p><p>By participating in the 340B Drug Pricing Program, UK St. Claire can offer many services that directly benefit their patients, including:</p><h3><span>Rehabilitation and Addiction Recovery Care</span></h3><p>Kentucky has been ravaged by the addiction and overdose epidemic. By partnering with local rehabilitation and recovery centers, UK St. Claire is helping patients struggling with substance use disorder (SUD) access treatment. After the initial detox process — which is done in a UK St. Claire facility — patients may choose a local rehabilitation partner for their continued recovery. UK St. Claire supplies medication free of cost to local recovery centers to ensure SUD patients can access prescription treatment no matter their insurance coverage or financial situation. Last year, more than 4,500 prescriptions were provided to local recovery centers by this program — all at no cost to patients and local rehab centers. UK St. Claire further supports patients’ recovery by offering second-chance employment within their health system and partners with local community colleges to provide educational resources to patients as they get back on their feet. These efforts help reduce stigma around SUD and improve patient health and well-being following treatment.</p><h3><span>Oncology and Infusion Services</span></h3><p>UK St. Claire’s new oncology clinic provides oncology infusion services to more than 26,000 patients every year. Because of the remote geography of the region, without UK St. Claire to offer these services, patients would have to drive several hours to receive similar services. For many patients, this would prove improbable, if not impossible, leading to poorer outcomes. Sadly, many patients would likely be forced to skip or discontinue their life-sustaining oncology infusion treatments.</p><h3><span>Medication Access Assistance</span></h3><p>Established under the hospital’s ambulatory care department and pharmacies, UK St. Claire’s Chronic Care Program helps more than 1,000 patients per year access their medications for only $5, $10 or $20 — compared to $150 or more for drugs like anti-coagulants. In 2023, the Chronic Care Program provided nearly 4,500 prescriptions at no- or low-cost to patients –– keeping them healthier, more independent and out of the hospital.</p><blockquote><h3 class="text-align-center"><span><em><strong>“Without the savings from the 340B program, many of the essential services we provide, like oncology treatment and addiction recovery support, would be unsustainable. This program truly allows us to fulfill our mission of compassionate, accessible care for all.”</strong></em></span></h3><p class="text-align-center"><span><strong>Caitlin Guerin</strong></span><br><span>Director of Pharmacy</span></p></blockquote><h2>340B Hospitals Like UK St. Claire Need Support</h2><p>With the looming threat of fundamental changes to the 340B Drug Pricing Program, hospitals like UK St. Claire — and their patients and communities — are at risk. Hospitals and health systems need the support of the 340B program to help fund vital community programs, services and initiatives. <span><strong>The unfortunate truth is that without 340B, UK St. Claire may not be able to provide life-changing addiction rehabilitation, cancer care, and other essential services to Eastern Kentuckians.</strong></span></p><p><span><strong>Lawmakers can prevent patient benefits and community health programs from being eliminated by maintaining their strong support for the 340B Drug Pricing Program.</strong></span></p>h2 { color:#9d2235; } h3 { color:#003087; } </div><div class="col-md-4"><a href="/system/files/media/file/2024/12/340B-Case-Study-UK-St-Claire.pdf"><img src="/sites/default/files/inline-images/Page-1-340B-Case-Study-UK-St-Claire.png" data-entity-uuid="1280cb87-40a4-43bf-932e-ca348fd80c79" data-entity-type="file" alt="The Value of the 340B Program: UK St. Claire Health Case Study page 1." width="695" height="900" class="align-center"></a><hr><p><strong><div class="views-element-container"> <section class="top-level-view js-view-dom-id-71d211deceee6e12feeb7a332cbe2be64477bba49d68812ef1904f8af48cdf56 resource-block"> <h2 id="340bcasestudies">The Value of the 340B Program: Case Studies</h2> <div class="resource-wrapper"> <div class="resource-view"> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2025-04-22-johnson-county-hospital-nebraska" hreflang="en">Johnson County Hospital | Nebraska </a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2025-04-22T09:03:06-05:00">Apr 22, 2025</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2025-03-11-340b-benefits-patients-and-communities-examples-frontlines" hreflang="en">340B Benefits Patients and Communities: Examples from the Frontlines</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2025-03-11T08:11:21-05:00">Mar 11, 2025</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta 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<span class="field-content"><a href="/case-studies/2024-12-10-uk-st-claire-kentucky" hreflang="en">UK St. Claire | Kentucky</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-12-10T14:58:22-06:00">Dec 10, 2024</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2024-09-19-university-louisville-health-kentucky" hreflang="en">University of Louisville Health | Kentucky</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-09-19T12:55:25-05:00">Sep 19, 2024</time> </span> </div></div> </div> </div> <div class="more-link"><a href="/340b-case-studies">More 340B Case Studies</a></div> </section> </div> </strong></p></div></div></div> Tue, 10 Dec 2024 14:58:22 -0600 Case Studies /foreword-and-executive-summary-electrifying-heat-existing-hospital <div class="raw-html-embed"> </div><div> #main-content p, #main-content ol>li, #main-content ul>li{ font-size:16px } </div> .Banner_Title_Overlay_Bar { position: relative; display: block; overflow: hidden; max-width: 1170px; margin: 0px auto 0px auto; } .LogoInsert { position: absolute; top: 0px; height:100%; left:0px; } .LogoInsert img{ max-width:500px; max-height:125px; top:calc(50% - 125px/2); left:calc(100% + 50px); position:absolute; } .LogoInsert h1{ position:absolute; left:0px; bottom:0px; width:500px; opacity:0; margin: 0px; padding: 0; } @media (max-width:640px) { .LogoBG { object-fit: cover; height: 200px; } .LogoInsert img { max-width: 250px; left: calc(100% + 15px); top: calc(50% - 112px/2); background-color: #00584499; padding: 25px; border-radius: 30px 0px; } } @media (max-width:320px) { .LogoBG { height: 150px; } } <header class="Banner_Title_Overlay_Bar"><img class="LogoBG" src="/sites/default/files/2023-03/sustainability-roadmap-web-home-banner-1170x250.jpg" alt="Banner Image - Glass Earth sitting in a hand over tall grass"><div class="LogoInsert"><img src="/sites/default/files/2023-03/SustainabilityRoadmap_Logo_Hor-white_700x217.png" alt="Sustainability Roadmap for Health Care | Achieving Your Sustainability Goals - Logo"></div></header> .shcIntro{ background-color:#78be2022; padding: 5px 50px 15px 50px; margin-bottom:20px; } .shcIntro h1, .shcIntro h2, .shcIntro h3 { color: #005844; text-align: center; } .shcIntro h1{ font-size:2em; } .shcIntro h2{ font-size:1.6em; } shcIntro ul{ color: grey; } <div class="shcIntro"><h1>Foreword and Executive Summary - Electrifying Heat in an Existing Hospital</h1><h2>Providence St. Peter Hospital Decarbonization Case Study</h2></div><div class="raw-html-embed"> <div class="row"> /* TocMini */ .TocMini { margin: 0px auto 25px; padding-bottom: 5px; color: #005844; letter-spacing: 1.5px; font-weight: 400; font-size: .7em; width: 80%; } .TocMini .TocMiniBar { border: 1px solid #78be20; padding: 5px 10px; overflow: auto; border-radius: 20px 0px; } .TocMini .TocMiniBar .TocMiniGroup a:after { content: "|"; padding: 0 3px 0 6px; color: #253b80; font-weight: 700; } .TocMini .TocMiniBar .TocMiniGroup a:last-child:after { content: ""; } .TocMini .TocMiniGroup { float: right; } .TocMini .TocMiniHome { text-transform: uppercase; color: #005844; font-weight: 700; } .TocMini .TocMiniChild { font-weight: 500; opacity: .9; color: #555; } .TocMini .TocMiniHome:hover, .TocMini .TocMiniChild:hover { text-transform: ; color: #5fa1d0; } .TocMini .TocMiniActive{ font-weight: 700; color: #5fa1d0; } /* TocMini // */ <div class="TocMini"> <div class="TocMiniBar"> <a class="TocMiniHome" href="/sustainability" target="_blank" title="Home - Sustainability Roadmap for Health Care">Sustainability Roadmap for Health Care</a> <div class="TocMiniGroup"> <a class="TocMiniChild" href="https://www.ashe.org/sustainability" target="_blank" title="ASHE Sustainability for Health Care Facilities">Sustainability for Health Care Facilities</a> <a class="TocMiniChild" href="/sustainability/glossary" target="_blank" title="Glossary">Glossary</a> <a class="TocMiniChild" href="https://www.ashe.org/sustainability/healquest" target="_blank" title="HealQuest">HealQuest<sup>TM</sup></a> </div> </div> </div> </div> </div> .shcHighlight h3{ color:#005844; font-size:2em; } .shcHighlight span{ font-weight:700; color:#78be20; } <div class="row shcHighlight BulletCircle"><div class="col-sm-3"><p><a href="/system/files/media/file/2024/12/Electrifying-Heat-in-an-Existing-Hospital_Foreward_ExecutiveSummary.pdf" target="_blank" title="Download Executive Summary: Electrifying Heat in an Existing Hospital Providence St. Peter Hospital Decarbonization Case Study"><img src="/sites/default/files/2024-12/Electrifying-Heat-in-an-Existing-Hospital_COVER_300x300.png" alt="Electrifying Heat in an Existing Hospital - Cover" width="100%"> </a></p><p><a class="btn btn-primary" href="/system/files/media/file/2024/12/Electrifying-Heat-in-an-Existing-Hospital_Foreward_ExecutiveSummary.pdf" target="_blank" title="Download Executive Summary: Electrifying Heat in an Existing Hospital Providence St. Peter Hospital Decarbonization Case Study">Download Executive Summary</a></p><p><a class="btn btn-primary" href="https://ams.aha.org/EWEB/DynamicPage.aspx?WebCode=ProdDetailAdd&ivd_prc_prd_key=7c7e2358-16cd-4910-99f7-174d8452884c" target="_blank" title="Purchase the full, Electrifying Heat in an Existing Hospital - Case Study">Purchase Full Case Study</a></p></div><div class="col-sm-9"><h3>Foreword</h3><p>Recognizing the growing interest in decarbonizing the health care sector, the American Society for Health Care Engineering (ASHE) sought to support its members wishing to decarbonize their facilities, and in April 2023 ASHE began discussions with Providence about the need for a comprehensive case study to examine the feasibility of decarbonizing an existing hospital building. There had been extensive effort on guidance for decarbonizing new hospital buildings, but little information was available about the decarbonization of an existing hospital building. Additionally, there was speculation about the feasibility of decarbonizing an existing hospital from a technical and financial perspective.</p><p>As ASHE explored the concept of sponsoring a case study and investigating the feasibility of decarbonizing an existing hospital building, Providence was identified as a key partner due to its leadership in environmental sustainability and its desire to share lessons learned broadly with the field. Providence St. Peter Hospital (PSPH), a community hospital in Olympia, Wash., was selected for the case study project. The hospital is 733,000 square feet and has 372 licensed beds, and its first phase was built in 1969 during the Hill-Burton era when thousands of health care facilities were built nationwide. Geographical location and climate were considered when selecting a case study hospital and the mild climate of Olympia, Wash., was considered appropriate since it represents a baseline case study demonstrating the feasibility of decarbonizing in a temperate geographical location. In addition, the fact that PSPH was ahead of many others on its journey toward decarbonization was considered. The hospital has robust utility and building metering and utilizes 100% renewable power. As a health care system, Providence has developed a climate action plan that incorporates decarbonization strategies for anesthetic gases, transportation, waste and electricity. For PSPH, the missing piece from the overall decarbonization strategy was the thermal energy load. For that reason, the ASHE study investigated decarbonizing the thermal load specifically.</p></div> @media (min-width:768px){ .column2{ column-count: 2; } } <div class="col-sm-12 column2"><p><strong>The research for the case study took place over a year, and there were several key takeaways identified.</strong> <strong>First</strong>, it is technically feasible for PSPH to decarbonize the thermal load. However, due to the nature of the hospital as a patient care environment and the need for normal operations, it will take 10 to 15 years to achieve carbon neutrality for the thermal load. This is an important factor because it demonstrates the need for careful planning and early preparation as organizations seek to decarbonize.</p><p><strong>Second</strong>, for this hospital it is financially feasible to decarbonize the thermal load. The study estimated that full electrification of the thermal load would cost around $100/square foot in capital expenditures. Several financial mechanisms are available today that might help PSPH move forward with electrification, such as the incentives in the Inflation Reduction Act of 2022.</p><p><strong>Finally</strong>, it is noteworthy that technologies for decarbonization are emerging, continually changing and moving very quickly. Equipment that is on the cutting edge today will be out of circulation by the time the thermal system is fully electrified. This is a critical consideration and emphasizes the need to plan early and be mindful that technologies will shift.</p><p><strong>The case study provides a detailed outline of the steps one hospital is taking to achieve this feat. Yet, to be clear, this publication is not intended to be a playbook for electrifying any given hospital, nor is it meant to be a benchmark by which other hospitals pursuing this goal should be measured.</strong> The path to complete electrification is an extremely complex and bespoke process. Each electrification plan must be tailored to the specific goals of a given health care facility or system as well as regulatory requirements that govern that facility and the needs of the communities it serves.</p></div><div class="col-sm-12"><p>As a mechanical engineer who has built my career around environmental stewardship and sustainability in health care, this case study project, while a huge endeavor, was also a labor of love and a pleasure to be a part of. I would like to thank Fred Betz, Ph.D., for his tireless effort in leading the study as well as other contributors including Peter Dahl, define sustainability; Sagar Rao, NeuMod Labs; Walt Vernon, Mazzetti; and Kyle Victor, McKinstry. Other key contributors include Yousif Alshaba, Scott Acker and Mark Thynes, McKinstry; Jennifer Ashlock, Puget Sound Energy; Jeff Probst, Konvekta; and Tom Gelin, Air Flow, Inc. A huge thank you goes to the Providence Southwest Washington Foundation’s Environmental Stewardship Fund and the Washington State Society for Healthcare Engineering, whose gracious donations to support this important study ensured its completion. I would also like to thank my friends at Providence, including Ali Santore, Elizabeth Schenk, Ph.D., Dave Thomsen and Geoffrey Glass, for their leadership and commitment to the project. Lastly, I want to express my gratitude to the PSPH facilities team, including Clay Ciolek and Gregory Pries, whose dedication and expertise proved exceedingly valuable.</p><p>It is my hope that this case study will serve as a success story, meant to inspire and demonstrate that this feat, which not so long ago seemed impossible, might be, in fact, within reach. If hospital electrification were a competitive sport, PSPH would be an Olympic gold medalist. No doubt, the hospital’s incredible efforts have set a new standard and raised the caliber of what is possible in sustainability. While not every hospital can be held to the standard set by PSPH, their example should encourage more health care facilities to try. As they say, a rising tide lifts all boats.</p><p><cite>Kara Brooks, MS, LEED AP BD+C, Senior associate director of sustainability, AHA </cite></p></div></div> .shcItems{ border: solid 2px #005844; padding-top: 25px; padding-bottom: 25px; border-radius: 75px 0px; /*margin-top:50px;*/ margin-bottom:50px; padding-left:25px; padding-right:25px; } .shcItems h2{ text-align:center; color:#005844; /* margin-bottom:50px;*/ } .shcItems h3{ color:#005844; text-align:center; font-size:28px; } .shcItems h4{ color:#78be20; } .shcItems .shcItemsLine { border-bottom:solid 1px #78be20; margin-top:25px; margin-bottom:50px; } .BulletCircle ul { list-style: none; /* Remove default bullets */ padding-left: 0px } .BulletCircle ul li { margin-bottom: 7px; line-height: 1.5em; } .BulletCircle ul li::before { content: "●"; font-size: 1em; position: relative; top: 0px; color:#78be20; text-indent: -20px; /* key property */ margin-left: 20px; /* key property */ padding-right:10px } .BulletCircle ul li { text-indent: -40px; /* key property */ margin-left: 30px; /* key property */ } .BulletCircle ol li::marker{ color: #78be20; font-weight:700; <div class="row" id="Summary"><div class="col-md-12 shcItems BulletCircle"><h3>Executive Summary</h3><p>The American Society for Health Care Engineering (ASHE) funded a decarbonization feasibility case study at Providence St. Peter Hospital (PSPH) in Olympia, Wash., with the goal of verifying the technical and financial feasibility of achieving Scope 1 and Scope 2 carbon neutrality at PSPH.<sup>1</sup> This facility was selected as a typical large inpatient hospital that represents a reasonable reference for the health care industry. The operations and unique features of hospitals, such as requiring steam for sterilization, makes them more complex to electrify than many other commercial buildings.</p><p>Two major challenges are addressed in this study: (1) determining pathways to achieve electrification of the heating plant while maintaining a resilient supply of energy and supporting a full service of operations and (2) determining the impact on the electrical utility supply to achieve beneficial electrification. The goal for PSPH is to eliminate combustion-based Scope 1 emissions by electrifying the heating plant that currently exists: two dual-fueled boilers. This goal also includes discontinuing the natural gas supply to eliminate the associated upstream methane leaks and complements the 100% renewable electricity already being purchased by the hospital.</p><p>The approach to assessing and decarbonizing PSPH was to carefully analyze the existing conditions, the energy use and peak heating demand by end-use. The next step was to identify approaches to reduce heating loads through investments in certain technologies and account for the overall impact. A calibrated energy model was developed per ASHRAE Guideline 14, Measurement of Energy, Demand, and Water Savings, requirements to fill in any data gaps and to further support energy and financial analyses.<sup>2</sup> The recommended strategy is based on a systems-thinking approach to address as many demand-side energy savings measures as feasible to reduce the plant load. The installed heating capacity is 25 million British thermal units (Btu) per hour (MMBtu/hr) or 7,327 kilowatts (kW), and the measured peak load was 20 MMBtu/hr (5,861 kW), which can be reduced to 11 MMBtu/hr (3,224 kW) if all demand-side measures are implemented. The reduced heating load will enable greater flexibility on the heating hot water (HHW) distribution side in terms of smaller pipe sizes and lower temperatures. The target peak HHW temperature is 140 F to achieve efficient heat pump operation. However, this is dependent on the level of implementation of demand-side measures, especially on the envelope upgrades. Upon completion of the distribution system upgrades, the heating plant can be upgraded with air-source heat pumps as the primary source of thermal energy for normal operation and augmented with a heat recovery chiller and 100,000 gallons of HHW storage.</p><p><strong>The implementation of the decarbonization strategy will need to be phased and may take several years to implement depending on available resources.</strong></p><h4 class="text-align-center">The recommended phasing is as follows:</h4><div class="row"><div class="col-sm-6"><ul><li><strong>Demand-side upgrades (nine-year duration).</strong><ul><li>Implement air-side heat recovery upgrades.</li><li>Add insulation and glazing upgrades.</li><li>Upgrade process steam-using systems (kitchen and sterile processing areas).</li><li>Continue implementing other energy savings measures.</li></ul></li></ul></div><div class="col-sm-6"><ul><li><strong>Distribution system upgrades (one- to two-year duration).</strong><ul><li>Migrate loads to existing HHW pipes after demand-side upgrades are completed.</li><li>Replace steam pipes with HHW pipes (starting in springtime to have seven months of low heating demand before cold weather arrives in winter).</li></ul></li></ul></div></div><div class="row"><div class="col-sm-6"><ul><li><strong>Replace steam converters with heat exchangers for service hot water loops.</strong><ul><li>Add variable primary HHW pumping system.</li></ul></li></ul></div><div class="col-sm-6"><ul><li><strong>Plant system upgrades (three- to five-year duration).</strong><ul><li>Add a south expansion or penthouse to the central utility plant to house the air source heat pumps.</li><li>Upgrade electrical infrastructure, add generators and add generator jacket heat recovery.</li><li>Install air-source heat pumps.</li><li>Decommission boilers.</li><li>Install thermal storage or microgrid in boiler footprints.</li></ul></li></ul></div></div><div class="col-md-10 col-md-offset-1 shcItemsLine"> </div><div class="col-sm-6"><p>There are two somewhat unique features at PSPH that simplify the electrification and decarbonization process. First, the hospital does not have humidification due to the marine climate not requiring it. Relative humidity data was analyzed that demonstrated compliance with a minimum 30% relative humidity for all hours with excursions below 30% for less than 12 hours per year. The relative humidity did not fall below 20%. Second, the service hot water (SHW) system operates at 120 F, which simplifies serving the SHW from the HHW loop rather than either running a warmer HHW loop or applying a stand alone heat pump system. Although it is more common to operate SHW systems at 140 F per Centers for Disease Control and Prevention guidance, no legionella concerns have arisen at PSPH at the lower temperatures.</p></div><div class="col-sm-6"><p>The resilience strategy is to maintain on-site diesel fuel storage that can support generators and boilers in the near term. The generators will be upgraded to include engine jacket water heat recovery to support the heating demand during a power outage when the plant is upgraded. The heat recovery effectively turns the generators into a combined heat and power system providing both electrical and thermal energy to the hospital during outages. The boilers will stay in place until operational proficiency is achieved with the heat pump plant and generator heat recovery. Current testing and emergency power use accounts for approximately 4% of annual on-site combustion emissions. Resilience solutions such as thermal storage and microgrids will be reevaluated to replace the boilers as the technology matures.</p><p>Microgrids are being implemented in a few hospitals today that can be referenced for this study and should align with this project’s timeline. For now, on-site fuel storage is being accepted as a resilience solution as it is a small emission source due to few run hours and it assists in eliminating the natural gas connection that results in methane leaks.</p></div><div class="col-md-12"><p><strong>The study investigated four potential scenarios for the hospital between 2024 and 2041 based on a regulatory framework of the recently passed Seattle Building Emissions Performance Standard.</strong></p><ol><li><strong>Scenario 0</strong> is a business-as-usual case where the hospital accepts a onetime $7.5 million fine and makes incremental capital improvements over time.</li><li><strong>Scenario 1</strong> is the minimum disruption scenario that only replaces the existing dual-fuel boilers with two electric resistance boilers plus supporting generators and leaves the balance of the systems in place.</li><li><strong>Scenario 2</strong> implements demand-side energy savings measures on 100% outside air systems, electrified process loads with heat pumps or standalone electric boilers and a host of other demand-side energy savings measures. An air-source heat pump plant would then be implemented to support the 16 MMBtu/hr (4,689 kW) heating load.</li><li><strong>Scenario 3A</strong> adds envelope energy savings measures to replace single-pane windows and insulation to uninsulated or partially insulated walls. The envelope measures reduce the heating load to 11 MMBtu/hr (3,224 kW).</li><li><strong>Scenario 3B</strong> was broken out to isolate the impact of the insulation improvements as it is a costly upgrade with a poor return on investment.</li></ol><p>A third-party cost estimate was developed to inform the three decarbonization scenarios. A detailed list of systems, components and materials is described in Chapter 7, Capital Equipment and Costs. The capital cost for Scenario 1 was estimated to be $57,711,000, or $79/ft<sup>2</sup>, for Scenario 2 was estimated to be $62,171,000, or $85/ft<sup>2</sup>, for Scenario 3A was estimated to be $80,425,000, or $110/ft<sup>2</sup>, and for Scenario 3B was estimated to be $68,400,000, or $93/ft<sup>2</sup>. For reference, a full tenant improvement (TI) on a hospital is between $100/ft<sup>2</sup> and $150/ft<sup>2</sup>. However, the square footage is the entirety of the hospital or 733,000 ft<sup>2</sup>. Also, the TI is nearly exclusively focused on infrastructure enhancements, which is atypical for a TI.</p><p>A cost model using 2024 dollars was built for a 17-year time frame that compiled capital cost, energy cost and carbon fines using the cost estimate, energy models and an estimate of a future Olympia, Wash., carbon fine based on the current Seattle Building Emissions Performance Standard fine structure. The cost results are compiled in the following figure.</p><div class="col-md-12 spacer"><img src="/sites/default/files/2025-01/Electrifying-Heat-in-an-Existing-Hospital_Chart-01-v2_1170x588.jpg" alt="Providence St. Peter Hospital Cost Model Scenarios From 2024 to 2041 | Cost numbers per square foot for BAU ($62, 10, 20) Scenario 1 ($85, -, 79), 2 ($69, -, 83), 3a ($65, -, 110), 3b ($65, -, 93) in Utilitay Cost, Carbon Fines, and Capital"></div><div class="col-md-6"><p><strong>The total cost of ownership over 17 years for each case is as follows:</strong></p><ul><li><strong>Scenario 0:</strong> $67.2 million ($92/ft2)</li><li><strong>Scenario 1:</strong> $124.2 million ($169/ft2)</li><li><strong>Scenario 2:</strong> $112.6 million ($154/ft2)</li><li><strong>Scenario 3A:</strong> $130.0 million ($177/ft2)</li><li><strong>Scenario 3B:</strong> $118.4 million ($162/ft2)</li></ul></div><div class="col-md-6"><p>The most cost effective fully electrified solution is Scenario 2, though it is still $45 million more costly over 17 years than Scenario 0, the business-as-usual case. It is worth noting that this study does not include utility rate escalations or utility incentives. Furthermore, some of the capital equipment, such as heat pumps, may decline in cost as the market matures. More cost details are available in Section 2.4.</p></div></div><div class="col-md-10 col-md-offset-1 shcItemsLine"> </div><div class="col-md-12"><h3><cite>Notes</cite></h3><ol><li><cite>EPA. “Scope 1 and Scope 2 Inventory Guidance.” </cite><a href="https://www.epa.gov/climateleadership/scope-1-and-scope-2-inventory-guidance" title="EPA | Scope 1 and Scope 2 Inventory Guidance"><cite>EPA Center for Corporate Climate Leadership</cite></a><cite>.</cite></li><li><cite>ASHRAE. </cite><a href="https://technologyportal.ashrae.org/journal/articledetail/2473" title="ASHRAE | ASHRAE Technology Portal"><cite>ASHRAE Technology Portal</cite></a><cite>.</cite></li></ol></div></div></div> Mon, 02 Dec 2024 16:16:53 -0600 Case Studies /sustainability/electrifying-heat-existing-hospital <div class="raw-html-embed"> </div> #main-content p, #main-content ol>li, #main-content ul>li { font-size: 16px } .BulletCircle ul { list-style: none; /* Remove default bullets */ padding-left: 0px } .BulletCircle ul li { margin-bottom: 7px; line-height: 1.5em; } .BulletCircle ul li::before { content: "●"; font-size: 1em; position: relative; top: 0px; color: #78be20; text-indent: -20px; /* key property */ margin-left: 20px; /* key property */ padding-right: 10px } .BulletCircle ul li { text-indent: -40px; /* key property */ margin-left: 30px; /* key property */ } /*.BulletCircle ol{ column-count: 2; white-space: nowrap; }*/ .BulletCircle ol li::marker{ color: #78be20; font-weight:700; } .Banner_Title_Overlay_Bar { position: relative; display: block; overflow: hidden; max-width: 1170px; margin: 0px auto 0px auto; } .LogoInsert { position: absolute; top: 0px; height: 100%; left: 0px; } .LogoInsert img { max-width: 500px; max-height: 125px; top: calc(50% - 125px/2); left: calc(100% + 50px); position: absolute; } .LogoInsert h1 { position: absolute; left: 0px; bottom: 0px; width: 500px; opacity: 0; margin: 0px; padding: 0; } @media (max-width:640px) { .LogoBG { object-fit: cover; height: 200px; } .LogoInsert img { max-width: 250px; left: calc(100% + 15px); top: calc(50% - 112px/2); background-color: #00584499; padding: 25px; border-radius: 30px 0px; } } @media (max-width:320px) { .LogoBG { height: 150px; } } <header class="Banner_Title_Overlay_Bar"><img class="LogoBG" src="/sites/default/files/2023-03/sustainability-roadmap-web-home-banner-1170x250.jpg" alt="Banner Image - Glass Earth sitting in a hand over tall grass"><div class="LogoInsert"><img src="/sites/default/files/2023-03/SustainabilityRoadmap_Logo_Hor-white_700x217.png" alt="Sustainability Roadmap for Health Care | Achieving Your Sustainability Goals - Logo"></div></header> .shcIntro{ background-color:#78be2022; padding: 5px 50px 15px 50px; margin-bottom:20px; } .shcIntro h1, .shcIntro h2, .shcIntro h3 { color: #005844; text-align: center; } .shcIntro h1{ font-size:2em; } .shcIntro h2{ font-size:1.6em; } shcIntro ul{ color: grey; } <div class="shcIntro"><h1>Electrifying Heat in an Existing Hospital</h1><h2>Decarbonization Case Study and Preparation Guide</h2><p>A groundbreaking case study on electrifying an existing hospital building’s thermal load — and a companion guide on starting decarbonization efforts</p></div><div class="raw-html-embed"> <div class="row"> /* TocMini */ .TocMini { margin: 0px auto 25px; padding-bottom: 5px; color: #005844; letter-spacing: 1.5px; font-weight: 400; font-size: .7em; width: 80%; } .TocMini .TocMiniBar { border: 1px solid #78be20; padding: 5px 10px; overflow: auto; border-radius: 20px 0px; } .TocMini .TocMiniBar .TocMiniGroup a:after { content: "|"; padding: 0 3px 0 6px; color: #253b80; font-weight: 700; } .TocMini .TocMiniBar .TocMiniGroup a:last-child:after { content: ""; } .TocMini .TocMiniGroup { float: right; } .TocMini .TocMiniHome { text-transform: uppercase; color: #005844; font-weight: 700; } .TocMini .TocMiniChild { font-weight: 500; opacity: .9; color: #555; } .TocMini .TocMiniHome:hover, .TocMini .TocMiniChild:hover { text-transform: ; color: #5fa1d0; } .TocMini .TocMiniActive{ font-weight: 700; color: #5fa1d0; } /* TocMini // */ <div class="TocMini"> <div class="TocMiniBar"><a class="TocMiniHome" href="/sustainability" target="_blank" title="Home - Sustainability Roadmap for Health Care">Sustainability Roadmap for Health Care </a> <div class="TocMiniGroup"><a class="TocMiniChild" href="https://www.ashe.org/sustainability" target="_blank" title="ASHE Sustainability for Health Care Facilities">Sustainability for Health Care Facilities</a> <a class="TocMiniChild" href="/sustainability/glossary" target="_blank" title="Glossary">Glossary</a> <a class="TocMiniChild" href="https://www.ashe.org/sustainability/healquest" target="_blank" title="HealQuest">HealQuest<sup>TM</sup></a></div> </div> </div> </div> </div> <h2 class="text-align-center">Providence St. Peter Hospital Decarbonization Case Study</h2> <p>xxxx xxxxxx xxxxxxxxx xxxxxxxx xxxxx xxxx xxxxxx xxxxxxxxx xxxxxxxx xxxxx xxxx xxxxxx xxxxxxxxx xxxxxxxx xxxxx xxxx xxxxxx xxxxxxxxx xxxxxxxx xxxxx xxxx xxxxxx xxxxxxxxx xxxxxxxx xxxxx xxxx xxxxxx xxxxxxxxx xxxxxxxx xxxxx xxxx xxxxxx xxxxxxxxx xxxxxxxx xxxxx xxxx xxxxxx xxxxxxxxx xxxxxxxx xxxxx xxxx xxxxxx xxxxxxxxx xxxxxxxx xxxxx </p> </div>--> .shcItems{ border: solid 2px #005844; padding-top: 25px; padding-bottom: 25px; border-radius: 75px 0px; margin-top:50px; margin-bottom:50px; } .shcItems h2{ text-align:center; color:#005844; margin-bottom:50px; } .shcItems h3{ margin:0px; } .shcItems h4{ color:#78be20; } .shcItems .shcItemsLine { border-bottom:solid 1px #78be20; margin-top:25px; margin-bottom:50px; } .shcItems img{ max-width: 150px; margin: auto; display: block; width: 100%; } <div class="row"><div class="col-md-10 col-md-offset-1 shcItems"><div class="row"><div class="col-md-12"><h2>Available Publications</h2></div></div><div class="row" id="Electrifying"><div class="col-md-12"><div class="col-sm-3 col-md-3"><img src="/sites/default/files/2024-12/Electrifying-Heat-in-an-Existing-Hospital_COVER_300x300.png" alt="Icon - Blocks"><div class="raw-html-embed"> <span id="dots"></span> Expand for More Info ↓ #more { height: 200px; overflow:auto; min-height: 100px; } button#myBtn { margin:10px auto; display:block; background-color: #78be2022; } function myFunction() { var dots = document.getElementById("dots"); var moreText = document.getElementById("more"); var btnText = document.getElementById("myBtn"); if (dots.style.display === "none") { dots.style.display = "inline"; btnText.innerHTML = "Expand ↓"; moreText.style.height = "20vh"; moreText.style.overflow = "auto"; } else { dots.style.display = "none"; btnText.innerHTML = "Collapse ↑"; moreText.style.height = "100%"; } } </div></div><div class="col-sm-8 col-md-8 BulletCircle"><div class="more" id="more"><h3>Electrifying Heat in an Existing Hospital</h3><p>This groundbreaking analysis conducted by the American Society for Health Care Engineering and Providence St. Peter Hospital establishes the technical and financial feasibility of electrifying the existing hospital building’s thermal load. The case study provides a detailed outline of the steps one hospital is taking to successfully achieve this feat — something once thought impractical by many in the health care facilities management field.</p><hr><p><em>Electrifying Heat in an Existing Hospital</em> is a groundbreaking and comprehensive analysis conducted in partnership with Providence St. Peter Hospital that establishes the feasibility of electrifying the existing hospital building’s thermal load. While previously there has been extensive guidance for decarbonizing new hospital buildings, little information was available about the decarbonization of an existing hospital building. Additionally, there was speculation about the feasibility of electrifying the thermal load and decarbonizing an existing hospital from a technical and financial perspective.</p><p><strong>This case study, written by the American Society for Health Care Engineering, shows:</strong></p><ol><li>It is technically feasible to electrify the Providence St. Peter Hospital building’s thermal load:<ul><li>The project will need to be done in phases over approximately 10-15 years.</li><li>Decarbonization planning needs to begin early.</li><li>The building must be optimized concurrently with other decarbonization planning, which includes ventilation, energy conservation measures, the building envelope, etc.</li></ul></li><li>It is financially feasible to electrify Providence St. Peter Hospital’s existing building:<ul><li>Electrifying the thermal load would cost around $100/square foot.</li></ul></li><li>Full decarbonization includes factors beyond the thermal load, however decarbonizing the thermal load has been seen as the most difficult and has the most naysayers. Other systems to decarbonize include:<ul><li>Deactivating piped nitrous systems.</li><li>Removing desflurane from drug formulary.</li><li>Electrification of the transportation modes.</li><li>Less waste to the landfill.</li><li>Purchasing renewable energy.</li></ul></li></ol><p>The book provides a detailed outline of the steps one hospital is taking to achieve this feat. Yet, to be clear, this publication is not intended to be a playbook for electrifying any given hospital, nor is it meant to be a benchmark by which other hospitals pursuing this goal should be measured. The path to complete electrification is an extremely complex and bespoke process. Each electrification plan must be tailored to the specific goals of a given health care facility or system as well as regulatory requirements that govern that facility and the needs of the communities it serves. That said, this case study does serve as a success story meant to inspire and demonstrate that this feat, which not so long ago seemed impossible, might be, in fact, within reach.</p><h4>Table of Contents Overview</h4><ol><li>Introduction</li><li>Results</li><li>Facility Description</li><li>Performance and Load Testing</li><li>Decarbonization Studies</li><li>Resilience</li><li>Capital Equipment and Costs</li><li>Construction Phasing</li></ol></div><div><div class="col-sm-6"><p><a class="btn btn-primary" href="/foreword-and-executive-summary-electrifying-heat-existing-hospital" title="Download the Foreword and Executive Summary - Electrifying Heat in an Existing Hospital">View Free Executive Summary</a></p></div><div class="col-sm-6"><p><a class="btn btn-primary" href="https://ams.aha.org/EWEB/DynamicPage.aspx?WebCode=ProdDetailAdd&ivd_prc_prd_key=7c7e2358-16cd-4910-99f7-174d8452884c" target="_blank" title="Purchase the Electrifying Heat in an Existing Hospital - Case Study">Purchase Case Study</a></p></div></div></div></div></div><div class="col-md-10 col-md-offset-1 shcItemsLine"> </div><div class="row" id="Decarbonization"><div class="col-md-12"><div class="col-sm-3 col-md-3"><img src="/sites/default/files/2024-12/How-to-Prepare-for-a-Decarbonization-Study_300x300.png" alt="Icon Presentation"><div class="raw-html-embed"> <span id="dots2"></span> Expand for More Info ↓ #more2 { height: 220px; overflow:auto; min-height: 100px; } button#myBtn2 { margin:10px auto; display:block; background-color: #78be2022; } function myFunction2() { var dots = document.getElementById("dots2"); var moreText = document.getElementById("more2"); var btnText = document.getElementById("myBtn2"); if (dots.style.display === "none") { dots.style.display = "inline"; btnText.innerHTML = "Expand ↓"; moreText.style.height = "20vh"; moreText.style.overflow = "auto"; } else { dots.style.display = "none"; btnText.innerHTML = "Collapse ↑"; moreText.style.height = "100%"; } } </div></div><div class="col-sm-8 col-md-8 BulletCircle"><div class="more" id="more2"><h3>How to Prepare for a Decarbonization Study</h3><p>This guide outlines the steps a hospital team can take to initiate a decarbonization study at their facility. As a companion piece to the American Society for Health Care Engineering’s book <em>Electrifying Heat in an Existing Hospital</em>, which describes the pathway one existing hospital is taking to achieve decarbonization, this publication provides suggestions to health care executives, facilities managers and sustainability managers on how to start planning, and budgeting, for a transition to clean energy.</p><hr><p>Infrastructure investments in a hospital building’s systems that support a safe patient environment can also reduce carbon emissions and life-cycle costs. This monograph outlines the steps a hospital team can take to initiate a decarbonization study. As a companion piece to the American Society for Health Care Engineering’s book <em>Electrifying Heat in an Existing Hospital</em>, which describes the pathway one existing hospital is taking to achieve decarbonization, this piece provides suggestions to health care executives, facilities managers and sustainability managers on how to start planning, and budgeting, for a transition to clean energy.</p><p>Insights are shared on how to develop a business case for a decarbonization study at an existing hospital. Recommendations are also made to help define the scope of a decarbonization plan, develop a budget, engage with other important stakeholders and contract with external engineering support.</p><p><strong>Topics include:</strong></p><ul><li>The value of decarbonization</li><li>Budgeting</li><li>Internal collaboration</li><li>Contracting with an engineering team</li><li>Financial incentives for energy efficiency</li><li>Sample language for a decarbonization study RFP</li><li>Key deliverables for a decarbonization study</li></ul></div><div><div class="col-sm-6"><p><a class="btn btn-primary " href="/system/files/media/file/2024/12/How-to-Prepare-for-a-Decarbonization-Study.pdf" target="_blank" title="Free for Members Only: How to Prepare for a Decarbonization Study">Free AHA Member Version</a></p></div><div class="col-sm-6"><p><a class="btn btn-primary" href="https://ams.aha.org/EWEB/DynamicPage.aspx?WebCode=ProdDetailAdd&ivd_prc_prd_key=005e0d4b-2cb1-472a-93ca-b5e0dba00307" target="_blank" title="Purchase: How to Prepare for a Decarbonization Study">Non-member: Purchase the Guide</a></p></div></div></div></div></div></div></div> Mon, 02 Dec 2024 09:02:45 -0600 Case Studies /case-studies/2024-11-13-advocate-health-midwest <div class="container"><div class="row"><div class="col-md-8"><h2>Overview</h2><p><img src="/sites/default/files/inline-images/Advocate-Health-logo.jpg" data-entity-uuid="770e8e21-bc95-41db-a45d-1ba1693b8db2" data-entity-type="file" alt="Advocate Health logo" width="533" height="163" class="align-left">For patients in need of intensive care following hospitalization, Advocate Health is a trusted not-for-profit provider of both in-person and virtual care for seriously and chronically ill patients. With more than 20 years of experience delivering post-acute care, the Advocate Health Continuing Health (AHCH) division, Midwest, touches the lives of more than 24,000 patients each day. Its unique, collaborative care approach leads patients to recover faster and stronger.</p><blockquote><p class="bqtext"><em>Since 2010, its Skilled Nursing Facility Care Program has reduced acute hospital readmissions by 41%.</em></p></blockquote><div class="row"><div class="col-md-6"><p>The Continuing Health division of Advocate Health provides a comprehensive continuum of post-acute care services that allows the system to quickly adjust to meet the ever-changing needs of patients. In addition to a full spectrum of home health care services, the division’s Midwest region also includes a post-acute network that includes skilled nursing facilities (SNFs) and long-term acute care hospitals (LTCHs). This enables AHCH to manage complex care plans and create a positive patient experience. This division prides itself on providing value-based care to improve patient outcomes while also saving the healthcare system money. In the ten years since the start of its Accountable Care Organization (ACO), Advocate Health Midwest has consistently generated roughly $50 million in savings each year, with the Continuing Health division’s post-acute programs being a major contributor to that success.</p></div><div class="col-md-6"><p><img src="/sites/default/files/inline-images/Advocate-Health-County-Coverage-in-Illinois-Wisconsin-Michigan.png" data-entity-uuid="c5234a6f-fd9e-4017-a270-64f0ce18a354" data-entity-type="file" alt="Advocate Health county coverage in Illinois, Wisconsin, and Michigan." width="497" height="700"></p></div></div><p>AHCH is committed to patient-centered care and encourages a care culture of listening to patient needs and concerns, resulting in a more positive patient experience. With the goal of empowering patients, Advocate Health has programs designed to keep patients out of an acute setting for as long as possible.</p><p>In 2010, AHCH began embedding their staff in skilled nursing facilities, which has grown to an in-network group of 65 SNFs that have successfully reduced acute hospital readmissions by 41%.</p><h2>Patient-Payer Mix</h2><p>Most AHCH patients are covered by public payers such as Medicare and Medicaid, which reimburse a disproportionate amount of care at a lower rate than costs. In Illinois, nearly half of AHCH patients are covered by Medicare (46.8%), including Medicare Advantage. Nearly 18% of Illinois patients are covered by Medicaid, while just one-third (32.6%) have commercial insurance. In Wisconsin, the figures are similar: 50.2% of patients are covered by Medicare (three-fourths of whom have Medicare Advantage), 15.4% are covered by Medicaid, and 32.25% are covered by commercial insurance.</p><p>AHCH’s patient population is also older than the average hospital population. This means more patients with severe, chronic conditions and a higher number of comorbidities.</p><h2>Challenges</h2><p>While AHCH continues to provide vital care to patients, it still faces serious challenges, including the serious strains caused by the impact of the pandemic.</p><h3>1. Labor Challenges</h3><p>As many other healthcare settings have recently experienced, AHCH faces shortages of vital staff members like nurses, as high labor costs and inflation continue to pressure the system. With increased demand from sicker patients and reimbursement levels that fail to meet these rising costs, AHCH has had to turn to more expensive temporary and travel workers to fill in the gaps, further exacerbating the labor challenges.</p><h3>2. Medicare Reimbursement</h3><p>The current model for reimbursement from the Centers for Medicare & Medicaid Services (CMS) reimburses providers based on the care type of setting rather than the acuity of the care provided. This means that the payment post-acute care providers receive often does not cover the total costs of the care they provide. The disconnect between the amount CMS reimburses and how much it takes to care for post-acute patients can threaten the financial stability of AHCH and patient access to care.</p><h3>3. Financial Strain</h3><p>As a nonprofit entity, AHCH has found it difficult to remain financially sustainable since the onset of the COVID-19 pandemic. With surging staff and supply costs alongside steep investment declines and decreased patient volume, Advocate Health continues to report large quarterly losses as it struggles to balance its operating margins. As the short-term aid from the federal government begins to end, AHCH may have to turn to cutting some clinical services to continue safely providing patient care.</p>h2 { color:#003087; } h3 { color:#003087; } .bqtext { font-size: 20px !important; color:#003087 !important; } .bqauthor { font-size: 18px !important; color:#307fe2 !important; ] </div><div class="col-md-4"><p><a href="/system/files/media/file/2024/11/Advocate-Health-Post-Acute-Care-Case-Study-20241113.pdf" target="_blank" title="Click here to download the Advocate Health Midwest Post-Acute Care Case Study PDF."><img src="/sites/default/files/inline-images/Page-1-Advocate-Health-Post-Acute-Care-Case-Study-20241113.png" data-entity-uuid="d1d9079d-1d71-4eb2-984c-d5a048b80a73" data-entity-type="file" alt="Advocacy Health Post-Acute Care Case Study page 1." width="690" height="900"></a></p><hr><p><strong><div class="views-element-container"> <section class="top-level-view js-view-dom-id-c86fd38600343441b7b92b7e532bf366e82975b550c794276a1f3dc05fab5c9b resource-block"> <h2 id="paccasestudies">Post-Acute Care (PAC): Case Studies</h2> <div class="resource-wrapper"> <div class="resource-view"> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2024-11-13-advocate-health-midwest" hreflang="en">Advocate Health | Midwest</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-11-13T14:11:31-06:00">Nov 13, 2024</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/concord/case-studies/clarify-health" hreflang="en">East Coast Health System Enhances Care Continuity</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-05-31T09:43:24-05:00">May 31, 2024</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2024-03-26-chi-living-communities-us" hreflang="en">CHI Living Communities | U.S.</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-03-26T12:55:38-05:00">Mar 26, 2024</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2023-11-27-good-samaritan-society-midwest-us" hreflang="en">Good Samaritan Society | Midwest U.S.</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2023-11-27T08:48:26-06:00">Nov 27, 2023</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2023-10-17-rml-specialty-hospital-illinois" hreflang="en">RML Specialty Hospital | Illinois</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2023-10-17T15:43:34-05:00">Oct 17, 2023</time> </span> </div></div> </div> </div> <div class="more-link"><a href="/pac-case-studies">More PAC Case Studies</a></div> </section> </div> </strong></p></div></div></div> Wed, 13 Nov 2024 14:11:31 -0600 Case Studies /case-studies/2024-11-13-aha-value-initiative-members-action-russell-regional-hospital-russell-ks Wed, 13 Nov 2024 09:44:31 -0600 Case Studies /case-studies/2024-11-13-aha-value-initiative-members-action-rush-university-medical-center-chicago-il Wed, 13 Nov 2024 09:44:31 -0600 Case Studies