Specifications Database
Developed by the Massachusetts Office of Technical Assistance for Toxics Use Reduction
Database of Specifications and Policies for Environmentally Preferable Purchasing in Health Care


This database includes language used in Requests for Proposals (RFPs),public solicitations for contracts, or purchasing contracts to specify environmentally preferable products for health care organizations. You can use this language in your public solicitations or purchasing agreements to specify environmentally preferable products.

Please consider submitting your policies or specifications for inclusion, or submitting your website so we can link to you. Email Christopher Kent with your information.

This database was designed to augment the EPA EPP specification database, which includes RFP language from only state and federal agencies.

These policies and statements are provided to assist hospitals interested in improving their environmental performance through purchasing and contracting activities. These opinions and policies do not necessarily reflect the opinions or recommendations of the AHA or EPA.

Environmental Purchasing Policies and Institutional Environmental Policies
General RFP statements on environmental attributes
Environmental specifications by products
Environmental specifications by material
Supporting Documents

Environmental Policies

Many health care organizations have found that it is important to have a purchasing policy for the organization that supports environmental purchasing. Below are some examples of purchasing policies and institutional environmental policies.

Environmental Purchasing Policies

Catholic Healthcare West

Institutional Environmental Policies

Dartmouth-Hitchcock Medical Center

General RFP Statements on Environmental Attributes

Kaiser Permanente
University of Nebraska Medical Center (recycled content only)
State of Minnesota Medical Procurement
Catholic Healthcare West
State of Massachusetts Medical Procurement (general product specifications)
State of Massachusetts Medical Procurement (bid submission instructions)

Environmental Specifications by Product

Remanufactured medical equipment, beds and furnishings (Massachusetts)

Environmental Specifications by Material

PVC

Health Care Without Harm model procurement language and model disclosure sheet on PVC & phthalates

Supporting Documents

California Medical Association Resolution on Reduced Use of Mercury-Containing Products


Environmental Purchasing Policies


Catholic Healthcare West

Catholic Healthcare West's Material Policy is available on the web at http://www.chw.edu/content/pdf/ceresreport1999.pdf


Institutional Environmental Policies


Dartmouth-Hitchcock Medical Center

Contact: Laura Brannen, Waste Minimization Officer, Laura.F.Brannen@hitchcock.org

Statement of Environmental Principles

In an effort to promote healthier communities, both locally and globally, Dartmouth-Hitchcock Medical Center (DHMC) is committed to improving environmental management throughout the organization. DHMC will manage its operations in a manner demonstrably protective of the environmental and human health.

DHMC will constantly seek new and innovative ways to meet its environmental goals through conservation, reduction, reuse and recycling programs, and through partnering with others in the community to safeguard the environment.

DHMC will apply these principles to achieve optimal environmental standards consistent with institutional goals and financial consideration.

In an effort to respect and protect the earth's resources, and to minimize environmental damage, DHMC will:

· Manage, minimize and eliminate, whenever possible, the use of hazardous materials
· Use renewable natural resources and conserve non-renewable natural resources through cost-efficient use and careful planning
· Use pollution prevention initiatives to reduce negative environmental impacts
· Minimize the generation of waste through source reduction, re-use and recycling programs
· Conserve energy and improve the energy efficiency or our operations and make every effort to use and promote environmentally safe, cost-effective and sustainable energy sources
· Ensure the health and safety of our employees by promoting safe work practices, reducing exposure, using safe technologies, and implementing effective emergency preparedness programs
· Provide employees with safety and environmental information through training and education programs in order for them to make work/practice decisions in support of these principles
· Monitor and evaluate our practices as they relate to these environmental principles.


General RFP Statements on Environmental Attributes


Kaiser Permanente

Contact:Kathy Gerwig, Resource Conservation Officer, Kathy.Gerwig@kp.org

Language from Kaiser Permanente's RFPs for national contracts:

1.1 RESOURCE CONSERVATION

Protection of the earth's environment is essential for healthy communities. KP is committed to improving environmental quality by enhancing policies, programs, and practices for all of our business activities. Toward this purpose, KP has initiated a national Resource Conservation program. The goals are to minimize waste, prevent pollution, conserve natural resources, reduce costs, and model environmental protection practices within the health care industry. KP's resource conservation activities include:

· Demonstrating a preference for products that cause the least amount of environmental harm during manufacturing, use, and disposal.
· Partnering with suppliers who demonstrate a commitment to environmental quality through their business practices.
· Collaborating with distributors, manufacturers, and suppliers in designing/refining products to minimize environmental impact while maintaining quality and cost effectiveness.
· Source reduction.
· Packaging reduction.
· Purchasing recycled products with high post-consumer content, recyclable, and reusable products.
· Conserving energy and water use.
· Enhancing awareness among staff, members, and the public about resource conservation, and the linkage to public health.

KP will be using environmental criteria in its selection of suppliers. Bidders are encouraged to provide detailed information about how they have mitigated their impact on the environment, and to consider value-added services that support KP's commitment to environmental protection.
Please include responses to the following:

1.1.1 Describe your firm's internal policies, practices and procedures that mitigate environmental harm, and support sustainable practices.

1.1.2 Provide information about ways in which your firm prevents pollution. Examples include:

· distributing/manufacturing products that cause the least amount of harm to the environment during their manufacturing, use, and disposal (e.g., chlorine-free paper, non-chlorinated plastics, non-toxic solvents and dyes, mercury-free products, sustainably harvested woods).
· reducing air emissions by managing transportation (e.g., fleets that operate on alternative fuels).
· conserving energy through efficient lighting, energy-conserving equipment and machinery, using renewable energy sources.
· conserving water by reducing consumption and recycling.

1.1.3 Specify how packaging will be minimized, including programs to use returnable, refillable, reusable, biodegradable and/or recycled packaging; reusing pallets; etc.

1.1.4 How will your firm reduce paper resulting from transactions (e.g., electronic data transfer systems, &paperless 8 reporting and troubleshooting systems)

1.1.5 Provide information about other ways your firm reduces solid waste. Examples include:

· reuse and recycling programs for your products.
· use of post-consumer content in products
· recyclable products that are properly labeled with standard recycling codes

1.1.6 [For distributors only] Describe ways in which your firm can work with manufacturers to help KP achieve its environmental goals.

1.1.7 [For manufacturers only] Describe ways in which your firm can work with distributors to help KP achieve its environmental goals.

1.1.8 Provide any other information that will help KP assess your firm's commitment to the environment.

1.2 MERCURY REDUCTION
Kaiser Permanente is committed to minimizing the amount of mercury utilized in its operations, and desires to avoid the acquisition of products that contain mercury whenever feasible alternatives exist that do not compromise patient care.

Supplier shall represent and warrant in the purchase agreement and with the submission of this Proposal that the products proposed to be furnished under any Agreement do not contain mercury, except as identified and listed in an exhibit to this Proposal. Supplier shall specify the amount of mercury contained in any products listed in this exhibit and indicate in the Proposal if a feasible mercury-free alternative is available.


University of Nebraska Medical Center

Contact: Pamela McCright, C.P.M.,Senior Buyer, 402-559-5748

The following General Bid Statements are added to most bids from the University of Nebraska Medical Center pertaining to recycling:

Product specified must equal or exceed the minimum percentage of post-consumer material content as indicated in guidelines established by the Environmental Protection Agency.

In the event of tie bids the product containing the largest percentage of post-consumer material will be awarded the bid.

Where applicable the packaging of the products specified should (I) contain a percentage of post-consumer recovered material: (II) be packaged in a manner that minimizes waste stream materials.

Bidders are encouraged to develop programs, which provide for the pick-up and recycling of waste stream materials.

Vendors quoting recycled options must submit manufacturer literature attesting to the percentage of recycled or post-consumer waste content.


State of Minnesota

Contact: Layne Nelson, Acquisition Management Specialist, State of Minnesota Department of Administration, layne.nelson@state.mn.us, 651-296-7119

This language was used in an RFP by the State of Minnesota for the Minnesota Multistate Contracting Alliance for Pharmacueticals, Hospital and Medical Supplies Division. The Environmental Section was worth 25 points out of a total of 1000 for evaluative purposes.

VIII. ENVIRONMENTAL (25 Points)
Minnesota Statues Section 16B.121 requires that State agencies consider recycled content and recyclability when purchasing commodities, when feasible and when the price of recycled materials does not exceed the price of non-recycled materials by more than ten percent.

The commissioner of Administration and State agencies, when purchasing under delegated authority, must purchase recycled materials when purchasing under delegated authority. The commissioner and State agencies must apply and promote the preferred waste management practices listed in Minn. Stat. 115A.02 with special emphasis on the reduction of the quantity and toxicity of waste generated.

The commissioner and State agencies must also consider the extent to which a commodity or product is durable, reusable, or recyclable and marketable through the State's Resource Recovery Program and the extent to which the commodity or product contains post-consumer material.

In June 1998, the United States Environmental Protection Agency and the American Hospital Association signed a Memorandum of Understanding establishing goals of virtually eliminating mercury-containing waste from the healthcare industry waste stream by 2005, and reducing total waste generated by hospitals by 33 percent by 2005 and by 50 percent by 2010.

During the term of the Contract, MMCAP may be establishing contracts with manufacturers and may use a health care environmental purchasing tool for determination of an Environmentally Preferred Products (EPP) list. It is the responsibility of the Awardee to assist MMCAP Office in maintaining the EPP list and its availability.

*The Awardee will provide a copy of their current corporate environmental policy. Describe how the Awardee will work with manufacturers to find EPP. The Awardee will submit its current list of EPP.


Catholic Healthcare West

Contact: Tim Washburn, Clinical Team Member Contracting Supply Chain Management, Catholic Healthcare West Shared Business Services, twashbu@chw.edu, 602-307-2654.

Language from Catholic Healthcare West's RFPs for national contracts:

In keeping with Catholic Healthcare West's (CHW) Environmental Policy which states:

It is CHW's policy to manage its operations in a manner demonstrably protective of Human health and the environment. CHW seeks new and better ways to meet its Environmental goals through conservation, reduction, reuse and recycling programs. CHW is committed to improving environmental management in its Divisions and to partnering with others in its community to safeguard the environment.

Shared Business Services (SBS) selects suppliers whose philosophy is consistent with CHW's social and environmental commitments. SBS supports this policy by purchasing quality products and/or services that facilitate the use of reusable and recycled products as well as the reduction and, where possible, elimination of waste.

*Describe what your company has done over the past three years to address environmental concerns.


Commonwealth of Massachusetts

Contact: Massachusetts Office of Technical Assistance, 617-626-1091

General environmental product specifications
Bidder checklist
Bid submission instructions

The Commonwealth of Massachusetts has used these general product specifications:

1. It is desirable that all submissions are in compliance with our environmental bid submission requirements stated earlier in this RFR.
2. Offering products and packaging which is environmentally responsible with supportive documentation is desirable. Environmentally responsible products refers to those products which:
· are minimally packed,
· are packaged in recyclable materials that are collected in recycling programs,
· are packaged in materials which contain post-consumer recycled content,
· are packaged in materials which are not chlorine-bleached,
· do not contain heavy metals, lead, chromium, cadmium, and arsenic, or which contain the least amount of these ingredients,
· do not contain polyvinyl chloride (PVC), or which contain the least amount of this ingredient.
3. It is desirable for Bidders to offer an environmentally responsible program for the return and pick up of over-pack shipping cartons and/or internal case pack cartons.

The Commonwealth of Massachusetts uses a bidder checklist including the following items:

1 It is desirable that Bidders use recycled and environmentally preferable products to minimize waste in the submission of their bids. See RFR for details Yes__ No__
2 It is strongly desirable Bidders offer products which are environmentally responsible including but not limited to: product biodegradability, product and packaging made from recyclable content, reduction in waste through packaging engineered for compactness and biodegradability, plus submission of biodegradability data sheets verifying biodegradability product content. Note: Information is available from each manufacturer. Environmentally Responsible? Yes__ No__ Data Sheets? Yes__ No__
3 It is desirable for Bidders to offer and submit an environmental program for the return and pick up of over-pack shipping and/or internal case packs cartons. Yes__ No__

The Commonwealth of Massachusetts uses the following bid submission instructions to encourage resource conservation regarding bid submission:

Environmental Bid Submission Compliance:
In an effort to promote greater use of recycled and environmentally preferable products and minimize waste, all bids submitted should comply with the following guidelines: 1. All copies should be printed double sided.
2. All submittals and copies should be printed on recycled paper with a minimum post-consumer content of 20% or on tree-free paper (i.e. paper made from raw materials other than trees, such as kenaf). All bids should note whether recycled paper or tree-free paper is being used, as well as the specific level of recycled content contained in the paper.
3. Unless absolutely necessary, all bids and copies should minimize or eliminate use of non-recyclable or non re-usable materials such as plastic report covers, plastic dividers, vinyl sleeves and GBC binding. Three ringed binders, glued materials, paper clips and staples are acceptable.
4. Bidders should submit materials in a format which allows for easy removal and recycling of paper materials.
5. Bidders are encouraged to use other products which contain recycled content in their bid documents. Such products may include, but are not limited to, folders, binders, paper clips, diskettes, envelopes, boxes, etc. Where appropriate, Bidders should note which products in their bids are made with recycled materials.
6. Unnecessary samples, attachments or documents not specifically asked for should not be submitted. Bidders should avoid superfluous use of paper, such as separate title sheets or chapter dividers.


Environmental Specifications by Product


Remanufactured Medical Equipment, Beds and Furnishings

Commonwealth of Massachusetts contract HSP04
Contact:
MA OTA, 617-626-1091.

The RFR language specifies:
It is desirable vendors also provide the Commonwealth with options to purchase Medical Equipment, Beds & Furnishing that have been repaired and/or remanufactured. To be eligible for value added points under this desirable, a vendor must provide information on performance specifications and warranties for such equipment. Vendors must also identify the types of equipment available as repaired and/or remanufactured and the proposed pricing structured for such items(s). In addition, vendors are encouraged to provide information regarding any existing programs available to any hospital(s) and medical institution(s) which provides for a refund or credit for the return of used beds and/or other equipment.

Many vendors on this contract do supply remanufactured equipment. For full bid specifications and contract vendor information, go to HSP04 on Comm-PASS.


Environmental Specifications by Material


PVC


Health Care Without Harm

Health Care Without Harm model procurement language and model disclosure sheet on PVC & phthalates is available on the web at http://www.noharm.org/hcwh/library/admin/uploadedfiles/ MODEL_LANGUAGE_REGARDING_THE_PURCHASING_OF_MED.htm


Supporting Documents


California Medical Association
Resolution 115-00, Preventing Human Mercury Exposure

Contact: Dr. Robert M. Gould, rmgould1@yahoo.com

Relevant Excerpt
Whole Text

Relevant Excerpt

RESOLVED: That the California Medical Association encourages the reduced use of mercury-containing products by urging medical product suppliers to continue to develop, produce, and bring to market appropriate, cost-competitive, environmentally protective, and effective mercury-free replacements; and, be it further

RESOLVED: That the CMA calls upon health care professionals to encourage the institutions with which they are associated to adopt policies that will lead toward the eventual elimination of mercury containing products where feasible, effective alternatives are available, and to promptly eliminate mercury from the waste-stream fed into incinerators.

Whole Text

CALIFORNIA MEDICAL ASSOCIATION HOUSE OF DELEGATES

Resolution 115-00

Title: Preventing Human Mercury Exposure
Author: Robert M. Gould, MD
Introduced by: Robert M. Gould, MD

Whereas, mercury is a component of consumer and medical products which, when discarded, become a fuel for waste incinerators, ultimately accounting for approximately 30% of the 158 tons of human-generated mercury emissions released to the air annually in the U.S.; [1] and,

Whereas, it is understood that when inorganic mercury is released into the environment, microbial biotransformation produces methylmercury, especially in aquatic environments, and that this organic compound accumulates as one moves up the food chain; [2] and,

Whereas methylmercury is known to adversely affect the nervous and reproductive systems of humans, with particular danger posed to the developing brain, manifested by neuro-developmental deficits such as cerebral palsy and mental retardation, as well as developmental delays such as delayed walking and speech, and other disabilities that may be latent in infancy, and which may appear only later in childhood; [3] and,

Whereas, avoiding incineration of mercury-containing wastes and adopting mercury-free product alternatives is fundamental to a primary prevention approach that reduces human and wildlife exposure to mercury; and,

Whereas, it is known that appropriate alternative mercury-free products are currently available for many mercury-containing consumer and healthcare products; [4] and,

Whereas, the American Hospital Association has signed a Memorandum of Understanding with the EPA to phase out mercury-contaminated waste in hospitals by the year 2005, while highly-effective programs for the virtual elimination of mercury from hospital waste through use of mercury-free alternative products have been initiated in the U.S.; [5] therefore be it

RESOLVED: That the California Medical Association encourages the reduced use of mercury-containing products by urging medical product suppliers to continue to develop, produce, and bring to market appropriate, cost-competitive, environmentally protective, and effective mercury-free replacements; and, be it further

RESOLVED: That the CMA calls upon health care professionals to encourage the institutions with which they are associated to adopt policies that will lead toward the eventual elimination of mercury containing products where feasible, effective alternatives are available, and to promptly eliminate mercury from the waste-stream fed into incinerators.

References:

1. US Environmental Protection Agency. Mercury Study: Report to Congress, Vol II, An Inventory of Anthropogenic Mercury Emissions in the United States, Washington DC: US Environmental Protection Agency, Office of Air Quality Planning Standards and Office of Research and Development; 1997. EPA/452/R-97-004; Northeast States and Eastern Canadian Provinces. Mercury Study: A Framework for Action, 1998.

2. Agency for Toxic Substances and Disease Registry. Mercury Fact Sheet, U.S.Department of Health and Human Services, Public Health Service, September 1995.

3. US Environmental Protection Agency. Mercury Study: Report to Congress, Vol VII, Characterization of Human Health and Wildlife Risks from Mercury Exposure in the United States, Washington DC: US Environmental Protection Agency, Office of Air Quality Planning Standards and Office of Research and Development; 1997. EPA/452/R-97-009; Watanabe C, Satoh H. Evolution of Our Understanding of Methylmercury as a Health Threat. Environ Health Perspect. 1996, 104(Suppl 2): 367-379; Weiss B, Reuhl K. Delayed Neurotoxicity: A Silent Toxicity in Principles of Neurotoxicology, Louis W. Chang, ed. Marcel Dekker, New York: publisher, 1994.

4. Michigan Mercury Pollution Prevention Task Force. Mercury Pollution Prevention in Michigan, 1996; National Wildlife Federation. Mercury Pollution Prevention in Healthcare: A Prescription for Success, 1997

5. American Hospital Association: Memorandum of Understanding between the United States Environmental Protection Agency and the American Hospital Association, June 24, 1998; Environmental Working Group and Healthcare Without Harm. Greening Hospitals: An Analysis of Pollution Prevention in America's Top Hospitals, 1998.