ESG and Health Care/Medical Education

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Annette C. Reboli, M.D. Dean Professor of Medicine and Tenured Professor of Biomedical Science

The Twin Demics

COVID-19 Virus Stand against Racism

Current Challenges in Health Care

for

including

pandemic

• Workforce Issues
workforce diversity, preventing burnout • Quality and Patient Safety • Preparation
the next outbreak, epidemic,
• Leveraging technology • Access and affordability • Restoring compassion

ENVIRONMENTAL

2014– US health care industry produced an estimated 480 million metric tons of CO2 (~8% of country’s total emissions.)* Hospital care, physician/clinical services, structures/equipment, pharmaceuticals *Pichler et al International Comparison of Health Care Carbon Footprints. Environmental Research Letters
HEALTHCARE AND ENVIRONMENTAL Research by Cornell University states that health care facilities around the world are creating about 7.5 pounds per person of PPE waste daily through COVID19-associated services, according to the United Nations Environment Programme. https://news.cornell.edu/stories/2022/01/engineers-propose-greener-recycling-medical-ppe-waste
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Is US Health Care Environmentally Sustainable?

• US Health Care Reform

• Initiatives of Individual Health Systems—mostly aimed at “green” buildings vs. the carbon of the practice of medicine itself

• Failure of the environmental movement to offer health care an effective paradigm for sustainability

Role of Preventative Medicine

Allocation, triage, and bioethics

Opportunities for Green Health Care Initiatives

Patients

Education, Carbon Awareness, Ecotherapy

Physicians

green

CME,

Activism,
health centers, green teams,
green prescriptions

Diversity, Equity, Inclusion

SOCIAL

to the Community

Pay Parity

Patients, Employees, Community, Board, Business

and Safety

Information

• Service
• Gender
• Engagement:
Partners • Access • Quality
• Protecting

Key Technology Trends Impacting ESG Across Healthcare

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• Artificial Intelligence • 3D Printing • Cybersecurity • Telehealth • Wearable Devices • Access to medications and vaccines in under-served areas and developing countries

GOVERNANCE

Compliance with laws and regulatory

Board Diversity

Shared governance

Mergers and acquisitions

profit hospitals, health care systems, medical schools

• For

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