Practice Greenhealth, HCWH, and the Healthier Hospitals Initiative describe strategies and resources for bringing sustainable practices to the health care sector.&n enlarge video
Health Care Research Collaborative
About the Research Collaborative
The Health Care Research Collaborative was developed to meet a need expressed by hospital and health system executives for more research and data to assist them in their efforts to make more sustainable choices in health care design, construction, operations and organization. To fund this initiative, HCHW applied for and received seed funding from the Robert Wood Johnson Foundation. The Health Care Research Collaborative is based at the University of Illinois at Chicago School of Public Health, with a mission to stimulate the development, coordination and dissemination of research focused on the impact of the health care built environment, operations and organization on patient, worker and environmental safety and sustainability. This interdisciplinary approach reflects the growing understanding among the leadership of health care providers that patient, provider, and community health and safety are profoundly interrelated.
In discussions with representatives of health systems, academic institutions and government agencies, several overarching principles were highlighted as priority criteria in developing research projects, and these continue to steer our agenda:
- Incorporation of patient, worker, and environmental safety
- Production of evidence to provide a decision-making base for operations and construction of facilities
- Evaluation of the costs and benefits of proposed changes in new policies and practices, including initial capital investment, institutional life-cycle costs, and community impacts.
The Research Collaborative has published a series of white papers that explore existing research and identify research gaps in a number of areas of health care safety and sustainability (downloadable below). We also develop original research projects. The Collaborative works closely with the Healthier Hospitals Initiative, a group of hospitals that are leading the way on sustainability, and with Practice Greenhealth, a membership and networking organization for hospitals engaged in sustainable health care.
We welcome inquiries:
Peter Orris, MD, MPH, Chair
Area code 312, 413-0369
Susan Kaplan, JD, Research Director
Area code 312, 355-0738
List of Research Collaborative Reports
- Scientific Evidence of Health Effects from Coal Use in Energy Generation
Authors: Erica Burt, MPH, Peter Orris, MD, MPH, and Susan Buchanan, MD, MPH.
April 2013. 18 pages - Can Sustainable Hospitals Help Bend the Health Care Cost Curve?
Authors: Susan Kaplan,Kevin Little, Calvin Franz, and Peter Orris.
November 2, 2012. 14 pages - Mercury in Dental Amalgam and Resin-Based Alternatives: A Comparative Health Risk Evaluation
Authors: Serap Erdal, Ph.D. in collab. with Peter Orris, M.D., M.P.H.
June 13, 2012. 68 pages. - Creating a Culture of Sustainability: Leadership, Coordination and Performance
Measurement Decisions in Healthcare
Author: Tonya Boone, Ph.D.
April 2012. 32 pages. - Green Cleaning in Healthcare
Authors: Xiaobo Quan, Anjali Joseph, Matthew Jelen, and the Center for Health Design
September 2011. 56 pages. - Highlights from Sustainable Resilient Flooring Report
Authors: Jennifer Dubose and Amaya Labrador
December 2010. 4 pages. - Minding the Gap: Research Priorities to Address Pharmaceuticals in the Environment
Authors: Julie Becker, Ph.D., MPH
February 2010. 28 pages. - Healthcare Ventilation Research Collaborative: Displacement Ventilation Research
Authors: Arash Guity, PE, Bob Gulick, PE, Paul Marmion, PEng
December 2009. 30 pages. - A Research Agenda for Advancing Patient, Worker and Environmental Health and Safety in the Health Care Sector
Authors: Susan Kaplan, JD, Peter Orris, MD, MPH, Rachel Machi
October 2009. 36 pages. - The Accuracy of Alternatives to Mercury Sphygmomanometers
Author: Susan Buchanan, MD, MPH
October 2009. 22 pages. - Resilient Flooring and Chemical Hazards: A Comparative Analysis of Vinyl and Other Alternatives for Health Care
Authors: Tom Lent, Julie Silas, and Jim Vallette
April 2009. 56 pages. - Cleaning in Healthcare Facilities: Reducing Human Health Effects and Environmental Impacts
Authors: Pia Markkanen, ScD, Margaret Quinn ScD, CIH, Catherine Galligan, MSc, Anila Bello, ScD
April 2009. 40 pages.
CleanMed 2012 Presentations
These are presentations from the Second Annual Research Exchange on May 3, 2012 at the 2012 CleanMed Conference held in Denver, Colorado, as well as the agenda from the 2012 CleanMed Research Collaborative Meeting.
- HCRC Research Exchange Agenda
Author: Health Care Research Collaborative
May 2012 CleanMed presentation. 1 page. (docx) - Creating an Agenda for Change: A Delphi Survey
Author: Kelli Barber, R.N., M.N.; Betty Bekemeier, Ph.D., M.P.H., R.N.; Wade Garrison Hill, Ph.D., APRN-BC
May 2012 CleanMed presentation. 2 pages. (pdf) - Benchmarking Lessons: How Can Sustainability Measurement Tools from Other Industries be Applied to Health Care?
Author: Julie Becker, Ph.D., M.P.H.; Haley Singer, M.P.H.; Joan Duckenfield, M.P.H.
May 2012 CleanMed presentation. 12 pages. (pptx) - Green Cleaning in Health Care: Innovation, Implementation, and Evaluation
Author: Xiaobo Quan, Ph.D., E.D.A.C.
May 2012 CleanMed presentation. 24 pages. (pptx) - Life Cycle Analysis of Delivering an Infant in the United States
Author: Noe Woods, M.D.; Melissa Bilec, Ph.D., LEED AP
May 2012 CleanMed presentation. 10 pages. (pptx)
CleanMed 2011 Presentations
These are presentations from the April 6 Research Exchange at the 2011 CleanMed Conference held in Phoenix, Arizona, as well as the agenda from the 2011 CleanMed Research Collaborative Meeting.
- HCRC Research Exchange Agenda
Author: Health Care Research Collaborative
April 2011 CleanMed presentation. 2 pages. (docx) - Organizing for Sustainability
Author: Tanya Boone, MBA, PhD
April 2011 CleanMed presentation. 9 pages. (pdf) - Measuring the Sustainability of Health Care Buildings
Author: Jennifer Dubose, LEED AP, EDAC
April 2011 CleanMed presentation. 22 pages. (pdf) - Worker Safety, Patient Safety, Environmental Safety: A Vital Synergy
Author: Kathy Fagan, MD, MPH
April 2011 CleanMed presentation. 17 pages. (pdf) - Promoting Human Health and Sustainability With Microbial Genomics
Author: Jessica Green et al.
April 2011 CleanMed presentation. 25 pages. (pdf) - Antibacterial Soaps: Are They Necessary
Author: Sarah Janssen, MD, PhD, MPH
April 2011 CleanMed presentation. 20 pages. (pdf) - Making the Connection: Linking Building Design to Healthcare Outcomes
Author: Anjali Joseph, PhD, EDAC
April 2011 CleanMed presentation. 24 pages. (pdf) - How Sustainable Hospitals Can Help Bend the Cost Curve
Author: Susan Kaplan, JD
April 2011 CleanMed presentation. 22 pages. (pdf) - Teaching Sustainability as Part of Healthcare Management Studies
Author: Carrie Rich, MS, EDAC
April 2011 CleanMed presentation. 45 pages. (pdf)
Webinar: How Sustainable Hospitals Are Achieving Major Savings
Health Care Without Harm and The Commonwealth Fund present a webinar based on the recent groundbreaking findings on how hospitals can achieve savings and reduce their carbon footprint through sustainability programs. This one-hour webinar draws on the findings of a recent Health Care Without Harm Research Collaborative/ Commonwealth Fund study, "Can Sustainable Hospitals Help Bend the Health Care Cost Curve?" which shows that savings from interventions to reduce energy use and waste, and achieve operating room supply efficiencies could exceed $5.4 billion over five years and $15 billion over 10 years for the health care sector. In addition to detailing the study findings, the webinar includes presentations from two health systems about why they chose to focus on sustainability and what challenges and rewards are in store.
Key Resources
- Energy Impact Calculator
What are your facility's energy health impacts and costs? What can you do to improve them?

- Learn about Practice Greenhealth and the Healthcare Clean Energy Exchange
- Green Guide for Health Care Report:
A Prescriptive Path to Energy Efficiency for Hospitals
download report (pdf) read abstract (pdf) - Healthcare Energy Project Guidebook, designed to provide decision makers with knowledge about improving energy efficiency (pdf)

