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Developed as part of Health Care Without Harm's Health Care Climate Learning Initiative, this guidance spotlights proven practices to help health care facilities achieve net zero while centering health equity, resilience, and adaptive capacity. These recommendations were compiled from discussions with health care leaders during a series of workshops around the world.

Hunter New England Local Health District (HNELHD) will be carbon and waste neutral by 2030 as part of the ambitious initiative, Sustainable Healthcare: Together Towards Zero. We will be working hard over the coming years to achieve this green vision and take our place as an industry and community leader in sustainable health care.

Hospital Sírio-Libanês decarbonization program (HSLPD) focused on mitigating greenhouse gas (GHG) emissions as part of their 2019 commitment to become a carbon-neutral organization. The program included actions to measure GHG emissions, manage consumption that impacted carbon emissions, and compensate for what could not be reduced.

This case study presents the journey of the Sociedade Beneficente Israelita Albert Einstein, a large and highly complex hospital, in relation to climate change, focusing on its actions to mitigate emissions through energy efficiency projects and initiatives to adapt to the effects of climate change.

We know there is no net-zero future economy that doesn’t have health care in it. We need to transform health care sustainably, and to do that we need a clear north star – to be net zero. We know we can’t do this without adopting a transformation mindset and without working with others. From investing in decarbonization to corporate governance to nurturing “eco-disruptive” startups, Bupa is starting to show results. Bupa has achieved more than 26% Scope 1 and 2 emissions reductions and powers their facilities with 84% renewable energy.

As part of Apollo’s sustainability action plan, the group is tracking monthly energy consumption, total greenhouse gas (GHG) emissions, water withdrawal, waste generation, and commensurate emissions for 40 of its largest facilities, which account for 90% of the group’s total energy consumption, in efforts to set and measure improvement goals.

This case study summarizes a pilot project led by the Department of Health Services, supported by World Health Organization, and implemented by Health Environment and Climate Action Foundation (HECAF360) on identifying the major climate-induced disasters in health care facilities in three ecological regions of Nepal. Assessment included their adaptation and mitigation practices to combat the effects of climate change. This project also frames a four-pillar improvement plan focused on developing climate resilience and environmentally sustainable health care facilities recommended by WHO.

CommonSpirit gathered support for a net-zero ambition, as well as resource allocation to develop the organization’s climate action plan, which includes specific goals, strategies, and work plans under three pillars: buildings and operations, supply chain, and climate-resilient communities.

Mercy Health has worked to establish the organization’s full carbon emission baseline across health and aged care divisions including Scope 3 (indirect) emissions. This carbon inventory work has identified Mercy Health’s top carbon hot spots, allowing targeted interventions to address climate change at organizational, divisional, and site levels.

Starting in 2015 the Associação Paulista para o Desenvolvimento da Medicina (SPDM) conducted extensive greenhouse gas inventories and implemented sustainable strategies throughout its facilities. They achieved a significant reduction in emissions (nearly a 50% reduction in emissions in tCO₂e per FTE from 2018 to 2022), expenses (savings of USD 62,000 in 2020), and increased awareness and acceptance of health care sustainability and environmental impact among staff, health care leadership, the government, and the communities served.

This case study reports on the challenges and path that a large public hospital in Brazil faced to reduce GHG emissions by 33.40% in five years. Goals included measuring emissions with GHG protocol tools creating indicators, and assessing risks, as well as strengthening climate leadership, resilience, and mitigation with training and education for professionals and students.

To set greenhouse gas reduction targets and commit Hospital do Rocio to the Race to Zero campaign and the Health Care Climate Challenge, a strategy will be employed using the marginal abatement cost curve (MACC) as a tool to analyze the efficiency of each project, considering emissions reduction and their costs in tCO₂e.