Sustainability is not a task or a project, but a way of doing things*.  That idea involves two concepts:  people and change, a challenge if there ever was one.  With expertise in organizational culture, change management, and transformational leadership theory, 1×1 Consulting understands the unique environment of hospitals and the challenges they face.  Our success is built on the principle of engaging with people:  understanding and respecting the history behind current practices, involving employees and key stakeholders in identifying opportunities for improvement, and through education and training, invitingorganizational members to participate in environmentally responsible practices.  The “early adopters” demonstrate to the organization the results:  engagement and empowerment, the engine which hard-wires practice changes, and simultaneously opens the doors to ongoing organizational improvement.

1×1 Consulting supports the Healthier Hospitals Initiative ( and assists hospitals in developing a strategic plan for implementing an environmental sustainability program.  Specific initiatives include:

Improving Environmental Health and Patient Safety:

  • Purchasing (Environmentally Preferable Purchasing practices which reduce environmental impact)
  • Chemicals (identify and seek safe alternatives to materials containing hazardous chemicals)
  • Food (composting, introducing hormone/antiobiotic-free foods, reducing disposable dishware and bottled water)

Reducing use of Natural Resources and Generation of Waste:

  • Energy (LED lighting, motion sensors, renewable energy alternatives, alternative transporation, awarenesss campaigns)
  • Water (facility retrofits of pumps, valves, faucets)
  • Waste management and minimization (recycling, reprocessing, Regulated Medical Waste reduction, Pharmaceutical Waste management, donation)
1×1 Consulting excels in implementing sustainabilility initiatives in the interventional services of healthcare facilities, which in addition to being significant revenue generators, also carry the highest supply costs and produce the most waste:  Operating Rooms, Labor and Delivery suites, Cath Labs, and Interventional Radiology / Special Procedures units.  Focusing on waste reduction strategies in these areas can have a significant impact on cost-savings for the organization while simultaneously reducing environmental impact.  For more on demonstrated cost-savings, click here.

On-Site Services available:

Strategic Plan Development:

  • Assessment of current status and organizational readiness
  • Creation and prioritization of strategic goals
  • Development of specific objectives and initiatives with formulation of detailed action plans with timelines.
  • Development of baseline metrics for ongoing evaluation

Training and Education:

  • Training for on-site Sustainability Coordinator / Champion and facility Green Teams.
  • Sustainability education for OR and interventional personnel, anesthesiologists, surgeons and other key stakeholders
  • Presentations at meetings

Implementation Assistance:

  • Implementation of specific initiatives as directed by organization via on-site facilitation, education/training and engagement of key stakeholders


Remote Services available:

Regular follow-up

  • Review of strategic goals, objectives, and specific initiatives
  • Communication with responsible persons
  • Measure and report progress


  • Regular conferencing with organizational Sustainability Coordinator / Champion
  • Remote participation (web-conference) in Green Team, strategic meetings


* Michael O’Connell, VP Operations, Huron Hospital / Cleveland Clinic