With 45 thousand inpatient stays and 1.9 million outpatient visits in 2012, the University of Michigan
Health System (UMHS) manages a vast network of patients in constant flux. The Patient Food and
Nutrition Services (PFANS) group provides in-room dining services for these patients and delivers meals
and supplements to homebound seniors in the community through its Ann Arbor Meals on Wheels
program. PFANS is committed to expanding its existing environmental responsibility initiatives and has
the potential to serve as an important case study, providing a sustainability roadmap for UMHS and
national patient food services.
The project objectives included:
1. Reducing waste, water and energy footprints
2. Capturing cost savings
3. Designing a strategy that serves as holistic approach to sustainability for UMHS
4. Aligning sustainable practices with future models of U.S. healthcare delivery
The approach to meeting these objectives included a current state assessment through primary research
focused on interviews, waste and energy auditing and cost-benefit analysis as well as secondary
literature reviews to identify best practices in the industry. Using the findings from these methods and
developed criteria for evaluation—environmental, financial, reporting ability and scalability—the report
outlines a series of recommendations that respond to the following key findings:
1. Immediate energy savings can be achieved through passive operational changes and additional
long-term savings through active behavior changes.
2. Opportunities for reducing water usage would require major investment and PFANS would not
directly see these savings. Therefore, PFANS should consider behavior-based reductions in water
usage until a time where the case for capital expenditure on new equipment can be made.
3. Further improvements will require PFANS to form partnerships to overcome the challenges of
sustainable and local food procurement in a healthcare setting.
4. Implementing an organic waste stream is possible and environmentally preferable.
5. PFANS can better utilize existing waste management infrastructure to increase diversion from
landfill.
6. Areas for source reduction can be identified more readily by implementing better food waste
tracking procedures.
7. Employee engagement is the lynchpin to successful implementation and to tracking progress
against goals.
The project is intended to demonstrate how PFANS can support both sustainability and patient care
through its operations and services to position the unit as a sustainability leader within UMHS and in the
patient food service management space.