About HHI

Sponsoring Health Systems:

  • Advocate Health Care*
  • Bon Secours Health System
  • Catholic Health Initiatives
  • Dignity Health*
  • Gundersen Health System
  • Hospital Corporation of America*
  • Kaiser Permanente*
  • Inova Health System*
  • MedStar Health*
  • Partners HealthCare*
  • Stanford University Medical Center
  • Tenet Healthcare (includes former Vanguard hospitals)
  • Practice Greenhealth*
  • Health Care Without Harm*
  • Center for Health Design*

* Founding Sponsors

The Healthier Hospitals Initiative (HHI) is a national campaign to implement a completely new approach to improving environmental health and sustainability in the health care sector. Twelve of the largest, most influential U.S. health systems, comprising approximately 500 hospitals with more than $20 billion in purchasing power, worked with Health Care Without Harm (HCWH), the Center for Health Design and Practice Greenhealth to create HHI as a guide for hospitals to reduce energy and waste, choose safer and less toxic products, and purchase and serve healthier foods. With these twelve sponsoring systems as anchors, the initiative will enroll at least 2,000 hospitals in 50 states and the District of Columbia over the next three years to implement sustainable operations, and will measure the impact on improved patient, worker and community health and reduced costs. As a comprehensive, sector-wide initiative, HHI is fully consistent with and builds upon the Centers for Medicare and Medicaid Services (CMS) Triple Aim – Better Health, Better Care and Lower Costs, and will institute frameworks and implementation tools that can be used by every healthcare facility in the nation, for no charge.

Over the years, portions of the HHI agenda have been implemented in hospitals across the country. Today, the results of these programs have yielded a body of evidence that demonstrates superior environmental performance within these institutions. From leadership engagement to healthier foods, less waste to safer chemicals, and leaner energy to smarter purchasing, healthcare systems throughout America are making a positive impact.

The founding systems make it possible for any facility to participate, for no charge. Kicking off April 3, 2012, participants in the HHI will commit to specific stewardship activities in order to accelerate the adoption of various innovations in the six Priority Challenge areas. HCWH will provide how-to guides for each Challenge area, with strategies for implementation, and will collect data on an ongoing basis from all participating systems.


Download HHI Brochure