BOHEALTH project aimed to reduce the environmental impact associated to the health sector by facilitating the decision making process of the management through:

•    Showing the environmental and economic impact of the different environmental aspects associated to the organization, considering their entire life cycle

•    Identifying the “key performance indicators” (KEPIs) and “functional units” to monitor and control the environmental and economic aspects

•    Identifying the Best Available Techniques (BATs) for the health sector

•    Supporting the definition of “Sustainable Action Plans” to be applied to the health center

•    Allowing a clear and quantitative comparison between the initial and improved situation


Project Progress

•    Definition of the most appropriated “Key Performance Indicators”

The most appropriated key performance indicators for the Healthcare sector will be identified. A holistic approach, including Life Cycle Assessment Methodology (LCA) and Life Cycle Costing (LCC) will be used to consider the complete life cycle of the activity, from raw material extraction to waste disposal. This global approach will guarantee the identification of the most relevant environmental and economic impacts of the activity.

Status:  finished. The key performance indicators have been identified by analyzing the environmental performance of the healthcare centre and considering economical values. The results of this preparatory action provide useful information for the other project actions. The results are compiled in the Report on proposed kepis and functional unit (internal document). 

•    Review of Best Available Technologies and Best Practices

The already existing Eco-design Guidelines, Best Available Technologies (BATs) and best practices that could be applied to the Health sector will be reviewed from a technical, economic, social and environmental point of view. All the information obtained will be summarized in descriptive sheets.

Status: finished. It has been identified and described 50 best available technologies and best practices that the health care sector can apply to improve its environmental behavior. This information is compiled in a guide that clearly describes its application and its benefits (view REPORT ON BEST AVAILABLE TECHNIQUES AND BEST PRACTICES

•    Tailored decision-making process for Healthcare centers

A practical and tailored decision-making process will be developed to support management to define the “Sustainable Action Plans” that better fit the centre needs. This decision making process will be based on a life cycle perspective.

Status: finished. It has been developed a tailored decision making process based on the PDCA approach. In the first step a methodology has been defined to allocate the global environmental aspects (e.g. energy and water consumption, waste generation, etc.) to each section of the healthcare centre (e.g. operating rooms, etc) and type of consumption (e.g. HVAC system, lighting, equipments, etc.). Afterwards, these environmental aspects have been prioritised (using ISO 14001 approach) and the Best available technologies have been prioritised using environmental and economical criteria. The proposed process finished with the definition on Action plans and their monitoring.

•    Integrated web-based application to support the decision-making process

An integrated web-based application to facilitate the environmental decision-making process of management in Healthcare centers.

Status: finished. It has been developed the alpha and the beta version of the web-based application, based on the decision-making process defined in the previous task. The version includes the comments gathered during the testing phase. The final demo version in English and Spanish is available at

•    Approach and web application implementation in two healthcare centres

The objective of this action is to implement the proposed approach and the developed web application in two Healthcare Centres belonging to FHSPST. The two healthcare centers selected are Centre de Llevant and Hospital de Vendrell.

Status: finished. The most relevant flows in the two healthcare centers selected are identified. Furthermore, the needed information has been collected in order to implement the web application. Finally the most feasible BATs have been identified.

•    Definition and implementation of “Sustainable Action Plans”

The most appropriated “Sustainable Action Plans” that will lead to reduce the environmental impact of the activity of the analyzed healthcare centres will be defined and implemented

Status: finished. A sustainable action plans has been defined for each healthcare center selected. These plans has been implemented in two case studies are: Hospital del Vendrell and Hospital de Llevant. Then action has been applied in each case study.

•    Monitoring of the project impact after Sustainable Action Plans Implementation

The objective of this action is the monitoring of the project impact on the environmental aspects covered by the proposed “Sustainable Action Plans”

Status: finished. The baseline scenario (before the project implementation) has been described. Then the environmental performance of the two healthcare centers has been described and quantified. Then the improvement reached by each action implemented has been quantified.

•    Assessment of the socio-economic impact of the project

The socio-economic impact achieved by the project after the implementation of the proposed approach and the associated “Sustainable Action Plans” will be assessed.

Status: finished. The baseline scenario has been defined in terms of socio-economic aspects. Then the stakeholders of the project has been identified. Finally the socio-economic impact of the project has been analyzed and reported in a final deliverable.

•    Communication and dissemination actions

These actions and its outcomes are fundamental to achieve the project objectives, to ensure that the project results are disseminated as much as possible and guarantee the project replication.

Status: finished. Different dissemination activities have been done: creating the project leaflets, the information board, newsletter and press releases; participating in fairs/conferences; celebrating meetings with Health care Centres and uploading all the information related to the project in the website. This task is transversal and it has been developed until the project ends.


Partners & Associates