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Decarbonization of the healthcare sector is a complex and challenging undertaking. Traditionally, facility design, facility construction, maintenance, and operations have emphasized the delivery of patient-centric medical care over both occupant comfort and environmental sustainability. The reasons for this are obvious.
Indeed, care quality and the energy resilience on which it depends must and will remain leading priorities. To the list, however, we must now add priorities that accompany the growing challenges of climate change. These new priorities are by no means incompatible with the original ones. They can be pursued through integrated and harmonized approaches.
Hospital carbon emissions can be reduced — significantly. Simultaneously, strategies that support the preeminence of life safety, operational resilience, and the delivery high quality medical services can be maintained.

Take the Decarbonization Pledge!
In the spirit of solidarity to the cause of a better environment for all the residents of New York State, we offer The Decarbonization Pledge. This informal, non-binding pledge has been included to provide users of this guide with an opportunity to express their good faith commitment to the important task of healthcare sector decarbonization.
Consider the pledge as a show of support, a statement of intent to join in one of the most consequential efforts our state has ever attempted. It is hoped that the pledge will be useful for both government and private sector organizations alike. It entails no commitments or obligations. Consider it as simply a show of support for whichever aspects of decarbonization are relevant to you.
If you appreciate the ideas the pledge contains and would like to join with the many organizations that inspired its creation, we encourage you to sign and share your pledge.
You can sign the pledge one of two ways:
Print, Sign, and Email to [email protected]

Introduction to the Planning Process
We developed an 8-step process for developing your decarbonization and resiliency initiative. It includes strategic and tactical tools and checklists, a wide variety of publicly available funding sources, case studies, and more. Each step contains quick reference links which will help you to easily and intuitively access the resources provided for each step as you need them.

Future Releases
This guide is part of an ongoing collaboration between public and private healthcare industry stakeholders from across New York State. This roadmap illustrates updates to the guide and new content deliveries planned for the coming months and years as well as industry-related information that may be useful to your efforts. Because the guide will continue to evolve in size, scope, and detail, users are encouraged to check back frequently. New content sections, tools, case studies, and other useful information will be posted regularly.
Please provide your email address below to be notified when there are updates to the Guide.