Melbourne Public Hospital: Green Supply Chain in Australian Hospitals

Aims

This research study aims to discuss the connection between green supply chain management and ISO 14001 and 9001 as well as to explain the procedures necessary for developing and implementing effective greening processes that comply with the abovementioned standards. These are critical issues for Australian public hospitals, which have grappled with the problem of increased healthcare expenditures and negative impact on the natural environment due to the growing number of patients, along with the volume of wastes that may be connected to increasing activities over the past decades (World Health Organisation 2014). To address this problem, the research will build on an innovative framework based on an explanation of the influence of innovation on the traditional organization of business processes. Working in different contexts, similar approaches have been previously used by Bhakoo, Singh and Sohal (2012) and Camgöz-Akdag (2016). This study will employ a mixed research technique in exploring the connection between the standards and the practice of green supply chain management. This model is widely used in the literature, but this will be the first time it has been applied to Melbourne public hospitals using ISO 14001 and 9001 to green their supply chain management processes.

Specifically, the research will address the problem of introducing greening procedures by posing the following research question and sub-questions:

  • Research question: What are the main benefits and challenges of implementing green supply chain management in Australian hospitals?
  • Sub-questions:
  1. What is the significance of achieving greening in Australian hospitals?
  2. What are effective ways to effect change in management in Melbourne public hospitals?
  3. What green supply chain management procedures, corresponding with ISO 14001 and 9001, are applicable to the sector?

Contribution to Knowledge

The development of the modern healthcare sector has been impressively rapid due to an increase in the numbers of treated patients and functioning hospitals. Such an increase in the volume of sector operations cannot but affect the condition of the natural environment. The impact of operations in the healthcare sector, just as in any other industry, on the natural environment has become a common subject of scientific and management interest. In order to minimize this impact, companies and international organizations are striving to develop environmentally friendly approaches to management, an approach generally referred to as green supply chain management – the transition from traditional supply chains to eco-friendly ones. The issue is of specific interest to Australian hospitals because the national government is emphasizing the implementation of greening techniques, thus minimizing the negative impact of the healthcare industry on the natural environment. As a result, it is essential to understand the role of green supply chain management in greening procedures along with the benefits when considering public sector hospitals.

Currently, the identified subject of interest has been poorly investigated, especially from the perspective of Melbourne public hospitals that have either already implemented green supply chain management or plan to do so. Therefore, the proposed research offers impressive theoretical significance as the planned study will shed light on all aspects of ISO 14001 and 9001 as well as examine any potential drawbacks and benefits connected to arranging green supply chain management according to the requirements set forth in these two standards. Therefore, the main contribution to the existing literature is the following: the proposed research will be helpful for identifying complexities related to selecting these standards as a foundation of future supply chain management procedures, thus either avoiding them or minimizing their impact on the effectiveness of managerial activities.

Statement of Significance

In addition to the potential contribution to existing knowledge, the proposed research offers practical significance as well. It is evident that the major issue that maximizes the study’s significance is the increased impact of the healthcare sector on the natural environment as well as a rising interest in seeking ways to diminish this influence. The transition to environmentally friendly management strategies as well as legislation strictly controlling the level of impact on the natural environment is a common tendency across most developed states (OECD 2015; Mathew 2015). However, the Australian government is currently taking its first steps in this direction. Thus, numerous challenges and complexities are connected to the abovementioned transition due to a lack of appropriate theoretical and practical instruments and recommendations for making the process effective and productive.

Therefore, it is obvious that the proposed research is of practical significance and can be viewed and explained at several levels. First, it can be helpful for healthcare units because they will be provided with a framework for implementing this transition. Moreover, because the research will incorporate an investigation into practical experience and the implementation of green supply chain management approaches in the Melbourne public sector, it can consequently be applied by other healthcare organizations and units in order to avoid the most common problems as well maximize benefits. Even more significant, the proposed research can be used by different companies across other industries to modify the experience of the healthcare sector in addition to learning how to go green. As a result, all of the abovementioned organizations are likely to reduce environmental expenditures along with the volume of resources used to make supply chains more effective. In all, the main argument for believing in the practical significance of the research is the following: the study is likely to eliminate an existing gap in knowledge, thus making green management according to ISO 14001 and 9001 more easily achievable.

Literature Review

As seen, the transition to green supply chain management along with other techniques and strategies aimed at reducing the negative impact of industries on the natural environment is a topic of scientific interest and research. Nowadays, such a transition is commonly set in motion and completed based on two international standards: ISO 14001 and ISO 9001 (Rao et al. 2014; Stoimenova et al. 2014). The first standard has been developed with an eye to improving environmental practices in all industries, without exception. The latter, in comparison, is devoted to improving the overall performance of companies and organizations as well as the quality of manufactured products or delivering services (Chiarini 2015; Moradi et al. 2016). The primary appeal of these two standards is that they are easily applicable to all industries and sectors of the economy as well as to all countries, regardless of the level of their development.

Still, the healthcare sector across the globe is in the initial stages of transitioning to green supply chain management because hospital management has only recently begun to develop strategies that correspond with the requirements of ISO 14001 and 9001 (Gerwig 2015; Nolan 2016). To understand the causes of such a slow transition in the healthcare sector, it is essential to identify the main challenges connected to the implementation of the standards’ requirements. To begin, the allocation of additional resources will be required. These investments are necessary for upgrading technologies and retraining staff. In addition, companies tend to focus on the need for investments – in terms of short-term spending – instead of estimating the value of long-term benefits (Nolan 2016). Because of these two factors, hospitals – like individual companies that operate in other industries – tend to perceive green supply chain management, as well as ISO 14001 and ISO 9001, as a negative development. As a result, the senior management of hospitals may choose to avoid the transition or drag their feet, making the process extremely slow and ineffective. With regard to the ineffectiveness of the transition in such cases, preference is given to decreasing the volume of gas emissions into the atmosphere; at the same time, other critical factors such as reviewing an approach to hospital operation (namely, the volume of wastes or resources) are commonly ignored.

In addition, according to Toke, Gupta and Dandekar (2010), the perception of green supply chain management and the necessity to adhere to the recommendations developed in ISO 14001 and ISO 9001 are ambiguous because of constant changes in their understanding. This factor can be explained by the fact that the level of perception of related responsibilities is different. In other words, companies, as well as hospitals, will either believe that they should invest in developing and going green or ignore the criticality of their influence on the natural environment. This is true regardless of the dramatic challenge related to the condition of the planet and natural environment, combined with the risks associated with deleterious developments in this aspect of human activities as a part of the evolution of civilization.

Regardless of the opinions identified and described above, Shen (2013) believes that governments and companies are beginning to realize the criticality of preserving the natural environment and reducing the impact of civilization on it. According to this assumption, there is a growing awareness of the benefits of green supply chain management, which is connected to increased green consciousness. As a result, Shen (2013) lays stress on the interconnectedness of the two concepts, thus concluding that higher levels of green awareness are inseparable from the growing popularity of green supply chain management. From this perspective, the main recommendation is to implement as many changes as possible towards going green. Thus, it is recommended that organizations invest in greening according to their financial and human resources and increase the rate of transition to greening as they acquire additional resources.

In summary, some gaps can be noted in the current research of green supply chain management and its benefits, especially in the case of hospitals as a whole and the Australian healthcare sector in particular. To begin, opposing views exist regarding the subject under consideration. Moreover, the impact of greening on the healthcare sector has been poorly investigated. Having to build upon such a scanty foundation, it can be complicated to make proper conclusions regarding the effectiveness of the studied approach. Therefore, there is a need for additional research that would focus on the Australian healthcare sector and answer all questions related to risks, benefits and challenges.

As a result, the proposed research is both related to the existing knowledge and associated with theoretical and practical significance that lay stress on the minimization of different types of pollution as the foundation of greening (Purdy 2013; Vincente et al. 2015). As stated, pollution reduction is a minimal requirement of going green as well as the initial step in the transition to eco-friendliness. From this perspective, the research comprises significant potential value and connection to modern knowledge because it is developed and planned with respect to the central problem, which is environmental control measures. In terms of identified gaps, the value of the proposed research goes beyond mere control measures due to the additional focus on recycling and the effective allocation of resources. With that consideration, the study completely corresponds with the current and common knowledge of green supply chain management. In addition, it potentially contributes to the generation of new knowledge following the pursuit of a more comprehensive investigation of green supply chain management according to the recommendations of ISO 14001 and 9001. Furthermore, the study addresses new areas of research – the impact of greening and these standards on Melbourne public-sector hospitals, along with the challenges connected to implementing such changes.

Methodology

To answer the research questions properly, it is critical to select an appropriate research method. In the case of the proposed research, preference will be given to the combination of both qualitative and quantitative research – the so-called mixed method. Several reasons may be named for selecting this approach. First, the study is planned with the aim of addressing the risks and benefits of implementing green supply chain management. In this case, it is better to focus on both the financial and human aspects of the question. The financial aspect is commonly associated with a quantitative approach aimed at establishing cause-and-effect relationships. In particular, reviewing the financial reports of the selected public-sector hospital and identifying the main tendencies in environmental expenditures definitely reflects a quantitative aspect. With regard to the human aspect of the research, in order to estimate the benefits and challenges to the maximum possible extent, it is essential to understand the perception of greening among those who will be responsible for implementing this process: senior management, administration and ordinary hospital workers. Investigating the perceptions of respondents is a major characteristic of the qualitative approach.

However, it is imperative to understand why preference was given to the mixed research method. The proposed study is multidimensional in nature. This means that addressing the inquiry from a solely qualitative or quantitative perspective would not answer the research questions in a comprehensive, detailed and accurate manner. Nevertheless, the mixed approach offers other significant benefits. For instance, the combination of the two approaches can minimize risks to validity as a result of collecting data from different sources of information (Creswell 2013). Moreover, for the same reason, the chances of making relevant and accurate conclusions are higher (Thonon et al. 2015). In all, the mixed approach in research is a more comprehensive process because it provides the reader with a measure of freedom in choosing on which aspect to base his or her perception of the conclusions: qualitative or quantitative.

Ethics Approval

The main risks associated with this research are connected to the confidentiality of information (Beauchamp & Childress 2013), and this is true for both the quantitative and qualitative aspects of the study. To mitigate these risks, several steps will be taken. First, all financial data will be collected only after consultation with the senior management of the selected hospitals. Once they are informed about the aims and significance of the proposed study, they will be asked to sign the permission to grant access to the needed information. Here, the management should also be guaranteed that no unnecessary details will be included in the study, and no third persons will have access to the information. This strategy is essential for coping with confidentiality issues related to collecting and analyzing quantitative data.

With regard to qualitative data, the risks are even more significant. In this case, to address confidentiality issues as well as possible misinformation risks, all participants should be provided with any necessary and detailed descriptions of research aims and benefits. Once all of the respondents have been notified of the needed research details, they should be asked to sign consent forms (Foster 2013). In this case, participants should also be guaranteed anonymity, which means that their names and other personal information will not be mentioned in the study or shared with any third persons.

Finally, there are some risks connected to publishing and organizing the research process. First, it is essential to be sure that the hospital administration supports the research and its publication. This factor is connected with the risks of failing to complete the research and properly answer the research questions. To address this risk, it is critical to negotiate the right to carry out the research and publish the research findings before initiating communication with the workers in the selected hospital or collecting information about its performance (Sever 2017).

Research Development

To develop and successfully complete this research study, it is essential to possess certain skills. Some will already have been developed, while others should be elaborated. For instance, past experience in planning and conducting studies make it possible to conclude that satisfactory skills are in place with regard to academic writing and research development necessary to answer research questions and deliver a final version of the study. Furthermore, to cope with the aims of the research, it will be essential to work on refining interpersonal communication skills. Even in the case of an adequate level of communication skills, it remains necessary to further develop these skills to make it possible to select communication strategies that are appropriate for different categories of participants who are cooperating in the study: senior management, hospital administration and respondents. In addition, it is necessary to continue to work on critical thinking skills to facilitate accurate conclusions. Finally, it is of significant importance to learn to deploy the necessary quantitative and qualitative techniques because they are the foundation of proper research development and accurate conclusions.

Occupational Health and Occupation Risks

In the case of the given research, no health-related risks are involved, including physical, psychological and medical, for either the researcher or the respondents. This can be easily explained by the fact that no experiments, field investigations or laboratory tests are implied by the proposed research. Instead, some occupational risks may arise, specifically in the case of the respondents who are workers within the selected Melbourne public-sector hospital. In this case, the risks are connected with failing to fulfill job duties due to the necessity of communicating with the researcher. In addition, there are some cooperation risks – in other words, the risks of lawsuits because of misunderstanding during the research preparation stage. Finally, occupational risks are connected to failing to identify all critical aspects of the research and properly inform the respondents as well as hospital administration and senior management.

Conclusion

Rapid growth and the expansion of the healthcare sector are critical factors in the impact of operations in that sector on the natural environment. This can easily be explained by the fact that medical care is characterized by specific and environmentally dangerous materials and resources. Thus, hospitals commonly face increased expenses, and senior management will invariably seek ways to reduce such. The most responsible hospitals tend to work on diminishing the impact of hospital operations on the natural environment. This is commonly achieved by implementing green supply chain management, following ISO 14001 and 9001 to achieve the objectives found in both standards.

Based on the research details mentioned above and the main aims of the proposed study, it is of both practical and theoretical significance. In terms of practice, the study will potentially contribute to the improvement of hospital performance. The introduction of ISO 14001 and 9001 commonly leads to the reduction of expenditures, leading to an increase in efficiency because these resources can be reallocated and invested in green innovation. In terms of addressing all research questions properly and in detail, the practical value of the research cannot be underestimated. In particular, it will be beneficial for designing a model for implementing green supply chain management in Melbourne public-sector hospitals, in addition to offering strategies for making this model operational. As a result, the developed model can be used not only by the hospitals under consideration but also other hospitals in Australia and around the globe, as well as companies and organizations that operate in other industries and sectors. In other words, the model to be developed can be deployed as a practical and theoretical framework for other organizations. In addition, the research is of significant theoretical significance as it will help in coping with existing gaps and will contribute to the generation of new knowledge.

Budget

In the initial stages of creating a research proposal, it can be complicated to identify all the resources necessary for completing the study, especially those of a financial nature. Nevertheless, it is still possible to categorize resources into several groups. The first, intellectual resources, comprises all the skills that were mentioned in the research development section. These are critical because these resources are the foundation of successful research completion and making accurate conclusions. Another group of resources covers financial expenses, which incorporates spending for access to online and ordinary libraries, purchasing necessary reports, books and articles and preparing necessary presentations. In addition, completing work on a thesis requires participation in a conference and publishing research findings. To achieve this objective, further financial resources are necessary. The final stages of working on the thesis may be associated with the need to pay special attention to cooperation with editors and proofreaders, another possible source of expenditure. In all, the preliminary budget of $10,000 is assumed to be enough to cover all the abovementioned expenses. However, the budget is not fixed, and funds can be added in the case of necessity.

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