Potential for industrial ecology to support healthcare sustainability: Scoping review of a fragmented literature and conceptual framework for future research

Healthcare is a critical service sector with a sizable environmental footprint from both direct activities and the indirect emissions of related products and infrastructure. As in all other sectors, the “inside‐out” environmental impacts of healthcare (e.g., from greenhouse gas emissions, smog‐forming emissions, and acidifying emissions) are harmful to public health. The environmental footprint of healthcare is subject to upward pressure from several factors, including the expansion of healthcare services in developing economies, global population growth, and aging demographics. These factors are compounded by the deployment of increasingly sophisticated medical procedures, equipment, and technologies that are energy‐ and resource‐intensive. From an “outside‐in” perspective, on the other hand, healthcare systems are increasingly susceptible to the effects of climate change, limited resource access, and other external influences. We conducted a comprehensive scoping review of the existing literature on environmental issues and other sustainability aspects in healthcare, based on a representative sample from over 1,700 articles published between 1987 and 2017. To guide our review of this fragmented literature, and to build a conceptual foundation for future research, we developed an industrial ecology framework for healthcare sustainability. Our framework conceptualizes the healthcare sector as comprising “foreground systems” of healthcare service delivery that are dependent on “background product systems.” By mapping the existing literature onto our framework, we highlight largely untapped opportunities for the industrial ecology community to use “top‐down” and “bottom‐up” approaches to build an evidence base for healthcare sustainability.     

Theoretical exploration for the combination of the ecological,energy, carbon,and water footprints: Overview of a footprint family

Over the past two decades, a continuously expanding list of footprint-style indicators has been introduced to the scientific community with the aim of raising public awareness of how humanity exerts pressures on the environment. A deeper understanding of the connections and interactions between different footprints is required in an attempt to support policy makers in the measurement and choice of environmental impact mitigation strategies. Combining a selection of footprints that address different aspects of environmental issues into an integrated system is, therefore, a natural step. This paper starts with the idea of developing a footprint family from which most important footprints can be compared and integrated. On the basis of literature review in related fields, the ecological, energy, carbon, and water footprints are employed as selected indicators to define a footprint family. A brief survey is presented to provide background information on each of the footprints with an emphasis on their main characteristics in a comparative sense; that is, the footprints differ in many aspects more than just the impacts they are addressed. This allows the four footprints to be complementarily used in assessing environmental impacts associated with natural resource use and waste discharge. We evaluate the performance of the footprint family in terms of data availability, coverage complementarity, methodological consistency, and policy relevance and propose solutions and suggestions for further improvement. The key conclusions are that the footprint family, which captures a broad spectrum of sustainability issues, is able to offer a more complete picture of environmental complexity for policy makers and, in particular, in national-level studies. The research provides new insights into the distinction between environmental impact assessment and sustainability evaluation, properly serving as a reference for multidisciplinary efforts in estimating planetary boundaries for global sustainability.     

International inequality of environmental pressures: Decomposition and comparative analysis

Natural resource scarcity is no longer merely a remote possibility and governments increasingly seek information about the global distribution of resource use and related environmental pressures. This paper presents an international distributional analysis of natural resource use indicators. These encompass both territorial (national production) and footprint (national consumption) indicators for land-related pressures (human appropriation of net primary production, HANPP, and embodied HANPP), for material use (domestic material extraction and consumption and material footprint), and for carbon emissions (territorial carbon emissions and carbon footprints). Our main question is “What, both from a territorial and a footprint perspective, are the main driving factors of international environmental inequality?”. We show that, for the environmental indicators we studied, inequality tends to be higher for footprint indicators than for territorial ones. The exception is land use intensity (as measured by HANPP), for which geographical drivers mainly determine the distribution pattern. The international distribution of material consumption is mainly a result of economic drivers whereas, for domestic extraction, demographic drivers can explain almost half of the distribution pattern. Finally, carbon emissions are the environmental pressure that shows the highest international inequality because of the larger contribution of economic drivers.     

足迹家族:概念、类型、理论框架与整合模式

足迹研究是当前生态经济学和可持续发展领域的热点与前沿课题。探讨了足迹类指标的内涵,将其定义为一类评估人类资源消费和废弃物排放等活动环境影响的指标;介绍了生态足迹、碳足迹、水足迹、能源足迹、化学足迹、氮足迹和生物多样性足迹7类典型足迹指标的概念与研究进展;在此基础上提出了普适性的足迹家族概念,总结了足迹家族的选择性、开放性、系统性和不确定性特征,并根据足迹类指标的一般运算流程构建了足迹家族的理论框架;基于大量文献成果系统比较了生态足迹、碳足迹和水足迹3类关键足迹的特征差异,提出了在足迹家族层面增强指标兼容性的措施;通过逐一测试各关键足迹与27项环境问题的相关程度,从决策相关性的角度初步探索了该足迹家族的整合模式;展望了未来足迹(家族)研究的重点方向。     

Meta-performance evaluation of sustainability indicators

There are many different kinds of frameworks for evaluating environmental and sustainability performance at the organizational level (profit or not-for-profit, private or public), sectoral level (e.g. industry, transport, agriculture and tourism), and local, regional or country levels. Despite the diversity of methods and tools to measure sustainable development, indicators are one of the approaches most used. However, these tools do not usually include evaluation of the performance measurement instrument itself. The main objective of this research is to develop a conceptual framework to design and assess the effectiveness of the sustainability indicators themselves. To put the proposed tool into practice, a set of key good-practice factors and meta-performance evaluation indicators is proposed for adoption in a national case study—the national sustainable development indicators system, SIDS Portugal, and the usefulness of this methodology is demonstrated. This approach aims to evaluate how appropriate a set of sustainability indicators is and allow an evaluation of overall performance-monitoring activities and results. Stakeholder involvement is an essential component of the proposed framework. The tool developed could support continuous improvement in the performance of ongoing sustainability indicator initiatives, allowing greater guidance, objectivity and transparency in sustainability assessment processes.     

Measuring Progress towards a Circular Economy: A Monitoring Framework for Economy‐wide Material Loop Closing in the EU28

The concept of a circular economy (CE) is gaining increasing attention from policy makers, industry, and academia. There is a rapidly evolving debate on definitions, limitations, the contribution to a wider sustainability agenda, and a need for indicators to assess the effectiveness of circular economy measures at larger scales. Herein, we present a framework for a comprehensive and economy‐wide biophysical assessment of a CE, utilizing and systematically linking official statistics on resource extraction and use and waste flows in a mass‐balanced approach. This framework builds on the widely applied framework of economy‐wide material flow accounting and expands it by integrating waste flows, recycling, and downcycled materials. We propose a comprehensive set of indicators that measure the scale and circularity of total material and waste flows and their socioeconomic and ecological loop closing. We applied this framework in the context of monitoring efforts for a CE in the European Union (EU28) for the year 2014. We found that 7.4 gigatons (Gt) of materials were processed in the EU and only 0.71 Gt of them were secondary materials. The derived input socioeconomic cycling rate of materials was therefore 9.6%. Further, of the 4.8 Gt of interim output flows, 14.8% were recycled or downcycled. Based on these findings and our first efforts in assessing sensitivity of the framework, a number of improvements are deemed necessary: improved reporting of wastes, explicit modeling of societal in‐use stocks, introduction of criteria for ecological cycling, and disaggregated mass‐based indicators to evaluate environmental impacts of different materials and circularity initiatives. This article met the requirements for a gold – gold JIE data openness badge described at http://jie.click/badges .     

Absolute versus Relative Environmental Sustainability

The cradle‐to‐cradle (C2C) concept has emerged as an alternative to the more established eco‐efficiency concept based on life cycle assessment (LCA). The two concepts differ fundamentally in that eco‐efficiency aims to reduce the negative environmental footprint of human activities while C2C attempts to increase the positive footprint. This article discusses the strengths and weaknesses of each concept and suggests how they may learn from each other. The eco‐efficiency concept involves no long‐term vision or strategy, the links between resource consumption and waste emissions are not well related to the sustainability state, and increases in eco‐efficiency may lead to increases in consumption levels and hence overall impact. The C2C concept's disregard for energy efficiency means that many current C2C products will likely not perform well in an LCA. Inherent drawbacks are restrictions on the development of new materials posed by the ambition of continuous loop recycling, the perception that human interactions with nature can benefit all parts of all ecosystems, and the hinted compatibility with continued economic growth. Practitioners of eco‐efficiency can benefit from the visions of C2C to avoid a narrow‐minded focus on the eco‐efficiency of products that are inherently unsustainable. Moreover, resource efficiency and positive environmental effects could be included more strongly in LCA. Practitioners of C2C on the other hand should recognize the value of LCA in addressing trade‐offs between resource conservation and energy use. Also, when designing a “healthy emission” it should be recognized that it will often have an adverse effect on parts of the exposed ecosystem.     

Tracking resource use relative to planetary boundaries in a steady-state framework: A case study of Canada and Spain

There is a growing understanding of the biophysical processes that regulate the stability of the Earth-system, yet human pressures on the planet continue to increase rapidly. Here, recent advances in defining Earth-system thresholds using the planetary boundaries framework are translated down to national and sub-national levels. A set of 10 indicators is developed in a biophysical accounting framework that links the sustainability of resource flows from the biosphere to final consumption. The indicator set includes three measures of physical stocks, three measures of aggregate resource consumption, and four indicators of sustainable scale. The four scale indicators are ratios of (i) cumulative carbon footprint relative to carbon budget, (ii) nutrient use relative to biogeochemical boundaries, (iii) blue water consumption relative to monthly basin-level availability, and (iv) land footprint relative to biocapacity. Taken together, the indicators measure how close high-consuming societies are to meeting the conditions of a “steady-state economy”, defined here as an economy with non-growing physical stocks and flows maintained within shares of planetary boundaries. The framework is applied over a 15-year period to the economies of Canada and Spain, along with two sub-national regions (Nova Scotia and Andalusia). Nova Scotia is the only study site experiencing stable or decreasing biophysical stocks and flows. None of the study sites are consuming resources within their shares of all four planetary boundaries. Overall, the set of indicators provides guidance for prioritizing which environmental pressures need to decline (and by how much) for societies to be more effective stewards of Earth-system stability.     

Socioeconomic indicators for sustainable design and commercial development of algal biofuel systems

Social and economic indicators can be used to support design of sustainable energy systems. Indicators representing categories of social well‐being, energy security, external trade, profitability, resource conservation, and social acceptability have not yet been measured in published sustainability assessments for commercial algal biofuel facilities. We review socioeconomic indicators that have been modeled at the commercial scale or measured at the pilot or laboratory scale, as well as factors that affect them, and discuss additional indicators that should be measured during commercialization to form a more complete picture of socioeconomic sustainability of algal biofuels. Indicators estimated in the scientific literature include the profitability indicators, return on investment (ROI) and net present value (NPV), and the resource conservation indicator, fossil energy return on investment (EROI). These modeled indicators have clear sustainability targets and have been used to design sustainable algal biofuel systems. Factors affecting ROI, NPV, and EROI include infrastructure, process choices, and financial assumptions. The food security indicator, percent change in food price volatility, is probably zero where agricultural lands are not used for production of algae‐based biofuels; however, food‐related coproducts from algae could enhance food security. The energy security indicators energy security premium and fuel price volatility and external trade indicators terms of trade and trade volume cannot be projected into the future with accuracy prior to commercialization. Together with environmental sustainability indicators, the use of a suite of socioeconomic sustainability indicators should contribute to progress toward sustainability of algal biofuels.     

Indicators for assessing socioeconomic sustainability of bioenergy systems: A short list of practical measures

Indicators are needed to assess both socioeconomic and environmental sustainability of bioenergy systems. Effective indicators can help to identify and quantify the sustainability attributes of bioenergy options. We identify 16 socioeconomic indicators that fall into the categories of social well-being, energy security, trade, profitability, resource conservation, and social acceptability. The suite of indicators is predicated on the existence of basic institutional frameworks to provide governance, legal, regulatory and enforcement services. Indicators were selected to be practical, sensitive to stresses, unambiguous, anticipatory, predictive, estimable with known variability, and sufficient when considered collectively. The utility of each indicator, methods for its measurement, and applications appropriate for the context of particular bioenergy systems are described along with future research needs. Together, this suite of indicators is hypothesized to reflect major socioeconomic effects of the full supply chain for bioenergy, including feedstock production and logistics, conversion to biofuels, biofuel logistics and biofuel end uses. Ten indicators are highlighted as a minimum set of practical measures of socioeconomic aspects of bioenergy sustainability. Coupled with locally prioritized environmental indicators, we propose that these socioeconomic indicators can provide a basis to quantify and evaluate sustainability of bioenergy systems across many regions in which they will be deployed.     

Natural and socioeconomic determinants of the embodied human appropriation of net primary production and its relation to other resource use indicators

Indicators of resource use such as material and energy flow accounts, emission data and the ecological footprint inform societies about their performance by evaluating resource use efficiency and the effectiveness of sustainability policies. The human appropriation of net primary production (HANPP) is an indicator of land-use intensity on each nation's territory used in research as well as in environmental reports. ‘Embodied HANPP’ (eHANPP) measures the HANPP anywhere on earth resulting from a nation's domestic biomass consumption. The objectives of this article are (i) to study the relation between eHANPP and other resource use indicators and (ii) to analyse socioeconomic and natural determinants of global eHANPP patterns in the year 2000. We discuss a statistical analysis of >140 countries aiming to better understand these relationships. We found that indicators of material and energy throughput, fossil-energy related CO₂ emissions as well as the ecological footprint are highly correlated with each other as well as with GDP, while eHANPP is neither correlated with other resource use indicators nor with GDP, despite a strong correlation between final biomass consumption and GDP. This can be explained by improvements in agricultural efficiency associated with GDP growth. Only about half of the variation in eHANPP can be explained by differences in national land-use systems, suggesting a considerable influence of trade on eHANPP patterns. eHANPP related with biomass trade can largely be explained by differences in natural endowment, in particular the availability of productive area. We conclude that eHANPP can deliver important complimentary information to indicators that primarily monitor socioeconomic metabolism.     

Lessons,narratives, and research directions for a sustainable circular economy

The current enthusiasm for the circular economy (CE) offers a unique opportunity to advance the impact of research on sustainability transitions. Diverse interpretations of CE by scholars, however, produce partly opposing assessments of its potential benefits, which can hinder progress. Here, we synthesize policy-relevant lessons and research directions for a sustainable CE and identify three narratives—optimist, reformist, and skeptical—that underpin the ambiguity in CE assessments. Based on 54 key CE scholars’ insights, we identify three research needs: the articulation and discussion of ontologically distinct CE narratives; bridging of technical, managerial, socio-economic, environmental, and political CE perspectives; and critical assessment of opportunities and limits of CE science–policy interactions. Our findings offer practical guidance for scholars to engage reflexively with the rapid expansion of CE knowledge, identify and pursue high-impact research directions, and communicate more effectively with practitioners and policymakers.     

Indicators to support environmental sustainability of bioenergy systems

Indicators are needed to assess environmental sustainability of bioenergy systems. Effective indicators will help in the quantification of benefits and costs of bioenergy options and resource uses. We identify 19 measurable indicators for soil quality, water quality and quantity, greenhouse gases, biodiversity, air quality, and productivity, building on existing knowledge and on national and international programs that are seeking ways to assess sustainable bioenergy. Together, this suite of indicators is hypothesized to reflect major environmental effects of diverse feedstocks, management practices, and post-production processes. The importance of each indicator is identified. Future research relating to this indicator suite is discussed, including field testing, target establishment, and application to particular bioenergy systems. Coupled with such efforts, we envision that this indicator suite can serve as a basis for the practical evaluation of environmental sustainability in a variety of bioenergy systems.     

Monitoring the sustainability and equity of socioeconomic development: A comparison of emergy indices using Macao, Italy and Sweden as examples

The concept of sustainability involves factors related to society, economy, and ecology. The modern context of sustainability also includes a requirement for equitable consumption of materials and energy to sustain the quality of life while still protecting the environment. To evaluate the environmental sustainability of socioeconomic activities, emergy (embodied energy) is an important tool because it can measure real wealth by accounting for both natural and socioeconomic flows using a common set of units. However, different emergy indices provide different insights, and not all are equally suitable for every situation. Using traditional emergy-based indices, an integrated environmental sustainability index (ESI), and two measures of emergy storage, we analyzed emergy flows and related indices for three typical human-influenced ecosystems: those of Macao, Italy, and Sweden. The performance of each ecosystem was compared using several emergy-based indices to assess their levels of sustainable development and demonstrate how different indices provide different insights. Based on the principle that equitability is an essential component of sustainability, we suggest that a positive and low net emergy ratio is desirable, since this means that the system does not capture excessive amounts of resources from external systems and thereby damage its external life-support systems.     

A Comprehensive Material Flow Account for Lao PDR to Inform Environmental and Sustainability Policy

Modern environmental and sustainability policy that acknowledges the linkages between socioeconomic processes and environmental pressures and impacts, and designs policies to decouple economic activity from environmental pressures and impacts, requires a sophisticated and comprehensive knowledge base. The concept of industrial metabolism provides a sound conceptual base, and material flow accounting—including primary material inputs and outflows of waste and emissions—provides a well‐accepted operationalization. Studies presenting a comprehensive material flow account for a national economy are rare, especially for developing countries. Countries such as Lao People's Democratic Republic (Lao PDR or Laos) face dual objectives of improving the material standard of living of their people while managing natural resources sustainably and mitigating adverse environmental impacts from growing resource throughput. Our research fills a knowledge gap, presents a comprehensive account of material inputs and outflows of waste and emissions for the Lao PDR national economy, and applies the accounting approach for a low‐income economy in Asia. We present a material balance for the years 2000 and 2015. For this research, we used data from Lao PDR national statistics and the accounting guidelines of the European Statistical Office (Eurostat), which pioneered the use of material flow data as part of its official statistical reporting. We demonstrate the feasibility of the accounting approach and discuss the robustness of results using uncertainty analysis conducted with statistical approaches commonly used in the field of industrial ecology, including Gauss's law of error propagation and Monte Carlo simulation. We find that the fast‐changing scale and composition of Lao PDR material flows, waste, and emissions presents challenges to the existing policy capacity and will require investment into governance of changed patterns of material use, waste disposal, and emissions. We consider the data analysis sufficiently robust to inform such a change in policy direction.     

The Water Impact Index: a simplified single-indicator approach for water footprinting

Purpose

Along with climate change-related issues, improved water management is recognized as one of the major challenges to sustainability. However, there are still no commonly accepted methods for measuring sustainability of water uses, resulting in a recent proliferation of water footprint methodologies. The Water Impact Index presented in this paper aims to integrate the issues of volume, scarcity and quality into a single indicator to assess the reduction of available water for the environment induced by freshwater uses for human activities.

Methods

The Water Impact Index follows life cycle thinking principles. For each unit process, a volumetric water balance is performed; water flows crossing the boundaries between the techno-sphere and environment are multiplied by a water quality index and a water scarcity index. The methodology is illustrated on the current municipal wastewater management system of Milan (Italy). The Water Impact Index is combined with carbon footprint to introduce multi-impact thinking to decision makers. The Water Impact Index is further compared to results obtained using a set of three life cycle impact indicators related to water, from the ReCiPe life cycle impact assessment (LCIA) methodology.

Results and discussion

Onsite water use is the main contribution to the Water Impact Index for both wastewater management schemes. The release of better quality water is the main driver in favour of the scenario including a wastewater treatment plant, while the energy and chemicals consumed for the treatment increase the indirect water footprint and carbon footprint. Results obtained with the three midpoint indicators depict similar tendencies to the Water Impact Index.

Conclusions

This paper presents a simplified single-indicator approach for water footprinting, integrating volume, scarcity and quality issues, representing an initial step toward a better understanding and assessment of the environmental impacts of human activities on water resources. The wastewater treatment plant reduces the Water Impact Index of the wastewater management system. These results are consistent with the profile of the three midpoint indicators related to water from ReCiPe.     

Trade, Materials Flows, and Economic Development in the South: The Example of Chile

Materials flow analysis (MFA) is internationally recognized as a key tool to assess the biophysical metabolism of societies and to provide aggregated indicators for environmental pressures of human activities. Economy-wide MFAs have been compiled for a number of Organisation for Economic Cooperation and Development (OECD) countries, but so far very few studies exist for countries in the South. In this article, the first materials-flow-based indicators for Chile are presented. The article analyzes the restructuring of the Chilean economy toward an active integration in the world markets from the perspective of natural resource use in a time series from 1973 to 2000. Special emphasis is placed on the assessment of materials flows related to Chile's international trade relations. Results show that material inputs to the Chilean economy increased by a factor of 6, mainly as a result of the promotion of resource-intensive exports from the mining, fruit growing, forestry, and fishery sectors. At more than 40 tons, Chile's resource use per capita at present is one of the highest in the world. The article addresses the main shortcomings of the MFA approach, such as weightbased aggregation and the missing links between environmental pressures and impacts, and gives suggestions for methodological improvements and possible extensions of the MFA framework, with the intent of developing MFA into a more powerful tool for policy use.     

Environmental and resource burdens associated with world biofuel production out to 2050: footprint components from carbon emissions and land use to waste arisings and water consumption

Environmental or ‘ecological’ footprints have been widely used in recent years as indicators of resource consumption and waste absorption presented in terms of biologically productive land area [in global hectares (gha)] required per capita with prevailing technology. In contrast, ‘carbon footprints’ are the amount of carbon (or carbon dioxide equivalent) emissions for such activities in units of mass or weight (like kilograms per functional unit), but can be translated into a component of the environmental footprint (on a gha basis). The carbon and environmental footprints associated with the world production of liquid biofuels have been computed for the period 2010–2050. Estimates of future global biofuel production were adopted from the 2011 International Energy Agency (IEA) ‘technology roadmap’ for transport biofuels. This suggests that, although first generation biofuels will dominate the market up to 2020, advanced or second generation biofuels might constitute some 75% of biofuel production by 2050. The overall environmental footprint was estimated to be 0.29 billion (bn) gha in 2010 and is likely to grow to around 2.57 bn gha by 2050. It was then disaggregated into various components: bioproductive land, built land, carbon emissions, embodied energy, materials and waste, transport, and water consumption. This component‐based approach has enabled the examination of the Manufactured and Natural Capital elements of the ‘four capitals’ model of sustainability quite broadly, along with specific issues (such as the linkages associated with the so‐called energy–land–water nexus). Bioproductive land use was found to exhibit the largest footprint component (a 48% share in 2050), followed by the carbon footprint (23%), embodied energy (16%), and then the water footprint (9%). Footprint components related to built land, transport and waste arisings were all found to account for an insignificant proportion to the overall environmental footprint, together amounting to only about 2%     

The Ecological Footprint Intensity of National Economies

At least three perspectives—industrial ecology (IE), ecological modernization theory (EMT), and the “environmental Kuznets curve” (EKC)—emphasize the potential for sustainability via refinements in production systems that dramatically reduce the environmental impacts of economic development. Can improvements in efficiency counterbalance environmental impacts stemming from the scale of production? To address this question we analyze cross‐national variation in the ecological footprint (EF) per unit of gross domestic product (GDP). The EF is a widely recognized indicator of human pressure on the environment. The EF of a nation is the amount of land area that would be required to produce the resources it consumes and to absorb the wastes it generates. The most striking finding of our analyses is that there is limited variation across nations in EF per unit of GDP. This indicates limited plasticity in the levels of EF intensity or eco‐efficiency among nations, particularly among affluent nations. EF intensity is lowest (ecoefficiency is highest) in affluent nations, but the level of efficiency in these nations does not appear to be of sufficient magnitude to compensate for their large productive capacities. These results suggest that modernization and economic development will be insufficient, in themselves, to bring about the ecological sustainability of societies.     

Insights on the Use of Hybrid Life Cycle Assessment for Environmental Footprinting

Establishing a comprehensive environmental footprint that indicates resource use and environmental release hotspots in both direct and indirect operations can help companies formulate impact reduction strategies as part of overall sustainability efforts. Life cycle assessment (LCA) is a useful approach for achieving these objectives. For most companies, financial data are more readily available than material and energy quantities, which suggests a hybrid LCA approach that emphasizes use of economic input‐output (EIO) LCA and process‐based energy and material flow models to frame and develop life cycle emission inventories resulting from company activities. We apply a hybrid LCA framework to an inland marine transportation company that transports bulk commodities within the United States. The analysis focuses on global warming potential, acidification, particulate matter emissions, eutrophication, ozone depletion, and water use. The results show that emissions of greenhouse gases, sulfur, and particulate matter are mainly from direct activities but that supply chain impacts are also significant, particularly in terms of water use. Hotspots were identified in the production, distribution, and use of fuel; the manufacturing, maintenance, and repair of boats and barges; food production; personnel air transport; and solid waste disposal. Results from the case study demonstrate that the aforementioned footprinting framework can provide a sufficiently reliable and comprehensive baseline for a company to formulate, measure, and monitor its efforts to reduce environmental impacts from internal and supply chain operations.