What we offer

Comprehensive or targeted — your choice

Carbon Stewardship Solutions partners with hospitals, ASCs, and health systems to measure, reduce, and document emissions across the enterprise. Whether you’re looking for end-to-end sustainability support or targeted expertise in a specific area, we meet you where you are — with anesthesia as our flagship specialty and Carbon Accounting as our foundation.

Our services

Six ways we help you get to net zero

Every engagement is patient-safe, clinician-tested, and built around real cost savings — not theory.

01

Baseline assessment & Carbon Accounting

We start every engagement by establishing a rigorous, defensible emissions baseline — the foundation every subsequent reduction, offset, and compliance decision is built on.

  • Facility-wide and provider-level emissions baseline measurement and Carbon Accounting
  • Institutional CO₂e reporting and Carbon Accounting documentation
  • Quarterly Carbon Accounting reports for actionable clinician engagement
  • Annual external compliance reports for regulatory bodies
Ideal for: facilities starting their sustainability journey
02

EMR integration

Real-time visibility turns emissions reduction from an annual report into a live operational metric your team can act on.

  • EMR-based data assessments to track emissions by department, service line, and provider in real time
  • Live performance tracking with actionable metrics reporting
  • Quarterly Carbon Accounting reports
  • Integration with existing hospital EMR systems — no workflow disruption
Ideal for: facilities ready to operationalize sustainability data
03

Clinician & provider education and peer mentoring

Change happens at the bedside. Our education is delivered by a practicing clinician who has personally implemented every recommendation in the OR — not a consultant reading from a slide deck.

  • Succinct, easily completed education for all clinicians
  • Peer-to-peer coaching and provider education from a practicing clinician with real-world sustainability experience
  • Engagement with bedside clinicians, OR and practice managers, and C-suite executives
Ideal for: driving clinician buy-in and adoption
04

Supply chain responsibility

Reducing emissions and reducing exposure to supply chain disruption often go hand in hand — especially where pharmaceutical and medical gas sourcing is concerned.

  • Guidance on responsible sourcing of pharmaceuticals, medical supplies, and anesthetic agents to reduce supply chain emissions
  • Strategies to reduce dependency on high-emissions products and agents vulnerable to supply chain disruptions
  • Supply chain resilience planning
  • Point-of-care nitrous oxide transition to eliminate pipeline waste and improve reliability
Ideal for: facilities with aging or leaking N₂O pipeline systems
05

Emissions offset credit sourcing

For emissions that can't safely be eliminated, we source only healthcare-grade offset credits — vetted to avoid the greenwashing common in the broader offset market.

  • Curated healthcare-grade emissions offset credits only
  • Sourced from audited U.S. regenerative agriculture operations
  • Avoids greenwashing: no over-crediting, no double-counting
  • Supports American family farms and rural sustainability
Ideal for: offsetting residual, unavoidable emissions
06

Regulatory compliance & documentation

"It didn't happen if you didn't document it." We keep you ahead of CMS, ACHC, and TJC requirements with survey-ready documentation.

  • CMS, ACHC, and TJC compliance guidance
  • Survey readiness: Carbon Accounting reports and policy development
  • External compliance and institutional emissions reporting
  • Medical gas system assessments and decommissioning coordination, including nitrous oxide pipelines
Ideal for: facilities preparing for TJC or ACHC survey

How we work

A simple path to getting started

Every engagement is scoped to your facility’s priorities — whether that’s a single service or the full program.

1

Discovery & baseline

We start with a discovery call to understand your priorities, followed by a facility-wide or targeted emissions baseline assessment.

2

Customized plan

Based on your baseline and goals, we build a scoped plan — comprehensive or targeted — with clear milestones and expected cost impact.

3

Implementation & reporting

We work alongside your clinicians and staff to implement changes, then document outcomes with quarterly Carbon Accounting reports and annual compliance reporting.

Ready to talk through which services fit your facility?

Carbon Stewardship Solutions works with individual clinicians, anesthesia groups, and healthcare systems. All methods are patient-safe, clinician-tested, and cost-effective.

Get in touch