EN-VISION

Hospitals are among the largest contributors to environmental damage, and improving sustainability there is now a health-policy priority. Traditionally driven by top-down energy, waste and water initiatives, true transformation also requires bottom-up engagement: empowering frontline staff to co-design and adopt frugal, high-impact changes. EN-VISION brings together decision scientists and hospital professionals to develop such participatory, multicriteria tools. By combining top-down frameworks with grassroots insights, we aim to embed environmental stewardship into everyday clinical and operational decisions. The research objectives are: 

 • Identify and synthesize existing sustainability initiatives in hospital settings, their evaluation methods and impacts.

 • Co-design novel participatory tools with staff to promote actionable, bottom-up environmental measures.

 • Model synergistic and competing hospital initiatives across dimensions of benefits, risks, costs and feasibility.

 • Analyze combinations of initiatives that yield the highest value-for-money under resource constraints.

 • Integrate findings i

nto a decision-support framework and complementary educational course for hospital stakeholders