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274    Cha pte r  F o u r tee n

               contractors collect, process, and recycle or dispose of the products,
               while protecting patient confidentiality and privacy. This provides a
               valued service to patients and communities, while ensuring envi-
               ronmentally responsible waste treatment. Building on the original
               initiative, Baxter recently launched a similar pilot program for renal
               products supplied to home patients. Due to the success of this pilot,
               beginning in 2008 the company will offer waste-collection service to
               all renal home patients in Ireland. The two programs will benefit
               approximately 600 customers and recover about two metric tons of
               waste annually.

               Integrated “Lean and Clean” Engineering
               Baxter has been a leader in applying “lean” principles and Six Sigma
               statistical engineering tools to its environmental programs. Baxter’s
               approach is to integrate environmental, health, and safety (EHS) exper-
               tise into Lean manufacturing initiatives to prevent negative environ-
               mental consequences and to identify opportunities for environmental
               improvement—known as “Lean and Clean.” The approach includes
                    •  Modifying traditional Lean tools, such as value-stream maps,
                      by adding environmental aspects
                    •  Applying Lean tools to such EHS processes as wastewater
                      treatment to drive efficiencies
                    •  Integrating traditional pollution-prevention techniques into
                      Lean and Clean tools to provide a systematic way of finding
                      opportunities.
                   For example, at Baxter’s facility in Waluj, India, a Lean exercise
               that focused on water usage helped reduce wastewater effluent by
               40%. The U.S. Environmental Protection Agency (EPA) has requested
               Baxter’s help to help build a Lean/Six Sigma toolkit for businesses to
               use in integrating Lean principles into EH&S initiatives.
                   Baxter also is focused on the Lean and environmental performance
               of its suppliers. Through its activities with the Green Sup  pliers Net-
               work, U.S. EPA, and the U.S. Department of Commerce collaboration
               with private industry, Baxter urges its suppliers to be trained in Lean

               and Clean manufacturing, which creates opportu nities for greater effi-
               ciency, cost savings, and waste- and resource-reduction.

          Eli Lilly and Company: Reducing the Environmental
                   Footprint
               Environmental Achievements and Goals
               Eli Lilly and Company (Lilly), founded in 1876, is a leading pharma-
               ceutical and biotechnology company with products focused around
               diabetes/endocrine/osteoporosis care, neuroscience, oncology, and
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