{
  "abstract": "Climate change poses a growing threat to U.S. healthcare systems, which are uniquely positioned to mitigate its impacts while addressing their own greenhouse gas emissions from energy use, supply chains, clinical operations, and waste. Clinical informaticists can advance mitigation by integrating environmental data into health system operations and decision-making. Tracking emissions across scopes enables data-informed strategies, while frameworks such as I-CLIMATE and One Digital Health can help coordinate disparate data streams and reduce healthcare's environmental impact. Integrated dashboards can support renewable energy adoption, energy efficiency, and operational decision-making, while telehealth can reduce transportation-related emissions. Artificial intelligence may also reduce resource use when applied judiciously through narrowly scoped, task-specific models, with frameworks such as SAHAI guiding sustainable implementation. Financial approaches such as New York University's Return on Sustainability Investment framework can quantify the financial value of decarbonization initiatives. Effective governance, including vertical alignment and horizontal integration, is essential to operationalizing these strategies. Emerging opportunities include climate-conscious hardware design and carbon accounting applications. Ultimately, informatics can provide the data, tools, and governance infrastructure needed to translate climate mitigation goals into measurable health system action and establish carbon neutrality as an organizational performance priority.",
  "abstract_shown": true,
  "affiliations": [
    "Hunterdon Medical Center, Flemington, NJ, USA. mostafabalbouleras@gmail.com.",
    "Rochester Regional Health, Rochester, NY, USA. mostafabalbouleras@gmail.com.",
    "Department of Medicine, Division of Occupational and Environmental Medicine, UC Irvine School of Medicine, Irvine, CA, USA.",
    "Department of Environmental and Occupational Health, Joe C. Wen School of Population and Public Health, University of California, Irvine, CA, USA.",
    "University of California Center for Climate, Health and Equity, Oakland, CA, USA.",
    "Health Informatics, University of North Carolina at Charlotte, Charlotte, NC, USA.",
    "Department of Biomedical Informatics, Biostatistics, and Medical Epidemiology, University of Missouri School of Medicine, Columbia, MI, USA.",
    "Truman School of Government and Public Affairs, University of Missouri, Columbia, MI, USA.",
    "Department of Biomedical Engineering, Duke University, Durham, NC, USA.",
    "Department of Biomedical Informatics, University at Buffalo, Buffalo, NY, USA.",
    "School of Computing and Informatics, University of Louisiana at Lafayette, Lafayette, LA, USA.",
    "School of Nursing and Midwifery and Health and Climate Initiative, Monash University, Clayton, VIC, Australia.",
    "Health Tech Hub, Cornell Tech, Cornell University, New York, NY, USA.",
    "Department of Pediatrics, Weill Cornell Medicine, Cornell University, New York, NY, USA.",
    "Department of Biomedical and Health Informatics, University of Missouri-Kansas City, Kansas City, MI, USA.",
    "Department of Internal Medicine, St. Luke's University Health Network, Easton, PA, USA.",
    "Center for Biomedical Informatics, Regenstrief Institute, Inc., Indianapolis, IN, USA.",
    "Division of General Internal Medicine and Geriatrics, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 12,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Mostafa Balboul"
    },
    {
      "affs": [
        2,
        3,
        4
      ],
      "name": "Manijeh Berenji"
    },
    {
      "affs": [
        5
      ],
      "name": "Asma Jahan Pathan"
    },
    {
      "affs": [
        6,
        7
      ],
      "name": "Muhammad Muinul Islam"
    },
    {
      "affs": [
        8,
        9
      ],
      "name": "Arriel Benis",
      "orcid": "0000-0002-9125-8300"
    },
    {
      "affs": [
        10
      ],
      "name": "Beenish Chaudry"
    },
    {
      "affs": [
        11
      ],
      "name": "Zerina Lokmic-Tomkins"
    },
    {
      "affs": [
        12,
        13
      ],
      "name": "Chethan Sarabu"
    },
    {
      "affs": [
        14
      ],
      "name": "Prerna Dua"
    },
    {
      "affs": [
        10
      ],
      "name": "Md Shafiur Raihan Shafi"
    },
    {
      "affs": [
        15
      ],
      "name": "Sarah Balboul"
    },
    {
      "affs": [
        16,
        17
      ],
      "name": "Titus Schleyer"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6ha43g02w0cqf.bib",
  "cited_by": 0,
  "doi": "10.1038/s44401-026-00157-1",
  "fulltext_url": "https://europepmc.org/articles/PMC13687103",
  "id": "6ha43g02w0cqf",
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    "3005-1959"
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  "landing_url": "https://europepmc.org/article/MED/42907483",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
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    ],
    [
      "openalex",
      "2307|Climate Change and Health Impacts"
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  "pdf_url": "https://europepmc.org/articles/PMC13687103?pdf=render",
  "pmcid": "PMC13687103",
  "pmid": "42907483",
  "published": "2026-10-21",
  "publisher": "Nature Publishing Group",
  "ris": "https://research.draconitic.com/paper/6ha43g02w0cqf.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:53Z",
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    {
      "first_seen": "2026-10-30T13:45:33Z",
      "native_id": "4dbd8cba1c8948998230a469a378bbd0",
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      "url": "https://doi.org/10.1038/s44401-026-00157-1"
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2307|Climate Change and Health Impacts",
      "subfield": "pharmacology-toxicology"
    }
  ],
  "title": "Health systems and climate change mitigation through an applied health informatics and sustainability perspective.",
  "title_text": "Health systems and climate change mitigation through an applied health informatics and sustainability perspective.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:45:33Z",
  "url": "https://research.draconitic.com/paper/6ha43g02w0cqf",
  "venue": "Npj health systems",
  "versions": []
}