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Strategic orientation is one of the critical principles affecting the marketing and strategy selection of an organization’s activities, reflecting the strategic tendencies implemented by the organization to create behaviours, leading to organizational efficiency and better employee performance. Therefore, this paper aims to study the relationship between strategic orientation and performance in Qazvin teaching hospitals through green supply chain management (SCM) to improve employees' performance.

This was a descriptive– analytical and cross-sectional study. The total number of employees in medical centres was 2,256 people. According to Morgan’s table, the required number of samples was 328, including 10% of the sample loss. The questionnaire was given to 365 staff in different hospitals in proportion to the number of staff. Two statistical software, SPSS24 and AMOS23, were used to evaluate the results.

All three variables were relatively moderate in the hospitals. The results of evaluating the structural model of the research showed that all the studied hypotheses were significant, except for the relationship between organizational performance and strategic orientation hypothesis. The results also show that this model had a good fit.

The findings can lead to saving the environment, creating a better social image and reducing costs and profitability, allowing managers to know the strategic orientations rather than depending on institutional pressure issues and monitoring guidelines.

Considering the significant relationship between the dimensions of green SCM and the hospitals’ performance, the authors suggest: establishing multilateral co-operation in environmental issues, improving the environmental status of hospitals, reducing waste rates and paying attention to social responsibility of hospitals. In addition, the findings help hospital management to comprehensively understand the strategies for implementing green SCM procedures.

To come up with a prudent decision on the installation of an appropriate green wall (GW) on buildings, this study presents a novel decision-making algorithm. The proposed algorithm considers the importance of barriers hampering GW adoption, as well as their relationships with regard to different types of GWs existing in a contextual setting.

The proposed methodological approach is based on the integration of qualitative and quantitative techniques by employing focus group discussion, fuzzy-based best-worst method and fuzzy TOPSIS.

Based on the experiences of qualified experts involved in related projects in Hong Kong, the following conclusions are drawn: (1) cost, installation and maintenance-related barriers are perceived to have the highest importance, (2) modular living wall system is the most suitable GW system for the context of Hong Kong and (3) existing barriers are found to have a pivotal role in the ranking of the most suitable GW systems.

The findings provide valuable insight not only for policymakers and stakeholders, but also for establishing a methodological approach that can assist decision-makers in identifying the most beneficial GW system rather than the most applicable one. This could have significant implications and introduce potential changes to the common way of practice within the industry and lay the foundation for wider adoption of GW.

While previous studies have investigated the sustainability-related issues of GW façade applications, the current body of knowledge is deprived of a comprehensive methodological approach for the selection of the most suitable GW systems.