© Product Stewardship Institute, Inc. September 2008 PSI National Dialogue on Medical Sharps...

© Product Stewardship Institute, Inc.September 2008

PSI National Dialogue on Medical Sharps

“Projects” WorkgroupSacramento, CA

September 23-24, 2008


Workgroup Participants• PSI: Scott Cassel, Sierra Fletcher (Facilitators)• Wesley Badillo, NY Department of Health• Andy Epstein, Thera Meehan & Roy Petre, MA DPH• Sue Johnson, IA DNR• Burt Kunik, Sharps Compliance, Inc.• Karen Le Boeuf & Cherie Fischer, Chrysalis Environmental Services, LLC• Marilyn Lopes, UMass/Cape Cod Cooperative Extension• Jenny Schumann, Coalition for Safe Community Needle Disposal• Karl Schumann & Bob Singley, BD

2


Workgroup Process

• Before developing a pilot project, we want to see what information we can get from existing projects

• Developed survey instrument• Completed survey for 18 projects– Different models– Geographic range (east/west & urban/rural)

3


“Models” surveyed

• Collection at retail pharmacies• Collection at public facilities (non-HHW)• Collection at HHW• Syringe Exchange Programs• Residential special waste pick-up• Mail-back• “Hybrids” (retail, various public facilities)

4


Geographic range

California New MexicoGeorgia Rhode IslandIllinois South DakotaIndianaMassachusettsNew Hampshire

5


PSI Medical Sharps Dialogue Meeting

Lessons Learned

6

• Most programs:Were started by either Health or Waste Depts. (Waste is more likely to have collection data.)

Are funded by local governments through grants, in-kind donations or taken out of budgets.

Were not set up to collect sufficient data for our purposes.

Had an initial education program but fail to continue the program.



Lessons Learned, cont.

7

• Most Programs:

Understand that the patient will not or should not pay for the program.

Are replicable, but sustainability is the greatest challenge.

Intentions were great - solving a problem for the community!



Priority criteria for examining projects

8

• Convenient & safe - Is it convenient & safe to the consumer, collector,

etc.?• Cost

-How much does it cost? Is it cost-effective?• Publicity/education

- Is there initial and ongoing education?• Sustainability

- Is there sustainable financing?



Priority criteria for examining projects

9

**PERFORMANCE underlies all criteria and needs to be examined separately



Costs

10

1. Sharps container: $1.20 - $3.00 (1.5 qt.)2. Collection site costs:

- Initial costs: kiosk/other container ($1500-$3000)- Insurance? Only cited once.- Staff time at collection site (monitor, call for pick-

up)3. Pick-up/transport4. Treatment5. Disposal



Costs for Mail-Back

11

Fixed price: about $25 for 1 container (all inclusive)



Additional Information Needed

12

• Safety-# of times handled- access-spills

• Cost & sustainability• Public education



Potential Projects for Coll. of Add’l Info

13

Collection at retail San Francisco, CA (mostly Walgreen’s) Sioux Falls, SD (mostly Lewis Drug)“Hybrid” (mix of public facilities/HHW & retail) Eureka (Rhode Island)HHWPulaski County, ARMail-back from homeOrange County, CA (4 separate cities)


Possible Next Steps for Workgroup1. Contact “priority” programs to get more

information, if available2. Develop pilot using an existing program to gather

necessary data3. Develop model “package” program that is

nationally replicable and test in one or more states4. Compile cost information & “number crunch”;

analyze to identify efficiencies

14

© Product Stewardship Institute, Inc. September 2008 PSI National Dialogue on Medical Sharps...

Documents

Transcript of © Product Stewardship Institute, Inc. September 2008 PSI National Dialogue on Medical Sharps...