© product stewardship institute, inc. update: psi national dialogue on medical sharps june 2, 2009...
TRANSCRIPT
© Product Stewardship Institute, Inc.
Update:PSI National Dialogue on
Medical Sharps
June 2, 2009Product Stewardship Forum
© Product Stewardship Institute, Inc.
The Sharps Issue
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• Sharps are used to deliver critical medications to patients (as well as for blood glucose testing)
• People, pets, livestock• No disposal system for sharps used outside
healthcare setting – most go to trash• Exposes waste workers, others to potential needle-
stick injuries• Chances of disease transmission relatively small, but
costs can be very high
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Dialogue Goal
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To maximize the safe and environmentally sound collection and disposal of waste sharps by developing a nationally coordinated system
that is financially sustainable.
© Product Stewardship Institute, Inc.
Dialogue Focus
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• This project is focused on sharps generated outside the traditional health care setting, including households, hotels, casinos, restaurants, airports, and other public venues.
• Sharps used for people and their pets are included. Agricultural sharps are not included.
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Sharps & Product Stewardship: The Fun Parts
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• “Source reduction”?• Patients have no choice; demographics• Bans w/o plans• Assigning/sharing responsibility
- Device mfrs? Pharma mfrs? Waste industry?• Many new stakeholders – what is EPR, anyway?• CA bills 2008, 2009
Dialogue Participants
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Dialogue Participants
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– Device Mfrs: BD, UltiMed, Terumo, Covidien
– Pharmaceutical Mfrs: NovoNordisk, Sanofi-Aventis, GSK, Hoffman-La Roche
– Waste/recycling industry: Chrysalis Environmental Solutions, Health Waste Solutions, Sharps Compliance, Stericycle, Waste Management
– Organizations: Coalition for Safe Community Needle Disposal, NACDS, NCPA, Association of Diabetes Educators
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Dialogue Update
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• Action Plan• Meeting #1
o Datao Projects Data are limited Sharps should not go to trash, but most do Impacts are difficult to quantify, but can be severe Current collection programs typically under-funded Effectiveness (performance goals) and sustainability (including financial) most important
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Dialogue Update
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• Meeting #2o Develop model state program (including financing)o Roles for all stakeholders, even if not direct financial contribution
• Meeting #3o Refined roles; $ responsibility on companieso PSOs; voluntary v. legislatedo Reviewed cost datao Asked PSI to facilitate developing MA Demonstration Project
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What’s next?
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• Seeking commitment for Demonstration Project in MA• CA legislation this year?• MA legislation next year?
• Still plugging away…
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Funders
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• Becton, Dickinson, and Co. – Diabetes Care• MA Department of Public Health• Waste Management, Inc.• Sponsorships for meeting costs: UltiMed;
Waste Management, Inc.
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For more information
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Sierra FletcherAssociate--Policy and Programs(617) [email protected]
PSI Email List:[email protected]