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Update: PSI National Dialogue on Medical Sharps. June 2, 2009 Product Stewardship Forum. The Sharps Issue. Sharps are used to deliver critical medications to patients (as well as for blood glucose testing) People, pets, livestock - PowerPoint PPT Presentation
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© 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
© Product Stewardship Institute, Inc.
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.
© Product Stewardship Institute, Inc.
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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© Product Stewardship Institute, Inc.
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
© Product Stewardship Institute, Inc.
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
© Product Stewardship Institute, Inc.
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
© Product Stewardship Institute, Inc.
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…
© Product Stewardship Institute, Inc.
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.
© Product Stewardship Institute, Inc.
For more information
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Sierra FletcherAssociate--Policy and Programs(617) [email protected]
PSI Email List:[email protected]
