Welcome & Introductions Session Goals

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Tapping into New Community Resources - Medical Surplus Recovery Organizations. Welcome & Introductions Session Goals Understand the Medical Surplus Recover Organization(MSRO) business model. Identify MSROs in their community. - PowerPoint PPT Presentation

Text of Welcome & Introductions Session Goals

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Welcome & IntroductionsSession GoalsUnderstand the Medical Surplus Recover Organization(MSRO) business model.Identify MSROs in their community.Shape the development of a plan to integrate MSRO resources and community needs as identified by I&Rs.Contribute to using I&R data to inform hospital and health system community benefit plans.ProcessIntroduce the Medical Surplus Recovery Organization modelPresent of two case studiesDiscuss strategies to tap MSRO resources to address unmet health needsDevelop a plan to integrate MSRO resources and community needs as identified by I&RsWhat would you like to take away from this session?Tapping into New Community Resources - Medical Surplus Recovery OrganizationsTapping into New Community Resources-MSROs / AIRS Conference 20146/2/141Nearly two million tons of medical surplus products are discarded each year by US hospitals. Much of this surplus is usable and capable of saving lives. Medical Surplus Recovery Organizations (MSROs) collect these usable, but unwanted items and after intensive sorting and quality control, distributes these items to under resourced medical facilities in the United States and around the world. This session offers an opportunity for I&Rs of all sizes to discuss strategies in accessing these resources to meet community health needs.

Review Session Goals and Process

Participant introductions - name, organization, what they would like to take away from the session (we can summarize on a flip chart)

Provide table top placemats/napkins? Prep for tabletop discussion

Welcome, introduction and instructions 15 mins Do they have relationship with a hospital.

Power Point 30 mins

Table top exercise 15 mins

Wrap up 15 mins

1Background: Big Count/Needs AssessmentDischarge Barriers American Case Management Assoc.

Tapping into New Community Resources-MSROs / AIRS Conference 20146/2/142I&R providers have known for decades that illness leads to devastating problems for many people. It is the underlying cause of financial problems, job loss, bankruptcy, home loss and family problems.

The American Case Management Association biannual survey has identified the top barriers to patient discharge. Two things are apparent. Patients need access to medical products, medical services and basic needs.

This session will explore how I&Rs/211s can help meet these needs by:

partnering with Medical Surplus Recovery Organizations

Using their unmet needs data to advocate for access to medicine, medical devices and equipment.

2Global Need"You run out of everything, except patients."

Tapping into New Community Resources-MSROs / AIRS Conference 20146/2/143These are the words of Dr. Godwin Godfrey, Tanzania's only pediatric open heart surgeon. His comment reflects the reality for billions of people around the world. Progress is being made across several fronts. Increased investment in medicine donations, clean water, sanitation, education and health system strengthening programs.

In response programs based in the United States send billions worth of medicine, paid and volunteer staff hours and medical equipment to developing countries.

3Domestic Need

United States: 56 million adultsmore than 20 percent of the population between the ages of 19 and 64will still struggle with health-care-related bills this year.Tapping into New Community Resources-MSROs / AIRS Conference 20146/2/144The truth is we run out of everything except patients here in the United States as well. Despite our wealth and taking a giant step in the right direction by enacting the Affordable Care Act, millions of people will suffer and die because they lack access to proper healthcare. I overheard a conversation when I was buying paint at home depot. Two women were discussing a friend who had to forego chemotherapy because she could not afford it.

Some would say that this happens because we do not have enough money or resources to care for everyone. I argue we cant make that argument white we dispose of billions of dollars worth of medicine, medical devices and equipment every year.

The problem is not lack of resources, its how to harvest and connect people to those resources.

How much is available? Just one study identified nearly two million tons of medical surplus products are discarded each year by US hospitals. Where does it go and how to we get life saving supplies to the people who need it?

4

Nearly Unlimited WasteTapping into New Community Resources-MSROs / AIRS Conference 20146/2/145There are four stops in the life of a medical product. Each one provides an opportunity to harvest medical supplies.

Manufacturers make mistakes. Over production, drop a box, label changes.

Distributors make mistakes. Over ordering, returned/unopened products.

Hospitals make mistakes and continue wasteful practices. Over order, honoring surgeon/doctor preferences.

These mistakes end up in landfills or incinerators.

Solutions: better management, green programs and medical surplus recovery programs.

International Disasters and Global Development: 40 70% of donated medical products are inappropriate or unusable. Lancet

That becomes the disaster within the disaster. When people make those mass donations... it causes the community to be overrun with them and have to deal with that in addition to the storm damage.

5

Medical Surplus Recovery ModelTapping into New Community Resources-MSROs / AIRS Conference 20146/2/146Responsibly recovering, distributing and using recovered medical products involves several steps.

Step one; The hospital/manufacturer/distributor commits to identifying and collecting usable products. Create donation procedures, donation stations, train staff (nurses).

Step two: The barrels and equipment are sent to MSRO. Volunteers, supervised by staff, sort usable from what is expired, broken or for other reasons not usable.

Step three: The products are organized by product type (large latex gloves) or use (labor and delivery, newborn kti) Equipment is repaired, and matched to manual/supplies. The boxes and equipment are labeled and entered into a database.

Step four: Boxes and equipment are stored in clean, dry, organized warehouse.

Step five: Hospitals, clinics and health providers around the world apply to MSRO, are vetted and sign agreements in order to order products. Orders are reviewed prior to fulfillment. Ordering organization pays a fee and shipping or shipments are sponsored.

Step six: Order is places, product picked, shipped (ship or air), delivered to dock and incountry partner takes it from there. 6Medical Surplus Recovery Model

Tapping into New Community Resources-MSROs / AIRS Conference 20146/2/1477

Tapping into New Community Resources-MSROs / AIRS Conference 20146/2/148Working in collaboration with all stakeholders and independent accreditation entities, we establish, publish and advance standards of practice to guide operations and decisions of the MSRO industry, its membership, donor organizations, funders and healthcare providers.

Alliance partners and MSROs, or medical surplus recovery organizations, commit to a path toward accreditation with progress documented by self-assessment, independent evaluation and peer review.

Supporting continuous quality improvement, the Med Surplus Alliance provides a platform for resource sharing and dissemination of model programs; ensuring member organizations have access to state-of the-art innovations, and the resources necessary for implementation.

Our combined scope of service, information and engagement of the global community attracts, challenges and equips manufacturers, hospitals, healthcare systems, and funders dedicated to creating a robust healthcare system for the poor and vulnerable around the world.

8

GovernanceMonitoring & EvaluationNeeds AssessmentDonations in DisastersQuality and QuantityDisposalLogisticsSpecific Categories:General, Consumables, Pharmaceuticals, Equipment, Disaster

Tapping into New Community Resources-MSROs / AIRS Conference 20146/2/149Our goal: The MSRO Code of Conduct will become the litmus test for choosing MSRO partners and participating in donation programs in general. 9Conduct community health needs assessments.Adopt strategies to meet those needs. Case #1 - Needs Assessment & Community Benefit Requirement

Tapping into New Community Resources-MSROs / AIRS Conference 20146/2/1410The American Case Management Association biannual survey has identified the top barriers to patient discharge. Two things are apparent. Patients need access to medical products, medical services and basic needs.

I&R/2-1-1 are positioned to identify specific medical needs and share the information with organizations that advocate for access to medicine, medical devices and equipment.

What are the opportunities?

Participate in community health needs assessment.

Participate in plans to meet community needs.

Partner with local MSROs to connect people to medical devices and equipment.

DISCUSSION Are participants participating in community needs assessments, of any kind?

Mary will describe a strategy they are piloting in Texas.102-1-1 Texas A Call for Help connecting people and services in the 19-counites of west central Texas. Manages the Basic Needs Network for client level service delivery tracking for a network of 40+ organizations

Case #2

Tapping into New Community Resources-MSROs / AIRS Conference 20146/2/141111Global Samaritan Resources exists to help people help p