Ex 1 Altoona Medical Center and VCC History.docx
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- Attached to
- Regulated Medical Waste Disposal Services - VISN 4 VA Medical Centers: Re-post of RFQ with Corrective Action
- Solicitation number
- 36C24425Q0204
About this file
This document is a Regulated Medical Waste (RMW) Generation Report for the Altoona VA Medical Center, detailing current waste disposal service methods and historical waste generation data. The report outlines three service models for RMW disposal under the current VISN contract (36C24425P0007), with variations in sharps waste handling: Service 1 (used by Altoona and Butler) does not separate sharps waste, Service 2 has no current implementations, and Service 3 (used by seven VA facilities) separates sharps waste and involves contractor-managed container distribution. An optional add-on service for drug sequestration units is available for select locations.
The report provides comprehensive data on RMW pick-up locations, including Altoona VAMC and three Community-Based Outpatient Clinics (CBOCs), and details waste generation volumes for fiscal years 2021-2023. For the Altoona VAMC, weekly RMW collection volumes range from 22,706 to 23,694 pounds, with trace chemotherapy waste between 2,045 and 2,719 pounds annually. The document is directly related to Solicitation Number 36C24425Q0204 for Regulated Medical Waste Disposal Services issued by the VA Veterans Integrated Service Network 4, seeking proposals for medical waste disposal services across multiple VA medical centers.
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Exhibit 1 – Medical Center and VCC History Report
Medical Center and Veteran’s Community Clinics Regulated Medical Waste Generation Report for the Altoona VA Medical Center
Regulated Medical Waste (RMW) Summary
· Altoona currently utilizes the VISN contract (36C24425P0007) for RMW (sharps and red bag) disposal.
· There are 3 methods of RMW service, plus one add-on service, available under the current VISN contract. The methods of service for each facility are as follows:
· Service 1: Altoona, Butler
· Sharps waste is not separated; it is included in the non-sharps RMW. This service does not incorporate reusable sharps containers. The RMW is consolidated to a central location at each facility for Contractor pick-up. Pricing is based on a flat rate per pound for all RMW removal to include trace chemo and disposable sharps containers.
· Service 2: None
· Sharps waste is separated from non-sharps RMW. Contractor provides reusable sharps containers. VA employees collect and distribute reusable sharps containers throughout the Medical Center and applicable VCC’s and consolidate the collected full containers to a central location at each facility for pick-up by Contractor. The non-sharps RMW is also consolidated to a central location at each facility for Contractor pick-up. This service includes the hardware and installation required to mount sharps containers to walls, floors, or carts by the contractor. Pricing is based on a flat rate per pound for RMW removal including trace chemo and a separate flat rate for reusable sharps containers removal.
· Service 3: Coatesville, Erie, Lebanon, Philadelphia, Pittsburgh, Wilkes-Barre, Wilmington
· Sharps waste is separated from non-sharps RMW. Contractor provides reusable sharps containers. Contractor collects and distributes reusable sharps containers throughout the Medical Center and applicable VCC’s. Reusable sharps containers, located in areas where Contractor is not permitted entry, are collected and distributed by VA employees. The sharps containers collected by VA employees and the non-sharps RMW are consolidated to a central location at each facility for pick-up by Contractor. This service includes the hardware and installation required to mount sharps containers to walls, floors, or carts by the contractor. Pricing is based on a flat rate per pound for RMW removal to include trace chemo and a separate flat rate for reusable sharps container removal.
· Add-on Service: Coatesville, Wilkes-Barre, Wilmington
· Provides for the installation and full-service exchange of drug sequestration units to securely manage DEA controlled substance wastage.
· The Altoona VAMC is requesting (check one, plus add-on if needed):
☒ Service 1 ☐ Service 2 ☐ Service 3 ☐ Add-on Service
History
Locations
1. All facilities please complete Table A.
TABLE A – RMW Pick-up Location Addresses (add rows as required)
| Pick-up location (Facility, VCC, Satellite, etc.) |
| Street Address |
| City |
| State |
| Zip |
| Altoona VAMC |
| 2907 Pleasant Valley Blvd. |
| Altoona |
| PA |
| 16602 |
| DuBois CBOC |
| 5690 Shaffer Rd. |
| DuBois |
| PA |
| 15801 |
| Johnstown CBOC |
| 600 Galleria Dr. |
| Johnstown |
| PA |
| 15904 |
| State College CBOC |
| 2581 Clyde Ave. |
| State College |
| PA |
| 16801 |
Sharps Waste
2. If your facility utilized Service 1, with NEIE, please complete Table B and move to number 4. If your facility utilized Service 3, skip Table B and proceed to number 3.
TABLE B – Disposable Sharps Containers Purchased (add rows as required)
| Sharps container size |
| Quantity purchased FY2021 |
| Quantity purchased FY2022 |
| Quantity purchased FY2023 |
CONTAINER,SHARPS,LG VOL,9GAL,SLIDING/SEALING GASKET LID,RED
$5,582.00
$7,143.27
$7,549.36
CONTAINER,SHARPS,ER,8QT,NEST
$365.13
$58.61
$432.91
CONTAINER,SHARPS,IN ROOM SYS,5.4QT,HORIZ DROP OPENING,RED
$4,458.12
$3,216.84
$3,391.04
CONTAINER,SHARPS,PHLEBOTOMY,1QT,HINGED TOP,TABLE TOP,RED
$106.80
$107.34
$107.34
CONTAINER,SHARPS,5QT,AUTO DROP LID,RED,11 X 10 3/4 X 4 3/4In
$254.52
$517.12
$798.44
CONTAINER,SHARPS,CHEMO,18GAL,SLIDING LID,YEL,SOLID LID
$491.50
$688.10
$586.02
CONTAINER,YELLOW,SHARPS,CHEMO,5.4QT
$370.00
$170.00
$170.00
CONTAINER,SHARPS DISPOSAL,CHEMO WASTE,YELLOW,2GAL
$305.00
$439.78
$207.82
3. If your facility utilized Service 3 with NEIE, please complete Table C and move to number 4.
TABLE C – Recyclable Sharps Containers in Use at Each Pick-up Location (add rows as required)
| Pick-up location (Facility, VCC, Satellite, etc.) |
| Sharps container size |
| Number in use |
| Brand of sharps container utilized |
NA
4. If your facility is intending to use Service 3, compete Table D for sharps container locations. For Services 1 and 2, proceed to number 5.
TABLE D – Sharps Container Location Manifest (make changes as necessary)
| General location (crash cart, floor, building number.) |
| Beige Small S14 |
| Beige Med S22 |
| Beige Large S32 |
| Red Large S32 + Collector |
| Red 2X Large S64 + Collector |
(example) Building 1, Ground Floor
| 0 |
| 5 |
| 24 |
| 0 |
| 12 |
NA
Medical Waste
5. All facilities, please complete Table E.
TABLE E – RMW History (add rows as required)
| Pick-up location (Facility, VCC, Satellite, etc.) |
| RMW (excluding sharps) weight FY2021 |
| RMW (excluding sharps) weight FY2022 |
| RMW (excluding sharps) weight FY2023 |
| Frequency of pick-up (daily, weekly, etc.) |
| Altoona |
| 23,693.7 lbs. |
| 23,037 lbs. |
| 22,706.30 lbs. |
| Weekly |
| DuBois |
| 891.3 lbs. |
| 1038.1 lbs. |
| 1182.90 lbs. |
| Monthly |
| Johnstown |
| 887.7 lbs. |
| 1062.7 lbs. |
| 1473.90 lbs. |
| Monthly |
| State College |
| 942.7 lbs. |
| 1030.8 lbs. |
| 1166.75 lbs. |
| Monthly |
6. Complete Table F if your facility generated and tracked trace chemo waste independently.
TABLE F – Trace Chemo Waste History (add rows as required)
| Pick-up location |
| Trace chemo weight FY2021 |
| Trace chemo weight FY2022 |
| Trace chemo weight FY2023 |
| Altoona |
| 2321.8 lbs. |
| 2045.4 lbs. |
| 2718.70 lbs. |
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