Ex 1 Altoona Medical Center and VCC History.docx

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Regulated Medical Waste Disposal Services - VISN 4 VA Medical Centers: Re-post of RFQ with Corrective Action
Solicitation number
36C24425Q0204
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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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