Ex 1 Philadelphia 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 an Exhibit detailing Regulated Medical Waste (RMW) disposal services for the Corporal Michael J. Crescenz VA Medical Center and associated Veteran's Community Clinics (VCC) within VISN 4. The document outlines three service methods for RMW disposal: Service 1 involves non-separated sharps waste with flat-rate pricing per pound, Service 2 requires separated sharps waste with reusable containers provided by the contractor, and Service 3 involves contractor-managed sharps container distribution and collection with separated waste streams. An additional add-on service is available for drug sequestration unit installation at Coatesville, Wilkes-Barre, and Wilmington locations.

The report provides comprehensive historical waste generation data, including RMW and trace chemotherapy waste volumes for fiscal years 2021-2023 across multiple facilities such as Philadelphia VAMC, Community Living Center, Horsham VA Clinic, and Philadelphia Dialysis. Waste pick-up frequencies range from monthly to bi-weekly, with total RMW weights varying annually (e.g., Philadelphia VAMC reported 84,383.9 lbs in FY2021 and 88,040.7 lbs in FY2023). The document is associated with Solicitation Number 36C24425Q0204 for Regulated Medical Waste Disposal Services, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4.

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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 Corporal Michael J. Crescenz VA Medical Center

Regulated Medical Waste (RMW) Summary

· Philadelphia 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 Choose an item. 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)

Street Address
City
State
Zip
Corporal Michael J. Crescenz
3900 Woodland Ave
Philadelphia
PA
19104

Victor J. Saracini Outpatient Clinic

433 Caredean Drive
Horsham
PA
19044-1396
West Philadelphia VA Clinic
801 Arch Street, Suite 102
Philadelphia
PA
19139-2922
Outpatient Dialysis
4219 Chestnut Street
Philadelphia
PA
19104
Community Living Center
3461 Civic Center Blvd.
Philadelphia
PA
19104

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.

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
Philadelphia VAMC
2gal, 4gal, 8gal, 17gal

Biosystems

Horsham
Disposable
Philadelphia VA Nursing
4gal, 8gal

Biosystems

Philadelphia West Clinic
Disposable
Philadelphia Dialysis
4gal, 8gal

Biosystems

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

SEE ATTACHED SPREAD SHEET

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.)

Philadelphia

VAMC

84383.9
111748.7
88040.7
Bi-weekly

Philadelphia Community Living Center

1660.65
1515
2282.4
Weekly
Horsham
308.3
395.05
417.8
Monthly
Out-patient dialysis
12208.47
13287.6
1213.37
Weekly

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
Philadelphia VAMC
8432.9
9333.6
12465.8
Horsham VA Clinic
0
0
0
Philadelphia VA Community Living
0
0
0
Philadelphia West Clinic
0
0
0
Philadelphia Dialysis
0
0
0

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