Ex 1 Butler 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 the Regulated Medical Waste (RMW) generation history and requirements for the Butler VA Medical Center and associated clinics. The report outlines three service methods available under the current VISN contract (36C24425P0007): Service 1 (used by Altoona and Butler) involves combined sharps and non-sharps waste disposal with disposable containers; Service 2 (not currently used) separates sharps waste with reusable containers managed by VA staff; and Service 3 (used by seven other facilities) includes contractor-managed reusable sharps containers with separate pricing for RMW and sharps disposal.

The document provides detailed waste generation data for Butler's facilities, including the main Medical Center, Health Care Center, and two Community-Based Outpatient Clinics (CBOCs). Historical data shows annual RMW volumes ranging from 9,100 pounds at the HCC to approximately 1,050 pounds at each CBOC, with weekly pickups at main facilities and monthly pickups at CBOCs. The facility's sharps container usage is documented, showing annual purchases of various sizes (19-gallon, 2-gallon, 5.4-quart, and 1-quart containers) over fiscal years 2021-2023.

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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 Butler VA Medical Center

Regulated Medical Waste (RMW) Summary

· Butler 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 Butler 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
HCC
353 N Duffy Rd
Butler
PA
16001
VAMC
325 New Castle Rd
Butler
PA
16001
Lawrence Co. CBOC
1750 New Butler Rd
New Castle
PA
16101
Mercer Co. CBOC
295 North Kerrwood Drive, Suite 110
Hermitage
PA
16148

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
19 Gallon
45
20
26
2 Gallon
108
76
54
5.4 Quart
360
312
348
1 Quart
53
80
75

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

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

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.)
HCC
9100lbs
9100lbs
9100lbs
Weekly
VAMC
1300lbs
1300lbs
1300lbs
Weekly
Lawrence Co CBOC
1100lbs
1050lbs
1050lbs
Monthly
Mercer Co CBOC
1100lbs
1050lbs
1050lbs
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

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