Ex 1 Philadelphia 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 is a Medical Center and Veterans Community Clinics history report detailing Regulated Medical Waste (RMW) generation and disposal services for the Corporal Michael J. Crescenz VA Medical Center and affiliated facilities in Philadelphia. The document outlines three service methods under the current VISN contract (36C24425P0007), with Philadelphia utilizing Service 3, which includes separated sharps waste disposal, contractor-provided reusable sharps containers, and contractor collection/distribution services throughout the medical center and community clinics.
The report provides detailed historical waste generation data across multiple facilities, including the main Philadelphia VAMC (88,040.7 lbs RMW in FY2023), Community Living Center (2,282.4 lbs), Horsham clinic (417.8 lbs), and outpatient dialysis facility (1,213.37 lbs). Trace chemotherapy waste is tracked separately, with the Philadelphia VAMC generating 12,465.8 lbs in FY2023. Pick-up frequencies vary by location, ranging from bi-weekly for the main facility to monthly for the Horsham clinic. The facility uses Biosystems brand containers in various sizes (2gal, 4gal, 8gal, 17gal) for sharps disposal across multiple locations.
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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 |
File details come from the government source that posted it. Updated .