Ex 1 Wilmington 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
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36C24425Q0204
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This document is a historical usage report detailing Regulated Medical Waste (RMW) generation and disposal services for the Wilmington VA Medical Center and its associated Community-Based Outpatient Clinics (CBOCs). The report outlines three service methods available under VISN contract 36C24425P0007, with Wilmington currently utilizing Service 3, which includes separated sharps waste collection, reusable containers, and contractor collection/distribution services throughout the medical center and clinics.

The report provides detailed data on RMW generation across six locations (Wilmington VAMC and five CBOCs), including historical weights for FY2021-2023, showing Wilmington VAMC generates approximately 20-21 tons of non-sharps RMW annually with weekly pickups. The CBOCs each generate an estimated 25 pounds monthly. The facility also tracks trace chemotherapy waste separately, with Wilmington VAMC generating 4.75-5.87 tons annually and each CBOC generating approximately 10 pounds. The document includes detailed inventories of sharps containers in use across facilities, ranging from 2-gallon to 8.5-gallon containers, with specific counts for each location.

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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 Wilmington VA Medical Center

Regulated Medical Waste (RMW) Summary

· Wilmington 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 Wilmington 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
Wilmington VAMC
1601 Kirkwood Highway
Wilmington
DE
19805
Sussex CBOC
21748 Roth Avenue
Georgetown
DE
19947
Cape May CBOC
3801 Route 9 South, Suite 2
Rio Grande
NJ
08242
Kent CBOC
655 South Bay Road, Suite 3C
Dover
DE
19901
Atlantic CBOC
1909 New Road
Northfield
NJ
08225
Cumberland CBOC
79 West Landis Avenue
Vineland
NJ
08360

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

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

Wilmington VAMC

Sussex CBOC
2-gal=2; 4-gal=21; 8-gal=3
26
Cape May CBOC
5.8 gal
26
Kent CBOC
2-gal=3; 4-gal=19; 8-gal=5
27
Atlantic CBOC
5.8 gal=13 8.5 gal=5
18
Cumberland CBOC
5.8 gal=6 8.5 gal=20
26

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.)
Wilmington VAMC, DE
20.1
19.5
20.8
Weekly

Sussex CBOC

25*
Monthly

Cape May CBOC

25*
Monthly

Kent CBOC

25*
Monthly

Atlantic CBOC

25*
Monthly

Cumberland CBOC

25*
Monthly

* = estimated amount

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
Wilmington VAMC, DE
5.87
4.75
5.8

Sussex CBOC

10 lbs

Cape May CBOC

10 lbs

Kent CBOC

10 lbs

Atlantic CBOC

10 lbs

Cumberland CBOC

10 lbs

Table 6(a): Total RMW generated- Wilmington VAMC (sharps + red bag non-sharps from Tables 5 & 6 above):

FY23
26.60 tons
FY22
23.25 tons
FY21
26.00 tons

File details come from the government source that posted it. Updated .