Making Medicine Mercury Free Implementing a Mercury-Elimination Plan MMMF Award Process - PowerPoint PPT Presentation

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Making Medicine Mercury Free Implementing a Mercury-Elimination Plan MMMF Award Process

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Ethical responsibility/Mission Statement. Environmental/Public Health ... Pharmaceutical Preservatives. 9. Facilities Management. Light Bulbs. Switches. Thermostats ... – PowerPoint PPT presentation

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Title: Making Medicine Mercury Free Implementing a Mercury-Elimination Plan MMMF Award Process


1
Making Medicine Mercury FreeImplementing a
Mercury-Elimination Plan MMMF Award Process
2
Why Bother?
  • AHA/EPA Goal to Eliminate Mercury in health care.
    Goal of 50 MMMF awards in next round!
  • Ethical responsibility/Mission Statement
  • Environmental/Public Health
  • Regulatory Compliance/Liability
  • Safety
  • Press coverage and awards
  • Community Relations
  • Patient/Employee satisfaction
  • Potential Cost Savings

3
www.h2e-online.org
4
Obstacles to Mercury Elimination
  • Mercury is considered the Gold Standard
  • Clinicians are trained on mercury devices
  • Cost of replacements
  • Old habits

5
Be like Mercury Persistent!
  • Designate team leader
  • Pilot Start Small if you need to
  • Take a team approach include multiple
    departments
  • Check with your GPO Were driving markets!
  • Educate

6
Environmental/Health Impact
  • Medical waste incinerators are major source of
    mercury
  • AHA-EPA Memorandum of Understanding - 1998
  • FDA and state fish consumption advisories
  • New York Academy of Sciences Report
  • National Resource Council (NRC) Report
  • AMA, ANA, APHA resolutions

7
The Fish Connection
8
Clinical Sources
  • Sphygmomanometers
  • Thermometers
  • Barometers
  • Bougies, cantor tubes
  • Pharmaceutical Preservatives

9
Facilities Management
  • Light Bulbs
  • Switches
  • Thermostats
  • Batteries, electronics

10
Laboratories Sources
  • Laboratory chemicals
  • Thermometers
  • Cleaning chemicals

11
But FirstManage what you have!
  • Education
  • Segregation
  • Labeling
  • Spill Response
  • Monitoring
  • Removal
  • Record keeping

12
Shut the Door to Mercury
  • Identify mercury-containing products purchased
    for your facility
  • Prioritize items Major source is
    sphygmomanometers and cantor tubes.
  • Identify/pilot alternatives to mercury-containing
    products
  • Develop a policy for mercury elimination plan
  • Educate department heads and purchasing agents
  • Monitor and track. Newsletters, education

13
H2E National Awards
  • Making Medicine Mercury Free
  • Partners for Change
  • Partner Recognition
  • Environmental Leadership Award
  • Champion for Change
  • Internal Awards Process

14
MMMF Award Facts
  • You have to be an H2E partner.
  • You can apply any time during the year.
  • This is a one-time award.
  • You dont have to be 100 mercury free to be
    eligible.
  • H2E can walk you through the process.
  • H2E will inform you in 30-60 days.

15
MMMF Award Application
  • Click on MMMF form and save as a file.
  • http//www.h2e-online.org/pubs/awards/MmmfForm60.
    doc.
  • Click on Annual Summary Goals Form and save as
    file
  • www.h2e-online.org/programs/partner/p_goals.dot
  • Provide back-up documentation
  • Send in via email wherever possible and send in
    mail back-up information.
  • Contact H2E for more information.
  • 1/800-727-2179 or h2e_at_h2e-online.org

16
Facility Information (SG form)
  • Section 2 Adjusted Patient Days per month
  • Number of beds
  • of Outpatient Visits for Amb. Sites
  • Long-term Care - of beds
  • Adjusted patient days TTL patient days X (TTL
    Patient Revenue (Inpatient outpatient)/Inpatient
    Revenue
  • of beds of staff beds.
  • Admitting or finance will have this data
  • Section 3 Facility Waste Assessment Summary

17
Facility Waste Assessment Summary (SG Form)
  • Section 4 Mercury Assessment
  • Section 5 Environmental Policies
  • Questions regarding formal policies on
    environmental
  • commitment and environmentally preferable
    purchasing.
  • For information on how to evaluate mercury use
    and
  • implement activities to eliminate mercury from
    your facilitys
  • waste stream, download the H2E self-Assessment
    Guide at
  • www.h2e-online.org. See Sections 5A and B in the
    guide.
  • Setting new H2E goals.
  • H2E goals Finishing off last bits of mercury
  • Set new goals that may not be related to mercury
    work.

18
MMMF Award Application
  • Award Application Check List
  • Mercury Elimination Policies
  • Mercury Management Policy
  • Environmentally Preferable Purchasing

19
MMMF Application Clinical Devices
  • Replaced Thermometers
  • Replaced at least 75
  • sphygmomanometers
  • Replaced at least 75 clinical
  • devices

20
MMMF Award Application - Facilities
  • Recycle Bulbs
  • Battery Collection
  • Inventoried and labeled mercury-containing
    devices and plan to replace.

21
MMMA Application - Labs
  • Replaced B5/Zenkers stains
  • Inventoried mercury-containing lab chemicals
    with plan to substitute.
  • Inventoried thermometers, replaced at least
    75 and phase-out plan in place
  • Other chemicals Pharmacy, dental, cleaning
    chemicals
  • Other projects

22
MMMF Award Check-List
  • Partner of H2E
  • Annual Summary and Goals Form
  • MMMF Award Application
  • No outstanding OSHA violations
  • 3 copies of everything
  • Back up/Supporting information
  • Email and send in regular mail

23
H2E Resources/Guidance
  • Awards Process
  • www.h2e-online.org/programs/award/index2004.htm
  • Mercury Recyclers www.h2e-online.org/tools/hg-re
    cy.htm
  • Consultants www.h2e-online.org/tools/consult.cfm
  • Vendors www.h2e-online.org/tools/vendors.cfm
  • Mercury Backgrounder
  • www.h2e-online.org/tools/mercury.htm
  • List serve www.h2e-online.org/programs/list.htm
  • Universal Waste Guidelines
  • www.h2e-online.org/tools/univwaste.htm
  • 10 steps to bulb recycling
  • www.h2e-online.org/tools/univwaste.htmflu
  • Mercury Elimination Plan
  • www.h2e-online.org/pubs/mercurywaste.pdf
  • Fish Advisories
  • www.h2e-online.org/tools/merc-oth.htmfish

24
Other Mercury Resources
  • Massachusetts Academic Scientific Community
    Organization www.masco.org
  • U.S. Food Drug Administration -
  • www.cfsan.fda.gov
  • Health Care Without Harms Fast Facts -
  • http//www.noharm.org/library/docs/Going_
  • Green_The_Mercury_Problem_-_Fast_Facts.pdf
  • HCWH Making Medicine Mercury Free Resource Guide
    -
  • http//www.noharm.org/library/docs/Going_
  • Green_Making_Medicine_Mercury_Free.pdf
  • Measuring Blood Pressure Accurately
  • http//www.noharm.org/mercury/sphygmo
  • American Medical Association www.ama-assn.org

25
Need Help?
  • Hospitals for a Healthy Environment
  • www.h2e-online.org
  • 800/727-4179
  • Partner Coordinator -Janet.brown_at_h2e-online.org
    212/941-2486
  • Champion Coordinator
  • Sarah.obrien_at_h2e-online.org
  • 802/479-0317
  • State Program Coordinator
  • Cecilia.deloach_at_h2e-online.org
  • 202/234-0091
  • Director
  • Laura.brannen_at_h2e-online.org
  • 603/643-6700
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