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(Greenhealth cost of ownership toolkit) Use our template to share your experience and results with the Greenhealth total cost of ownership calculator with others to show your great work.
Type: Resources
There is increased concern over pharmaceuticals in waterways. There are “no drugs down the drain” rules in certain states. And harm can come from unauthorized access to controlled substances and the resulting wastage. Health care facilities must address these issues and ensure alignment with Drug Enforcement Administration (DEA) and Environmental Protection Agency (EPA) regulations as well as local rules. So Practice Greenhealth and a team of stakeholders developed this guidance to support hospitals and clinicians in managing controlled substances and the resulting wastage.
Type: Resources
The main task of a regulated treatment system is to render the waste noninfectious. The technical means to disinfect medical waste has existed for a long time. Incineration was once the method of choice for dealing with medical waste, and many hospitals burned their waste on site. But it gradually became clear that, while protecting the public from infection, hospitals using onsite incinerators were exposing the public to emissions that included mercury, dioxins, and other highly toxic substances. In 1996, medical waste incinerators were listed as the largest source of dioxin and in 1997, as… Read More
Type: Resources
Increased awareness around the presence of pharmaceuticals in drinking water has resulted in closer scrutiny and increased regulatory oversight of pharmaceutical waste. Evidence of feminization of fish raised a red flag and resulted in more studies, closer scrutiny, and concern for human health and the environment. The U.S. Geological Survey has done extensive work to characterize the kinds and volumes of pharmaceuticals ending up in waterways. Learn more at U.S. Geological Survey's Emerging Contaminants Project.
While hazardous pharmaceutical waste management is a headline news item at… Read More
Type: Resources
(Less water toolkit) The Health care water conservation and pollution prevention presentation and script was developed to help you educate your community. Download the presentation with notes to use as you see fit.
Type: Resources
Sample poster from Dartmouth-Hitchcock made with a customizable template to raise awareness around less waste.
Type: Resources
Transitioning grassroots or departmental greening initiatives towards a formalized sustainability plan requires an engaged leadership team. And it's no coincidence that the furthest-reaching health care facilities have firm leadership engagement. Engaged leaders help move sustainability initiatives beyond specific areas of success and reach across all departments and initiatives with a direct link to the strategic direction of the organization.
When health care leaders can articulate why this work is important on a personal level and then operationalize that commitment throughout the… Read More
Type: Resources
Infection prevention and control in health care is of primary importance. Healthcare-associated infections (HAI) direct costs are between $35.75 billion annually and result in almost 100,000 deaths in the US. HAIs also hold implications for reimbursement, as CMS now requires that the occurrence of three HAI related Healthcare acquired Conditions (HACs) may result in lower reimbursement rates in Medicare patients without other complication. This rule continues as part of its annual Inpatient Prospective Payment System (IPPS) rule which took effect on October 1, 2008. Although there may not… Read More
Type: Resources
Framework for the Resource Conservation and Recovery Act
It is important to know the correct classification of all of the organization's waste, as different sets of rules will apply to the facility depending on the total amounts of each type of hazardous waste generated per year. Large quantity generators (LQGs) operate under more stringent rules and more comprehensive reporting requirements than small quantity generators (SQGs). The following information will assist healthcare organizations in determining what to count toward their hazardous waste totals.
Type: Resources
Conventional cleaning products can contain chemicals associated with respiratory irritation, skin and eye injury, ozone depletion, cancer, and indoor air problems. Based on state occupational injury reporting, janitorial staff have some of the highest on-the-job injury rates. A 2007 study in The Lancet identifies nurses as having the highest rates of work-related asthma of any occupation in the study, and two additional studies in 2007 (Am J Resp Crit Care Med and Occup Environ Med) pointed to the use of cleaning chemicals as a probable trigger for work-related asthma in healthcare. Choosing… Read More
Type: Resources
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