1. Demonstration of Healthcare Waste Management Tools Developed by H2E Janet Bowen and Mary Dever EPA Region 1 617-918-1795/617-918-1717

2. Today’s Objectives BRIEF Overview of new H2E Tools Demonstration of the Data Collection/Benchmarking and Mercury Tool

3. New H2E/National Tools Healthcare Environmental Resource Center (HERC) Environmental Compliance & Improvement Guide (JCAHO) Waste Management Tool Mercury Database Tool

4. Healthcare Environmental Resource Center Formally launched April 2005 - Still under development Expected to integrate existing H2E website into HERC by Fall 2005 State Locators for regulations - RCRA, Universal Waste, Infectious Waste www.hercenter.org

5. Hospitals for a Healthy Environment www.hercenter.org Compliance and P2 Assistance www.hercenter.org

6. Environmental Compliance & Improvement Guide (JCAHO) Purpose of Guide To improve compliance with JCAHO Environmental of Care Standard Available www.hercenter.org/regsandstandards/jcahoint ro.html

7. How does the JCAHO Guide Work? JCAHO standards address an organization’s performance in key functional areas. Each standard is presented as a series of "Elements of Performance" (EP) -- expectations that establish the broad framework that JCAHO surveyors use to evaluate a facility's performance. Many of the environmentally relevant Elements of Performance fall under the Environment of Care (EC) standard, but others are included in the Human Resources (HR) and Leadership (LD) standards. The Guide relates each JCAHO Element of Performance to specific federal regulations, to help facilities be in compliance with both.

8. Symbols in JCAHO Guide = Compliance = Environmental Improvement = Tools and Resources

10. Choose a Standard.

11. “Clip Board” Versions

12. Standards and Elements of Performance “Full” Versions

13. Compliance Language Pollution Prevention Language

14. H2E Waste Management System Excel spreadsheet to assist hospitals track waste data – solid, hazardous, recyclable, regulated medical Currently being piloted with hospitals Register for this FREE tool at http://www.hercenter.org/wms.html

15. Analyze Your Waste Streams List all categories and subcategories of a specific waste stream Determine who is responsible for each waste stream category – who manages it and who pays the bills Use waste bills to calculate the amount (weight or volume) and cost of each waste stream

16. Why Collect Waste Data? Helps set priorities for waste reduction Establishes baseline to measure success Helps identify potential cost reductions Helps identify procurement priorities Provides justification for your programs

17. Mercury Assessment Tool Based on CA Excel speadsheet (2002) Use to help inventory mercury items Use to calculate the amount of mercury http://www.h2e-online.org/tools/merc-man.htm Scroll down and click Mercury Assessment Worksheet. To access the manual open the spreadsheet and click on INSTRUCTIONS at the bottom

18. Demonstration H2E Waste Management Tool Mercury Assessment Tool