10 hospital technologies to watch carefully

Just in case some hospital chiefs have millions in the coffers to spend but can’t figure out what to buy, a report by the ECRI Institute lists ten high-priced gadgets and systems that bear at least a look.

“Hospitals have very high pressure on their budgets right now,” says Diane Robertson, director of ECRI’s health technology assessment information service which helped prepare “Top 10 C-Suite Watch List: Hospital Technology Issues for 2012.”

“We see them paying more attention to clinical evidence, and more attention to incorporating processes to rationalize their decision-making on where they are going to allocate resources…understanding all the issues, so they’re not unaware of something they need to be aware of,” she says.

In some cases, such as proton beam or carbon ion radiation treatment centers, for example, “these are $200 million decisions,” Robertson says.   And in the case of proton beam therapy, “there’s still no evidence that shows it’s any better than standard photon therapy,” even as carbon ion technology, requiring a separate major investment, is now underway in Europe and may be more effective at treating cancer.

The report looks at the promise and cost of surgical tools and techniques, emerging drugs and devices, genotype personalized medicine, and examines in each case whether they are ready for prime time, what pros and cons to weigh.

Click here to read the complete article at HealthLeaders Media

Environmentally Friendly … To Whom?

Editor’s note: This piece originally appeared in the Vendor Viewpoint column in the January 2012 issue of ICT.

By P. Richard Warburton, PhD, JD

Marketing trends follow social trends; the language of the marketers is shaped to appeal to the popular interest. Awareness has grown in recent decades about the influence of hazardous chemicals on the environment and on human health. Books such as Rachel Carson’s “Silent Spring” made people aware of the hazards of pesticides and eventually led to the formation of the Environmental Protection Agency (EPA); and more recent books like Devra Davis’ “When Smoke Ran Like Water”  which focused on the impact of pollution on health. Labeling products as ‘green’ is a selling point, because many people associate ‘green’ and ‘safe’ as being almost synonymous, but in many cases the opposite is true.

While many people consider the description ‘environmentally friendly’ to be synonymous to with “safe,” in practice the two terms are almost contradictory. An environmentally safe compound is one that reacts quickly with the environment upon release, but such high reactivity makes the compound hazardous to anyone exposed to it.

Click here to read the complete article at Infection Control Today

The Business of Water

The world is dealing with a severe water crisis. Population growth and economic development continue to push water resources beyond natural limits, and demand will only continue to grow – projected to triple in the next 20 years. Yet, the earth’s water supply remains limited.

The positive news is that advancements in technology are helping address the global water issue, providing more access to clean water, and enabling industries and municipalities to recycle resources. We’ve seen individual companies, associations and municipalities step up, take the crisis into their own hands and enforce high standards for water safety. But we can no longer be independent water users.

Rather, we must continue to change today’s approach to water management through collective action from organizations, governments and individuals, in order to ensure a more prosperous and water-filled future. To shepherd in this new era of stewardship, industry and government must work closely together.

Click here to read the complete article at Environmental Leader

EPA Publishes Questions and Answers Resulting From Closed-Container Guidance

Containers, including satellite accumulation containers, must be closed during storage except when it is necessary to add or remove waste. [§§264/265.173(a)] While no definition of “closed” is provided in the regulations, EPA explained that the purpose of this requirement is “to minimize emissions of volatile wastes, to help protect ignitable or reactive wastes from sources of ignition or reaction, to help prevent spills, and to reduce the potential for mixing of incompatible wastes and direct contact of facility personnel with waste.” [May 19, 1980; 45 FR 33199]

In an effort to provide clarity and facilitate compliance with this closed-container requirement, EPA published Guidance on 40 CFR 264/265.173(a): Closed Containers on December 3, 2009. [RO 14810] After publishing this guidance, the agency received three questions that it addressed in a November 2011 Q&A document [RO 14826]:

  • Some processes (e.g., a baghouse or filter press) generate waste nearly continuously. Where a container is being used to collect hazardous waste which is continually exiting from the process, it might be “necessary” to leave the container open to collect waste until the process is stopped. In the more common circumstance, however, where the deposition of hazardous waste into containers is a batch process, a container of hazardous waste must be kept closed during times when the process is not depositing hazardous waste into the container.
  • Whether indoors or outdoors, containers must remain closed. The method of closure may need to be more protective when such containers are stored outdoors.
  • Lastly, the agency recognizes the validity of strapping containers together in an effort to prevent overturning. However, this practice should not be used if it will cause noncompliance with another RCRA provision (e.g., weekly container inspections).

Note that RO 14810 is no longer available on RCRA Online but has been replaced with RO 14826.

EPA Releases New DVD with Several Videos on Reducing Runoff from Urban Areas

EPA recently released a new DVD called “Reduce Runoff: Slow it Down, Spread it out, Soak it in!” that includes four educational videos that provide an introduction to controlling runoff in urban areas.  The videos on this DVD can help fulfill the outreach requirements for EPA’s Stormwater MS4  program as well as helping with outreach for other purposes.  EPA is encouraging the airing of these programs on cable TV stations; we have full rights to the program. This DVD compilation includes:

  • Reduce Runoff: Slow it Down, Spread it Out, Soak it In! – an introductory video on reducing stormwater runoff and its harmful effects on the environment (8:43 minutes);
  • RiverSmart Homes: Getting Smart about Runoff in Washington, DC – a video regarding the District of Columbia’s RiverSmart Homes program which provides assistance to citizens to install various practices such as trees, rain barrels, and rain gardens (12:00 minutes);
  • Building Green: A Success Story in Philadelphia – a look at an environmentally friendly housing complex in Philadelphia (11:00 minutes); and
  • After the Storm – a popular video co-produced by EPA and The Weather Channel in 2004 to educate the public about watersheds and what they can do to clean up their watershed including implementing practices to address stormwater (21:39 minutes).

Copies of this DVD suitable for airing on cable TV stations may be ordered from the National Service Center for Environmental Publications (NSCEP) by emailing nscep@bps-lmit.com or calling 800-490-9198.

Please be sure to include the EPA document number, EPA 842-11-001, when ordering the “Reduce Runoff: Slow it Down, Spread it out, Soak it in!” DVD.  Also, these videos are posted in small screen format at http://water.epa.gov/polwaste/green/video.cfm.

NEVADA: SEC Regulatory Notice – February 15, 2012

The State Environmental Commission (SEC) will hold a regulatory hearing on Wednesday February 15h 2012 at 9:00 am at the Nevada Department of Wildlife’s Conference Room A, 1100 Valley Road, Reno, Nevada.  The purpose of the hearing is to receive comments from all interested persons regarding the adoption, amendment, or repeal of the regulatory petitions and related SEC business described on the attachment to this email.

The regulatory petitions will be discussed and acted upon but may be taken in different order to accommodate the interest and time of the persons attending. Information in support of the above referenced hearing, including the text of the proposed regulatory petitions, support documents, previous public workshop notices, and non-regulatory SEC business items, if any, are posted on the SEC website at: http://sec.nv.gov/main/hearing_0212.htm

An agenda will be posted on the SEC website at least five days before the meeting; the agenda will also be sent to individuals on this electronic mailing lists.

Action items

Hospitals that go green can see green with effective waste strategies

Healthcare Purchasing News

It is no secret to many hospital executives that the American healthcare sector’s carbon footprint is growing. At 8 percent of the U.S. footprint, hospitals are the largest contributor of carbon emissions, and the second most energy-intensive industry. U.S. hospitals generate 6,600 tons of waste each day. Drugs in drinking water, syringes on beaches and infectious waste in landfills have intensified scrutiny of healthcare organizations. What is your plan?

More

What The Mining Debate is Missing

As mining is resurging in North America, debates across the continent over mines are simplified: “Do we prioritize jobs or the environment?  Companies or communities?”  These are worthy debates. Yet should the issue of mining really be reduced to “pro-con” statements?

Michigan Technological University experts from a wide range of disciplines say no.

“The worst type of communication has to do with the simplification of the mining issues.  I think the biggest problem is creation of polar opposites so that one has to choose between employment or environmental and health protection” says Carol MacLennan, an environmental anthropologist at Michigan Tech who has studied mining communities for almost a decade. “Characterizing it that was is very destructive because you’re never forced to confront the complexity of the issue.”

Ted Bornhorst, director of Michigan Tech’s A.E. Seaman Mineral Museum and a mining geologist for more than 30 years, emphasizes that no one in modern society can deny their use of mining products. “Probably the biggest frustration in the mining controversy,” Bornhorst says, “is the complete, absolute disconnect that most people have between mining and their lives.”  Consequently, Bornhorst believes there is a fundamental need to include more geology in pre-college education.

Read the complete article at Environmental Protection