name secure medicine return: ph:arm pilot in washington state shirley reitz, pharm.d., bcps...
Post on 27-Mar-2015
218 Views
Preview:
TRANSCRIPT
name
Secure Medicine Return: PH:ARM Pilot in Washington State
Shirley Reitz, Pharm.D., BCPSAssociate Director, Pharmacy Clinical ServicesGroup Health CooperativeSeattle, WA 206-901-4334Reitz.sj@ghc.org
November 2008
name
2
Patient Demand
• 2006 WCRC survey of 400 King County households revealed– 39% have 10 or more medicine containers in their homes
– Only 33% report that they are currently using or plan to use these meds
– 74% stated they would be willing to dispose of the meds in a convenient location
• “We are cleaning out my Grandfather’s house and I have a suitcase full of drugs that we need to get rid of. Can we bring them into your disposal site?”
• “Our neighborhood association (over 400 homes) would like to provide some education to the families in our neighborhood about drugs in their homes – can we tell them to bring their meds to you for disposal?”
• “Please dispose of this medication. Enclosed is a donation….”
namePharmaceuticals in Landfills
Leachate
• pumped to sewer treatment plants– Could leach to
groundwater
– studies find drugs
• 9 unlined landfills in Washington State
name
4
PH:ARM TeamPharmaceuticals from Households: A Return Mechanism
•HEALTH CARE PROVIDERS– Group Health
Cooperative
•BUSINESSES– Bartell Drugs
– Boarding/assisted living homes
•NON-PROFIT AGENCIES– Interagency Resource for
Achieving Cooperation (IRAC)
– Northwest Product Stewardship Council
– Pacific NW Pollution Prevention Resource Center (PPRC)
– WA Citizens for Resource Conservation (WCRC)
•STATE & LOCAL GOVERNMENT– King County Dept. of Natural
Resources & Parks
– Local Hazardous Waste Management Program in King County
– Public Health - Seattle and King County
– Snohomish County Solid Waste Management Division
– WA Department of Ecology
•ADVISORS– WA State Board of Pharmacy
– WA State Dept. of Social and Health Services - Aging and Disability Services Administration
name
5
Group Health’s Goal
• Work with community partners to develop a medication disposal system that is:– Secure– Affordable– Reproducible– Sustainable– Meets all regulatory requirements– Easy for our patients to use
• Remove from the home medications posing risk of unintentional poisoning, overdose, or abuse
name
6
Group Health Pilot Bin Signs
name
7
Group Health Pilot
name
8
Pilot Project
• 25 Group Health clinic pharmacies statewide•12 Bartell Drugstores around Puget Sound• 3 boarding /assisted living homes in Seattle
name
9
Group Health’s ExperienceGroup Health Collected Meds
Percent by Weight1,238 pounds total
16,460 drug containers
Over 15,000 lbs of unwanted medications collected and safely destroyed from GHC locations over 2 year pilot
name
10
Interesting Findings
name
11
Snapshots of collected materials
14 Doses of Enbrel
$5,600
Migranal Nasal Spray
$120
name
12
What we’ve learned:
• Security is Critical!– Secure drop boxes– Complete tracking of
secure containers– DEA utilization
• Staff Satisfaction– “Makes my job easier”
• Regulatory issues remain
nameNext Steps
• Cost Considerations– Need affordable solutions– Pilot ending this year– Looking for interim
Manufacturer funding
• Pilot project final report– Report expected Jan ’09– www.medicinereturn.com
• Legislative efforts in 2009
top related