Download - DEVELOPMENT, PILOTING AND IMPLEMENTATION OF A HEALTH CARE RISK WASTE INFORMATION SYSTEM IN GAUTENG
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
DEVELOPMENT, PILOTING AND DEVELOPMENT, PILOTING AND IMPLEMENTATION OF A HEALTH IMPLEMENTATION OF A HEALTH
CARE RISK WASTE INFORMATION CARE RISK WASTE INFORMATION SYSTEM IN GAUTENGSYSTEM IN GAUTENG
experiential and picture based learning
How the How the customer customer
explained itexplained it
How the How the project leader project leader understood itunderstood it
How the How the programmer programmer
wrote itwrote it
How the How the business business
consultant consultant described itdescribed it
How the How the analyst analyst
designed itdesigned it
How the How the project was project was documenteddocumented
What What operations operations installedinstalled
How the How the customer was customer was
billedbilled
How it was How it was supportedsupported
What the What the customer customer
really neededreally needed
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Project LeaderProject Leader
Linda Godfrey - CSIR Division of Water, Environment and Linda Godfrey - CSIR Division of Water, Environment and Forestry TechnologyForestry Technology
Co-AuthorsCo-Authors
Eric Nørby - RambøllEric Nørby - Rambøll
Andrew Smith - CSIR Division of Information and Andrew Smith - CSIR Division of Information and Communication TechnologyCommunication Technology
Paul Furniss - Gauteng Department of Agriculture, Paul Furniss - Gauteng Department of Agriculture, Conservation, Environment and Land Conservation, Environment and Land AffairsAffairs
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Presentation OutlinePresentation Outline• IntroductionIntroduction• Background to Health Care Risk Waste Background to Health Care Risk Waste
Information System (HCWIS)Information System (HCWIS)
• Approach to Development: Approach to Development: – Pre-Development Pre-Development – Development Development – Piloting Piloting – ImplementationImplementation
• Future DevelopmentFuture Development• Lessons Learnt Lessons Learnt • ConclusionsConclusions
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Background to Health Care Risk Waste Background to Health Care Risk Waste
Information SystemInformation System (1)(1)
• A component of a broader strategy: A component of a broader strategy:
Strategy for the Sustainable Management of HCRW Strategy for the Sustainable Management of HCRW in Gautengin Gauteng
• Overall objective:Overall objective: Sustainable Health Care Waste Sustainable Health Care Waste Management in Gauteng, established within the Management in Gauteng, established within the frames and principles of the National Waste frames and principles of the National Waste Management strategy, covering the full health Management strategy, covering the full health care waste stream from “cradle-to-grave”.care waste stream from “cradle-to-grave”.
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Background to Health Care Risk Waste Background to Health Care Risk Waste
Information SystemInformation System (2)(2)
• EExecuted by the CSIR and Danish-based company xecuted by the CSIR and Danish-based company RambøllRambøll
• Funded by DANIDAFunded by DANIDA
• Consultation with all relevant government departments Consultation with all relevant government departments during developmentduring development
• Initiated in the Gauteng Province in September 2001Initiated in the Gauteng Province in September 2001• Reporting to system voluntary until promulgation of Reporting to system voluntary until promulgation of
regulations in September 2003 regulations in September 2003
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Approach to Development: Approach to Development: Pre-DevelopmentPre-Development
Establishing a conceptual model:Establishing a conceptual model:
Aims and objectives of the system Aims and objectives of the system
– what was required from the system?what was required from the system?
– who will be required to report to the system?who will be required to report to the system?
– what data and how often the data would need to what data and how often the data would need to be submitted to the system? be submitted to the system?
AssumptionsAssumptions made in order to be able to address made in order to be able to address aims and objectives of systemaims and objectives of system
LimitationsLimitations
Information needsInformation needs
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Approach to Development: Approach to Development: Pre-DevelopmentPre-Development
Aims and objectives:Aims and objectives:
Developed through consultation with GDACEL, Developed through consultation with GDACEL, DDEAT, DWAF, DoHEAT, DWAF, DoH
Two primary aims: Two primary aims:
– Monitor trends in monthly amount of HCRW Monitor trends in monthly amount of HCRW transported and treated in the Provincetransported and treated in the Province
– Assess available treatment capacity in the Assess available treatment capacity in the ProvinceProvince
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Approach to Development: Approach to Development: Pre-DevelopmentPre-Development
AssumptionsAssumptions (1) (1)
• HCRW is weighed within the Province HCRW is weighed within the Province • HCRW treatment facilities report waste tonnages HCRW treatment facilities report waste tonnages
received per generator and identify relevant received per generator and identify relevant transportertransporter
• HCRW transporters report waste tonnages HCRW transporters report waste tonnages removed from Province for treatment in another removed from Province for treatment in another ProvinceProvince
• Only major generators (> 10 kg per day) to be Only major generators (> 10 kg per day) to be identified. Minor generators to be grouped identified. Minor generators to be grouped together as “small generators”together as “small generators”
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Approach to Development: Approach to Development: Pre-DevelopmentPre-Development
AssumptionsAssumptions (2)(2)
• Measures are defined to enforce reporting. Measures are defined to enforce reporting. • All HCRW containers are clearly marked with All HCRW containers are clearly marked with
generator name and registered unique number.generator name and registered unique number.• Data is submitted to GDACEL electronically in a Data is submitted to GDACEL electronically in a
pre-determined format. pre-determined format. • The HCWIS is managed and operated by suitably The HCWIS is managed and operated by suitably
qualified GDACEL personnel.qualified GDACEL personnel.
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Approach to Development: Approach to Development: Pre-DevelopmentPre-Development
Limitations Limitations
• Not a tracking system Not a tracking system • Does not incorporate a hazardous waste manifest Does not incorporate a hazardous waste manifest
systemsystem• Verification of data limited to a cross-check Verification of data limited to a cross-check
between serviced generators and list of between serviced generators and list of generatorsgenerators
• Only health care risk waste tonnage data Only health care risk waste tonnage data captured on system captured on system
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Approach to Development: Approach to Development: Pre-DevelopmentPre-Development
Information needsInformation needs
• Collect only urgently needed dataCollect only urgently needed data• From fewest role players in HCRW generation, From fewest role players in HCRW generation,
transportation, treatment chaintransportation, treatment chain• Use collected data effectively Use collected data effectively
Output: framework document outlining Output: framework document outlining objectives of system, data requirements objectives of system, data requirements
for system and role players. for system and role players.
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Transport out ofGauteng only
Static information annually or bi-annually: Capacity, address, contact etc.
HCRW generatorHCRW transporter HCRW treatment
facilities
Monitor trendsin monthly
HCRWamounts
Plan HCRWtreatmentcapacity
Report Stateof the
Environment
Dissemination
Performenforcement,licensing etc.
600(+10,000)
5(+5)
2(+60)
Reporting
Other HCRWrelated tasks
National WISInternational
reporting
DEAT
Tasksdependanton HCWIS
GDACEL
Verification
HCRWrelated tasks
DoH
Registrationinformation
HCRWinformation Monthly HCRW
amounts per generator
Feedback
HC
WIS
Registration
Data Capture
Data Submission
Data Entry
Verification
Reporting
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Approach to Development: Approach to Development: DevelopmentDevelopment
Design of the systemDesign of the system
1) Registration1) Registration• All HCRW generators, transporters and treatment All HCRW generators, transporters and treatment
facilitiesfacilities• Initially only medium – large generators to register (>10 Initially only medium – large generators to register (>10
kg generated per day). kg generated per day). • 80/20 principle80/20 principle
2) Reporting 2) Reporting • Generators - none Generators - none • Transporters - tonnage removed from provinceTransporters - tonnage removed from province• Treatment facilities - tonnage received for treatment in Treatment facilities - tonnage received for treatment in
provinceprovince
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Approach to Development: Approach to Development: DevelopmentDevelopment
1) Registration Process 1) Registration Process • Generator, transporter or treatment facility Generator, transporter or treatment facility
submits details to GDACEL on a registration form submits details to GDACEL on a registration form • Unique identifier assigned to generator, Unique identifier assigned to generator,
transporter and treatment facility. transporter and treatment facility.
GeneratorGenerator ABC HospitalABC Hospital GPGPGG-00-001-00-001
TransporterTransporter ABC ABC TransportersTransporters GPGPTT-00-001-00-001
Treatment Treatment FacilityFacility
ABC ABC Treatment Treatment
FacilityFacilityGPGPFF-00-001-00-001
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Waste Generator IDWaste Generator ID
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Approach to Development: Approach to Development: DevelopmentDevelopment
2) Reporting Process (1)2) Reporting Process (1)
• Static data and dynamic dataStatic data and dynamic data
• Reporting options: Reporting options:
– On-line (internet reporting)On-line (internet reporting)
– Electronic data captureElectronic data capture
– Paper data capturePaper data capture
• Reporting frequencyReporting frequency – monthly/quarterly– monthly/quarterly
• Data committed to system after verification Data committed to system after verification by WIS Officerby WIS Officer
• Cannot be deleted or alteredCannot be deleted or altered
• Transparency of dataTransparency of data
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Data Upload PageData Upload Page
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Approach to Development: Approach to Development: DevelopmentDevelopment
2) Reporting Process (2)2) Reporting Process (2)
• Waste Information System (WIS) Officer: Waste Information System (WIS) Officer: – Monitoring reporting Monitoring reporting – Verification and committing of dataVerification and committing of data– Extraction of reportsExtraction of reports
• Verification of dataVerification of data– Information from previous years Information from previous years – Knowledge of the reporterKnowledge of the reporter– Experience Experience – Comparison with other reporters Comparison with other reporters – Common sense Common sense – Generator informationGenerator information
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Reporting cycleReporting cycle
HC
WIS
data
base
Reminders,receive reports,
feedback
Passverification
Yes
Requestclarification
No
Predefinedreports
Reporting,dissemination etc.
Responsibilities of DACEL HCWIS Officer General DACEL Staff
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Pre-defined Reports: Pre-defined Reports:
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Example of Pre-defined Report: Example of Pre-defined Report: Comparison Between HCW Tonnage Generated and Comparison Between HCW Tonnage Generated and
HCW Tonnage Treated in Gauteng (Pilot) in 2002HCW Tonnage Treated in Gauteng (Pilot) in 2002
AugustSeptember
OctoberNovember
December
0
50
100
150
200
250
300
350
Tonnage
Months
Generated Tonnes for 2002
Treated Tonnes for 2002
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Example of Pre-Defined Report: Example of Pre-Defined Report: Waste Generation and Treatment per Metropolitan Waste Generation and Treatment per Metropolitan
Municipality (Pilot)Municipality (Pilot)
Joha
nnes
burg
Tshw
ane
Ekurh
ulen
i
Met
swed
ing
Sedib
eng
Wes
t Ran
d
0
50
100
150
200
250
300
350
400
450
Tonnage
Municipality
Generated Tonnes for 2002
Treated Tonnes for 2002
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Example of Derived Report: Example of Derived Report: Monthly Provincial Treatment Capacity Vs. Monthly Monthly Provincial Treatment Capacity Vs. Monthly
Provincial Generation Rate Provincial Generation Rate
0
50
100
150
200
250
300
350
400
Tonnage
January March May July September November
Months
Tonnes for 2002
Tonnes for 2003
Monthly Treatment Capacity
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Approach to Development: Approach to Development: DevelopmentDevelopment
2) Reporting Process (3)2) Reporting Process (3)
• System data verificationSystem data verification
• Mass balance not possible because generators Mass balance not possible because generators do not reportdo not report
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Approach to Development: Approach to Development: PilotingPiloting
• August 2002 – August 2003 August 2002 – August 2003
• Involved four treatment facilities, one transport Involved four treatment facilities, one transport company and waste information officercompany and waste information officer
• User’s manual and training programmesUser’s manual and training programmes
• Provision of support materialsProvision of support materials
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Approach to Development: Approach to Development: ImplementationImplementation
• During piloting, all “bugs” and problems were During piloting, all “bugs” and problems were notednoted
• Version 2 launched in June 2003 – minor changesVersion 2 launched in June 2003 – minor changes
• All reporters visited again and introduced to new All reporters visited again and introduced to new versionversion
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Future DevelopmentFuture Development
• Enforcement of reporting – September 2003Enforcement of reporting – September 2003
• WIS Legislation: WIS Legislation:
• Objectives of the WIS Objectives of the WIS • Identification of persons required to report Identification of persons required to report • Registration of persons required to report Registration of persons required to report • Reporting requirements Reporting requirements • Access to information Access to information • Penalties Penalties
• HCWIS is a platformHCWIS is a platform
• Waste stream schedules eg. Hazardous wasteWaste stream schedules eg. Hazardous waste
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Lessons LearntLessons Learnt
• Some problems and challenges: Some problems and challenges:
• Confidentiality of information and disclosure of Confidentiality of information and disclosure of information to competitorsinformation to competitors
• Poor understanding of information requirements Poor understanding of information requirements eg. mixed loads eg. mixed loads
• Reporting of information voluntaryReporting of information voluntary
• Poor computer literacy Poor computer literacy
• Access to and maintenance of resources (Internet, Access to and maintenance of resources (Internet, hardware) etc. hindered reportinghardware) etc. hindered reporting
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Conclusions Conclusions
• HCWIS component of HCWM strategy and HCWIS component of HCWM strategy and platform for broader waste information system platform for broader waste information system
• Simplicity is keySimplicity is key
• Initial aims and objectives have been met Initial aims and objectives have been met
Gauteng Department of Agriculture, Conservation, Environment and Land Gauteng Department of Agriculture, Conservation, Environment and Land AffairsAffairs
Thank YouThank You
All documents available at the following url: All documents available at the following url:
http://www.csir.co.za/ciwm/hcrwhttp://www.csir.co.za/ciwm/hcrw