Successes and Challenges with Pharmaceutical Collection Model Programs

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Successes and Challenges with Pharmaceutical
Collection Model Programs

• Burke Lucy
• November 4, 2009

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Outline

• Existing paradigms
• Criteria and Procedures
• Successes
• Lessons learned
• Next steps

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Outline

• Existing paradigms
• Criteria and Procedures
• Successes
• Lessons learned
• Next steps

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Existing Paradigms

• Permanent programs
• One-time events
• Mail-back programs

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Existing Paradigms

• Household hazardous waste

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Existing Paradigms

• Law enforcement

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Existing Paradigms

• Pharmacies

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Existing Paradigms

• Hospitals

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Existing Paradigms
1 California Board of Pharmacy
Successes and Challenges with Pharmaceutical
Collection Model Programs
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Outline

• Existing paradigms
• Criteria and Procedures
• Successes
• Next steps

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• www.ciwmb.ca.gov/HHW/PharmWaste/ModelProgram

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures
Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Household hazardous waste

• Locked containers

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Locked containers

• Household hazardous waste

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Household hazardous waste

• Locked containers
• Stored in
• Locked area, or

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Household hazardous waste

• Locked containers
• Stored in
• Locked area, or

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Household hazardous waste

• Locked containers
• Stored in
• Locked area, or
• under direct supervision or surveillance

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Household hazardous waste

• Locked containers
• Stored in
• Locked area, or
• under direct supervision or surveillance

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Law enforcement

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Law enforcement

• Officer present

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Law enforcement

• Officer present
• Signed inventory

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Law enforcement

• Officer present
• Signed inventory
• Booked into evidence

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Law enforcement

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Pharmacies

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Pharmacies

• Two-key system

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Pharmacies

• Two-key system
• Lock when full

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Pharmacies

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Hospitals

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Hospitals

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Hospitals

• Locked container

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Hospitals

• Locked container
• Lock when full

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Criteria and Procedures

• Hospitals

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Outline

• Existing paradigms
• Criteria and Procedures
• Successes
• Lessons learned
• Next steps

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Successes
Successes and Challenges with Pharmaceutical
Collection Model Programs
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Successes

• Pharmacies
• Watkins Drug Store
• Grove Harbor Medical Center Pharmacy
• Costa Mesa Compounding Pharmacy

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Successes

• Law enforcement
• Santa Cruz Police Department
• Contra Costa County Sheriff's Field Operations
• Contra Costa Regional Medical Center Sheriff's
  Substation
• Walnut Creek City Hall

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Successes

• Hospitals
• Washington Hospital
• Washington Township Medical Group
• Fremont
• Newark
• Union City

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Outline

• Existing paradigms
• Criteria and Procedures
• Successes
• Lessons learned
• Next steps

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Lessons Learned
Unknown staff time
Successes and Challenges with Pharmaceutical
Collection Model Programs
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Lessons Learned
Unknown staff time
Successes and Challenges with Pharmaceutical
Collection Model Programs
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Lessons Learned
Unknown staff time
Successes and Challenges with Pharmaceutical
Collection Model Programs
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Outline

• Existing paradigms
• Criteria and Procedures
• Successes
• Lessons learned
• Next steps

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Next Steps

• Case studies

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Next Steps

• Case studies
• Web site update

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Next Steps

• Case studies
• Web site update
• Stakeholder workshop

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Next Steps

• Case studies
• Web site update
• Stakeholder workshop
• Report to the Legislature

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Next Steps

• Case studies
• Web site update
• Stakeholder workshop
• Report to the Legislature
• Database

Successes and Challenges with Pharmaceutical
Collection Model Programs
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Summary

• New paradigms
• Successes
• Making progress

Successes and Challenges with Pharmaceutical
Collection Model Programs
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www.ciwmb.ca.gov