HomeMy WebLinkAboutCOM 0088.000 2014-2016William P. Kenoi
Mayor
January 15, 2015
County of Hawaii
Finance Department
25 Aupuni Street, Suite 2103 • Hilo, Hawaii 96720
(808) 961 -8234 • Fax(808)961 -8569
Deanna S. Sako
Director
Lisa K. Miura
Deputy Director
Dru Kanuha, Council Chair and
Members of the Hawaii County Council
Hawaii County Council
25 Aupuni Street
Hilo, Hawaii 96720 -'
Re: Agreement with the Hawaii Health Systems Corporation, Hilo Medical Center . -~
The Hawaii Fire Department's Emergency Medical Services (EMS) Bureau generates
infectious waste during emergency medical responses which must be in compliance with
State of Hawaii Rules, Title 11, Chapter 104. 1, Management and Disposal of Infectious
Waste. The Hawaii Health Systems Corporation has a collection and disposal facility
for infectious waste which meets the aforementioned requirement. The effective date
will be upon the execution of the agreement and shall continue through November 30,
2017.
Enclosed is a resolution authorizing the Mayor to enter into an agreement with the
Hawaii Health Systems Corporation, Hilo Medical Center, to provide infectious waste
disposal services for the Hawaii Fire Department's EMS Bureau.
If there are any questions, please do not hesitate to call Fire Chief Darren Rosario at
932 -2900.
Deanna S. Sako
Director of Finance
Enc.
cc: Fire
`tZes. S 5 -15,
Comm. No. 881
Ref. To: 2-
Hawai'i County is an Equal Opportunity Employer and Provider Ref. Date JAN 15 2015
Form #: B -52
7/18/91
DEPARTMENT
DEPARTMENT OF FINANCE
REQUEST FOR COUNCIL ACTION
FIRE DATE
STAFF CONTACT: Darren J Rosario
A. REQUEST:
1/8/2015
PHONE: 932 -2900
Prepare a resolution authorizing the Mayor to enter into an agreement with the Hawaii Health Systems
Corporation (HHSC) Hilo Medical Center (HMC) for disposal services of non - hospital infectious waste from
the Hawaii Fire Department Emergency Medical Services (EMS) Bureau. The effective date will start at the
date of the execution of the agreement and shall continue through November 30, 2017. The agreement
maybe extended by HMC for one (1) additional two (2) year term.
B. BACKGROUND AND JUSTIFICATION (USE ADDITIONAL SHEETS AS NEEDED):
The Hawaii Fire Department Emergency Medical Services Bureau generates infectious waste such as
contaminated sharps and other infectious waste during emergency medical responses. The disposal of
these wastes must be incompliance with State of Hawaii's Rules, Title 11, Chapter 104.1, Management and
Disposal of Infectious Waste.
The Hawaii Health Systems Corporation has a collection and disposal facility for infectious waste. The
disposal cost is $3.50 per pound and maybe increased upon written notice by HMC.
SIGNED:
Or,a
Department Head
DATE: 1- ?- IS
HAWAII HEALTH SYSTEMS CORPORATION
AGREEMENT FOR DISPOSAL SERVICES OF
NON - HOSPITAL INFECTIOUS WASTE
Agreement #: FY
This Service Agreement, executed on the respective dates of the signatures of the parties shown hereafter. is
effective as the date of its full execution, by and between Hawaii Health Systems Corporation ( "HHSC ")
Hilo Medical Center (hereinafter "HMC"). whose address is 1 190 Waianuenue Avenue Hilo Hawaii 96720, and
County of Hawaii . whose business address is 25 Aupuni Street, Room 25'01
Hilo, HI 96720 (hereinafter "Customer "). The parties agree as follows:
1.0 Services. "Services" means the obligations of HMC to receive, weigh, and dispose of the infectious waste
supplied by the Customer.
2.0 Compliance with Department of Health Guidelines. In using HNIC's non- hospital infectious waste
disposal services. Customer shall comply with the State of Hawaii's Rules, Title 11, Chapter 104. I,
Management and Disposal of Infectious Waste (httL): / /nen.cloli.hawaii -ov /sites /har /AdmRulesI /I 1 104
I final. cil , and HMC's guidelines governing the disposal of non - hospital infectious waste, including
without limitation HMC Policy No. 750 - 129 -01, Disposal of Non- Hospital Waste, as the same may be
amended from time to time.
3.0 Contaminated (used) sharps. Pursuant to the State of Hawaii Rules $11- 104.1- 11(b)(2), contaminated
sharps shall be deposited at the point of generation into rigid puncture resistant and leak proof containers,
red in color or clearly marked with the universal biological hazard symbol. Only HMC approved sharps
containers are accepted. Sharps containers must be closed securely to contain the sharps completely and
be separated from other types of infectious waste.
4.0 Other types of infectious waste. Pursuant to the State of Hawaii Rules S 1 1- 104.1 -1 1(b)( I ), other types
of infectious waste shall be deposited at the point of generation into containers lined with non - soluble
plastic bags which are clearly marked with the universal biological hazard symbol, or into red plastic bags,
which bags shall be sufficient in number and thickness to contain the waste completely from any type of
leak or generation through treatment and storage.
5.0 Day and time of acceptance of non - hospital infectious waste. HMC accepts non- hospital infectious
waste on Wednesday only. between the hours of 8:00 a.m. and 2:00 p.m., unless otherwise noted. 1t the
scheduled date for collection of non - hospital infectious waste is a holiday. collection will be accepted on
the day prior to the holiday.
6.0 Collection area of non - hazardous infectious waste. All non - hospital infectious waste must be delivered
to the waste collection room adjacent to HMC's loading /unloading bay. The waste collection room is
located in the rear of the acute hospital and may be accessed through the vendor roadway located between
the building referred to as the West Wing and the Hale Ho'ola Behavioral Health Facility on HMC's
campus.
7.0 Required documentation and drop -off procedures. All non - hospital infectious waste must be
accompanied by a Disposal of Infectious Waste Form, a copy which is attached hereto for reference and
reproduction as needed. When infectious waste is delivered to the waste collection room, the delivery
person must report to the Housekeeping Office if an attendant is not available in the waste collection room
to receive the delivery. Housekeeping personnel will accept the delivery, weigh it, and record the amount
Of infectious waste received on the Disposal of Infectious Waste Form. The Customer's delivery person
I la\\jii Health 4cgte „s Corporation
Disposal ofNon- Hospital vast, FY,UI -�Ulb
MUST NOT LEAVE until the infectious waste has been physically accepted by Housekeeping personnel.
After all information is recorded, the Customer's delivery person will be required to sign off on the
Disposal of Infectious Waste Form acknowledging the quantity and weight of non- hospital infectious
waste delivered.
8.0 Invoice (billing) and payment. HMC will bill the Customer for the non - hospital infectious waste
delivered to the waste collection room for sterilization and disposal on a monthly basis based upon the
number of pounds submitted (rounded up to the nearest pound). A minimum of one (1) pound will be
charged. Payment shall be due upon receipt of invoice.
9.0 Contact information. Customer shall provide the followin, information to HMC to expedite
communication.
9.1 Invoice /billing contact. The name. address, telephone and fax number, and email address if
available, of the person to whom invoices shall be sent and payment questions may be addressed.
9.2 Infectious waste contact. The name, telephone and fax number, and email address if available, of
the person to whom questions regarding the containment, type, and delivery of non - hospital
infectious waste may be addressed.
10.0 Fees. The fee payable by the Customer for disposal of non - hospital infectious waste hereunder is $3.50
per pound. The fee may be increased upon thirty (30) days written notice by HMC.
11.0 Term. The start date of the Agreement shall be the date of execution by both parties, and the Agreement
shall continue through 11/30/2017 unless sooner terminated by HMC upon written notice as outlined in
Section 12. In addition, the Agreement may be extended by HMC for one (1) additional two (2) year term
by giving written notice of such extension to Customer prior to the expiration of the initial term.
12.0 Suspension, cancellation, or termination of services. HMC reserves the right to suspend, cancel, or
terminate its provision of Services to Customer at any time, with or without cause, by written notice to
Customer. Advance notification of such suspension, cancellation, or termination is not required. If the
provision of Services hereunder is suspended, cancelled, or terminated, the parties may not enter into a
new agreement regarding the provision of Services (other than an agreement on the same terms and for the
same compensation as provided in this Agreement) until the expiration of the initial year of the term
described in Section 11.
13.0 Indemnification and defense. The Customer shall defend, indemnify and hold harmless Hawaii Health
Systems Corporation, HMC and their directors, employees and agents from and against all liability, loss,
damage, cost and expense, including all attorneys' fees and costs, and all claims, suits and demands
therefore, arising out of or resulting from any acts or omissions of the Customer or the Customer's
employees. officers. agents or subcontractors under this Agreement. The provisions of this paragraph shall
remain in full force and effect notwithstanding the expiration or early termination of this Agreement for
any reason.
14.0 Anti - Kickback Statute or Stark Law. The parties to this Agreement certify that they shall not violate
the Anti - Kickback Statute or the Stad< Law with respect to the performance of this Agreement.
15.0 Written notification. The Customer must provide written notice to Hilo Medical Center's Contracting
Officer upon receipt of notification that the Customer has been debarred, suspended or otherwise lawfully
prohibited from participating in any public procurement activity. The Contracting Officer may, upon
receipt of such written notice, immediately terminate this Agreement if the Contracting Officer or HHSC
Hawaii Health System, Corporation
Disposal orNon- Hospital waste / FY2013 -2016
determine that the Customer has been debarred, suspended or otherwise lawfully prohibited from
participating in any public procurement activity, including but not limited to, being disapproved as a
subcontractor of any public procurement unit or other governmental body.
16.0 Additional Documents. The Customer shall execute such additional documents that HHSC reasonably
requests. Without limiting the generality of that statement, the Customer shall, if requested, execute a
written certification that it has received, read, understood, and will abide by Hilo Medical Center's Code
of Conduct.
17.0 HMC contact information. The following individuals shall be the primary contacts for this Agreement:
17.1 Technical Representative and infectious waste contact. The technical representative for this
contract shall be:
Kaleo Kamai, Environmental Services Director
Hilo Medical Center
1 190 Waianuenue Avenue
Hilo, Hawaii 96720
Phone (808) 932 -3097
Fax (808) 932 -3107
Email kkamaik-i)hhsc.or,,,
17.2 Billing /invoice contact. The billing /invoice contact for this contract shall be:
Rodney Sako
General Accounting Office
Hilo Medical Center
1 190 Waianuenue Avenue
Hilo, Hawaii 96720
Phone (808) 932 -3412
Fax (808) 974 -6723
Email rsako(�i?hhsc.ortg
Hawaii Health systems Corporation 3
Disposal of Non - Hospital Waste/ FY2013 -2016
In view of the above, the parties execute this Agreement by their signatures, on the dates below, to be
effective as of final execution by Hilo Medical Center.
Hilo Medical Center
Signature:
Printed Name: Howard N. Ainsle
Title: East Hawaii Region Chief Executive Officer
Date:
Customer
Si ,2nature:
Printed Name: William P. Kenoi
Title:
Date:
i ki ait Health Systems C orpomhun
Disposal of Non - Hospital Waste/ FY2013 -2016
Mayor
HAWAII HEALTH SYSTEMS CORPORATION
AGREEMENT FOR DISPOSAL SERVICES OF
NON - HOSPITAL INFECTIOUS WASTE
Agreement #: FY
COUNTY OF HAWAII (Customer) primary contacts for this Agreement:
Technical representative and infectious waste contact:
Billing and invoice contact:
Lance Uchida,Battalion Chief
Hawaii Fire Department
EMS Bureau
Email: luchida @co.hawaii.hi.us
Office: (808) - 961 -8319
Cell: (808)- 430 -8093
Fax: (808)- 961 -8048
Hawaii Fire Department
Administration — Fiscal
25 Aupuni Street, Room 2501
Hilo, HI 96720
Office: (808)- 932 -2900
Fax: (808)- 932 -2928
HAWAII HEALTH SYSTEMS CORPORATION
AGREEMENT FOR DISPOSAL SERVICES OF
NON - HOSPITAL INFECTIOUS WASTE
Agreement #: FY
RECOMMEND APPROVAL
Darren J Rosario
Fire Chief
Dated:
APPROVED AS TO FORM AND LEGALITY
Deputy Corporation Counsel
Dated:
APPROVED AS TO AVAILABILITY OF
FUNDS IN THE AMOUNTS AND FOR THE
PURPOSES SET FORTH HEREIN
Finance Director
Dated:
MY HOSPITAL
Hilor Medical Center
MY COMMUNITY
Policy and Procedure
DEPARTMENT:
Environmental Services
Policy No.: HMC -HSKP -02596
Origination Date:
Author(s): Kaleo Kamai
Reviewed: I1 /13
Revised: 11/13
Approved By:
Initials
Date
Supersedes:
Kaleo Kamai,
Department Head
11/13
Page 1 of t
Subject / Title
EVS:
DISPOSAL OF NON - HOSPITAL WASTE
Attachments: A
Status:
POLICY:
A. All non -HMC infectious waste shall be collected and disposed according to Department of Health Rules 11,
Chapter 104 and HMC guidelines.
11. PROCEDURE:
A. Non -HMC health /medical care providers desiring to utilize the infectious waste disposal services of HMC shall
submit a letter of request to HMC administration indicating type and volume of infectious waste to be disposed.
HMC reserves the right to approve /disapprove each request.
B. Contaminated /used sharps shall be collected at the point of generation and placed into a rigid puncture resistant
and leak- proof container, red in color and clearly marked with Universal Biological Hazard symbols.
C. Only HMC approved sharp containers are accepted. Sharp containers must be kept separate from other infectious
waste. Housekeeping staff collecting waste will do a visual check to assure that sharps are contained properly in
an approved sharp container before signing off on the "Infectious Waste Disposal Form ". if sharps are not
properly contained, the staff will inform the drop off person that the sharps is being rejected and also explain the
reason why it's being rejected.
D. Other infectious waste shall be collected at the point of generation and placed into containers lined with non -
soluble plastic bags, which are clearly marked with Universal Biological Hazard symbols, or must be RED in
color. Infectious waste bags must be tightly sealed. Infectious waste bags not RED in color or leaking will not be
accepted. HMC will not accept any type of hazardous material for disposal. (i.e. Chemotherapy waste,
Hazardous chemicals, including any device containing Mercury or heavy metals, etc.)
E. Ail deposits shall be made only on Wednesday of each week between the hours of 8:00a.m. - 2:00p.m.
Exceptions will be made for emergencies only. Deposits that fall on Holidays will be accepted on the day prior.
F. All deposits must be delivered to the waste collection room, adjacent to the warehouse unloading area (back of
acute facility) with the Disposal of Infectious Waste form (Appendix A). Report to the Housekeeping Office so
that housekeeping personnel can receive, weigh, and record your infectious waste. Non -HMC provider delivery
person must not leave infectious waste without it being physically accepted by one of the HMC housekeeping
staff. If requested by the generator, HMC will provide a copy of the "Disposal of Infectious Waste" form with
HMC's verification of date when the generators waste was treated.
G. The fee (subject to change with 30 day notice) to utilize services of HMC is good until the end of each fiscal year
(June 30) and is as follows:
$3.50 per pound; invoiced Monthly
H. Failure to comply with these guidelines shall result in cancellation of privileges to utilize the infectious waste
disposal services of HMC.
I. HMC reserves the right to discontinue this service to any non -HMC medical /health provider at any time without
any advanced notification.
HOUSEKEEPING DEPARTMENT
Disposal of Infectious Waste
NAME OF GRANTOR:
ADDRESS:
TELEPHONE NUMBER:
** Waste will be rounded off to the nearest pound &
a minimum charge of 1 # will be incurred by Generator. **
TYPE OF INFECTIOUS WASTE
QUANTITY
per bag, container
WEIGHT
per bag, container
Laboratory Waste
Human Specimen Cultures from
Medical & Pathological
Laboratories
Fluid Blood, Fluid Blood Products,
Containers or Equipment
Containing Blood
Isolation Waste
Contaminated Sharps
Human Dialysis Waste Materials
TOTAL:
GENERATOR STATEMENT:
As Generator of said waste or Representative thereof, I hereby declare that the contents identified on this
consignment are fully & accurately described above.
Signature of Generator / Representative:
HMC Verification Signature:
HMC REPRESENTITIVE STATEMENT:
Date:
Date:
I certify that the contents listed above has been properly treated & in accordance to federal, state and / or local regulations.
Signature of Designated Facility Operator: Date: