Transcript Document 7194671

Regulatory and Enforcement
Update
Janet Bowen, EPA Region I
617-918-1795, [email protected]
www.epa.gov/region1/healthcare
July 27, 2005
Adapted from Region 2 May 2005
presentation
1
Region I Approach
• Mercury Challenge Program (1999-2001)
National Award:Making Medicine Mercury Free
http://www.h2e-online.org/programs/award/appls/mmmfChallenge.htm
• Regional Hospital email group
• Promote H2E (2001 – present)
National: 1,038 partners representing 4,366
facilities (as of July 13, 2005)
Region I: 127 partners in New England
2
Region 1 Approach (Cont.)
Increased Compliance Assistance
- Compliance workshop 2001
- SPPC Conference 2002
- Compliance workshop: May 20, 2004
- RCRA half day trainings
* One in each state
* June 2004- December 2004
3
Region 1 Approach (Cont.)
Increase Enforcement Presence
in Healthcare
• EPA sent letter to hospital CEOs (April 2004)
- Increase enforcement presence
- Information about EPA Audit policy
- Information about Region II
enforcement cases
4
Results:
Compliance Monitoring & Incentives Programs
Hospitals
Universe
480
Inspections
44
Enforcement Actions
24
Formal Enforcement Actions
10 ($1,289, 913)
Settlements
8 ($557,612)
Audit Agreements
37
Voluntary Disclosures
128 covering 478 facilities
($10,417,113 for 59 resolved)
Violations Corrected
1100+
Adapted from Region 2 July 2005
5
Healthcare Violations
679 Violations from 128 Facilities
Breakout of Violations from Hospital Disclosures
EPCRA Violations
12%
CWA Violations
17%
CAA Violations
7%
TSCA Violations
4%
SDWA Violations
1%
RCRA Violations
60%
Adapted from Region 2, July 2005
6
Top 15 Healthcare Violations
From 59 Resolved Voluntary Disclosures
Rank
1
2
3
Violation
ID of HW
Universal Waste
Chemical
Inventory
Statute
RCRA
RCRA
EPCRA
Frequency
92
66
48
4
SIP Requirements CAA
48
5
SPCC
44
CWA
Adapted from Region 2, July 2005
7
Top 15 Healthcare Violations
From 59 Resolved Voluntary Disclosures
Rank Violation
Statute Frequency
6 Labeling
RCRA 35
7 CFC Leak
CAA
32
Detection Records
8
MSDS Records
EPCRA 30
9
10
Manifests
CESQG
Requirements
RCRA
RCRA
Adapted from Region 2, July 2005
30
25
8
Top 15 Healthcare Violations
From 59 Resolved Voluntary Disclosures
Rank
11
12
13
14
15
Violation
Personnel Training
Empty Containers
CFCs – Use
Certified
Technicians
Lead Paint
Disclosure
Container
Management
Statute
RCRA
RCRA
CAA
Frequency
25
23
23
TSCA
23
RCRA
21
Adapted from Region 2, July 2005
9
Healthcare RCRA Violations
409 Violations
Breakout of RCRA Violations from Hospital Disclosures
Container
Management 16%
UST 1%
Generator
Requirements 18%
General Facility
Standards 16%
ID of HW 23%
Accumulation Time
2%
Manifest 7%
Universal Waste
16%
Adapted from Region , July 2005
10
Hazardous Waste (HW) Issues
• Lack of HW management training of
employees
• Treating HW without a permit
• Lack of RCRA contingency plan
• Spill control equipment not readily
accessible
• Failure to make HW determinations
Adapted from Region 2 May 2005
presentation
11
Hazardous Waste (HW) Issues
• Failure to ensure that HW meets Land
Disposal Restrictions
• Failure to upgrade/close underground
storage tanks (USTs) by 12/22/98
• Malfunctioning leak detection systems on
USTs
Adapted from Region 2 May 2005
presentation
12
Hazardous Waste Environmental
Compliance Audit Protocols
•
•
•
•
•
Hazardous Waste Generators
Used Oil and Universal Waste Generators
Underground Storage Tanks
Hazardous Waste Treatment, Storage, and
Disposal Facilities
Facilities Regulated under Subtitle D of RCRA
www.epa.gov/compliance/incentives/auditing/protocol.html
Adapted from Region 2 May 2005
presentation
13
Hazardous Waste Environmental
Assistance Resources
• Hazardous Waste General Resources
http://www.hercenter.org/regsandstandards/RCRA.html
• Understanding the Hazardous Waste Rules: A Handbook
for Small Businesses
http://www.epa.gov/region02/waste/public/sqg_pdf.pdf
• Hazardous Waste Requirements for Large Quantity
Generators
http://www.epa.gov/region02/waste/public/lqgpdf.pdf
• EPA’s Office of Underground Storage Tanks
http://www.epa.gov/swerust1/index.htm
Adapted from Region 2 May 2005
presentation
14
Healthcare CWA Violations
49 Violations
Breakout of CWA Violations from Hospital Disclosures
NPDES 10%
SPCC/OIL Spill
90%
Adapted from Region 2, July 2005
15
Water Compliance Issues
• No permit for wastewater discharges
• Not complying with permit conditions
• No/inadequate secondary containment of
storage tanks/containers
• No SPCC plan
• Floor drains
Adapted from Region 2 May 2005
presentation
16
Water Regulations (40 CFR Parts 100-136, 403, 460)
(http://www.epa.gov/region02/ff/ca.htm)
• Wastewater Discharges
NPDES: http://www.epa.gov/npdes
Pretreatment: http://cfpub.epa.gov/npdes/home.cfm?program_id=3
UIC: http://www.epa.gov/ogwdw/uic.html
• Stormwater Discharges
http://cfpub.epa.gov/npdes/home.cfm?program_id=6
• Oil above ground and underground tanks
http://www.epa.gov/oilspill/index.htm
• Other (e.g. filtration plants)
Adapted from Region 2 May 2005
presentation
17
Healthcare CAA Violations
113 Reported Violations
Breakout of CAA Violations from Hospital Disclosures
Asbestos 8%
SIP (including
MACT, NESHAPS,
& Title V) 43%
CFCs 49%
Adapted from Region 2, July 2005
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Air Compliance Issues
• Failure to use properly trained and accredited
•
•
•
•
•
asbestos personnel.
Failure to notify EPA of asbestos removal
projects and keep required
documentation/recordkeeping.
Failure to properly dispose of asbestos debris.
Failure to close lids on parts washers when not
in use.
Failure to properly handle CFCs and records.
Failure to include ETO sterilizer, spray paint
booth, and parts degreaser in air permit.
Adapted from Region 2 May 2005
presentation
19
Air (40 CFR 50-99)
• Clean Air Act General Resources
•
•
•
•
http://www.hercenter.org/regsandstandards/CAA.html
Air Conditioning/Refrigeration
Asbestos
http://www.epa.gov/asbestos
Boilers/Emergency Generators
Medical Waste Incinerators
http://www.epa.gov/ttn/atw/129/hmiwi/rihmiwi.html
• Other (e.g., degreasers, ETO sterilizers, spray booths)
Adapted from Region 2 May 2005
presentation
20
Healthcare EPCRA Violations
79 Violations
Breakout of EPCRA Violations from Hospital Disclosures
MSDS 38%
Chemical
Inventory 62%
Adapted from Region 2, July 2005
21
Other Requirements
(http://www.epa.gov/region02/ff/ca.htm)
• Emergency Planning and Community Right to
Know (40 CFR 302, 355, 370, 372)
http://yosemite.epa.gov/oswer/CeppoWeb.nsf/content/epcraOverview.htm
• Pesticides (40 CFR 150-189)
http://www.epa.gov/pesticides/
• PCBs (40 CFR Part 761)
http://www.epa.gov/opptintr/pcb/
www.epa.gov/compliance/incentives/auditing/protocol.html
Adapted from Region 2 May 2005
presentation
22
Healthcare TSCA Violations
24 Violations
Breakout of TSCA Violations from Hospital Disclosures
PCBs 4%
Lead Paint 96%
Adapted from Region 2, July 2005
23
EPA’s Audit Policy
National Audit policy
www.epa.gov/compliance/incentives/auditing/auditpolicy.html
Press releases – New England
May 25, 2005 Caritas Christi Health Care
http://www.epa.gov/region1/pr/2005/may/sraw050501.html
February 14, 2005 Portsmouth Regional Hospital
http://www.epa.gov/region1/pr/2005/feb/sr050203.html
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National Tools
Profile of the Healthcare Industry (2/05)
Document Number: 310R05002
- plain language environmental profile
http://www.hercenter.org/links/ Or call 1-800-490-9198
Compliance Assistance Center – Healthcare
still under construction
- on-line compliance assistance
- Formal launch mid-April 2005
- Website www.hercenter.org
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National Tools – Cont.
• Environmental Compliance and
Improvement Guide – To improve
compliance with JCAHO Environmental of
Care Standard
• Available
www.hercenter.org/regsandstandards/jcah
ointro.html
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Choose a Standard.
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“Clip Board” Versions
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National Tools – Cont.
H2E Waste Management System
• Excel spreadsheet to assist hospitals track
waste data – solid, hazardous, recyclable,
regulated medical
• Currently being piloted with hospitals
• Register for this FREE tool at
http://www.hercenter.org/wms.html
31
H2E Waste Management Tool
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National Tools – Cont.
Mercury Assessment Tool
• Based on CA Excel speadsheet (2002)
• Use to help inventory mercury items
• Use to calculate the amount of mercury
http://www.h2e-online.org/tools/merc-man.htm
Scroll down and click Mercury Assessment Worksheet. To access the
manual open the spreadsheet and click on INSTRUCTIONS at the
bottom
33
National Tools – Cont.
Healthcare Guide to Pollution Prevention
Implementation through Environmental
Management Systems, second edition
Revised draft second edition: May 2005
Available:
Kentucky Pollution Prevention Center
URL: www.kppc.org, under “Now Available”
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Regional Projects
• OECA Hospital Assessment Project
- UNH interns collected data from 25
hospitals in RI, CT and NH
- Summer 2003
- Federal Template online
- Project data available online
http://www.epa.gov/region1/healthcare/compliance.html
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Hospital for Healthy
Environment: Goals
– Virtually eliminate mercury waste by year 2005
– Reduce total waste volume by 33% by year 2005, by
50% by 2010
– Identify and reduce PBT chemicals and other
hazardous substances in hospitals through pollution
prevention and waste reduction
Our key to success is your involvement!
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H2E Tools
 H2E Listserve
 H2E Self Assessment Guide and other
Guides
 Comprehensive Website
Mercury, Waste Reduction, Green Buildings, Green
Purchasing, Energy Efficiency, Chemical /Pollution
Prevention, Water Conservation, Universal Waste
 Monthly Teleconferences for Partners
 Technical Resources
37
How to Become a H2E Partner
Partner Registration Form online
http://www.h2eonline.org/programs/partner/p_reg.htm
38
H2E Program Contacts
Toll Free Hotline: 800-727-4179
E-mail: [email protected]
www.h2e-online.org
• Laura Brannen, Director
•
•
•
[email protected]
– 603-795-9966
Chen Wen, Director
[email protected]
– 202-564-8849
Janet Brown, Partner Coordinator
[email protected]
– cell 347-393-3809
Sarah O’Brien, Champion Coor.
[email protected]
– (802) 479-0317
• Kelly Heekin, Communications
[email protected]
• Liza Nanni, Program Assoc.
•
•
[email protected]
– 603-795-9966
Jolie Patterson-Rosst, Awards
Coordinator
[email protected]
– 703-243-0056
Cecilia DeLoach, State Partnership
Programs Coordinator
[email protected]
–800-727-4179
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General Resources
Sustainable Hospital Project
http://www.sustainablehospitals.org/cgibin/DB_Index.cgi
Healthcare Without Harm
http://www.noharm.org/
RCRA Online
http://www.epa.gov/rcraonline/
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ENERGY STAR is…
A voluntary partnership
with EPA
A strategic approach to
energy management
Recognized by 60% of U.S. Households
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EnergyStar Resources
Healthcare Benchmarking
- Evaluate your hospital’s energy perf
- Healthcare benchmarking starter kit
www.energystar.gov/healthcare
Portfolio Manager to benchmark energy
performance available for:
- Acute care and children hospitals
- Medical offices (new in 2004)
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EnergyStar Resources – Cont.
• Building Upgrade Manual
http://www.energystar.gov/index.cfm?c=business.bus_upgrade_manual
• New Building Guidance
http://www.energystar.gov/index.cfm?c=new_bldg_design.new_bldg_d
esign
• Free EnergyStar Internet training
http://es.netspoke.com/attendee/default.asp
• Toll Free EnergyStar Hotline:
1-888-STAR-YES (1-888-782-7937)
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Contact Us
Bill White
EPA Region 1, ENERGY STAR
Boston, MA
617-918-1333
[email protected]
Clark Reed
National Healthcare Manager, ENERGY STAR
Washington, D.C.
[email protected]
www.energystar.gov/healthcare
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