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Secure Medicine Return: PH:ARM Pilot in Washington State

Shirley Reitz, Pharm.D., BCPS Associate Director, Pharmacy Clinical Services Group Health Cooperative Seattle, WA 206-901-4334 Reitz.sj@ghc.org November 2008. Secure Medicine Return: PH:ARM Pilot in Washington State. Patient Demand. 2006 WCRC survey of 400 King County households revealed

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Secure Medicine Return: PH:ARM Pilot in Washington State

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  1. Shirley Reitz, Pharm.D., BCPS Associate Director, Pharmacy Clinical Services Group Health Cooperative Seattle, WA 206-901-4334 Reitz.sj@ghc.org November 2008 Secure Medicine Return:PH:ARM Pilot in Washington State

  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….” 2

  3. Pharmaceuticals in Landfills Leachate • pumped to sewer treatment plants • Could leach to groundwater • studies find drugs • 9 unlined landfills in Washington State

  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 4

  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 5

  6. Group Health Pilot Bin Signs 6

  7. Group Health Pilot 7

  8. Pilot Project • 25 Group Health clinic pharmacies statewide • 12 Bartell Drugstores around Puget Sound • 3 boarding /assisted living homes in Seattle 8

  9. Group Health’s Experience Over 15,000 lbs of unwanted medications collected and safely destroyed from GHC locations over 2 year pilot Group Health Collected Meds Percent by Weight 1,238 pounds total 16,460 drug containers 9

  10. Interesting Findings 10

  11. Snapshots of collected materials 14 Doses of Enbrel $5,600 Migranal Nasal Spray $120 11

  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 12

  13. Next 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

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