Hazardous Waste Management

1. Introduction
1. Description- helps ensure potential hazardous materials and gases are purchased, utilized, and disposed of in a safe manner and in accordance with federal, state, local, and accrediting body guidelines
2. Overview
1. Purpose
1. Safety
2. Ensuring appropriate space
3. Monitoring and taking corrective action if necessary
2. Types of materials
1. Chemicals, Chemotherapeutic materials, Radioactive materials, Infectious and regulated waste materials

3. Regulatory Requirements
4. Certificate of Need – Maryland
1. Overview
1. Cost, quality, accessibility, impact
5. Regulatory agencies
6. Office of Health Care Quality in the Department of Health and Mental Hygiene
1. Health Services Cost Review Commission
2. Maryland Health Care Commission
    i.  Evaluation
   ii.  Expenditure's
   iii.  Timeline
3. Commission in the State Health Plan
   i.  Evaluation 
   ii.  Coverage
   iii.  Type of project
   iv.  Location
    v.  Bed capacity
1. Scope of service offered
2. Balance expenditure with thresholds   

1. Regulatory statutes

4. Review Criteria
   a. Criteria of review for State Health Plan
1. Standards
2. Polices
3. Criteria
4. Need Analysis
1. Met
2. Unmet
3. Cost-Effective Alternatives
4. Viability of Proposal
5. Compliance conditions of previous certificate of needs
6. Impact on existing providers and Health Care Delivery Systems

7. Stakeholders
1. Waste Reduction Teams
2. Environmental Leadership Counsel
1. Objectives
2. Principals
3. Vendors
4. Waste Hauler
5. Hospital Staff
3. Green Team
1. Objectives to maintain and implement
2. Participants
4. Recycling Coordinators
1. objectives 
8. Conclusion
1. Importance of proper management
2. Regulations
1. Local, State, Federal
3. Stake holders & Impacts