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Reprocessing “Single-Use” Devices Helps Hospitals Reduce Cost, Waste, and Greenhouse Gas Emissions
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NEWS FROM DAN

Happy New Year to all of our friends and colleagues. 

The cost and supply chain pressures that began during COVID continue, and we're seeing policy leaders and healthcare experts now focus on the enormous green house gas emissions and waste associated with healthcare. The more they do, the more they recognize reprocessing as an obvious place to look for an immediate, regulated solution with quantifiable results. 

In October and December, we celebrated amazing reporting on the issues of hospital emissions and on the right-to-repair movement in STAT.  We are thrilled to have such a prominent news outlet exhibiting interest in our cause, elevating exposure for our industry.

And yet, this is only the tip of the iceberg. In addition to the STAT articles, we were also featured in a podcast, a video and written interview, an article and a panel, all highlighting the well-established solution reprocessing offers to reducing costs, greenhouse gas emissions, waste and logistical strains on healthcare.

In addition to all of this positive media activity, our friends in research and academia contributed to an exciting quarter with their work as well.

In October, research published in Sustainability examined “green servitization," finding that reprocessing provides better value for hospitals and lowers their carbon footprint. In Nature Reviews Cardiology, researchers considered various strategies for reducing the carbon footprint of catheterization laboratory, finding that “[reprocessing] catheters is the most effective way to reduce the carbon footprint of ablation procedures.” In PLOS ONE, researchers argued that reprocessing “is a sustainability solution that has the potential to decrease hospital waste, cut carbon emissions, reduce spending, and improve supply chain resiliency” and “conducted a qualitative study to understand barriers and facilitators of scaling up [medical device reprocessing].”

The last three years have shaken not only healthcare, but the entire world economic system. Basic assumptions about the stability of our supply chains and the availability of limited natural resources have to be reconsidered.  As the world begins to look towards new potential paradigms in these areas, it is clear that the medical device reprocessing industry is going to play an increasingly greater role, AND serve as an example of a successful, circular economy business model for the larger healthcare industry. 
 

Best Wishes,


Dan Vukelich, Esq., CAE
President & CEO
Association of Medical Device Reprocessors
www.amdr.org 

Public Library of ScienceStakeholder perspectives on scaling up medical device reprocessing: A qualitative study
December 30, 2022
Yale anesthesiologist and researcher Jodi Sherman and her research team conducted a qualitative study to understand barriers to and facilitators of scaling up medical device reprocessing. The report serves as a roadmap for hospitals and for our members to better anticipate barriers and cross them to expand reprocessing programs.



The New England Journal of MedicineMandatory Reporting of Emissions to Achieve Net-Zero Health Care
December 29, 2022
[We recommend] that greenhouse-gas–related measurement and reporting should be a requirement for all health care delivery organizations (HCOs), broadly defined to include inpatient, outpatient, and residential care and their supporting services (e.g., offices, laboratories, and warehouses). Although HCOs currently face competing priorities and are already reporting many quality measures and new greenhouse-gas–related reporting requirements are likely to feel onerous, the urgency of the climate crisis and its implications for public health and health system preparedness demand such action. We propose the following actions to implement greenhouse-gas–related measurement activities in HCOs to accelerate decarbonization efforts: implementing mandatory adoption of a standard set of reporting metrics across U.S. health care; securing organizational governance and infrastructure for measurement and action; and supporting measurement, benchmarking, and transparency through policy innovations.



Nature Reviews CardiologyEnvironmental sustainability in cardiology: reducing the carbon footprint of the catheterization laboratory
December 21, 2022
Among other solutions, the authors advocate device reprocessing, stating, "Electrophysiology catheters have evolved from simple to complex, expensive, technology-packed single-use devices, with a lifetime of a few hours while being fully functional with preserved performances. Reusing catheters is the most effective way to reduce the carbon footprint of ablation procedures. This strategy has been predicted to reduce the global-warming impact of these procedures by 50.4%. Available evidence indicates that with appropriate oversight, standardization and validation of practices, catheter reprocessing and reuse is feasible, safe and cost-effective, as has been demonstrated in the past two decades in the USA and Germany. However, catheter recycling is still illegal in most European countries. There is an urgent need to review national policies to allow and promote catheter reuse, which is also an efficient way to secure their availability to treat patients — particularly in the current international geopolitical context and given the growing scarcity of resources."



Society for Cardiothoracic Surgery in Great Britain and IrelandGreen Surgery Checklist
November 21, 2022
The UK and Ireland surgical colleges have recognized that it is imperative for us to act collectively and urgently to address [climate change]. Here we present a compendium of peer-reviewed evidence, guidelines and policies that inform the interventions included in the Intercollegiate Green Theatre Checklist. This compendium should support members of the surgical team to introduce changes in their own operating departments. Our recommendations apply the principles of sustainable quality improvement in healthcare, which aim to achieve the “triple bottom line” of environmental, social and economic impacts.



Sustainability
Green Servitization in the Single-Use Medical Device Industry: How Device OEMs Create Supply Chain Circularity through Reprocessing
October 5, 2022
This study is the first detailed analysis of the trend toward the use of servitization contracts between reprocessing companies (particularly those that are a division of an OEM) and hospitals. "The paper reveals that single-use device OEMs may have started to understand the perspective and the long-term market share gains of combining a service model and a manufacturing model, making reprocessing an integrated part of how they think about how to design, produce and deliver their products." Additionally, the study finds that such practices provide better value for hospitals - lowering costs and carbon footprint - and that reprocessing deepens strong, trusting relationships between hospitals and vendors.

Medical Design & OutsourcingCardinal Health opens expanded Sustainable Technologies facility
November 23, 2022
Cardinal Health has unveiled its expanded 100,000-square-foot Sustainable Technologies site located in Riverview, Fla. "Our investment in this expansion highlights Cardinal Health's commitment to helping reduce healthcare's environmental impact and waste through [single-use device] reprocessing," said Global Planning Senior Vice President Pete Bennett.
 

Medtech InsightOutlook 2023: The Regulatory Path Ahead - featuring Daniel Vukelich
December 29, 2022
What regulatory challenges will 2023 bring? Our international panel of top experts - including AMDR President and CEO Daniel Vukelich - has a few guesses. "Because 60% to 80% of greenhouse gas emissions from hospitals come from the supply chain, “low-hanging fruit” solutions such as programs to reprocess medical devices labeled for single-use will continue to grow substantially," said Vukelich. "Supply chain shortages, particularly for single-use devices with computer chips, will further drive the growth of reprocessing programs. FDA regulated processes and products with research that shows emission reductions, cost savings, and supply chain resilience will grow as hospitals see more single-use devices as assets rather than waste."



Supply Chain MagazineHealthcare CEOs must cut carbon from supply chains - GenPact
December 26, 2022
Healthcare workers should be leading the war on climate change by reducing greenhouse gas emissions caused by the health sector, particularly those caused by hospital supply chains, says GenPact’s Urvashi Bhatnagar, and Dan Vukelich of the Association of Medical Device Reprocessors.



20 Minute LeadersFeaturing Daniel J. Vukelich, Esq., CAE!
December 17, 2022
The next episode of the 20 Minute Leaders podcast will feature AMDR President and CEO Daniel Vukelich discussing the feats of the medical device reprocessing industry.



repertoireThe American College of Physicians spells out position on environmental crises and the medical community
December 14, 2022
The state of the world’s environment isn’t just about pollution, hurricanes, flooding, wildfires, drought and heat. It’s about human health. That’s the gist of a position paper on environmental health issued this fall by the American College of Physicians and published in the “Annals of Internal Medicine.” Individual doctors can play a direct role, according to the College, but the collective voice of ACP’s 160,000 members will probably hold greater sway over policymakers. 



STAT‘Right to repair’ movement gains momentum in the tightly controlled world of medical devices - featuring Daniel Vukelich
December 14, 2022
Repairs extend the lifespan of devices, preventing them from ending up in landfills which, in turn, keeps hospitals from having to purchase as much new equipment. “We have to give a critical look to this ‘take, make, waste’ or disposable culture and adopt more circular, more holistic, more financially and environmentally responsible solutions that extend the lifespan of products,” said Daniel Vukelich, president and CEO of the Association of Medical Device Reprocessing, a trade organization representing the industry that processes used devices so they can be used in care again.



Medical XpressEuropean cardiologists call for urgent action to prevent medical device shortages
December 7, 2022
The European Society of Cardiology (ESC), which represents more than 100,000 health care professionals, today urges EU health ministers to prevent a shortfall of essential medical devices for cardiovascular patients.



Modern Healthcare5 things HHS says hospitals can do to reduce emissions
November 22, 2022
The Agency for Healthcare Research and Quality advises healthcare organizations to tackle emissions from transportation, food and the supply chain.



Medtech InsightFDA Needs To Undo Incentives For Single-Use Products, Device Reprocessing Expert Says
November 16, 2022
Medtech Insight sat down with Dan Vukelich, president and CEO of the Association of Medical Device Reprocessors, to discuss the need for sustainable alternatives to limit waste from medical devices.



Mass Climate Action NetworkHelping Hospitals Reduce their Carbon Pollution
November 14, 2022
Medical care in the US generates a lot of carbon pollution. Part of this pollution comes from the manufacture of very sophisticated and expensive ‘one-use-only’ medical devices. A good way to reduce CO2 emissions from medical care is to carefully re-process those currently discarded medical devices for repeat usage. This saves on both medical costs and the planet. This podcast features AMDR President and CEO Dan Vukelich.



U.S. Department of Health and Human ServicesHHS Shares Health Sector Emissions Reduction and Climate Resilience Announcements at COP27
November 10, 2022
A U.S. Department of Health and Human Services (HHS) delegation to the United Nations Climate Conference (COP27) announced that more than 100 health care organizations have signed the White House/HHS Health Sector Climate Pledge to meet bold targets for emissions reduction and climate resilience. The delegation also described plans to collaborate with the National Health Service (NHS) of England on developing proposals for aligned procurement requirements as part of a larger update on progress and future plans.



National Institutes of HealthNIH’s Climate and Health Initiative tackles global health effects associated with a changing climate
November 4, 2022
Leaders from the National Institutes of Health discuss the agency’s plan to address the risk to human health posed by a changing climate in a commentary published in The Lancet. As floods, hurricanes, tornados, wildfires, and heat waves become more extreme, the risk to human health grows, exacerbating existing health threats and creating new public health challenges around the world. The authors, a coalition of leaders at NIH, outline how the NIH Climate Change and Health Initiative is uniquely poised to lead and engage with communities and agencies globally to address the health effects associated with climate change.



PRNewswireFDA Clearance to Reprocess Da Vinci Robotic Instruments Could Present Hospitals with Substantial Savings
November 2, 2022
Da Vinci robots are widely used in U.S. hospitals, and reusable accessories used in robotic procedures are very expensive and limited by the manufacturer to typically 10-15 uses. However, they can be used many more times when going through a controlled reprocessing process without losing functionality. Encore Medical Device Repair has exclusive distribution rights to FDA cleared reprocessed EndoWrist SI, and access to the EndoWrist XI is expected soon.



Healthcare Purchasing NewsWHO and WMO collaborate on global platform dedicated to health and climate
October 31, 2022
The first global knowledge platform dedicated to climate and health - climahealth.info – was launched by the Joint Office of the World Health Organization (WHO) and World Meteorological Organization (WMO), with support from the Wellcome Trust. It is in response to growing calls for actionable inform...



STAT‘If I were a hospital, I’d be reading the tea leaves’: Pressures grow on the health care industry to reduce its climate pollution
October 27, 2022
While hospitals might seem to be the unwitting victims of climate disasters, the U.S. health care system shoulders a good deal of the blame.



Healthcare Purchasing NewsSterile Processing Article Series
October 26, 2022
HPN published a series of articles centered around the theme of sterile processing, including a handful of articles that deal directly with reprocessing and right-to-repair in the medical device industry.
Highlights from our LinkedIn page:


Healing our wounds and healing the world - Gary Cohen - TEDxSaoPaulo
January 9, 2023
The time is now for #hospitals and #publichealth leaders to advance a greener #circulareconomy in healthcare that’s built on the principle of “First, do no harm” by embracing sustainable solutions like #medicaldevice reprocessing and other green innovations. Watch this powerful video to get inspired by Health Care Without Harm's (HCWH) founder, Gary Cohen, who gave a sensational TEDx talk on the tremendous work of HCWH, Practice Greenhealth, and their partners to fight #ClimateChange.



AMDR Reaches Out To Providers
December 26, 2022
AMDR wants to hear from #hospitals and #healthcare providers having difficulty stocking microchipped electrosurgical #thoracic devices, electrophysiological catheters, and transseptal devices. Please get in touch with us at info@amdr.org so that we can help monitor these issues.



Cardinal Health expands single-use device reprocessing facility
December 19, 2022
Cardinal Health recently expanded its Sustainable Technologies #medicaldevice reprocessing facility in Riverview, Florida, doubling its size to 100K square feet. The move will go far to advance the medical device manufacturer and distributor's commitment to help #hospitals cut their enormous #carbonfootprint, reduce waste in the medical supply chain, and save costs.



Stressed Out and Burned Out: The Global Primary Care Crisis
December 17, 2022
Join AMDR in giving a shoutout to The Commonwealth Fund for helping to elevate awareness around this critical topic impacting #hospitals and #healthcare providers worldwide. Read and share this new study.



‘Right to repair’ movement gains momentum in the tightly controlled world of medical devices
December 14, 2022
Learn why the time is now for #hospitals to replace the medical supply chain's disposable culture with more sustainable, affordable innovations like #medicaldevice reprocessing and how the growing "right to repair" movement plays an increasingly critical role in healthcare. See today's excellent piece in STAT featuring AMDR President and CEO Daniel J. Vukelich, Esq., CAE.



LinkedIn: CAPS-CO: Carbon Accounting of Product Supply Chains using ONTOCHAIN
December 12, 2022
AMDR is an active partner in securing the grant for this groundbreaking project (“CAPS-CO: Carbon Accounting of Product Supply Chains using ONTOCHAIN”) to develop a much-need carbon accounting tool, designed to harness new ideas, green technologies like medical device reprocessing, and the latest research to advance sustainability. Learn how it seeks to help leaders across industries achieve net-zero goals as we work to strengthen the medical supply chain.



FDA Introduces ‘Proactive‘ Resilient Supply Chain Program To Reduce Future Device Shortages
November 28, 2022
AMDR's Daniel J. Vukelich, Esq., CAE, believes the time is now for the U.S. Food and Drug Administration (FDA) to expand reprocessing. Learn about the urgent need to undo regulatory incentives against it and advance the goals of the Biden Administration and the U.S. Department of Health and Human Services (HHS) to achieve "net zero emissions" by 2050, as outlined in the Agency for Healthcare Research and Quality's recent primer.



Green Servitization in the Single-Use Medical Device Industry: How Device OEMs Create Supply Chain Circularity through Reprocessing
November 21, 2022
Several major original equipment manufacturers of “single-use” #medicaldevices and a growing number of #healthcare experts support #reprocessing as a simple, green solution that promotes medical supply chain resilience while fueling long-term market share gains. Check out this recent report in Sustainability journal to learn more.



LinkedIn: Helping Hospitals Reduce their Carbon Pollution
November 14, 2022
"Single-use" medical device #reprocessing offers #hospitals a simple, immediate way to help them protect the health of the environment and populations worldwide, while also reducing costs. Listen to this new edition of "The Climate Minute" podcast to learn more. Gain insights from Daniel J. Vukelich, Esq., CAE, AMDR President and CEO, along with Dr. Qi Ott, Staff Anesthesiologist, Hmfp At Bidmc, who discuss why the time is now for healthcare providers to replace the medical supply chain's disposable "take-make-waste" culture with more sustainable, #circulareconomy innovations in healthcare.



How medicine becomes trash: disposability in health care
November 14, 2022
Check out this recent article in The Lancet to take a closer look at the urgent need for #hospitals to reduce their deadly #carbonfootprint and lower costs with “single-use” #medicaldevice reprocessing and other simple, #sustainable innovations.



‘If I were a hospital, I’d be reading the tea leaves’: Pressures grow on the health care industry to reduce its climate pollution.
November 7, 2022
Recent climate disasters are straining global health systems as they serve communities in crisis, highlighting the impact of #ClimateChange and the urgent need for green solutions that help cut #ghgemissions. "Single-use" #medicaldevice reprocessing is one tool that gives hospitals an easy way to take immediate steps that help them decarbonize, strengthen the medical supply chain, and save costs in a time of increasingly limited financial resources. Learn more from leaders in medicine like #AMDR's Daniel J. Vukelich in this new STAT piece.



"this is the waste of one operation, my operation ......"
October 31, 2022
Check out this mind-blowing video by Maria Koijck that could change the way you see medical supply chain waste, which contributes to over 80 percent of #ghgemissions from #hospitals.



Reprocessing beyond cost savings: Growing supply chain resilience
October 21, 2022
How can "single-use" medical device #reprocessing help advance #circulareconomy solutions for #hospitals? Find out in "Reprocessing beyond cost savings: Growing supply chain resilience," by Innovative Health LLC's Lars Thording.
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