I think the cost associated with RMW varies according to what RMW segment you treat. Here's some DD I used to form my opinions...
This is old from 2003, but costs haven’t gotten much better…every business owner I speak to (I'm in sales) indicates that every year they are in business, they really never see cost reductions without innovative alternatives. Therefore, I believe it safe to assume that the costs outlined below are higher if status quo has been maintained.
This is something from 2007 showing Steri-Med, a dialysis RMW treatment machine. Look at the grid for hauling just this segment of RMW at the bottom of the page.
This is just the RENAL segment of RMW. Every other system that I have found for onsite waste treats a specific kind of waste or is limited – sharpies, dialysis, etc. MedClean is a TOTAL SOLUTION. From incineration to shredding (including HIPAA document destruction), it handles it all. MCLN solution further eliminates the need for shredder companies (Iron Mountain, etc.) to come and do onsite shredding of HIPAA documents.
As a result of the revisions in definitions of regulated medical waste and the ability to dispose treated regulated medical waste as solid waste, on-site treatment programs should be equally or more cost effective than many commercial options. With regards to utilizing on-site treatment of RMW, two questions are frequently asked. One - why should the facility have an operational plan approved and on file with DOH? While it is required pursuant to 10NYCRR, Part 70-3.2, it is important to note that having such a plan in place will assist the facility in disposing of such waste as solid waste. Hospital and clinical laboratory RMW operational plans using autoclave treatment methodology must be submitted for review and approval to the Clinical Laboratory Evaluation Program, Wadsworth Center, New York State Department of Health, P.O. Box 509, Empire State Plaza, Albany, New York 12201-0509. All other Article 28 facilities must submit their operational plans developed to address the on-site treatment of regulated medical waste by autoclaves to the Bureau of Hospital and Primary Care Services, Hedley Park Place 433 River Street, Troy, New York 12180-2299.The second question relating to autoclaving regulated medical waste is the type of bag to be used to collect and store the waste prior to treatment by autoclaving. The typical red bag currently employed in the collection of regulated medical waste is not designed to withstand the high temperature and pressure conditions created in an autoclave. However, there are specially designed bags which are available to be used in autoclaving regulated medical waste. These bags not only remain intact, but also enhance the sterilization process by allowing easier passage of steam into the waste. The department encourages those facilities which utilize autoclaves to treat regulated medical waste to use autoclavable bags as they do come in the color red with the appropriate language imprinted on them.
MedClean is approved in all 50 states. Besides the sales of the systems, lets not forget the quiet carts and ongoing revenues from the sales of supplies - bags, etc.
Danno I don't know how you keep all this information organized or at your finger tips but I appreciate and complement you. Did you complement me, ya know, common sense??