WA Patient Blood Management Role Maps

Using Role Maps  Role Maps are designed to provide a snapshot of key stakeholders at each facility and key contact information.  The role maps are designed for use by the Office of the Chief Medical Officer, Patient Blood Management Program Team  Once the Patient Blood Management Program begins implementing at numerous hospitals, it can be challenging keeping track of which stakeholders have been contacted and who remain engaged  Key executive engagement is critical to ensuring ongoing Hospital support so regular contact must be made  An active local Patient Blood Management Steering Committee is critical for enabling implementation How to use  For the Key Executives role map, keep track of who you have/have not contacted recently by entering date of last contact in the box provided. Try to contact each member once per quarter minimum  For the Patient Blood Management Steering Committee role map keep track of which members of the committee are actively engaged based on participation Steering Committee meetings or behaviour rolling out of implementation initiatives

Key Executives [Insert Hospital Name] Executive Director [NAME] Director Clinical Services [NAME] Director Medical Services [NAME] Director Surgical Services [NAME] Head of General Medicine [NAME] Director Nursing Department [NAME] Department [NAME] Contact Details Contact Details Contact Details Contact Details Contact Details Contact Details Contact Details Contact Made Contact Made Contact Made Contact Made Contact Made Contact Made Contact Made

[Hospital Name] Patient Blood Management Steering Committee Director of Clinical Services [NAME] Pathology Representative [NAME] Nursing Representative [NAME] Haematology Representative [NAME] Ob/Gyn representative [NAME] General Medicine representative [NAME] Anaesthesiology representative [NAME] Department [NAME] Department [NAME] Surgery Representative [NAME] Contact Details Contact Details Contact Details Contact Details Contact Details Contact Details Contact Details Actively Participating Contact Details Actively Participating Contact Details Actively Participating