CPOE Reducing Inappropriate Transfusions (CRIT) Collaborative “The most cost effective opportunity to improve patient outcomes in the next quarter century will likely come, not from discovering new therapies but from discovering how to effectively deliver therapies that are known to be effective” Sean Berenholtz 2003

QI Collaborative Goals Provide a venue for for multiple institutions to share experiences and projects surrounding blood utilization. Utilize decision support tools to advance the adoption of evidence based practice in our institutions. Set the framework for future collaborations using effective decision support tools.

Introduction of Collaborative Participants CONTACTINSTITUTION Richard Chang, Geetha Puthenveetil Children’s Hospital Orange County Suresh SrinivasanChildren’s Hospital of Michigan Eloa Adams, Chris LonghurstLucile Packard Children’s Hospital Jen York Washington University, St Louis Rod TarragoChildren’s Hospital Minnesota David RichNationwide Children’s Hospital David KaelberMetrohealth, Case Western Marissa Tucci CHU Sainte-Justine Research Center

Introduction of Collaborative Participants CONTACTINSTITUTION Colin Banas, Sean McKenna Children’s Hospital of RIchmond Lejla Music-AplencMercy Children’s Hospital Nabil HassanHelen DeVos Children’s Hospital Amy ManekerAkron Children’s Hospital Irwin Gross Eastern Maine Medical Center Robert MoserCatholic Health East Meghan DelaneySeattle Children’s Melissa Frei-JonesUTHSC Santa Rosa Children’s Hospital Jim Fackler Johns Hopkins

Meeting Agenda Meghan Delaney- EMR and the Blood Bank SABM Meeting update Institutional progress PCORI CRIT

Baseline Data Inclusion criteria Age 1m- 18 yrs Admitted to the hospital greater than 24 hrs Exclusion Criteria Less than 1 month More than 18 yrs Congenital heart disease Hgb SS, Thal. patients Transfusions in the OR ECMO Data Total number of admissions Average pre-transfusion Hgb Transfusions Per patient day Defined as the most recent Hgb level drawn prior to transfusion All data should be broken down month to month starting January 2011

Institution Committee Approval ITBaseline Data IRBCDS LiveRandomized Analysis Children’s Hospital Orange County XXXX Children’s Hospital of Michigan University of Illinois at Chicago XX All Children’s Hospital, Florida Mercy Children’s Hospital XX Children’s Hospital Minnesota XXXXX Nationwide Children’s Hospital MetroHealth, Case Western X Chldren’s Hospital of Richmond XX Johns Hopkins Children’s National Medical Center Akron Children’s Hospital Eastern Maine Medical Center XX Shriners Hospitals University of Washington in St. Louis XXX Seattle Childrens Hospital XXX

Next meeting Monday Monday January 27 th 9:00 AM Spread the word!