PT CBS BLC Updates NAC Face to Face Bernadette Muise 2013-11-07

Budget - National Advisory Committee on Blood and Blood Products Fiscal 2013/2014 (April 1 – October 31,2013) Project Coordinator Salary $36,679.00 Face to Face April 2013 $19,112.43 CSTM $4,841.89 Web Expenses/ Miscellaneous Totals $176.11 Teleconference charges (estimated) $1,000.00 Total expenses to date $60,809.43 Projected expenses indicate potential available funds of approximately $25,000. for projects. Some miscellaneous expenses have been rolled into the total PT fund and have yet to be clearly identified.

Accomplishments/Collaboration Terms of Reference revised and approved in May 2013 Briefing Note: Transfusion Policy Framework for RBC Transfusion – Approved Briefing Note: Inventory Planning - Approved PT Blood Liaison Committee

Accomplishments/Collaboration PT CBS BLC : 2013-08-06 –2013/2014 NAC Work Plan approved. The addition of background narrative for each initiative to provide more clarity so this document could then be a stand alone item

Requests from PTs to NAC Development of Guidelines for use of fibrinogen concentrates for indications of acquired fibrinogenemia. Consider adding the development of dosing guidelines for Factor XIII product – Corifact TM to your Work Plan Please Note: These are specific items on the agenda for further discussion.

PT Initiatives Ernst & Young Performance review completed May 2013 There were 79 recommendations made Assistant Deputy Minister Group formed to prioritize recommendations of the review, identify timelines for the recommendations, determine next steps and monitor progress of the recommendations The report, as well as the CBS response, was posted to the CBS website October 28th many recommendations address efficiency and productivity and CBS had already undertaken measures to improve in those areas Several recommendations deal with governance and accountability and it is those on which the ADM group will concentrate

PT Initiatives Organ and Tissue Donation and Transplantation (OTDT) Development of a Memorandum of Understanding to clearly articulate how this program will move forward This very complex program has required a lot of PT attention over the past few years Health Canada has been co-funding this program with the provinces and territories since it was assigned to CBS in 2008. An MoU is essenial so that all parties involve have clear roles and responsibilities defined at the outset which will reduce confusion and misunderstandings as the program evolves

Organ Registries Living donor paired exchange (LDPE) began operation in 2009 as a pilot, became fully operational in 2010, and has facilitated 222 kidney transplants to date. Program matches patients whose potential donor does not match with them for transplant with another unmatched donor/recipient pair Next step is ensuring financial support to donors is consistent across Canada.

Organ Registries National Organ Waitlist (NOW) Lists all waiting non renal organ transplant patients Facilitates allocation of organ to the most appropriate recipient Requires physician experts to confirm the allocations and ensure equitable access

Organ Registries Highly Sensitized Patients (HSP) Designed to provide disadvantaged kidney patients with greater access to available organs HSP patients currently receive less than 1% of available organs Staggered implementation began late September

Tissue projects CBS has been working with stakeholders to develop leading practices. CBS and the PT BLC have been working together to determine lower cost / higher impact projects which might be implemented by CBS. No decisions have yet been approved by the Deputy Ministers.

National Facilities Redevelopment Plan A multi year infrastructure improvement plan was presented to the BLC, by CBS, in 2007. Consolidation of testing and production to enhance efficiency, productivity and ability to implement newer technologies as they become available were the operational objectives of the plan. Phase I was implemented in 2008

National Facilities Redevelopment Plan Phase I - Ontario and Maritimes, has a single project left, Donor Testing in Ontario, expected to be completed in 2015 Phase II - Alberta and Saskatchewan, development of the business case has been completed. The BLC, CBS and Deputy Ministers are working toward finalizing approvals and funding options

Budget Negotiations with CBS CBS develops a comprehensive 3 year corporate plan with a funding request for the first year of the plan PT BLC reviews the plan and budget requests in light of the fiscal and utilization policies of their jurisdictions Discussions between CBS and the BLC continue into December In December a budget for the next fiscal is negotiated and then presented to the Deputy Ministers for approval, if it is acceptable the DM recommend that the Ministers approve in March.

Other The BLC is working with CBS on other business cases which have been developed The BLC receives project updates on the many things underway within CBS such as: Plasma Protein Product algorithm refining Hospital Disposition project National Public Cord Blood Bank