Hospital Disposition Improvement Initiative Presentation to NAC November 2013

CBS currently hosts a blood component disposition reporting system Reporting compliance is very good Hospitals report by 10th working day each month (previous month data) Data collected drives current quarterly benchmark disposition reports

May 2014 New web-based application Enhanced hospital profiles Disposition Inventory Peer Comparison Reports Enhanced hospital profiles

Current Situation

Conceptual Solution

Customer Account Management Hospital Profile Hospital cohort Practices programs demograhics Customer Account Management Refined and expanded categories enable more appropriate peer comparison (benchmark) reports improved understanding of blood component/product utilization

Web-based Platform Link to login page (min browser requirements TBD) Login ID Hospital user e-mail address Password Customer Account Management 1st line support for hospital users

Web Pages Disposition Inventory Peer Comparison Reports Transfusable Products Plasma Protein Products Inventory Peer Comparison Reports

Transfusable Products RBC, Platelets, Frozen Plasma, Cryo Transfused Redistributed Transferred to another hospital/region Discarded –outdated (mandatory by bld grp always) Discarded – received broken Discarded – broken after receipt Discarded / Returned – per CBS Discarded – failed visual inspection Discarded –improper storage Discarded-patient related O Pos # O Neg A Pos A Neg B Pos B Neg AB Pos AB Neg Total   ALSO for frozen components: Discarded – thawed not transfused Patients Transfused   # in patients # # outpatients # unknown Total Reporting by ABO versus Total Indicated in hospital profile and webpage (cleaner data for reports)

Plasma Protein Products ALL with exception of FVIII and FIX Example Transfused Redistributed Transferred to other facility Discarded -outdated Discarded – received broken Discarded – broken after receipt Discarded / Returned – per CBS Discarded – failed visual inspection Discarded –improper storage Discarded-patient related Octaplex, Octapharma 500 IU FIX # Beriplex P/N, CSL Behring Total Patients Transfused   # in patients # # outpatients # unknown Total SD Plasma – information reported remains the same, collected via webpage versus fax/e-mail

Inventory Reporting Transfusable Products Data entry of current inventory numbers Auto-populated fields per hospital profile (hospital specific inventory levels for green, amber and red phase) Robust system - large amount of data and simultaneous users (Ex: shortage situation, all hospitals >400 input inventory data on the same day within a short window period ( i.e. 2 hrs))

Peer Comparison Reports Improved peer comparison (per hospital profile) Access to pre-generated quarterly report sets (hospital specific) Eliminates need to distribute report sets via e-mail

Timelines Implementation – May 2014 Pilot – March/April User Acceptance Testing – Feb/March Formal Customer Letter – November 2013. To include Data Entry Field Definitions