1. Hospital Disposition Improvement Initiative
Presentation to NAC
November 2013

2. 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

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

4. Current Situation

5. Conceptual Solution

6. 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

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

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

9. 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Discarded –outdated (mandatory by bld grp always)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)

10. 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Discarded -outdated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/

11. 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))

12. 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

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