1. MGH Blood Bank Jessica Anderson, Joelle Arnold, Janet Tsai 3 November 2003

2. Types of Blood Collectors Not-for-Profit Groups, like the Red Cross and MGH Bloodbank Donor dependent Products: Red Blood Cells (RBC), Plasma, Platelets. For-Profit Groups Pay for blood and plasma Products for pharmaceutical and manufacturing use (ex. hemoglobulin) Vampires

3. Non-profit Blood collectors in US: 50% blood collected by the Red Cross 45% by smaller, independent organizations similar to the ARC 5% by hospital blood banks – MGH Bloodbank MGH is different! Not-for-profit

4. MGH Bloodbank Structure Bloodbank is part of MGH MGH is not-for-profit endowed (like Olin) MGH gives them an annual budget based on anticipated volume Petition for Capital Expenses (ex. Bloodmobile) Bloodbank does not have its own strategic plan; fits under MGH

5. MGH and Harvard Separate entities MGH trains Harvard Med Students –Education is an Institutional Value –Attracts doctors who enjoy teaching environment –Willing workforce Students Interns –Many doctors have dual role MGH Doctor Harvard Academic appointment

6. Donor Questions Highly Regulated Processing The computer system for tracking donors is a licensed medical device by the FDA FDA inspections 2 times annually American Association of Bloodbanks Limited Shelf Lives RBCs – 42 days Platelets – 5 days Plasma – 1 year (frozen) About Blood and Donating

7. About Blood and Transfusing MGH bills insurance for blood used –$140-$200 per unit RBC –$400-$600 per unit platelets –Insurance Per incident (ex. Medicare) Capitated (HMOs) Blood types –8 types of RBC (A, B, AB, O; +, -) –4 types of Plasma (A, B, AB, O) –4 types of Platelets (A, B, AB, O)

8. 17000 donations last year Demand varies by case –Leukemics get 1-2 units a day –Trauma or liver surgery patients can get 400 units When demand exceeds supply –Call Red Cross and other suppliers –Call other hospitals –Call in donors Supply and Demand

9. Marketing Marketing attracts donors –Does not compete with Red Cross for existing donors Removes altruism from the purpose –Works to find new donors Drives Tee shirts, mugs, etc 3 recruiters with marketing degrees

10. Expenses –Labor –Blood purchased from Red Cross Half of what’s in stock –Testing Equipment –Outside Testing Samples sent to NYC daily by courier Income –Almost entirely from MGH –Private monetary donations accepted MGH Bloodbank Accounting

11. MGH Bloodbank and Strategy No Official Strategic Plan Biggest Goal: Increase the size of the Donor Pool –Saves money for the hospital and patient –Protection for disaster Improve testing techniques –More staff education –Improve technology –Increase number of tests (ex. Exotic diseases)

12. Volume of blood collected Donor satisfaction Repeat to new donor ratio Currently one of the largest hospital programs in the country Measures of Success

13. Areas to Improve Update computer system Expand number of tests performed at the blood bank New technology? Even out donations if possible Questions?