Cheryl Doncaster

Senior Project Manager

Medical Affairs and Innovation

November 16, 2018

RBC Utilization in Atlantic Canada and Other Jurisdictions Served by Canadian Blood Services

RBC Utilization 2

Disclosure

• Nothing to disclose. No conflicts of interest.

• Canadian Blood Services employee.

RBC Utilization 3

Acknowledgement

• Dr. Kathryn Webert

• CBS Supply Chain – Data Analysts

• Dorothy Harris

• Dolly Cordi

https://www150.statcan.gc.ca/n1/pub/11-627-m/11-627-m2017005-eng.htm 4

Population Growth in Canada – Infographic

RBC Utilization 5

RBC Units Issued and Growth Rates by Fiscal Year

RBC Utilization 6

RBC Units Issued Growth Rates by Province

RBC Utilization 7

RBC Units Issued per 1,000 Population by Province

RBC Utilization 8

What Happens to RBC units Issued to Hospitals?

Blood Component and Product Disposition System

Traceline

BC PBCO Central Transfusion Registry

LIS Extract

Data

Warehouse

Hospitals share disposition and inventory information various ways.

RBC Utilization 9

Hospitals Sharing RBC Disposition Data by Blood

Group and Totals Only: Fiscal 2017-2018

BC AB SK MB ON NS NB NL PE NT NU YT

Total Only 84 41 1 0 62 0 2 0 0 2 1 1

ABO 0 14 51 58 83 22 18 21 2 1 2 0

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% o

f h

osp

ita

ls

RBC Utilization 10

Average Daily Red Cell Demand (transfused+outdated+wasted/365)

RBC Utilization 11

Total Allogeneic RBC Units Transfused

-

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

50,000

55,000

60,000

65,000

70,000

201

4 A

PR

201

4 M

AY

201

4 J

UN

201

4 J

UL

201

4 A

UG

201

4 S

EP

201

4 O

CT

201

4 N

OV

201

4 D

EC

201

5 J

AN

201

5 F

EB

201

5 M

AR

201

5 A

PR

201

5 M

AY

201

5 J

UN

201

5 J

UL

201

5 A

UG

201

5 S

EP

201

5 O

CT

201

5 N

OV

201

5 D

EC

201

6 J

AN

201

6 F

EB

201

6 M

AR

201

6 A

PR

201

6 M

AY

201

6 J

UN

201

6 J

UL

201

6 A

UG

201

6 S

EP

201

6 O

CT

201

6 N

OV

201

6 D

EC

201

7 J

AN

201

7 F

EB

201

7 M

AR

201

7 A

PR

201

7 M

AY

201

7 J

UN

201

7 J

UL

201

7 A

UG

201

7 S

EP

201

7 O

CT

201

7 N

OV

201

7 D

EC

201

8 J

AN

201

8 F

EB

201

8 M

AR

# u

nit

s

Known_ABO Unknown_ABO

2014/2015: 747,930

2015/2016: 739,511

2016/2017: 734,623

2017/2018: 712,853

RBC Utilization 12

Allogeneic RBC Units Transfused in Atlantic Canada

2014/2015 70567

2015/2016 69182

2016/2017 72466

2017/2018 67627

RBC Utilization 13

Total Allogeneic RBC units Discarded @ Hospitals

RBC Utilization 14

Total Allogeneic RBC units Outdated – CBS + Hospitals

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

0

500

1000

1500

2000

2500

30002

01

4

AP

R

201

4

JU

N

201

4

AU

G

201

4

OC

T

201

4

DE

C

201

5

FE

B

201

5

AP

R

201

5

JU

N

201

5

AU

G

201

5

OC

T

201

5

DE

C

201

6

FE

B

201

6

AP

R

201

6

JU

N

201

6

AU

G

201

6

OC

T

201

6

DE

C

201

7

FE

B

201

7

AP

R

201

7

JU

N

201

7

AU

G

201

7

OC

T

201

7

DE

C

201

8

FE

B

201

8

AP

R

201

8

JU

N

201

9

AU

G

TOT_CBS_OUT TOT_HOS_OUT TOT_RATE

RBC Utilization 15

Fiscal

2017-2018

RBC Utilization 16

Total Allogeneic RBC units Outdated by Blood Group

@ Hospitals: Fiscal 2017-2018

RBC Utilization 17

Total Allogeneic RBC units Outdated by Blood Group

@ Hospitals: Fiscal 2017-2018

18

Provincial RBC Inventory Targets (Nov 2017) by Blood

Group and Total RBC Inventory Index @ Hospitals

ADRD calculated for Fiscal 2017-2018

Total Inventory Index = Inventory Target / ADRD

RBC Utilization 19

RBC Inventory Replenishment

Hospital Started

(includes 6-8 wk

pilot)

CBS Distribution

Site

1 Health Sciences - NL January 2016 St. John’s, NL

2 Dr. Everett Chalmers

Regional - NB

April 2016 Dartmouth, NS

3 Queen Elizabeth - PE June 2016 Dartmouth, NS

4 Western Memorial - NL October 2016 St. John‘s, NL

5 James Paton Memorial - NL October 2016 St. John’s, NL

6 Central NL Regional October 2016 St. John’s, NL

7 St. Clare’s Mercy – NL November 2016 St. John’s, NL

8 Valley Regional - NS November 2016 Dartmouth, NS

9 Campbellton Regional - NB April 2017 Dartmouth, NS

1

0

Burin Peninsula – NL May 2017 St. John’s, NL

1

1

Carbonear General - NL May 2017 St. John’s, NL

1

2

Dr. G.B. Cross Memorial -

NL

May 2017 St. John’s, NL

1

3

Yarmouth Regional - NS May 2018 Dartmouth, NS

Hospitals using

inventory

replenishment

process for routine

RBC ‘orders’.

Inventory target

levels are reviewed

and adjusted

according to usage.

RBC Utilization 20

RBC Utilization 21

Questions?