___________________________________________________________________________
2015/LSIF/FOR/005
Achieving Sustainable Blood Safety Programs
Submitted by: Australian Red Cross Blood Service
2nd APEC Blood Supply Chain Policy Forum Anaheim, United States
23 October 2015
3/11/2015
1
Achieving Sustainable Blood Safety Programs
Dr Sally Thomas
Australian Red Cross Blood Service
2nd APEC Blood Supply Chain Policy Forum
Anaheim, California, USA
23rd October 2015
Achieving Sustainable Blood Safety Programs
•Donor management•Donor & product testing• Component & distribution• Specialised services•Business management• Corporate & risk
Blood Service
Suppliers
3/11/2015
2
•Donor management•Donor & product testing• Component & distribution• Specialised services•Business management• Corporate & risk
Government: Domestic Policy
Blood Service
CommunityHospitals/Clinicians
Humanitarian funding &
Technical AssistanceCommunity
•National Blood Policy & strategy•National Blood program• Policy positions
•VNRD vs paid•National self sufficiency•Standards & accreditation• Safety & tolerable risk•Accessibility
• Clinical guidelines, inc PBM•Blood Funding model•Regulation
•Donors (& patients)• Patient groups• Cultural attributes•Media
• IFRC: VNRD & Blood policy•GAP: Guidelines•WHO: VNRD, EML, Aide Memoires, Resolutions
•ABO: RBDM framework, clinical governance guide
• ISBT: Education•AABB: Standards & education
•Regulators networks
Suppliers
Fractionators
Achieving Sustainable Blood Safety Programs
Achieving Sustainable Blood Safety Programs
•Donor management•Donor & product testing• Component & distribution• Specialised services•Business management• Corporate & risk
Government: Domestic Policy
Blood Service
CommunityHospitals/Clinicians
Humanitarian funding &
Technical AssistanceHospitals/Clinicians
• PBM•Haemovigilance•Blood budgets•Governance
• Hosp Tx committee
Public health• TTI positive donor management
• IFRC: VNRD & Blood policy•GAP: Guidelines•WHO: VNRD, EML, Aide Memoires, Resolutions
•ABO: RBDM framework, clinical governance guide
• ISBT: Education•AABB: Standards & education
•Regulators networks
Suppliers
Fractionators
3/11/2015
3
Achieving Sustainable Blood Safety Programs
•Donor management•Donor & product testing• Component & distribution• Specialised services•Business management• Corporate & risk
Government: Domestic Policy
Blood Service
CommunityHospitals/Clinicians
Humanitarian funding &
Technical Assistance
Government: Domestic Policy
•National Blood Policy & strategy•National Blood program• Policy positions
•VNRD vs paid•National self sufficiency•Standards & accreditation• Safety & tolerable risk•Accessibility
• Clinical guidelines, inc PBM•Blood Funding model•Regulation
• IFRC: VNRD & Blood policy•GAP: Guidelines•WHO: VNRD, EML, Aide Memoires, Resolutions
•ABO: RBDM framework, clinical governance guide
• ISBT: Education•AABB: Standards & education
•Regulators networks
Regional Networks•APBN, EBA, AATM•APEC, PAHO•Regional regulators
Suppliers
Fractionators
Government: Domestic Policy
Achieving Sustainable Blood Safety Programs
•Donor management•Donor & product testing• Component & distribution• Specialised services•Business management• Corporate & risk
Blood Service
CommunityHospitals/Clinicians
Humanitarian funding &
Technical Assistance
•National Blood Policy & strategy•National Blood program• Policy positions
•VNRD vs paid•National self sufficiency•Standards & accreditation• Safety & tolerable risk•Accessibility
• Clinical guidelines, inc PBM•Blood Funding model•Regulation
• IFRC: VNRD & Blood policy•GAP: Guidelines•WHO: VNRD, EML, Aide Memoires, Resolutions
•ABO: RBDM framework, clinical governance guide
• ISBT: Education•AABB: Standards & education
•Regulators networks
Regional Networks•APBN, EBA, AATM•APEC, PAHO•Regional regulators
Suppliers
Fractionators
Domestic Advisory Bodies• Clinical (SaBTO)
•Blood Safety
3/11/2015
4
Government: Domestic Policy
Achieving Sustainable Blood Safety Programs
•Donor management•Donor & product testing• Component & distribution• Specialised services•Business management• Corporate & risk
Blood Service
CommunityHospitals/Clinicians
Humanitarian funding &
Technical Assistance
•National Blood Policy & strategy•National Blood program• Policy positions
•VNRD vs paid•National self sufficiency•Standards & accreditation• Safety & tolerable risk•Accessibility
• Clinical guidelines, inc PBM•Blood Funding model•Regulation
• IFRC: VNRD & Blood policy•GAP: Guidelines•WHO: VNRD, EML, Aide Memoires, Resolutions
•ABO: RBDM framework, clinical governance guide
• ISBT: Education•AABB: Standards & education
•Regulators networks
Regional Networks•APBN, EBA, AATM•APEC, PAHO•Regional regulators
Suppliers
Fractionators
Domestic Advisory Bodies• Clinical (SaBTO)
•Blood Safety
Public health• TTI positive donor management
Achieving Sustainable Blood Safety Programs
•Donor management•Donor & product testing• Component & distribution• Specialised services•Business management• Corporate & risk
Blood Service
CommunityHospitals/Clinicians
Humanitarian funding &
Technical Assistance
• IFRC: VNRD & Blood policy•GAP: Guidelines•WHO: VNRD, EML, Aide Memoires, Resolutions
•ABO: RBDM framework, clinical governance guide
• ISBT: Education•AABB: Standards & education
•Regulators networks
Suppliers•Blood bags•Test kits•Equipment•Computer system
Fractionators
3/11/2015
5
Achieving Sustainable Blood Safety Programs
•Donor management•Donor & product testing• Component & distribution• Specialised services•Business management• Corporate & risk
Government: Domestic Policy
Blood Service
CommunityHospitals/Clinicians
Humanitarian funding &
Technical Assistance
•National Blood Policy & strategy•National Blood program• Policy positions
•VNRD vs paid•National self sufficiency•Standards & accreditation• Safety & tolerable risk•Accessibility
• Clinical guidelines, inc PBM•Blood Funding model•Regulation Domestic
Advisory Bodies• Clinical (SaBTO)
•Blood Safety
Public health• TTI positive donor management
Regional Networks•APBN, EBA, AATM•APEC, PAHO•Regional regulators
Suppliers
Fractionators
Achieving Sustainable Blood Safety Programs
•Donor management•Donor & product testing• Component & distribution• Specialised services•Business management• Corporate & risk
Government: Domestic Policy
Blood Service
CommunityHospitals/Clinicians
Humanitarian funding &
Technical Assistance
International Networks
• IFRC: VNRD & Blood policy•GAP: Guidelines•WHO: VNRD, EML, Aide Memoires, Resolutions
•ABO: RBDM framework, clinical governance guide
• ISBT: Education•AABB: Standards & education
•Regulators networks
Suppliers
3/11/2015
6
Achieving Sustainable Blood Safety Programs
•Donor management•Donor & product testing• Component & distribution• Specialised services•Business management• Corporate & risk
Blood Service
CommunityHospitals/Clinicians
Humanitarian funding &
Technical Assistance
Domestic Advisory Bodies• Clinical (SaBTO)
•Blood Safety
International Networks
• IFRC: VNRD & Blood policy•GAP: Guidelines•WHO: VNRD, EML, Aide Memoires, Resolutions
•ABO: RBDM framework, clinical governance guide
• ISBT: Education•AABB: Standards & education
•Regulators networks
Regional Networks•APBN, EBA, AATM•APEC, PAHO•Regional regulators
Suppliers
Achieving Sustainable Blood Safety Programs
•Donor management•Donor & product testing• Component & distribution• Specialised services•Business management• Corporate & risk
Government: Domestic Policy
Blood Service
CommunityHospitals/Clinicians
Humanitarian funding &
Technical Assistance
Domestic Advisory Bodies• Clinical SaBTO)•Blood Safety
• IFRC: VNRD & Blood policy•GAP: Guidelines•WHO: VNRD, EML, Aide Memoires, Resolutions
•ABO: RBDM framework, clinical governance guide
• ISBT: Education•AABB: Standards & education
•Regulators networks
• Global Fund• CDC/PEPFAR• Bill & Melinda Gates Foundation
• PACOM
Humanitarian funding &
Technical Assistance
•Blood bags•Test kits•Equipment•Computer stem
Suppliers
3/11/2015
7
Achieving Sustainable Blood Safety Programs
•Donor management•Donor & product testing• Component & distribution• Specialised services•Business management• Corporate & risk
Government: Domestic Policy
Blood Service
CommunityHospitals/Clinicians
Humanitarian funding &
Technical AssistanceCommunity Hospitals/Clinicians
Government: Domestic Policy
•National Blood Policy & strategy•National Blood program• Policy positions
•VNRD vs paid•National self sufficiency•Standards & accreditation• Safety & tolerable risk•Accessibility
• Clinical guidelines, inc PBM•Blood Funding model•Regulation
• PBM•Haemovigilance•Blood budgets•Governance
• Hosp Tx committee
•Donors (& patients)• Patient groups• Cultural attributes•Media
Domestic Advisory Bodies• Clinical (SaBTO)
•Blood Safety
International Networks
• IFRC: VNRD & Blood policy•GAP: Guidelines•WHO: VNRD, EML, Aide Memoires, Resolutions
•ABO: RBDM framework, clinical governance guide
• ISBT: Education•AABB: Standards & education
•Regulators networks
Regional Networks•APBN, EBA, AATM•APEC, PAHO•Regional regulators
• Global Fund• CDC/PEPFAR• Bill & Melinda Gates Foundation
• PACOM
Humanitarian funding &
Technical Assistance
•Blood bags•Test kits•Equipment•Computer system
Suppliers
Fractionators
Public health• TTI positive donor management
• Country policy and legislation• Sustainable blood funding arrangements• Coordinated national blood service with focus on suitable
facilities, infrastructure and trained staff• Collection, production, testing and supply of quality assured
blood and blood products with appropriate quality monitoring based on national standards and accreditation
• Recruitment, retention, education for a safe, sustainable and sufficient voluntary donor base
• Provision of appropriate donor selection, counselling, care and referral programs
• Use of an appropriate blood bank information management system
• Clinical guidelines, haemovigilance and PBM
Reference: WHO Aide memoires: Blood Safety and Developing a National Blood System
“Key components of sustainable blood safety programs”
3/11/2015
8
Government: Domestic Policy
CommunityHospitals/Clinicians
Humanitarian funding &
Technical Assistance
Community Hospitals/Clinicians
Government: Domestic Policy
Domestic Advisory Bodies
Public health
International Networks
Regional Networks
Humanitarian funding &
Technical Assistance
Suppliers
Fractionators
Achieving Sustainable Blood Safety Programs
Public communicationClinical and scientific
expertise
Business and policy capability
Director and
leadership group
Translating international Policy & Practice in domestic
environment
Blood Service
Government: Domestic Policy
CommunityHospitals/Clinicians
Humanitarian funding &
Technical Assistance
Community Hospitals/Clinicians
Government: Domestic Policy
Domestic Advisory Bodies
Public health
International Networks
Regional Networks
Humanitarian funding &
Technical Assistance
Suppliers
Fractionators
Achieving Sustainable Blood Safety Programs
Director and
leadership group
Blood Service
Clinical Champion
Government Champion
3/11/2015
9
Government: Domestic Policy
CommunityHospitals/Clinicians
Humanitarian funding &
Technical Assistance
Community Hospitals/Clinicians
Government: Domestic Policy
Domestic Advisory Bodies
Public health
International Networks
Regional Networks
Humanitarian funding &
Technical Assistance
Suppliers
Fractionators
Achieving Sustainable Blood Safety Programs
Director and
leadership group
Blood Service
Domestic
influences
Regio
nal an
d
Internatio
nal
influ
ences
Key Components
• Blood system
– Is it all there?
• Blood Service
– Facilities, functions, skills
• Champions
• Domestic and International influences
Government:
Domestic Policy
Community
Hospitals/Clinicians
Humanitarian funding
Blood Service
Public communication
Clinical and scientific expertise
Business and policy capability
Translating international
Policy & Practice in domestic environment
Clinical Champion Government
Champion
3/11/2015
10
WHERE TO START?
Government: Domestic Policy
CommunityHospitals/Clinicians
Humanitarian funding &
Technical Assistance
Community Hospitals/Clinicians
Government: Domestic Policy
Domestic Advisory Bodies
Public health
International Networks
Regional Networks
Humanitarian funding &
Technical Assistance
Suppliers
Fractionators
Achieving Sustainable Blood Safety Programs
Director and
leadership group
Blood Service
Domestic
influences
3/11/2015
11
Government: Domestic Policy
CommunityHospitals/Clinicians
Humanitarian funding &
Technical Assistance
Community Hospitals/Clinicians
Domestic Advisory Bodies
Public health
International Networks
Regional Networks
Humanitarian funding &
Technical Assistance
Suppliers
Fractionators
Achieving Sustainable Blood Safety Programs
Blood Service
Government: Domestic Policy
Nepal Community Hospitals/Clinicians
Blood ServiceGovernment: Domestic Policy
3/11/2015
12
Bangladesh Community Hospitals/Clinicians
Blood ServiceGovernment: Domestic Policy
Cambodia Community Hospitals/Clinicians
Blood ServiceGovernment: Domestic Policy
3/11/2015
13
Indonesia Community Hospitals/Clinicians
Blood ServiceGovernment: Domestic Policy
India
Complex1.26 billion people
29 states7 union territories
Community Hospitals/Clinicians
Blood ServiceGovernment: Domestic Policy
3/11/2015
14
Papua New Guinea Community Hospitals/Clinicians
Blood ServiceGovernment: Domestic Policy
http://www.pngbalsa.com/company‐profile.php?News‐and‐Views‐3
Australia Community Hospitals/Clinicians
Blood ServiceGovernment: Domestic Policy
3/11/2015
15
Key components
• Blood system
– Is it all there?
• Blood service
– Facilities, functions, management
• Champions
• International and domestic influences
Government:
Domestic Policy
Community
Hospitals/Clinicians
Humanitarian funding
Blood Service
Public communication
Clinical and scientific expertise
Business and policy capability
Translating international
Policy & Practice in domestic environment
Clinical Champion Government
Champion
THANK YOU
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