mgh blood bank jessica anderson, joelle arnold, janet tsai 3 november 2003
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MGH Blood Bank
Jessica Anderson, Joelle Arnold, Janet Tsai
3 November 2003
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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
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• 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
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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
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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
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• 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
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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)
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• 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
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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
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• 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
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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)
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• Volume of blood collected
• Donor satisfaction
• Repeat to new donor ratio
• Currently one of the largest hospital programs in the country
Measures of Success
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Areas to Improve
• Update computer system
• Expand number of tests performed at the blood bank
• New technology?
• Even out donations if possible
Questions?