10-10-2007, 01:08 PM
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Join Date: May 1996
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Transfusion Therapy is Hazardous and Expensive, Yet Blood Utilization is Suboptimal!
The Problem:
Transfusion Therapy is Hazardous and Expensive, Yet Blood Utilization is Suboptimal!- Blood acquisition costs have more than doubled in the past few years and will continue to rise as the blood supply struggles to meet the increasing demand.
- Each transfusion causes a stepwise increase in serious complications including postoperative infection rates, ventilator-acquired pneumonia, central line sepsis, ICU and hospital length of stay, as well as mortality rates.
- Transfusion costs exceed blood acquisition costs by four times or greater when accounting for labor, supplies, administration and adverse events.
- Most physicians who order blood products lack formal training in transfusion therapy, and many are unaware of current transfusion guidelines.
- Oversight of blood utilization is lacking as witnessed by wide variation in transfusion practices between institutions and among physicians at the same institution.
- From a medical-legal standpoint, the financial liability of improper informed consent, inappropriate transfusions and transfusion errors can can be substantial.
Results of Implementing a Blood Management Program
| Actual Business Case | | | Blood Management Program Cost Savings
750 Bed Community Hospital | Program
Annual
Savings | Program
Five Year
Savings | | Reduction in RBC transfusions | 3500 units | 17,500 units | | Blood acquisition cost savings* | $735,000 | $6,375,000 | | Transfusion cost savings | $2,065,000 | $10,325,000 | | Reduction in adverse events | $4,200,000 | $21,000,000 | | Total hospital cost savings** | $7,000,000 | $35,000,000 | *RBC acquisition cost $210/ unit **Platelet cost savings adds $1.4M annual/ $7M over five years
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Would you like to know how to solve the problem like this hospital? Contact me.
__________________
Mr. Jan B. Wade
Blood Management Consultant
Enhance Outcomes - Control Cost
For Information Call - 360 296-1807
Email
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