5/15/20151 Kentucky Blood Center Outcome Review Report- June 2008.

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04/18/23 1

Kentucky Blood Center

Outcome Review Report- June 2008

04/18/23 2

A Tool to Drive Productivity and Improve Donor Management

Outcome ReviewOutcome Review

04/18/23 3

Outcome ReviewReport Settings

•Machines in Use

•Days of Operation

•Timeframe of Report

•Product Definitions

June

6/1/20086/30/2008

SubOptimal0.0 2.9

PLT 1 3.0 6.1

PLT 2 6.2 9.4

PLT 3 9.5 20.0

SubOptimal0 199

PLS 1 200 300

PLS 2 301 400

PLS 3 401 600

SubOptimal0 224

RBC 1 225 449

RBC 2 450 674

RBC 3 675 1500

Plasma Bag Volume (ml)

RBC Bag Volume (ml)

Work Hours Per Week for benchmarks 40Machine Types: Trima Accel

Product Dose Ranges

Platelet Yield ( x10e11)

Kentucky Blood CenterWork Hours Per

Week

KBC-Lexington 56

Report Start Date:

Report End Date:

KBC-Pikeville 40KBC-Somerset 40

04/18/23 4

KBC- Trima Outcome Review Summary - June 2008

KBC Collection sites KBC-Lexington KBC-Pikeville KBC-Somerset US Benchmark KBC-overall

Number of Machines 5 2 2   9

Procedures / Trima / Day 1.93 1.00 1.73 2.17 1.55

Average Platelets / Procedure 1.52 1.88 1.82 1.60 1.74

Products Per Procedure 1.92 1.88 1.82 1.88 1.88

Average Procedure Time 69 80 71 74 73

Total Started Procedures 303 46 79 33947 428

Total Completed Procedures 289 43 74 31708 406

Incomplete Procedures 4.6% 6.5% 6.3% 6.6% 5.8%

Total Platelet Procedures 287 42 73 30056 402

% Of Total Procedures:          

Single Platelet Procedure 52.3% 26.2% 26.0% 41.6% 34.8%

Double Platelet Procedure 42.2% 54.8% 63.0% 48.2% 53.3%

Triple Platelet Procedure 5.6% 19.0% 11.0% 10.2% 11.9%

Medium Plasma 18.8% 0.0% 0.0% 2.0% 18.8%

Total Products 555 81 135 59563 771

Total Platelets Produced 440 81 135 50672 656

Total Plasmas Produced 108 0 0 5053 108

Multiple Products Rate 59.9% 74.4% 74.3% 73.8% 69.5%

04/18/23 5

  KBC- Trima Outcome Review Summary - May 2008

KBC Collection sites KBC-Lexington KBC-Pikeville KBC-Somerset US Benchmark KBC-overall

Number of Machines 5 2 2   9

Procedures / Trima / Day 2.16 1.11 2.03 2.17 1.77

Average Platelets / Procedure 1.48 1.88 1.84 1.60 1.74

Products Per Procedure 1.92 1.88 1.84 1.88 1.88

Average Procedure Time 69 77 75 74 74

Total Started Procedures 362 55 92 33947 509

Total Completed Procedures 335 49 90 31708 474

Incomplete Procedures 7.5% 10.9% 2.2% 6.6% 6.8%

Total Platelet Procedures 328 48 89 30056 465

% Of Total Procedures:          

Single Platelet Procedure 54.9% 33.3% 27.0% 41.6% 38.4%

Double Platelet Procedure 38.7% 41.7% 59.6% 48.2% 46.6%

Triple Platelet Procedure 6.4% 25.0% 13.5% 10.2% 15.0%

Medium Plasma 22.0% 0.0% 0.0% 2.0% 22.0%

Total Products 644 92 166 59563 902

Total Platelets Produced 497 92 166 50672 755

Total Plasmas Produced 144 0 0 5053 144

Total RBCs Produced 3 0 0 3838 3

Multiple Products Rate 59.4% 65.3% 73.3% 73.8% 66.0%

04/18/23 6

Kentucky Blood Center

Summary Graphs - May 2008

04/18/23 7

10

.3%

7.8

%

2.6

%

6.8

%

6.9

%

7.2

%

5.1

%

3.6

%

6.6

%

5.3

%

7.5

%

10

.9%

2.2

%

6.6

%

6.8

%

4.6%

6.5%6.3% 6.6%

5.8%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

KBC-Lexington KBC-Pikeville KBC-Somerset US Benchmark KBC-overall

Mar.08

Apr.08

May 08

June 08

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

Incomplete Procedures

04/18/23 8

KBC-LexingtonIncomplete Procedures

10

.3%

7.2

%

7.5

%

4.6

%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

Mar.08 Apr.08 May 08 June 08

Incomplete US Benchmark

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 9

Incomplete procedures-Lexington

Incomplete Procedures 7.2%Lexington April 2008

Reasons QuantityDraw Problem 4

Return Problem 7Operator Selected 4

Alarm 8Other 0Total 23

Total attempted procedures 320Total attempted procedures 351

Other 4Total 36

Operator Selected 13Alarm 4

Draw Problem 4Return Problem 11

Incomplete Procedures 10.3%Lexington March 2008

Reasons Quantity

Incomplete Procedures 7.5%Lexington May 2008

Reasons QuantityDraw Problem 11

Return Problem 5Operator Selected 9

Alarm 2Other 0Total 27

Total attempted procedures 362 Total attempted procedures 303

Other 1Total 14

Operator Selected 4Alarm 2

Incomplete Procedures 4.6%Lexington June 2008

Reasons QuantityDraw Problem 1

Return Problem 6

04/18/23 10

KBC-PikevilleIncomplete Procedures

7.8

%

5.1

%

10

.9%

6.5

%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

Mar.08 Apr.08 May 08 June 08

Incomplete US Benchmark

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 11

Incomplete procedures- Pikeville

Total 4Total attempted procedures 51

Alarm 1Other 1

Return Problem 1Operator Selected 0

Reasons QuantityDraw Problem 1

Incomplete Procedures 7.8 %Pikeville March 2008

Incomplete Procedures 5.1%Pikeville April 2008

Reasons QuantityDraw Problem 1

Return Problem 0Operator Selected 1

Alarm 0Other 0Total 2

Total attempted procedures 39

Incomplete Procedures 10.9%Pikeville May 2008

Reasons QuantityDraw Problem 3

Return Problem 2Operator Selected 1

Alarm 0Other 0Total 6

Total attempted procedures 55

Incomplete Procedures 6.5%Pikeville June 2008

Reasons QuantityDraw Problem 0

Return Problem 2Operator Selected 1

Alarm 0Other 0Total 3

Total attempted procedures 46

04/18/23 12

KBC-SomersetIncomplete Procedures

2.6

%

3.6

%

2.2

%

6.3

%

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

Mar.08 Apr.08 May 08 June 08

Incomplete US Benchmark

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 13

Incomplete procedures- Somerset

Total attempted procedures 77

Other 0Total 2

Operator Selected 0Alarm 0

Draw Problem 0Return Problem 2

Incomplete Procedures 2.6%Somerset March 2008

Reasons Quantity

Incomplete Procedures 3.6%Somerset April 2008

Reasons QuantityDraw Problem 1

Return Problem 0Operator Selected 2

Alarm 0Other 0Total 3

Total attempted procedures 83

Total attempted procedures 92

Other 0Total 2

Operator Selected 0Alarm 1

Draw Problem 1Return Problem 0

Incomplete Procedures 2.2%Somerset May 2008

Reasons Quantity

Total attempted procedures 79

Other 0Total 5

Operator Selected 2Alarm 0

Draw Problem 0Return Problem 3

Incomplete Procedures 6.3 %Somerset June 2008

Reasons Quantity

04/18/23 14

2.0

3

1.0

6

1.6

9

2.0

6

1.5

9

1.9

8

0.8

6

1.8

7

2.1

7

1.5

7

2.1

6

1.1

1

2.0

3 2.1

7

1.7

7

1.93

1.00

1.73

2.17

1.55

0.00

0.50

1.00

1.50

2.00

2.50

KBC-Lexington KBC-Pikeville KBC-Somerset US Benchmark KBC-overall

Tu

rns

Mar.08

Apr.08

May 08

June 08

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

Procedures /Trima / Day

04/18/23 15

KBC-LexingtonProcedures / Trima / Day

2.0

3

1.9

8

2.1

6

1.9

3

0.00

0.50

1.00

1.50

2.00

2.50

Mar.08 Apr.08 May 08 June 08

Turn

s

Proc / Trima / Day (Turns) US Benchmark

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 16

KBC-PikevilleProcedures / Trima / Day

1.0

6

0.8

6

1.1

1

1.0

0

0.00

0.50

1.00

1.50

2.00

2.50

Mar.08 Apr.08 May 08 June 08

Turn

s

Proc / Trima / Day (Turns) US Benchmark

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 17

KBC-SomersetProcedures / Trima / Day

1.6

9

1.8

7

2.0

3

1.7

3

0.00

0.50

1.00

1.50

2.00

2.50

Mar.08 Apr.08 May 08 June 08

Turn

s

Proc / Trima / Day (Turns) US Benchmark

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 18

70

75

75

73 73

69

76

71

74

72

69

77

75

74

74

69

80

71

7473

62

64

66

68

70

72

74

76

78

80

82

KBC-Lexington KBC-Pikeville KBC-Somerset US Benchmark KBC-overall

Min

ute

s Mar.08

Apr.08

May 08

June 08

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

Average Procedure Time

04/18/23 20

1.7

0 1.8

3

1.8

1

1.6

4 1.7

8

1.6

2

1.9

7

1.7

6

1.6

9 1.7

8

1.5

2

1.9

2

1.8

7

1.6

9

1.7

7

1.53

1.931.85

1.691.77

0.00

0.50

1.00

1.50

2.00

2.50

KBC-Lexington KBC-Pikeville KBC-Somerset US Benchmark KBC-overall

Mar.08

Apr.08

May 08

June 08

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

Average Platelet/ Completed Procedure

04/18/23 21

KBC-LexingtonAverage Platelet / Completed Procedure

1.7

0

1.6

2

1.5

2

1.5

3

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

1.80

Mar.08 Apr.08 May 08 June 08

Avg. Platelet / Completed Procedure US Benchmark

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 22

KBC-PikevilleAverage Platelet / Completed Procedure

1.8

3

1.9

7

1.9

2

1.9

3

0.00

0.50

1.00

1.50

2.00

2.50

Mar.08 Apr.08 May 08 June 08

Avg. Platelet / Completed Procedure US Benchmark

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 23

KBC-SomersetAverage Platelet / Completed Procedure

1.8

1

1.7

6

1.8

7

1.8

5

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

1.80

2.00

Mar.08 Apr.08 May 08 June 08

Avg. Platelet / Completed Procedure US Benchmark

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 24

63

.5%

66

.0% 73

.3%

71

.7%

67

.6%

67

.0% 7

5.7

%

66

.3% 7

3.8

%

69

.6%

59

.4% 65

.3% 7

3.3

%

73

.8%

66

.0%59.9%

74.4% 74.3% 73.8%69.5%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

KBC-Lexington KBC-Pikeville KBC-Somerset US Benchmark KBC-overall

Mar.08

Apr.08

May 08

June 08

Multiple Product Rate

04/18/23 25

KBC-LexingtonMultiple Product Rate

63

.5%

67

.0%

59

.4%

59

.9%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Mar.08 Apr.08 May 08 June 08

% P

roce

du

res

w/

mo

re t

han

on

e p

rod

uct

Multiple Product Rate US Benchmark

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 26

KBC-PikevilleMultiple Product Rate

66

.0%

75

.7%

65

.3%

74

.4%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Mar.08 Apr.08 May 08 June 08

% P

roce

du

res

w/

mo

re t

han

on

e p

rod

uct

Multiple Product Rate US Benchmark

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 27

KBC-SomersetMultiple Product Rate

73

.3%

66

.3%

73

.3%

74

.3%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Mar.08 Apr.08 May 08 June 08

% P

roce

du

res

w/

mo

re t

han

on

e p

rod

uct

Multiple Product Rate US Benchmark

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 28

Total Products Collected

04/18/23 29

KBC-LexingtonTotal Products Collected / Period

52

6

46

9

49

7

44

0

4 4 3 712

2

12

8

14

4

10

8

0

100

200

300

400

500

600

Mar.08 Apr.08 May 08 June 08

Platelets RBC Plasma

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 30

KBC-PikevilleTotal Products Collected / Period

86

73

92

81

0 0 0 00 0 0 0

0

10

20

30

40

50

60

70

80

90

100

Mar.08 Apr.08 May 08 June 08

Platelets RBC Plasma

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 31

KBC-SomersetTotal Products Collected / Period

13

6

14

1

16

6

13

5

0 0 0 00 0 0 0

0

20

40

60

80

100

120

140

160

180

Mar.08 Apr.08 May 08 June 08

Platelets RBC Plasma

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 32

Single Platelet Only Procedures

04/18/23 34

KBC-LexingtonSingle Platelet Only Procedures

11

2

98

13

6

11

6

0

20

40

60

80

100

120

140

160

Mar.08 Apr.08 May 08 June 08

Nu

mb

er o

f S

PP

Single Platelet Only ProceduresThe information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

Total Successful Procedures - 287

40%

04/18/23 35The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

38 of 116 Single Platelets were Type O

KBC-LexingtonLost Opportunity - Single Platelet Procedure, Type O

33

24

49

38

29%

24%

36%

33%

0

10

20

30

40

50

60

Mar.08 Apr.08 May 08 June 08

# T

ype

O S

PP

0%

5%

10%

15%

20%

25%

30%

35%

40%

% T

yp

e O

SP

P

Single Platelet, Type O % SPP, Type O

04/18/23 36

KBC-PikevilleSingle Platelet Only Procedures

16

9 17

11

0

2

4

6

8

10

12

14

16

18

Mar.08 Apr.08 May 08 June 08

Nu

mb

er o

f S

PP

Single Platelet Only Procedures

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

Total Successful Procedures - 42

26%

04/18/23 37

7of 11 Single platelet products were Type O

KBC-PikevilleLost Opportunity - Single Platelet Procedure, Type O

5 6 8 7

31%

67%

47%

64%

0

1

2

3

4

5

6

7

8

9

Mar.08 Apr.08 May 08 June 08

# T

ype

O S

PP

0%

10%

20%

30%

40%

50%

60%

70%

% T

yp

e O

SP

P

Single Platelet, Type O % SPP, Type O

04/18/23 38

KBC-SomersetSingle Platelet Only Procedures

20

27

24

19

0

5

10

15

20

25

30

Mar.08 Apr.08 May 08 June 08

Nu

mb

er o

f S

PP

Single Platelet Only ProceduresThe information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

Total Successful Procedures - 73

26%

04/18/23 39The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

9 of 19 Single platelet products were Type O

KBC-SomersetLost Opportunity - Single Platelet Procedure, Type O

10

11

11

9

50%

41%

46%47%

0

2

4

6

8

10

12

Mar.08 Apr.08 May 08 June 08

# T

ype

O S

PP

0%

10%

20%

30%

40%

50%

60%

% T

yp

e O

SP

P

Single Platelet, Type O % SPP, Type O

04/18/23 40

Double Platelet products (DPP)Triple platelet Products (TPP)

Offered-Selected-Completed

04/18/23 42

KBC-LexingtonDPP Offered -Selected- Completed

43

.7%

48

.6%

47

.3%

50

.5%

38

.5%

42

.4%

40

.5%

45

.3%

36

.6%

41

.0%

38

.7%

42

.2%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Mar.08 Apr.08 May 08 June 08

DPP Offered DPP Selected DPP Completed DPP Offered DPP Selected DPP Completed

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 43

KBC-LexingtonTPP Offered-Selected-Completed

20

.4%

13

.4%

9.5

%

8.4

%

18

.8%

10

.7%

7.0

%

5.9

%

16

.8%

10

.3%

6.4

%

5.6

%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

Mar.08 Apr.08 May 08 June 08

TPP Offered TPP Selected TPP Completed TPP Offered TPP Selected TPP Completed

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 44

KBC-PikevilleDPP Offered -Selected- Completed

48

.9%

54

.1%

43

.8%

54

.8%

46

.8%

56

.8%

45

.8%

52

.4%

48

.9%

59

.5%

41

.7%

54

.8%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

Mar.08 Apr.08 May 08 June 08

DPP Offered DPP Selected DPP Completed DPP Offered DPP Selected DPP Completed

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 45

KBC-PikevilleTPP Offered-Selected-Completed

17

.0%

24

.3%

22

.9%

19

.0%

17

.0%

21

.6%

22

.9%

19

.0%

17

.0%

18

.9%

25

.0%

19

.0%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

Mar.08 Apr.08 May 08 June 08

TPP Offered TPP Selected TPP Completed TPP Offered TPP Selected TPP Completed

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 46

KBC-SomersetDPP Offered -Selected- Completed

65

.3%

61

.3%

56

.2%

58

.9%

64

.0%

52

.5%

53

.9%

58

.9%

65

.3%

56

.3%

59

.6%

63

.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

Mar.08 Apr.08 May 08 June 08

DPP Offered DPP Selected DPP Completed DPP Offered DPP Selected DPP Completed

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 47

KBC-SomersetTPP Offered-Selected-Completed

17

.3%

17

.5%

27

.0%

23

.3%

10

.7%

11.3

%

16

.9%

13

.7%

8.0

%

10

.0%

13

.5%

11.0

%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

Mar.08 Apr.08 May 08 June 08

TPP Offered TPP Selected TPP Completed TPP Offered TPP Selected TPP Completed

The information in this report is only intended to document Trima procedures. It should not be used to make medical decisions.

04/18/23 48

Offered-Selected-Performed Procedures- June 2008Platelet Productivity Information        

Kentucky Blood Center Sites Lexington Pikeville Somerset US Benchmark

SDP Offered as Top Priority 118 12 13 9053

SDP Selected By Operator 141 13 21 11605

SDP Procedures Performed 150 11 19 12505

DPP Offered as Top Priority 145 23 43 16174

DPP Selected By Operator 130 22 43 15401

DPP Procedures Performed 121 23 46 14486

DPP Offered Rate 51% 53% 59% 53%

DPP Selected By Operator 45% 52% 59% 51%

DPP Completed Rate 42% 55% 63% 48%

TPP Offered as Top Priority 24 8 17 5404

TPP Selected By Operator 17 8 10 3470

TPP Procedures Performed 16 8 8 3065

TPP Offered Rate 8% 19% 23% 18%

TPP Selected By Operator 6% 19% 14% 12%

TPP Completed Rate 6% 19% 11% 10%

Plasma Productivity Information        

Medium Plasma Offered 57     811

Medium Plasma Selected By Operator 61     486

Medium Plasma Performed 54     590

Concurrent Plasma Rate 19%     14%

04/18/23 49

% count WBC measure message

04/18/23 50

% Count WBC measure message

Kentucky Blood Center Sites Lexington Pikeville Somerset US BenchmarkJanuary 9.1% 6.8% 4.4% 5.8%

February 7.7% 0.0% 8.0% 5.8%March 5.7% 4.3% 5.3% 5.8%

April 8.8% 0.0% 1.3% 4.7%May 9.0% 2.0% 5.6% 4.7%

June 6.2% 0.0% 5.4% 4.7%

% Count WBC (Measure Message)

How Changes in the Trima Safety Box Impact Donor Qualification

15% TBV

30 Post HCT

50,000 Post Platelet Count

150 minutes

80,000Post Platelet count

32 Post HCT at all sites

100 minutes at Lexington

110 minutes at Someret & Pikeville

100,000 Post Platelet count at all sites

Maximum settings in BluePrevious CKBC settings in GreenSomerset and Pikeville settings in RedLexington settings in Blue

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GOOD JOB!!

Incompletes at all 3 locations are below US Benchmark 74% of the procedures in Somerset and Pikeville are Doubles or Triples.Lexington is completing 1.93 procedures per Trima in an 8 hours time period.

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Improvement Opportunities

52% of Lexington procedures are single platelet procedures- Advanced training for staff?

Make Trima changes to improve TPP offerings (increase procedure time and maximum time limit and slight

increases to targets)Continue to increase machine utilization at Somerset and

Pikeville. Try to achieve 2 Trima procedures per machine per day.

Continue to monitor incompletes

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Any Questions?

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Thank You!You !!