5/15/20151 kentucky blood center outcome review report- june 2008

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


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




Total attempted procedures 362 Total attempted procedures 303

Other 1Total 14


Incomplete Procedures 4.6%Lexington June 2008


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%




04/18/23 11

Incomplete procedures- Pikeville

Total 4Total attempted procedures 51

Alarm 1Other 1



Incomplete Procedures 7.8 %Pikeville March 2008

Incomplete Procedures 5.1%Pikeville April 2008




Total attempted procedures 39

Incomplete Procedures 10.9%Pikeville May 2008





Incomplete Procedures 6.5%Pikeville June 2008





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%




04/18/23 13

Incomplete procedures- Somerset


Other 0Total 2



Incomplete Procedures 2.6%Somerset March 2008

Reasons Quantity

Incomplete Procedures 3.6%Somerset April 2008






Other 0Total 2



Incomplete Procedures 2.2%Somerset May 2008

Reasons Quantity


Other 0Total 5



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


Tu

rns

Mar.08

Apr.08

May 08

June 08


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


Turn

s

Proc / Trima / Day (Turns) US Benchmark


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


Turn

s



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


Turn

s



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


Min

ute

s Mar.08

Apr.08

May 08

June 08


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


Mar.08

Apr.08

May 08

June 08


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


Avg. Platelet / Completed Procedure US Benchmark


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




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




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%


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%


% P

roce

du

res

w/

mo

re t

han

on

e p

rod

uct

Multiple Product Rate US Benchmark


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%


% P

roce

du

res

w/

mo

re t

han

on

e p

rod

uct



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%


% P

roce

du

res

w/

mo

re t

han

on

e p

rod

uct



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


Platelets RBC Plasma


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




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




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


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


# 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


Nu

mb

er o

f S

PP

Single Platelet Only Procedures



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


# T

ype

O S

PP

0%

10%

20%

30%

40%

50%

60%

70%

% T

yp

e O

SP

P


04/18/23 38

KBC-SomersetSingle Platelet Only Procedures

20

27

24

19

0

5

10

15

20

25

30


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.


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


# T

ype

O S

PP

0%

10%

20%

30%

40%

50%

60%

% T

yp

e O

SP

P


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%


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


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%


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


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%




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%




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%




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%




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

04/18/23 52

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.

04/18/23 53

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

04/18/23 54

Any Questions?

04/18/23 55

Thank You!You !!

5/15/20151 kentucky blood center outcome review report- june 2008

Documents

total procedures

total platelet procedures

trima procedures

total started procedures

total completed procedures

incomplete procedures

total products

total platelets