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Improving Patient Blood Management 22&23 June





Dates
Wednesday, 22 June 2016 - Thursday, 23 June 2016

Meeting Code
HRT1619

Location
Aerial Centre, UTS

Sydney
NSW


Would you like more information?
Cheryl Duffy
cheryl.duffy@healthroundtable.org


The Health Roundtable is delighted to host a Special workshop to improve Patient Blood Management, scheduled for 22-23 June at the Aerial UTS Function Centre, Sydney. 

Patient Blood Management (PBM) is an important safety and quality initiative with the potential to improve patient outcomes whilst also reducing hospital expenditure.


  • Red Blood Cell (RBC) transfusion is independently associated with increased morbidity, mortality, hospital and ICU length of stay, and increased cost. 
  • On average, RBC transfused patients stay 2.5 days longer, with an increased odds ratio of death of 1.7. 
  • A recent West Australian study estimated the total hospital-associated cost of RBC transfusion across a five hospital health service to be $77 million per year. 
  • There is a growing gap between the demand for blood products and available supply. 
  • Blood product costs may soon be fully devolved to public hospitals and incorporated into the ABF framework. 
  • Wide variation of care exists – for example, RBC transfusion rates vary from 8% to 93% in cardiac surgery, and 9-92% in orthopaedics. This suggests a large number of transfusions may be inappropriate and avoidable. 
  • Australian NSQHS Standard 7 requires that hospitals have systems in place to ensure safe and appropriate prescribing and use of blood and blood products, and that they are consistent with national evidence-based guidelines.

Three important leaders in PBM, James Isbister, Axel Hofmann, and Shannon Farmer will shed light on how to achieve good practice.   Delegates will develop action plans over the two days for implementation in their service.

Day 1 -Wednesday 22nd June 2016

8:30 – 9:00

Registration (Arrival Tea and Coffee)

9:00 – 9:30

Welcome and introductions

9:30 – 10:00

SETTING THE STAGE 1a – Thought Starter, James Isbister

History of Patient Blood Management: ‘Product Focus vs Patient Focus’

Small Group Discussion and Q+A

10:00 – 10:30

SETTING THE STAGE 1b What really is Patient Blood Management: No brainers, evidence and data.  Small Group Discussion and Q+A

10:30 – 11:00

Morning tea

11:0011:30

Shannon Farmer: Part 1.  The WA PBM Program – The Kotter Model for Change and the Importance of Data.  Small Group Discussion and Q+A

11:3012:00

SETTING THE STAGE – Developing the burning platform for change

HRT Data  Small Group Discussion

12:00 – 12:30

Overview of the PBM Survey results.  WA Data System:  Demonstrating Solutions.  Small Group Discussion; Identifying practical metrics for blood management

12:30 – 13:30

Lunch

13:30 – 14:30

DECIDE WHAT TO DO!  Rapid fire INNOVATION POSTER presentations

Each Health Service to highlight one innovation related to Patient Blood Management practice.   ‘Share and Steal ‘ market place – bring your resources- posters, pamphlets, protocols!

14:30 – 15:00

Top Innovations

15:00 – 15:30

Afternoon Tea

15:30 – 16:00

Shannon Farmer: Part 2.  The WA PBM Program – The Kotter Model for Change and the Importance of DataSmall Group Discussion and Q+A

16:00 – 16:30

DECIDE WHAT TO DO!  – How to get and use data for change. Action planning and aim statements

18:30

Group Dinner (Optional)  Dulcis Domus  16-18 Broadway, Ultimo NSW 2007

Day 2- Thursday 23rd June 2016

8:30 – 9:00

Arrival Tea and Coffee

9:00 – 9:20

MAKE IT HAPPEN  Recap of Day 1 Ideas.

9:20 – 9:30

Barriers & Road Blocks to Making It Happen

Capturing Key Issues:  What does your service need help with? 

9.30 -10.30

Thought starter Axel Hofmann   Small Group Discussion and Q+A

10:30 – 11:00

Morning Tea

11:00 – 12:00

Key Issues  and Panel  Discussion with James Isbister, Axel Hofmann, Shannon Farmer – moderator Stuart Swain

What does your service need help with?  Ask the panel!  Does your service have a solution for your colleague’s key issues?  

12.00 – 12:15

2017 Special Roundtable PBM –Improvement Group

12.15 – 12:30

Closing remarks

12:30 – 13:30

Lunch  Meeting Ends

13.30 – 15.00

Optional Session –Overview Health Roundtable and

Data and Benchmarking for Patient Blood Management

Speaker Profiles

Professor James Isbister AM FRACP FRCPA

·         Consultant in Haematology and Transfusion Medicine and Clinical Professor of Medicine, Sydney Medical School, Royal North Shore Hospital of Sydney

·         Conjoint Professor of Medicine, University of NSW

·         Adjunct Professor, University of Technology, Sydney

·         Adjunct Professor of Medicine, Monash University Melbourne, VIC

 

Professor Isbister was an undergraduate at the University of NSW and did postgraduate training at St Vincent’s Hospital and the Royal Postgraduate Medical School, London. His main career has been at Royal North Shore Hospital as Head of the Department of Haematology and Transfusion Medicine being appointed Consultant Emeritus in 2004. He has conjoint professorial appointments at several universities and continues to serve on National and International Advisory Committees. He is currently chair of the massive transfusion registry at Monash University and chair of the National Blood Authority PBM steering committee. Prof Isbister has had a broad range of clinical, research and teaching interests in haematology, transfusion medicine and patient blood management and has received acknowledgement with several National and International awards. He was one of the early advocates for moving blood transfusion from a product focus to a patient focus and differentiating patient blood management from donor blood management.

Mr Shannon Farmer

·         Consultant in Patient Blood Management

·         Adjunct Research Fellow, School of Surgery, University of Western Australia

·         Adjunct Senior Research Fellow, Centre for Population Health Research, Curtin University, WA

 

Mr. Farmer is an independent consultant in patient blood management (PBM) and holds academic appointments. He co-founded/directed Australia’s first comprehensive Blood Conservation Program at Fremantle Kaleeya Hospital. He has previously been a Consultant to the WA Department of Health PBM Program. He has published in peer-reviewed journals, co-authored a book and book chapters, is an invited reviewer for peer-reviewed journals, lectured widely on the subject of PBM, organised scientific meetings, facilitated surgical haemostasis training workshops, and consulted to a number of national and international health bodies and institutions, assisting with developing PBM programs and doing collaborative research. He is on the National Blood Authority Expert Working Group and Clinical Reference Group developing national evidence-based PBM Guidelines. He was a founding member of Society for the Advancement of Blood Management and is a Board member of Medical Society for Blood Management. He is currently a Principal/Associate Investigator of three research grants. 

Dr. Axel Hofmann, ME

·         Visiting Professor, Institute of Anaesthesiology, University Hospital Zurich, Switzerland

·         Adjunct Associate Professor, School of Surgery, University of Western Australia

·         Adjunct Associate Professor, Faculty of Health Sciences, Curtin University WA

 

Dr. Hofmann is a Doctor of Medical Science and holds a Master’s Degree in Economics. He currently has several academic affiliations in Europe and Australia. With his background in health economics and outcomes research, he has specialized in the field of Patient Blood Management (PBM). His main activities are related to PBM research and the implementation of PBM programs in the public health sector and large hospital systems. Dr. Hofmann is well published in international peer-reviewed journals and an invited speaker at numerous universities, medical schools, government agencies and international symposia. He is also a consultant to major pharmaceutical corporations and NGOs particularly in the field of PBM. He is a founding member of the Society for the Advancement of Blood Management where he served on the Board of Directors from 2001-2004, and a co-founder of the Medical Society for Blood Management where he serves as a board member.