1. PT CBS BLC Updates
NAC Face to Face
Bernadette Muise

2. Budget - National Advisory Committee on Blood and Blood Products Fiscal 2013/2014 (April 1 – October 31,2013)
Project Coordinator Salary
$36,679.00
Face to Face April 2013
$19,112.43
CSTM
$4,841.89
Web Expenses/ Miscellaneous Totals
$176.11
Teleconference charges (estimated)
$1,000.00
Total expenses to date
$60,809.43
Projected expenses indicate potential available funds of approximately $25,000. for projects. Some miscellaneous expenses have been rolled into the total PT fund and have yet to be clearly identified.

3. Accomplishments/Collaboration
Terms of Reference revised and approved in May 2013
Briefing Note: Transfusion Policy Framework for RBC Transfusion – Approved
Briefing Note: Inventory Planning - Approved
PT Blood Liaison Committee

4. Accomplishments/Collaboration
PT CBS BLC :
–2013/2014 NAC Work Plan approved.
The addition of background narrative for each initiative to provide more clarity so this document could then be a stand alone item

5. Requests from PTs to NAC
Development of Guidelines for use of fibrinogen concentrates for indications of acquired fibrinogenemia.
Consider adding the development of dosing guidelines for Factor XIII product – Corifact TM to your Work Plan
Please Note: These are specific items on the agenda for further discussion.

6. PT Initiatives Ernst & Young Performance review completed May 2013
There were 79 recommendations made
Assistant Deputy Minister Group formed to prioritize recommendations of the review, identify timelines for the recommendations, determine next steps and monitor progress of the recommendations
The report, as well as the CBS response, was posted to the CBS website October 28th
many recommendations address efficiency and productivity and CBS had already undertaken measures to improve in those areas
Several recommendations deal with governance and accountability and it is those on which the ADM group will concentrate

7. PT Initiatives Organ and Tissue Donation and Transplantation (OTDT)
Development of a Memorandum of Understanding to clearly articulate how this program will move forward
This very complex program has required a lot of PT attention over the past few years
Health Canada has been co-funding this program with the provinces and territories since it was assigned to CBS in 2008.
An MoU is essenial so that all parties involve have clear roles and responsibilities defined at the outset which will reduce confusion and misunderstandings as the program evolves

8. Organ Registries
Living donor paired exchange (LDPE) began operation in 2009 as a pilot, became fully operational in 2010, and has facilitated 222 kidney transplants to date.
Program matches patients whose potential donor does not match with them for transplant with another unmatched donor/recipient pair
Next step is ensuring financial support to donors is consistent across Canada.

9. Organ Registries National Organ Waitlist (NOW)
Lists all waiting non renal organ transplant patients
Facilitates allocation of organ to the most appropriate recipient
Requires physician experts to confirm the allocations and ensure equitable access

10. Organ Registries Highly Sensitized Patients (HSP)
Designed to provide disadvantaged kidney patients with greater access to available organs
HSP patients currently receive less than 1% of available organs
Staggered implementation began late September

11. Tissue projects
CBS has been working with stakeholders to develop leading practices.
CBS and the PT BLC have been working together to determine lower cost / higher impact projects which might be implemented by CBS.
No decisions have yet been approved by the Deputy Ministers.

12. National Facilities Redevelopment Plan
A multi year infrastructure improvement plan was presented to the BLC, by CBS, in 2007.
Consolidation of testing and production to enhance efficiency, productivity and ability to implement newer technologies as they become available were the operational objectives of the plan.
Phase I was implemented in 2008

13. National Facilities Redevelopment Plan
Phase I - Ontario and Maritimes, has a single project left, Donor Testing in Ontario, expected to be completed in 2015
Phase II - Alberta and Saskatchewan, development of the business case has been completed.
The BLC, CBS and Deputy Ministers are working toward finalizing approvals and
funding options

14. Budget Negotiations with CBS
CBS develops a comprehensive 3 year corporate plan with a funding request for the first year of the plan
PT BLC reviews the plan and budget requests in light of the fiscal and utilization policies of their jurisdictions
Discussions between CBS and the BLC continue into December
In December a budget for the next fiscal is negotiated and then presented to the Deputy Ministers for approval, if it is acceptable the DM recommend that the Ministers approve in March.

15. Other
The BLC is working with CBS on other business cases which have been developed
The BLC receives project updates on the many things underway within CBS such as:
Plasma Protein Product algorithm refining
Hospital Disposition project
National Public Cord Blood Bank