Case Study Overview

University of Alabama at Birmingham Hospital: Overview


Major academic medical center reduces blood utilization 29%, saves $3.5 million in 3 years while improving patient outcomes.


The University of Alabama at Birmingham Hospital (UABH) faced a 60% increase in blood use from 1997 to 2006. During the same period, blood collections fell far short of meeting the needs of the hospital and the state as a whole.  Consequently, UABH experienced increasing acquisition costs and challenges associated with purchasing blood from multiple vendors to maintain adequate supplies. As the fourth largest blood consumer in the country, the UABH staff was highly motivated to reduce blood utilization.  After internal attempts to accomplish this goal produced marginal results, UABH leaders realized that external expertise was needed to significantly reduce blood use.

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University of Kansas Hospital: Overview


University of Kansas Hospital exceeds blood savings goal in less than one year.


As Medical Director and Chair of the Department of Pathology and Laboratory Medicine at the University of Kansas Hospital, Lowell Tilzer, M.D., understood that blood is a precious resource. As such, he had attended educational seminars on blood management and read literature on how blood overutilization is shown to negatively affect patient outcomes. His colleague, Shirley Weber, the Administrative Director of the Department of Pathology and Laboratory Medicine, initially approached blood utilization from an administrative perspective. She learned through benchmarking reports that other similarly sized academic medical centers were spending less on blood than their hospital was spending. With 550 staffed beds, a Level I Trauma Center, a large oncology program, and a very active transplant center, effective blood management is important to the success of the organization.

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John Muir Health: Overview


Health system decreases blood utilization by 18% and save $1.9 million in costs


John Muir Health is a combined 600-bed, two-hospital health system in Concord and Walnut Creek, California. The system had an escalating blood budget of $6 million a year and a growing awareness of the safety and quality issues surrounding blood transfusion. Hospital leadership became determined to improve blood utilization. After trying unsuccessfully to reduce blood use on their own, Strategic Healthcare Group was engaged to optimize blood management practices and reduce inappropriate utilization of blood products throughout the health system.

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