SCANHvBCC 2018/19 Third-Place Submission by HEC Montréal

VAN CONSULTING

Canadian Blood Services PRESENTED BY VAN CONSULTING

REDTECH

Vincent Collard-Tremblay

Amélie Théorêt

Noémie Villiard

VAN CONSULTING

Our Strategy in the Blink of an Eye Challenges

Mandate

•

Increase the number of donors

•

Ensure patient safety

•

Blood tracking

•

Waste Reduction

Strengthen the value proposition the Canadian national blood system can bring to the broader health care systems in which it operates

REDTECH ANALYSIS

1

2

Strategy

REDTECH

Objectives

STRATEGY

•

Stakeholders engagement

•

Scalability and transferability

RED

Reach, Engage, Donate

TECH Enhance the whole process with technology

IMPLEMENTATION

IMPACTS

2

VAN CONSULTING

Key Challenges Tracking & traceability Automation of supply chain tracking and traceability of blood products.

Demand forecasting

Processes

Demand forecasting and utilization of blood products to support sustainability of blood supply.

Integration of supply chain processes with hospital care processes.

Waste

Technologies

Reduction of the (discard) waste of blood products.

Use of technology to strengthen supply chain processes.

Safety Patient safety outcomes and impact

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

3

VAN CONSULTING

What is Holding You Back ?

CURRENT SITUATION Utilization of blood products at most hospitals are reported monthly and on a voluntary basis.

Different Inventory Management Systems

Data Collection

Actually Manitoba, Yukon & British Columbia use different systems than other provinces. There are still manual data entries in some reporting systems.

CIHI has difficulty building a reliable and comprehensive database for a global picture of the Canadian health care system.

As we can’t ask every hospital to change its whole IT system (LIS) because it is costly and time consuming, we suggest you standardize the information flows.

How to do that?

By developing a report template and by enforcing a frequency of data transmission. By doing this, you will homogenize the information you receive and will be able to transmit it to CIHI. They will be able to link the blood transfusion and blood product information with the patient diagnosis and treatment plan to finally identify the rationale for why the patient required blood and eventually make more accurate previsions.

What should be on these reports ?

Quantity of blood product transfused Patient’s blood group Patient’s hemoglobin At what frequency ?

As it is reported monthly now, we suggest you first encourage them to do it weekly and as they get used to it, possibly ask for a daily transmission.

On which provinces you should focus your effort?

Based on the actual and estimated ED records sent to NACRS, you should focus on Newfoundland and Labrador, Prince Edward Island, New Brunswick, Yukon Territory, Northwest Territories and Nunavut to get a better global portrait. Other provinces should not be dismissed, but they are already doing better then the first ones.

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

4

VAN CONSULTING

Main Stakeholders Federal Government Board of Directors

Here is a stakeholder matrix showing the position of each party of the organizational matrix. We take the interest and the influence of each one in consideration before elaborating an action plan.

Provincial Minister of Health

Power & Influence CEO of CBS

Population

CBS

Supply Chain Committee Hospitals

We suggest to create a committee that will focus essentially on the implementation of our recommendation.

Board of Directors

CBS

Supply Chain Committee

Keep Informed

Federal Government

CEO of CBS

Hospitals

Population

Employees

ANALYSIS

Employees

Monitor

Patients

The organizational chart shows the relations and responsibility of each stakeholders that have a specific role in the blood donations part of the Canadian health care system.

REDTECH

Provincial Minister of Health

Donors

Donors

Patients

Manage Closely

Keep Satisfied

STRATEGY

Interest IMPLEMENTATION

IMPACTS

5

VAN CONSULTING

Project Management Resources Supply Chain Committee

This committee will be in charge of taking the decisions related to the RFID technology project implementation. The purpose of creating this group is to facilitate the exchange of ideas, knowledge sharing and interactions between stakeholders in order to feed the culture of continuous improvement.

To have the best interest of the majority of the stakeholders taken into account, we suggest it should be composed of : -

Hospitals Board Members from different regions across Canada Inventory Managers of a few Blood Manufacturing Centers Inventory Managers of different hospitals Other employees that have interest in this project A few HLS members across Canada Nurse’s team leader

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

6

REACH, ENGAGE, DONATE

“

12 millions Canadians eligible to donate, but only 4% do

’’

— Canadian Blood Services

CURRENT SITUATION – Lack of blood donations and large amount of funding necessary to support recruitment of donors.

OBJECTIVES : Opportunity to reach a greater proportion of donors in urban areas and encourage them to donate on a regular basis

ü

Develop a marketing campaign to reach more donors and retain them for the future.

ü

Leverage digital technologies (ex: Mobile App) to better connect with the donor.

ü

Organize more mobile donor events because they revealed to be successful.

ü

Work new marketing strategies to increase visibility in urban areas.

8

VAN CONSULTING

Marketing Strategies Strategies to reach and retain donors from urban areas

Promotion

Marketing Mail

Physical campaign with large banner, publicity in the public transportation, schools, church, community service center and partnership with pharmacies to reach old donors in small geographical areas.

REDTECH

ANALYSIS

During mobile donor events, use de donors data to send marketing newsletters to keep them informed about your collect or other incentives to donate afterwards.

STRATEGY

Partnership with sport teams

White papers

Make available white papers about the benefits for people who receive blood transfusion and how the process of blood donation works. You could also link this strategy to the previous and use the personal data to share these white papers too.

IMPLEMENTATION

Organize various events with sports team to reach more people. Use the visibility of those teams to find more donors in the urban cities.

This kind of event can reunite sport teams alumni as well as other celebrities and could attract a lot of people.

IMPACTS

9

VAN CONSULTING

Your Social Media Analytics

50%

25%

FACEBOOK

25%

TWITTER

INSTAGRAM

117K LIKES

61K FOLLOWERS

11K FOLLOWERS

—

—

—

Overall mark of 4.6/5 rated by more than 3,000 persons. Possibility to reach younger and older population and capitalize on your strong social media presence.

Twitter is still popular in Canada.

Possibility to reach enterprises and great opportunity with the retweet button.

Still possible to reach more people with Instagram. Possibility to show the results of blood donation on people who need it.

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

10

VAN CONSULTING

Next Step : Leverage your Instagram Visibility

#

Throwback Thursdays

First blood donation post

More than 325 millions of posts contain the hashtag TBT. Great way to reach a large amount of people.

More than 400k posted their first tattoo experience on Instagram. You can use the same tactic by influencing people to post after their first blood donation.

Instagram stories

16-34 donors

More than 150 million people use Instagram stories each day.

Possibility to reach more donors by using daily stories.

76% of the Instagram users are between 16 and 34 years old.

Possibility to reach new donors and retain them for the future.

Great opportunity to work with influencers to reach a large population of young possible donors !

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

11

VAN CONSULTING

Steps to Success - MARKETING 2019

2020

2021

Research and creation of White Papers Contact influencers for Instagram Campaign

Creation of marketing content Marketing campaign on social media Contact Sports Team Activation with professional athletes Research and evaluation of the best urban areas to reach donors

Marketing Campaigns in urban areas

Social medias will increase your visibility and reach a bigger proportion of your target audience !

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

12

ENHANCE THE WHOLE PROCESS WITH TECHNOLOGY

VAN CONSULTING

Vendor-Managed Inventory (VMI) CHALLENGE ADRESSED: Transparency of blood products inventory only relies on accuracy of hospital reports.

“In VMI the normal trading relationship is reversed. Instead of the hospitals managing its own stock and deciding when and how much more to buy, you will be doing it.”

Communication

What’s in it for you ?

Clear Goals

Accountability

Keys to Vendor Managed Inventory In the healthcare supply chain

Honesty

• • • • • • •

What’s in it for hospitals?

Strong Relationships

• • • • •

Measured Performance

Trust

ANALYSIS

Reduce risk in stock-outs Reduced waste Reduction in order processing Less inventory takes up less space Allows focus on the 20% of items that consume 80% of the supply budget in areas such as the operating room

Ensure information accuracy, reallocate & optimize valuable staff productivity and further standardize ordering

Collaboration

REDTECH

Better transport and delivery planning Better capacity planning Reduction of inventory and related costs Lower supply chain costs Reduced waste Reduced cost of obsolete and/or outdated stock Shared risk

STRATEGY

IMPLEMENTATION

IMPACTS

14

VAN CONSULTING

Enhance the Whole Process with Technology What: Implement Radio Frequency Identification (RFID) technology in the ‘’vein-to-vein’’ blood path.

How it works: Incorporate a passive RFID tag and a time and temperature indicator labels to each bag used to collect blood. Add an RFID short range reader for every fridge that will be used for the blood storage in hospitals to monitor in and outs. Provide a RFID Tunnel Readers for every hospital, manufacturing sites and testing center to manage upstream and downstream movements of blood bags. Finally, Mobile Readers will be needed for the final step; the transfusion.

Advantages: (1) Reduce human error by relaying historical data, improve the monitoring of blood bags by providing real-time tracking and the label provides visual indicator regarding the temperature status of the blood. Thus, you can trace if there was a problem with the temperature along the transportation process. (2) Improve the safety of patients and medical staff by assuring that the right blood is given (3) and improve the efficiency of the overall management of blood bags by reducing the need of manipulations of the product. Since the blood bags don’t need to be in really cold conditions (i.e. under zero degree Celsius), there’s no issue of using these technologies. Also, as you will now be using the VMI method to replenish hospitals, RFID will make your life easier and provide info to make better demand forecast.

Scalability: If one day you get to the point where you introduce RFID to also manage the inventory of your medical tools, you will already be familiar with this technology, and probably some facilities can be reused for this purpose.

Success Story: Technology that is already used in Australia and that has made its proof to be, so far, the best technology for blood supply tracking.

Add-ons: Implantation of Digital Kanban Board in the hospitals storage rooms. How does it works? When an employee takes a bag from the hospital storage, the chip associated with the location of the blood bag is put on the digital board before getting out of the room. The board gets the signal of the chip and sends the information to the IT system that is planning the replenishment.

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

15

VAN CONSULTING

The Journey of a Blood Bag with RFID In this process, we assumed that the RFID technology has already been implemented in all nurse’s badge and patient’s wristband …

At the donation center…

Donor data is entered in the information system

Blood bag is stored

Blood bag is shipped to the hospital

Blood is taken.

Bag is fulfilled.

Blood bag goes through in a tunnel reader; automated reading and receiving

Blood bag goes through a tunnel reader; automated reading and receiving

Transfusion is made ensuring that the right blood was given to the right person at the right time.

Legend

REDTECH

CBS Employee/Volunteer ANALYSIS

Bag is shipped to one of the CBS Testing sites

RFID tags is printed with the donor data and pasted to the bag

In the information system, new data entry is linked to the RFID tag.

Blood bag is shipped to the a manufacturing center

Blood bag is stored in the hospital fridge. RFID short range readers identifies the entry.

It is at this step that a signal will be emitted if the blood bag is not designated to this patient.

Blood bag is transported to the patient in need. RFID short range readers identifies the exit.

Finally, the patient bracelet is scanned with the mobile reader to ensure blood compatibility.

Blood bag goes through a tunnel reader; automated reading and receiving

Blood is tested and the info is updated in the information system.

With the mobile reader, nurse scan her badge to identify who is executing the transfusion.

With the mobile reader, the blood bag is scanned to link it to her.

Hospitals Employee STRATEGY

IMPLEMENTATION

IMPACTS

16

VAN CONSULTING

RFID & Implementation Resource For the implementation of the RFID technology of this scale, it is highly recommended to call on an expert. We have done research for you !

Here is a portrait of OPTEL Group, a multinational leading global provider of traceability systems.

Intelligent Supply Chain

Operating industries

Leveraging technologies such as cloud computing, and artificial intelligence (AI) to enable an intelligent supply chain. Every business model is unique and has a different degree of supply chain complexity.

OPTEL’s powerful platform follows the product through all the stages of its life.

- Pharmaceutical - Medical Devices - Healthcare

Safety

Traceability

In terms of safety, traceability provides valuable investigation tools allowing you to monitor environmental conditions along the supply chain, improving quality control and limiting waste.

Traceability begins with product identification, which is at the core of OPTEL’s serialization expertise. With its latest acquisitions, OPTEL covers the entire supply chain, from end to end.

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

17

VAN CONSULTING

Artificial Intelligence RESEARCH - Opportunity to cut time and costs in developing drugs and other healthcare products KEEPING WELL - Internet + App to improve consumer health habits - Encourage healthier behavior - Helps healthcare professionals to better understand day-to-day patterns and needs

TRAINING - AI to provide naturalistic simulations with adapting scenarios END OF LIFE CARE - AI to help people remain independent for longer, reduce the need for hospitalization and care homes

EARLY DETECTION

Benefits for the whole healthcare systems to also help predict blood needs

- AI to ensure test accuracy, detect diseases earlier and reduce the need for unnecessary medical exams.

- Lead to oversee early-stage disease making it possible for health professionals to better monitor and detect life threatening episodes

DIAGNOSIS

TREATMENT - AI to help clinicians take a more comprehensive approach in providing treatments DECISION MAKING

- AI to unlock large amount of health data and power diagnosis: review and store medical information - Technology to allow learning algorithms solve real-world healthcare problems

- Predictive analysis can help clinical decision-making with appropriate and timely decisions - AI identifies patterns and many factors to identify at risk patients

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

18

VAN CONSULTING

AI Resource What’s in it for CBS ?

Main focus of Scale AI

What are the objectives ?

Achieve intelligent supply chain to ensure durable development and optimize logistics management.

What is Scale AI ?

AI hub specialized in supply chain, covering many industries like healthcare.

Development based on collaboration with experts of many different backgrounds.

ANALYSIS

Planification of inventory and storage.

Operations and logistics.

Improving the level of care given to patient while analyzing collected data in order to provide preliminary diagnosis and determine in advance the potential needs in blood bags.

Data use.

Opportunity of funding.

Predictive analysis and planification of disruptions.

Infrastructure and information flow.

Government is also implied in this movement and allows subventions to develop projects.

REDTECH

Forecast and planification of the demand.

Opportunity of improving the whole healthcare system by doing a partnership with the government and several experts in AI as well as in healthcare operations.

STRATEGY

IMPLEMENTATION

IMPACTS

19

VAN CONSULTING

AI Resource Hub regrouping more than 1000 scientists gathered with several industry professionals and searchers to develop an expertise in data science, optimization and AI.

01

Health

Among others, health is one of the

04

Subvention

05

Quebec

industry Ivado focuses on.

02

Funding

Government of Quebec as well as Canada first, research excellence funds are closely

03

Opportunity of subvention for fundamental research.

Mainly operating in Quebec, this is an opportunity for CBS to develop its expertise but

implied with Ivado to allow development

also perhaps work with Hema-Quebec to share

of AI innovations.

each organisms respective innovations.

Canada excellence research chair

06

CIRRELT Research center affiliated with Ivado which

Research centers affiliated with Ivado which focuses on real time decision making. It

focuses on problems regarding elaboration,

develops algorithms to analyze quickly and

networks, services and infrastructures. It

efficiently a big amount of data from several sources allowing to obtain conclusions

regroups specialists scientists in many

management, operation, security of logistics

industries, such as health.

leading to decisions.

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

20

VAN CONSULTING

Pilot Project

For an implementation of this size, we suggest you do a preliminary pilot project in a small scale in order to evaluated feasibility, time, cost, adverse events and improve the process prior to performance of a full-scale project.

Even, if we tried to identify all the elements to consider to complete the implementation, they will be more relevant after the pilot project.

Where to start?

Considering the number of submitting facilities in each province, we suggest you begin with British Columbia. Why ? Because we judge 30 is a reasonable pool of hospitals to start with in comparison to Alberta or Ontario that have too many or even Manitoba or Yukon that don’t have enough. So the first step would be to ask the HLS to reach the hospitals and tell them about the upcoming project and the next few steps.

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

21

VAN CONSULTING

Steps to Success - TECH 2019

2020

2021

Contact resources for implementation Request for price for RFID equipment) Purchase the material Implementation in chosen hospitals Pilot Project (1 year) Retroaction of the pilot project Adjustments to the implantation plan

New success story written from your pilot project and you are more than ready to implement it elsewhere !

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

22

VAN CONSULTING

Case Study for Hospitals CURRENT SITUATION No formal contracts between CBS and the participating hospitals altering the hospitals engagement.

Knowing that the patients are in the middle of hospitals' mission and values, we want to convince them of the benefits of the new technology implemented.

That being said, during the pilot project we will gather information about the method and the results to prove the possibility to adjust the process to a specific environment. All hospitals want the same things; give the best care they can and to avoid blood shortages to cure a patient. These case studies will answer all their questions.

Assure the security of the blood transfusion with a 3steps verifications process

Reduce overall errors

A unique system can help to plan with more accuracy the demand of blood

Real time information

Increase demand planning

The communication of these documents will be done by the respective HLS of each hospital. It will strengthen the relationships between hospitals and CBS by emphasizing the HLS Program.

By using RFID system, hospitals will be able to track when their next shipment will arrive, and they will be able to see the stock of each hospital

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

23

VAN CONSULTING

Financial Projections 1 2 3 4 5 6 7 8 9

Financial Assumptions 1 155 tunnel readers; one per hospital, manufacturing and testing sites 3 435 short range RFID readers; we estimate in average 3 fridges for blood storage in each hospital 11 450 mobile readers; we estimate that 10 mobile readers per hospital will be needed 800 000 RFID tags; one per donation (800 000 donations are needed to satisfy demand) We estimate the cost of maintenance of the new RFID program at 1% of the purchasing cost We estimate that all RFID badges for hospital workers and patients will be provide in-house We believe that influencers will do promotion free of charge We estimate at one cold chain temperature sticker per blood bag (800 000 donations needed) We assume that the cost for the patient wristband and nurse badge will stay the same with the RFID technology

RECURRENT COSTS

INITIAL INVESTMENTS Equipment Tunnel readers Short range RFID readers (fridges) Mobile readers

Unit price $ 2,000 $ 1,000 $ 300

Known Data 1145 hospitals 35 donation centers 8 manufacturing centers 2 testing sites

Qty 1155 3435 11450

$ $ $

Total 2,310,000 3,435,000 3,435,000

$

9,180,000

RFID Tags (0,10$ each) 1% for cost of maintenance RFID Marketing campaign Creation of content + Formation

$ $ $ $

80,000 91,800 300,000 1,000,000

Case study Cold chain temperature sticker

$ $

30,000 800,000

$ 2,301,800.00

Low upfront investment & recurring costs considering the potential benefits for the Canadian health system REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

24

VAN CONSULTING

Funding Methods

RSE

Pop up collect

Information

Expertise

First point of contact

Initiative

Partnership

Improvement

Reach corporations who have the desire to have an impact in the society and improve their image to obtain financial support.

Beside donations, corporations could also allow time

CBS could reach for partnership with companies evolving in complementary industries. With the data collected, they could share information to the partners in exchange for financial participation.

Beside donation, corporations' expertise could be an asset to CBS operations. They could get involved to help improve processes and working methods.

for their employees to donate blood while organizing a temporary collect at their facilities.

Since Canadian Blood Services is mainly financed by the government and external donations, it is difficult to innovate in terms of new sources of funding. However, nowadays, companies allow more and more resources in communities to improve their corporate image and make a difference in the society. This is why we believe focusing on them could be a good way to obtain new funding, but also to create partnerships if they have expertise that could be helpful to the health industry. For example, we know for a fact that Toyota is already implied with CBS in improving processes or optimizing them. Why not reach out to other companies who are willing to come on board for a good cause and put their effort into a project aiming to improve healthcare services?

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

25

VAN CONSULTING

Every Strategy has its Risks

MITIGATIONS

RISKS

Less Impact

More Impact

Fear of change from CBS employees, hospitals and government. They have been using the same technology and processes for a long time now, so changing completely the process can lead to a fear of change.

On the next slide you will see a complete change management plan for all the stakeholders. It is important that everybody works together for the new process in order to be efficient. The change management program will be important to assure that no question remains unanswered.

REDTECH

ANALYSIS

Risk that the information associated with the blood bag is not accurate.

This risk is most likely to happen at the beginning of the whole process since it’s the step that most of the data is entered.

The difficulty to reach new donors is a risk almost impossible to completely eliminate. You need to find a way to pass the first donation barrier by convincing the population.

The pilot project is suggested precisely to identify issues like this one. As the process of collecting data will be standardized, it will be easier for your employees to assure the reliability of the information on the blood bag. The proposed partner, OPTEL, will be the resource at this level since they have expertise and will be able to guide you for specifications like these.

Knowing that only 4% of possible donors actually give blood, there is no shortage of donors to anticipate.

However, the challenge is in fact to convince them to give blood! CBS already has several programs in place to reach new donors and retain them, but social medias are under utilized for now. Thus, our proposed marketing plan will make sure to increase the amount of donors in urban areas and in areas where the blood donors level is particularly low.

STRATEGY

IMPLEMENTATION

IMPACTS

Dependence on technology. Since all the processes are informatized, you are vulnerable to a technology shutdown.

We suggest the information to be stocked in a cloud database. You will have an additional protection as you will be able to retrieve the information after a shutdown.

OPTEL is specialized in such systems. You have to go with a private and secured cloud to ensure confidentiality. Even if there is a technological shut down, the blood bags will still be available to use. data can then be adjusted when the system is back on.

26

VAN CONSULTING

Change Management Plan To ensure a smooth transition, a change management plan with your stakeholders is necessary !

C

Weekly webinar with stakeholders to explain the new process.

Comprehend

A P

Create an elite team with a participant representing each impacted department.

Participate

T

Online formation and possibility to have live coaching if needed.

Document the change and put the training available afterwards.

Transfer

E REDTECH

Determine and share the benefits for the stakeholders of using the new technology and how it will increase their productivity (White Papers).

Adhere

Evolve ANALYSIS

STRATEGY

Monthly webinar with actors to see the evolution of the project. Possibility to adjust the process to each hospital KPIs IMPLEMENTATION

IMPACTS

27

VAN CONSULTING

Scalability

RISK STRATIFICATION Organizing patients based on the severity of their conditions and their level of service dependance.

Using the patient medical records data Target treatments to improve patient overall well-being Challenge, but big opportunity to identify a fit between a certain patient profile and a specific health program.

CARE COORDINATION

DATA-DRIVEN APPROACH

Designing networks based on patient care vs actual existing capabilities.

Use big data analytics to improve patient care and allocation of resources and services.

Focusing on patient needs vs specific strengths in the networks strengthens the community engagement.

To scale effectivity, the care ecosystem must extend to the community.

To have in place an effective plan to determine how to use the data collected to avoid massive collect of data for no reason.

Reevaluate the practices to ensure right patients are at the right place to achieve the best outcomes possible.

To have proper monitoring practices.

Successful healthcare plans could lead to many financial and social benefits if implemented at a large-scale level. These 3 points are essential to ensure viability of expansion. Healthcare organizations can then improve patient-centered processes as well as improving costefficiency.

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

28

VAN CONSULTING

Key Performance Indicators Here are some ideas of KPI’s that could be followed after the project implementation to measure its success !

REDTECH

Quantity of Blood Waste

Number of Donations

Compare, year by year, the reduction in the quantity of blood waste because of non-accurate demand forecasting of inventory management. Using the RFID technology will increase the rotation rate and we are convinced that CBS and the hospitals can achieve almost 0% waste in less than 3 years. With the VMI process and RFID technology, it will be possible for you to track the number of times a blood bag is never linked to a patient.

Current situation : 406 000. The objective would be to increase by 30% the number of donations per year in order to, as a final result, reach 800 000 donation in less than 3 years. We could also add to this the objective of increasing by 15% the number of recurrent donors (donates at least twice a year). You can follow this KPI easily since you have a database with all donors information. When they come for a second donation it will be linked to their personal file.

Total Supply Process Time

Users’ Satisfaction

The RFID technology will certainly reduce the total supply process time because it will decrease the number of activities without value and help gain efficiency throughout the whole process. The total process time can be measured with the RFID management system. Since all the movements of the blood bags are followed with the RFID scanners at different steps in the process, all the data required to calculate it will be recorded.

With the change management program, we want you to achieve a 95% satisfaction rate of employees. We don’t want to let down the employees with this process change. We are sure that the new system will facilitate the work of the doctors, nurses and employees. You could measure the user's satisfaction about the RFID system by doing monthly surveys by asking a meaningful proportion of each impacted stakeholder.

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

29

VAN CONSULTING

Triple-Bottom Line : Profit, Planet, People Reducing waste Optimizing movements Optimizing distribution Better use of resources

Profit

Patient Safety Donors satisfaction

Reducing waste Optimized transportation

Planet

REDTECH

ANALYSIS

STRATEGY

People

IMPLEMENTATION

IMPACTS

30

VAN CONSULTING

In a wrap !

Our mandate was to Strengthen the value proposition the Canadian national blood system can bring to the broader health care systems in which it operates We have presented you different technologies to implement in order to optimize CBS supply chain. We believe that our recommendation is the best solution according to the context and your specific needs.

We have showed you a concrete application of the RFID Technology in the whole blood bag supply process, as well as how the use of temperature labels and VMI can improve this process. We have suggested you to create a Supply Chain Committee and have made a proposal for some strong partnerships to start this project as soon as possible. Thereafter, we have detailed for you the steps to do before putting all these technological changes in place across the Canadian blood system. Moreover, we have showed you a synthetized financial plan with the initial investments and the recurrent costs we think this project will imply. We have set up a change management plan that is necessary for the success of a project of this size, and to reassure all stakeholders. Finally, we have presented some risks and the strategies to manage them. Alongside, some KPIs to put in place to measure the impacts of this project.

All of this with keeping in mind your initials challenges as well as the patient security. Here, we will explain the effect of our strategy on each of the challenges:

Demand Forecasting

Safety

RFID system and VMI will help to improve the inventory system and to better respond to the demand.

RFID system will assure that the right blood is given to the right person at the right time.

Processes & Technologies Actions with no value will be reduced to the minimum.

REDTECH

Waste

Our recommendation

Tracking & traceability RFID tags will ensure a complete real-time traceability.

Better control, less waste.

31

VAN CONSULTING

We look forward to work with you.

References will be given on request.

PRESENTED BY VAN CONSULTING

REDTECH

VAN CONSULTING

References • Sebastian H.W. Stanger, (2013) "Vendor managed inventory in the blood supply chain in Germany: Evidence from multiple case studies", Strategic Outsourcing: An International Journal, Vol. 6 Issue: 1, pp.25-47, https://doi.org/10.1108/17538291311316054 • Cost performance of traditional and vendor managed inventory approaches in hospital pharmaceutical supply chains: https://bit.ly/2TMUmCz • No longer science fiction, AI and robotics are transforming healthcare : https://www.pwc.com/gx/en/industries/healthcare/publications/ai-robotics-newhealth/transforming-healthcare.html • How Is AI Used In Healthcare - 5 Powerful Real-World Examples That Show The Latest Advances: https://www.forbes.com/sites/bernardmarr/2018/07/27/howis-ai-used-in-healthcare-5-powerful-real-world-examples-that-show-the-latest-advances/#2d8219865dfb • 3 Ways AI Is Changing Healthcare : http://fortune.com/2018/10/22/artificial-intelligence-ai-healthcare/ • 3 Key Steps to Achieve Scalable Population Health Management : https://healthitanalytics.com/news/3-key-steps-to-achieve-scalable-population-healthmanagement • AI Resource – Ivado : https://ivado.ca/en/ • AI Resource – Scale AI : https://aisupplychain.ca/ • RFID and Implementation Resource - OPTEL Group : https://www.optelgroup.com/ • CBS statistics: https://blood.ca/en • CBS Instagram statistics: https://www.instagram.com/itsinyoutogive/ • Instagram statistics: https://www.blogdumoderateur.com/chiffres-instagram/ • Number of download CBS app: https://itunes.apple.com/ca/app/giveblood/id804765636

REDTECH

ANALYSIS

STRATEGY

IMPLEMENTATION

IMPACTS

33