title: Contingency plan implementation.
abstract: BACKGROUND
  Although the National blood system in Canada reduces the risk of inventory shortages the possibility of a blood supply shortage still exists. The Ontario Ministry of Health and Long-Term Care developed a provincial plan to manage blood transfusion needs and inventory in the event of a National blood shortage. The Ontario plan was developed to align with the National plan as well as other provincial plans in order to ensure consistency in blood management strategies across the country. The Ontario plan was released in 2008, along with a toolkit to aid hospitals in developing their facility specific plans. In the Champlain region of Ontario, a group of 16 hospitals worked collaboratively to develop a regional blood shortage plan. A provincial blood shortage simulation exercise was held in 2010 to test out these plans.
  
  
  METHODS
  The Director of Transfusion Medicine of the largest facility in the group of 16 hospitals (The Ottawa Hospital) took the lead in the development of the regional blood shortage management plan. Working groups from all 16 sites contributed to the plan development. The proposed plan was presented to the Medical Advisory Committee for approval.
  
  
  RESULTS
  The plan consists of activities relating to the severity of the supply shortage as defined by Amber, Red, Recovery and Green phases. The plan includes a communication plan for notifying stakeholders including patients whose treatment may be affected. Inventory management and triage guidelines are provided to reduce the demand for blood and to conserve inventory for those patients whose need is prioritized as highest. The regional blood shortage management plan was tested successfully during the provincial simulation exercise.
  
  
  CONCLUSIONS
  Where regional hospitals work together to provide healthcare, it is beneficial to develop a standardized plan to provide guidance to hospital personnel in response to a blood supply shortage. A consistent plan will ensure patient care is provided in a consistent manner across a health region. Mock or simulation exercises can aid in testing plans and raising the awareness of stakeholders.
authors.affiliation: Transfusion Medicine, The Ottawa Hospital, Ottawa, ON, Canada. dneurath@toh.on.ca
authors.forename: D
authors.initials: D
authors.lastname: Neurath
authors.forename: N
authors.initials: N
authors.lastname: Cober
authors.forename: W
authors.initials: W
authors.lastname: Owens
authors.forename: A
authors.initials: A
authors.lastname: Giulivi
mesh_terms: D001771:Blood Banks / Q000600:supply & distribution*; D001803:Blood Transfusion; D006287:Health Planning Guidelines; D006779:Hospitals, Public; D006801:Humans; D008297:Male; D009864:Ontario; D010934:Planning Techniques