Dr. Susheela J Innah Organizing Chairperson TRANSMEDCON 2018

1. Transfusion Medicine: Evoking an Integrated Approach Dr. Susheela J Innah Organizing Chairperson TRANSMEDCON 2018

3. Integrated or Collaborative Approach Occurs when individuals from two or more SPECIALITIES learn about… learn from… and … learn with each other to enable effective collaboration in patient management and improve health outcomes.

4. Integrated Approach : Why is it needed ? • Traditionally the Individual care giver is solely responsible for a patient safety • But an integrated approach improves patient outcomes • Each member brings in their area of expertise and skills to complement each others thus enhancing the quality level of patient care • Delivery of care becomes a shared responsibility

5. Integrated Approach • Interdisciplinary:Team members from different disciplines working collaboratively with common purpose, to set goals, make decisions and share responsibilities • Multidisciplinary: Team members working independently to create discipline-specific care plans implemented simultaneously • Combination: Can be called Intergrated Approach

6. Integrated Patient Care : Team Approach This structure… establishes clarity of roles and responsibilities Where do you think TRANSFUSION SERVICES Stand today ?

7. Towards Integrated Patient Care… “ Are TM specialists Part of the Core Team ? “

8. Towards Integrated Patient Care… “ Are TM specialists Part of the Coordinating Team ? “

9. Towards Integrated Patient Care… “ Or Are We only active Here ?!?”

10. Towards Integrated Patient Care… “Or is our role limited to this ?!?”

11. EVIDENCE says… Transfusion Specialists are Important at each step and all across the treatment process TRANSFUSION SERVICES

12. Time for an Integrated Approach for More Positive Patient Outcomes.

13. Benefits of an Integrated Approach to Care • Increased patient perception • thatthey are cared by a skilled • team • Greater likelihood of the delivery • of care in accordance with • national standards and clinical • practice guidelines • Increased patient satisfaction • Better utilization of skills and • resources • Reduction in hospital stays, • unwarranted interventions, • investigations and therapies

14. Barriers to Integrated Approach or Strategy • Resistance to change by the clinicians • A lack of time on the part of clinicians to attend multidisciplinary meetings • Issues of patient ownership • The unknown costs involved • The difficulty of establishing such approaches in remote areas because of a lack of team members.

15. SUMMARY • Teams do not replace the physician-patient relationship, but rather enhance it—creating a more comprehensive, efficient, and tailored health care experience. • A team-based approach can serve you better by changing the culture from “my patient” to “our patient.”

16. “ A blood Bank is more like the Circulatory System of a Hospital” Dr. Jacob Pendergrast, Toronto General Hospital