ARCHIVED - Summative Evaluation of the Blood Safety Contribution Program - Final Report
The PHAC undertook this summative evaluation of the BSCP to assess its relative impact on health surveillance activities, as well as its impact on the safety of the Canadian blood supply. The results of the evaluation will inform and support the renewal of the Program’s Terms and Conditions, scheduled to occur in 2009.
The evaluation focused on the continued contextual relevance of the program, the degree to which desired outcomes have been achieved, the extent to which the program has helped achieve outcomes, value for money, and resources required to fill gaps and continue improving the program.
The following table provides an overview of specific answers to each of the evaluation questions:
|Evaluation Question||Brief AnswerTable 2 - Footnote 1*|
|1. Is there a continued need for the BSCP?||Yes, BSCP’s purpose is still as relevant as ever.|
|2. Are the BSCP target audiences and activities appropriate in light of societal/environmental requirements?||Yes, target audiences and activities are appropriate.|
|3. Does the program continue to be consistent with departmental and government-wide priorities?||
Yes, but it could benefit from‘re-alignment’ with more pressing priorities that are currently receiving greater attention, such as example patient safety.
|4. What are the best practices and lessons learned from the development and implementation of the five components that make up the BSCP?||
|5. Are the accountability measures for the three surveillance systems and lines of accountability clear to stakeholders, including funding recipients?||
Lines of accountability and accountability measures are reasonably well documented, however, they are not entirely clear to all stakeholders.
|6. To what extent has the BSCP been successful in engaging its stakeholders||For the most part, BSCP has been successful in engaging its stakeholders. Delay in agreement renewal and funding negatively impacts engagement.|
|7. To what extent have the short-term outcomes of the BSCP been achieved?
TTISS is almost fully operational.
|8. What remains to be done before each component of the BSCP is fully operational?||
Linkages with PHINs
Risk identification for High Risk Populations
|9. / 10. What progress has been made towards the intermediate and long-term outcomes of the BSCP?
a) Enhanced capacity to identify and assess risks (IO) and develop mitigating strategies (LTO)
b) Enhanced capacity to identify and assess risks (IO) and develop mitigating strategies (LTO) for high risk populations
Risks have been identified, assessed, and mitigated for transfusion-related adverse events/errors. Mitigating strategies include the development of guidelines for investigation of suspected bacterial contamination and guidelines for identifying TACO and TRALI.Risks have not yet been identified, assessed, and mitigated for transplant-related adverse events/errors.
Risks for high risk populations have reportedly been identified, assessed, and mitigated for transfusion-related adverse events, but no specific examples were provided.Risks have not yet been identified, assessed, and mitigated for transfusion-related errors or transplant-related adverse events/errors.
|11. Have there been any unintended (positive or negative) outcomes of the BSCP activities? If so, what are they, and what actions were taken as a result?||
|12. How have the contributions flowing to each of the funding recipients impacted the achievement of BSCP outcomes and contributed to national surveillance systems?||
The BSCP likely contributed to the development of surveillance capacity in the P/Ts.Most stakeholders thought it would be more difficult to identify and assess risks without the BSCP data.
|13. Is BSCP as designed the most appropriate and efficient means of achieving its objectives?||The BSCP appears to provide good value for money. Delays related to agreement renewal and funding negatively impact program efficiency.|
|14. What resources are required to sustain, strengthen or enhance blood safety surveillance?||It is not clear precisely what resources will be required. However, the annual overall costs of maintaining a surveillance system may actually be the same or higher than the initial annual start-up costs.|
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