Cost Effective Analysis of Cell Saver Program at UCSF Medical

Cost Effective Analysis of Cell Saver Program at UCSF Medical Center Contracted Vendor versus InHouse Program

What is Cell Saver? Cell salvage or cell saver is a technique used during surgery to collect blood that a patient loses during surgery, process the collected blood, and reinfuse the blood into the patient.

Current Situation UCSF Medical Center’s Moffitt-Long Operating Room contracts cell saver service to an outside vendor. Autotransfusion, Inc. provides the service UCSF Medical Center pays approx. 48,300 a month to Autotransfusion, Inc. to provide the service.

Services that utilize Cell Saver Neuro-Spine Service Ortho-Spine Service Vascular Service Liver Transplant Service

Current Cell Saver Costs Autotransfusion, Inc. Costs for providing cell saver service: Neuro-Spine 700.00 a patient Ortho-Spine 700.00 a patient Vascular 700.00 a patient Liver Transplant 928.86

Proposed Solution Implement in-house cell saver program Discontinue using contracted vendor, Autotransfusion, Inc.

Cost Effective Analysis of UCSF Cell Saver Program vs. Autotransfusion, Inc. Neuro-Spine Service (Feb.-Mar. 2006) 18 procedures / 124 hours Autotransfusion, Inc. 12,600 UCSF Cell Saver Program (Full-time employee and supply) 5,544 Cost Savings 7,056(56% cost savings)

Cost Effective Analysis of UCSF Cell Saver Program vs. Autotransfusion, Inc. Ortho-Spine Service (Feb.-Mar. 2006) 54 procedures / 525 hours Autotransfusion, Inc. 37,800 UCSF Cell Saver Program (Full-time employee and supply) 20,763 Cost Savings 17,037(45% cost savings)

Cost Effective Analysis of UCSF Cell Saver Program vs. Autotransfusion, Inc. Vascular Service (Feb.-Mar. 2006) 11 procedures / 66 hours Autotransfusion, Inc. 7,700 UCSF Cell Saver Program (Full-time employee and supply) 3,124 Cost Savings 4,576(59% cost savings)

Cost Effective Analysis of UCSF Cell Saver Program vs. Autotransfusion, Inc. Liver Transplant Service (Feb.-Mar. 2006) 34 procedures / 254 hours Autotransfusion, Inc. 31,581.24 UCSF Cell Saver Program (Full-time employee and supply) 19,739.24 Cost Savings 11,842(27% cost savings)

Summary UCSF paid Autotransfusion, Inc. 89,681.24 in Feb./Mar. 2006 to provide cell saver services to the Moffitt-Long operating room. If UCSF had its own cell saver program the medical center would have spent 49,170.24 in Feb/Mar. 2006 to provide the service. The medical center could have saved 40,511.00

Summary UCSF Medical Center should consider implementing its own cell saver program. 42% to 45% yearly cost savings.