The document outlines 3 options for improving the blood supply system at a local hospital: 1) Utilizing the existing system, 2) Expanding the blood bank by constructing new facilities of various sizes, 3) Improving the hospital's management information system and stock control system. For each option, it provides details on estimated annual costs, including construction, operational, and maintenance costs over periods of 1, 5, and 10 years. It also models expected outcomes for blood unit availability and costs associated with shortages under each option.

1. Best Suitable
Option
Going
forward
with the
existing
system
Improvising
the Local's
Hospital MIS
and SCS
Expansion of
Blood bank at
Local Hospital
Blood units were
made available
within 3 hrs.
Blood Units are made
available in 3 -6 hrs.
Sufficient
Blood Units
Available
90%
Casualty
Blood Unit made
available beyond 6 hrs.
Shortage of Blood
Units and Arranging
it from a nearby
hospital
10%
Decision Tree Skelton
Sufficient
Blood Units
Available
Shortage of Blood
Units and Arranging it
from a nearby
hospital
Sufficient
Blood Units
Available
93%
Shortage of
Blood Units and
Arranging it
from a nearby
7%hospital

2. Option 1 : Utilizing the Existing In Place System for Blood Unit Maintenance to be used for Transfusion
Going forward
with the existing
system
(456 Patients
Annually)
Sufficient
Blood Units
Available
90%
Shortage of Blood Units
and Arranging it from a
nearby hospital
10%
(46 Patients Annually)
Blood units were
made available within
3 hrs.
80% (37 Patients
Annually)
Blood Units are made
available in 3 -6 hrs.
11.25% ( 5 Patients
Annually)
Casualty
5% (2
Patients
Annually)
Blood Unit made available
beyond 6 hrs.
3.75% (2 Patients
Annually)
5000 Pounds X 37 Patients X 0.8 = 148,000 Pounds
(20000 + 5000 Pounds) X 5 Patients X 0.1125 = 14,620 Pounds
(100000 + 5000 Pounds) X 2 Patients X 0.0375 = 7,875 Pounds
(1,830,000 X 2 Patients) X 0.05 = 183,000 Pounds
148,000 + 14,620 + 7,875 + 183,000 = 353,495 Pounds
Operational Cost per Annum = (0.9 X 0) + (353,495 X 0.1) = 35,349.5 Pounds
1 Year 5 Years 10 Years
35,349.5 Pounds 176,747.5 Pounds 353,495 Pounds
Expected Values

3. Construction
expansion of
Medium Scale
Blood Bank
(456 Patients
Annually)
Blood units were made
available within 3 hrs.
80%
(18 Patients Annually)
Blood Units are made
available in 3 -6 hrs.
11.25% (3 Patients
Annually)
Casualty
5% (1 Patient
Annually)
Blood Unit made available
beyond 6 hrs.
3.75% (1 Patient Annually)
Shortage of Blood Units
and Arranging it from a
nearby hospital
5%
(23 Patients Annually)
Sufficient
Blood Units
Available
95%
Option 2A : Construction of Expansion of Medium Scale Blood Storage Unit Within Hospital
5000 Pounds X 18 Patients X 0.8 = 72,000 Pounds
(20000 + 5000 Pounds) X 3 Patients X 0.1125 = 8,438 Pounds
72,000 + 8,348 + 3,938 + 91,500 = 175,786 Pounds
(100000 + 5000 Pounds) X 1 Patients X 0.0375 = 3,938 Pounds
(1,830,000 X 1 Patients) X 0.05 = 91,500 Pounds
Operational Cost per Annum = (0.95 X 0) + (175,786 X 0.05) = 8,790 Pounds
Cost of Construction of Medium Scale Unit = 750,000 Pounds
Dividing the cost of it Per Annum considering depreciation year as 10 years
= 750,000 / 10 = 75,000 Per annum
Annual Maintenance Costs = 175,000 Pounds
Total Cost per Annum = 8,790 + 75,000 + 175,000 = 258,790 Pounds
1 Year 5 Years 10 Years
258,790 Pounds 1,293,950 Pounds 2,587,900 Pounds
Expected Values

4. Construction
expansion of
Medium Scale
Blood Bank
(456 Patients
Annually)
Blood units were made
available within 3 hrs.
80%
(10 Patients Annually)
Blood Units are made
available in 3 -6 hrs.
11.25% (2 Patients Annually)
Casualty
5% (1 Patient
Annually)
Blood Unit made available beyond
6 hrs.
3.75% (1 Patient Annually)
Shortage of Blood
Units and Arranging
it from a nearby
hospital
3%
(14 Patients
Annually)
Sufficient
Blood Units
Available
97%
Option 2B: Construction of Expansion of Large-Scale Blood Storage Unit Within Hospital
5000 Pounds X 10 Patients X 0.8 = 40,000 Pounds
(20000 + 5000 Pounds) X 2 Patients X 0.1125 = 5,625 Pounds
40,000 + 5,625 + 3,938 + 91,500 = 141,063 Pounds
(100000 + 5000 Pounds) X 1 Patients X 0.0375 = 3,938 Pounds
(1,830,000 X 1 Patients) X 0.05 = 91,500 Pounds
Operational Cost per Annum = (0.97 X 0) + (141,063 X 0.03) = 4,232 Pounds
Assuming Cost of Construction of Large-Scale Unit = 1,000,000 Pounds
Dividing the cost of it Per Annum considering depreciation year as 10 years
= 1,000,000 / 10 = 100,000 Per annum
Assuming Annual Maintenance Costs = 200,000 Pounds
Total Cost per Annum = 4,232 + 100,000 + 200,000 = 304,232 Pounds
1 Year 5 Years 10 Years
304,232 Pounds 1,521,160 Pounds 3,042,320 Pounds
Expected Values

5. Construction
expansion of
Medium Scale
Blood Bank
(456 Patients
Annually)
Blood units were made
available within 3 hrs.
80%
(30 Patients Annually)
Blood Units are made
available in 3 -6 hrs.
11.25% (4 Patients
Annually)
Casualty
5% (2 Patient
Annually)
Blood Unit made available
beyond 6 hrs.
3.75% (1 Patient Annually)
Shortage of Blood Units
and Arranging it from a
nearby hospital
8%
(37 Patients Annually)
Sufficient
Blood Units
Available
92%
Option 2C: Construction of Expansion of Small-Scale Blood Storage Unit Within Hospital
5000 Pounds X 30 Patients X 0.8 = 120,000 Pounds
(20000 + 5000 Pounds) X 4 Patients X 0.1125 = 11, 250 Pounds
120,000 + 11, 250 + 3,938 + 183,000 = 318,188 Pounds
(100000 + 5000 Pounds) X 1 Patients X 0.0375 = 3,938 Pounds
(1,830,000 X 2 Patients) X 0.05 = 183,000 Pounds
Operational Cost per Annum = (0.91 X 0) + (318,188 X 0.08) = 25,455 Pounds
Assuming Cost of Construction of Large-Scale Unit = 500,000 Pounds
Dividing the cost of it Per Annum considering depreciation year as 10 years
= 500,000 / 10 = 50,000 Per annum
Annual Maintenance Costs = 125,000 Pounds
Total Cost per Annum = 25,455 + 50,000 + 125,000 = 200,455 Pounds
1 Year 5 Years 10 Years
304,232 Pounds 1,521,160 Pounds 3,042,320 Pounds
Expected Values

6. Improvising the
Local's Hospital MIS
and SCS
(456 Patients
Annually)
Blood units made available
within 3 hrs.
80%
(26 Patients Annually)
Blood Units made
available in 3 -6 hrs.
11.25%
(4 Patients Annually)
Casualty
5%
(1Patients Annually)
Blood Unit made available
beyond 6 hrs.
3.75%
(1 Patients Annually)
Sufficient
Blood Units
Available
93%
Shortage of Blood Units and
Arranging it from a nearby
Hospital
7%
(32 Patients Annually)
Option 3 : Improve Local Hospital’s Management Information System (MIS) and Stock Control System (SCS)
5000 Pounds X 26 Patients X 0.8 = 104,000 Pounds
(20000 + 5000 Pounds) X 4 Patients X 0.1125 = 11, 250 Pounds
(100000 + 5000 Pounds) X 1 Patients X 0.0375 = 3,938 Pounds
(1,830,000 X 1 Patients) X 0.05 = 91,500 Pounds
104,000 + 11,250 + 3,938 + 91,500 = 210,688 Pounds
Operational Cost per Annum = (0.93 X 0) + (210,688 X 0.07) = 14,748 Pounds
Assuming Cost of Development of MIS and SCS System = 100,000 Pounds
Dividing the cost of it Per Annum considering depreciation year as 10 years
= 100,000 / 10 = 10,000 Per annum
Annual Maintenance Costs = 50,000 Pounds
Total Cost per Annum = 14,748 + 10,000 + 50,000 = 74,784 Pounds
1 Year 5 Years 10 Years
74,784 Pounds 373,920 Pounds 747,840 Pounds
Expected Values