Good Practices and Innovations in Public Governance 2003-2011
Good Practices and Innovations in Public Governance 2003-2011 Good Practices and Innovations in Public Governance 2003-2011
Good Practices and InnovATIONS in Public Governance Asia and the Pacific Australia 2010 category 4 – 1st Place Winner Knowledge Network National Blood Authority Description This is a public-private knowledge network initiative enabling the National Blood Authority to deliver a safe, affordable and secure supply of blood products for all citizens and better value for the government. Summary Australia’s National Blood Authority (NBA) was set up in 2003 to improve the management of the nation’s blood supply and get better value for government expenditures on blood products. As part of an organisational capacity-building strategy, the NBA decided to create a private and civil knowledge network. Through this knowledge-network initiative, the NBA has maintained an adequate supply of blood, plasma and recombinant products to meet 100 percent of identified clinical needs since 2003. There has been no recurrence of the previous supply shortfalls. Establishment of the network has enabled them to develop more robust risk-analysis and risk-mitigation strategies based on an in-depth understanding of how products are used, the supply chain and product production. Based on a detailed needs assessment, this initiative has addressed the challenges of achieving reliable and appropriate supplies of safe and affordable blood products through a well-thought-through and well-implemented strategy for cooperation between public and private actors to provide citizens with a more secure supply of high-quality blood products, better value for money and more appropriate use of products. The Problem Australia spends approximately 0.73 percent of its national health budget on providing fresh blood, plasma and recombinant blood products. These are key elements in the ongoing and emergency health-care requirements for many citizens. The NBA was established in 2003 to undertake planning, purchasing and management functions for the Australian blood sector. The challenge was to create the NBA as a small expert body that could improve the delivery of blood-related health services to all citizens and be a valuable information resource for the government about contemporary blood issues. An initial assessment of core capability requirements highlighted the need to: 156
2010 Category 4: Australia • Understand the market dynamics and commercial imperatives within the global plasma products industry. • Understand the risk environment and the particular challenges facing the delivery of fresh blood products by a not-for-profit organisation. • Develop sufficient networks and clinical knowledge to effectively engage the clinical community in developing strategies to improve appropriate blood usage. Because the NBA is a small organisation with limited resources, purchasing advice from consultants did not offer a sustainable or cost-effective solution to address the NBA’s ongoing knowledge requirements. The agency’s mechanisms for obtaining knowledge needed to be able to withstand internal staff changes, address the paucity of readily accessible information in the public domain, particularly regarding the plasma industry, and be supported by organisational capabilities in other key areas. The Solution To support its knowledge requirements, the NBA built a public-private knowledge network as part of a comprehensive corporate capacity-building strategy. This strategy addressed the need to develop capabilities in six key areas: • Consolidating the quality and volume of knowledge available to the NBA through networks with private businesses and civil-society organisations. • Enabling staff to apply processes and knowledge. • Enhancing the agency’s engagement with citizens and stakeholders. • Increasing the capacity to adapt and develop the organisation. • Refining business systems and processes. • Improving the agency’s capacity to manage and measure performance. Potential improvements to enhance organisational capability, including knowledge flows, were selected primarily on the basis of staff estimates of their effectiveness and ease of implementation. Staff also participated in surveys to identify gaps in existing skills and expertise. The NBA’s strategy was to access and utilise in a sustainable way the knowledge that already existed in the private sector and civil society. Key to this was to minimise the agency’s risks by developing multiple sources of knowledge from the clinical, government, private and not-for-profit sectors. The NBA’s private knowledge-network partners include domestic private hospitals and pathology services, commercial and not-for-profit international plasma product and recombinant manufacturers, logistics experts, and business analysts advising the investment industry. Clinical network partners include local and international professional organisations, clinicians, blood scientists, nurses, 157
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2010 Category 4: Australia<br />
• Underst<strong>and</strong> the market dynamics <strong>and</strong> commercial imperatives with<strong>in</strong> the global<br />
plasma products <strong>in</strong>dustry.<br />
• Underst<strong>and</strong> the risk environment <strong>and</strong> the particular challenges fac<strong>in</strong>g the delivery<br />
of fresh blood products by a not-for-profit organisation.<br />
• Develop sufficient networks <strong>and</strong> cl<strong>in</strong>ical knowledge to effectively engage the<br />
cl<strong>in</strong>ical community <strong>in</strong> develop<strong>in</strong>g strategies to improve appropriate blood usage.<br />
Because the NBA is a small organisation with limited resources, purchas<strong>in</strong>g advice<br />
from consultants did not offer a susta<strong>in</strong>able or cost-effective solution to address the<br />
NBA’s ongo<strong>in</strong>g knowledge requirements. The agency’s mechanisms for obta<strong>in</strong><strong>in</strong>g<br />
knowledge needed to be able to withst<strong>and</strong> <strong>in</strong>ternal staff changes, address the paucity<br />
of readily accessible <strong>in</strong>formation <strong>in</strong> the public doma<strong>in</strong>, particularly regard<strong>in</strong>g the<br />
plasma <strong>in</strong>dustry, <strong>and</strong> be supported by organisational capabilities <strong>in</strong> other key areas.<br />
The Solution<br />
To support its knowledge requirements, the NBA built a public-private knowledge<br />
network as part of a comprehensive corporate capacity-build<strong>in</strong>g strategy. This strategy<br />
addressed the need to develop capabilities <strong>in</strong> six key areas:<br />
• Consolidat<strong>in</strong>g the quality <strong>and</strong> volume of knowledge available to the NBA through<br />
networks with private bus<strong>in</strong>esses <strong>and</strong> civil-society organisations.<br />
• Enabl<strong>in</strong>g staff to apply processes <strong>and</strong> knowledge.<br />
• Enhanc<strong>in</strong>g the agency’s engagement with citizens <strong>and</strong> stakeholders.<br />
• Increas<strong>in</strong>g the capacity to adapt <strong>and</strong> develop the organisation.<br />
• Ref<strong>in</strong><strong>in</strong>g bus<strong>in</strong>ess systems <strong>and</strong> processes.<br />
• Improv<strong>in</strong>g the agency’s capacity to manage <strong>and</strong> measure performance.<br />
Potential improvements to enhance organisational capability, <strong>in</strong>clud<strong>in</strong>g knowledge<br />
flows, were selected primarily on the basis of staff estimates of their effectiveness<br />
<strong>and</strong> ease of implementation. Staff also participated <strong>in</strong> surveys to identify gaps <strong>in</strong> exist<strong>in</strong>g<br />
skills <strong>and</strong> expertise.<br />
The NBA’s strategy was to access <strong>and</strong> utilise <strong>in</strong> a susta<strong>in</strong>able way the knowledge that<br />
already existed <strong>in</strong> the private sector <strong>and</strong> civil society. Key to this was to m<strong>in</strong>imise the<br />
agency’s risks by develop<strong>in</strong>g multiple sources of knowledge from the cl<strong>in</strong>ical, government,<br />
private <strong>and</strong> not-for-profit sectors. The NBA’s private knowledge-network partners<br />
<strong>in</strong>clude domestic private hospitals <strong>and</strong> pathology services, commercial <strong>and</strong> not-for-profit<br />
<strong>in</strong>ternational plasma product <strong>and</strong> recomb<strong>in</strong>ant manufacturers, logistics experts, <strong>and</strong><br />
bus<strong>in</strong>ess analysts advis<strong>in</strong>g the <strong>in</strong>vestment <strong>in</strong>dustry. Cl<strong>in</strong>ical network partners <strong>in</strong>clude<br />
local <strong>and</strong> <strong>in</strong>ternational professional organisations, cl<strong>in</strong>icians, blood scientists, nurses,<br />
157