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Systemwide modeling frameworks are essential to understanding supply chain operations

A variety of approaches might be leveraged to enhance access to blood supplies and their delivery to medical treatment facilities at forward operating locations

• A portfolio of mitigation options offers promise for improving blood supply chain operations, from deployed medical facilities to the point of injury.
• Combined mitigations can offer strengths that individual solutions may not.
• Some evolving technologies may require significant time to reach broader application.

The Joint military community provides a wide array of medical support services to its personnel, including the transfusion of blood and blood products. Ensuring that blood remains available and safe for transfusion requires sophisticated logistical support, especially for the military community's provision of blood to medical operations around the globe. However, that supply chain may become brittle in future potential operating environments, such as large-scale combat operations where adversaries may contest the U.S. military's freedom of movement.

This report describes the elements in the military's current blood supply chain and outlines a framework for assessing its performance. Through that lens, the authors then explore an array of approaches offering promise in improving the resiliency of the blood supply chain, including alternative concepts of operation and technologies. By understanding the mechanisms that underlie blood supply chain resilience, the Joint medical community can be better positioned to tailor a robust portfolio of resiliency investments. Such a portfolio would better ensure the availability and safety of blood and blood products under a wide array of stressors and threats to the system.

• Chapter One

  An Introduction to the Joint Blood Supply Chain

• Chapter Two

  Developing a Blood Supply Chain Framework

• Chapter Three

  Enhancing Upstream Resiliency of the Blood Supply Chain

• Chapter Four

  Enhancing Local and Downstream Resiliency of the Blood Supply Chain

• Chapter Five

  Assessing the Performance of Blood Supply Chain Mitigations

• Chapter Six

  Summary and Recommendations