Cord Blood Questionnaire Eligibility for AABB accreditation under the Cord Blood Activity is determined by I) the scope of the facility’s business, and 2) what activities are contracted out, and 3) pre-screening for the facility’s ability to meet certain standards for which variances are not usually granted due to safety issues. 1. Examples of Cord Blood Services that might be eligible for AABB accreditation. A facility that performs: qualification of donors, collection, processing, storage, distribution, and administration for transplantation, and is able to meet the standards in section C. 2. A facility that performs cord blood processing and contracts out the collection and administration to facilities that may or may not be AABB accredited, and is able to meet the standards in section C. Example of a Cord Blood Service that would not be eligible for AABB accreditation: 1. A facility that only markets, contracts with the OBGYN doctors and parents to collect the cord blood, and contracts out the processing. 2. A facility that cannot meet the standards in section C. Complete sections A, B, and C. Return by e-mail to accreditation@aabb.org or by fax to 301-657-0957. A. Locations Number of sites (locations) where your facility’s employees perform the following functions: 1. Number of collection facilities 2. Number of processing facilities 3. Number of transplant facilities ________ ________ ________ B. Scope Facility’s name: _________________________ Performed by facility’s employees Yes or no Contracted out (if yes, list accrediting body, AABB/equivalent) Yes or no Accredited By: 1. Donor qualification 2. Collection of the cord blood 3. Processing of the cord blood 4. Storage of the cord blood 5. Distribution of the cord blood 6. Transplantation of cord blood 7. HPC, Cord Blood Public Yes Private Yes Version 6 No No Page 1 of 2 Effective Date 3/10/2014 C. Pre-screening results of certain standards Standard 1. Integral segments: Do you store the cord blood products in bags or vials? At your facility: Bags ___________ Vials __________ All vial platforms are reviewed by the Standards Committee to ensure the integral segment requirement is met. 2. CD 34 counts: Do you perform CD34 counts on the product after processing but before addition of the cryoprotectant? Yes ______ No ____ If N/A explain why: ________________ Required. 3. Nucleated RBC counts: Do you perform nucleated RBC counts or corrected total nucleated cell counts on the product after processing but before addition of the cryoptotectant? Yes ______ No ____ If N/A explain why: ________________ Required. 4. NAT Testing: Do you perform NAT testing for HIV and HCV? Yes ______ No ____ If no, would you be able to provide a timeline for implementation? __________ If not currently performing, the Standards Committee requires a timeline for implementation. Version 6 Page 2 of 2 Effective Date 3/10/2014