RT Journal Article
SR Electronic
T1 The Comprehensive Management of Anticoagulation: Ochsner Coumadin Clinic
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 37
OP 40
VO 4
IS 1
A1 Barrios, Annette C.
A1 Ventura, Hector O.
A1 Milani, Richard V.
YR 2002
UL http://www.ochsnerjournal.org/content/4/1/37.abstract
AB Clinical privileging of pharmacists and the effective use of support staff and information technology have helped create an efficient pharmacist-operated anticoagulation clinic at Ochsner Clinic Foundation that will support future growth efforts for improved patient care. Developed by Ochsner's Department of Cardiology, the pharmacist-operated anticoagulation clinic cares for 2000 patients with a clinical pharmacist, staff pharmacist, registered nurse, and medical assistants. Patients are managed by face-to-face and telephone encounters. The pharmacists are privileged by medical staff to write prescriptions for warfarin, adjust warfarin doses, and conduct appropriate laboratory monitoring. Patients attend a mandatory initial visit where they are given medication instructions and educational materials. The pharmacist determines the treatment dose and schedules follow-up appointments. A software system developed by Ochsner's Information Services Department imports patient data from the institution's central computer system, allowing for a limited electronic patient record. Once fully implemented, this program will allow for more specific patient tracking and assist with quality improvement efforts. At present, approximately 68% of our patient population is within therapeutic range.