Point of Care Decision Support Point of Care Blog

Overview of EHR Key Features Necessary for Delivering Optimized AC Therapy

Part 4 in a 5 part series - Improving the Quality of Chronic Oral Anticoagulation with Evidence-Based Guidelines.

To pick up where we left off on part 3, let’s review a few priority key features of an EHR that can advance chronic oral anticoagulant care as outlined by the EHR Task Force Consensus Group.

Key features depicted in Figure 1 include:

  • patient level demographic data
  • treatment data including the indications for anticoagulant therapy
  • for those on warfarin, the target INR intensity and start date
  • recommended duration
  • tablet strength of warfarin
  • risk factors for bleeding and thrombosis
  • main route and frequency of administration of anticoagulants or other drugs
  • importance of communications both from provider to patient, but also from patient back to provider
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Topics: Anticoagulation, Interoperability, Patient Engagement, Development, Warfarin, DOAC, Adverse Drug Events, Clinical Workflow, NOAC, Point of Care AC

Clinical Decision Support Tools in the Dosing of Both Warfarin and NOACs

Part 3 in a 5 part series - Improving the Quality of Chronic Oral Anticoagulation with Evidence-Based Guidelines

In my view, one of the most important ways to achieve optimum warfarin control is the use of an anticoagulation, electronic clinical decision support tool that incorporates a validated warfarin dosing nomogram.  We’ve also learned in the last 20 years how we can really move the needle with respect to improving the quality of care for patients on NOACs.  Managing patients on NOACs is also a critical component of anticoagulation electronic decision support.

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Topics: Anticoagulation, Hamilton Nomogram, Validated Survey Instruments, Warfarin, Adverse Drug Events, Clinical Workflow, NOAC, TTR

Quest for Best Care: Strategic Moves that Engage Clinical Practice Leadership

Part 4 in a 4 Part Series. Read Part 1, Part 2.

In part 3 of this series, we focused on the point of care team as a vital source of organizational learning and innovation. In part 4 of this post, we will talk about how point of care clinicians can lead from the front lines through clinician-driven networks of knowledge exchange and the right data tools to address the needs of the local population and to transform the way we work.

 

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Topics: Anticoagulation, Interoperability, Industry Insight, Clinical Workflow

Quest for Best Care: Leverage Points Create Big Change

Part 3 in a 4 part series (Read Introduction and part 1)

In part 2 of this series we talked about the need for data-driven clinical tools that better address the paradoxical realities of clinical practice, such as the prevention of adverse drug events (ADEs). Balancing this tension is paramount to achieving optimal patient outcomes. In part 3, we will link the health care team’s capacity to adjust to the situational demands of a rapidly changing clinical work environment to value-based care and the return on our healthcare investment.

 

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Topics: Industry Insight, Adverse Drug Events, Clinical Workflow

PCDS believes that the complexity of patient care can be captured in a clear and meaningful way, enabling informed decision-making throughout the coordination and management of care.  We believe that connecting the point of care team with actionable information promotes patient engagement, analytic approaches to best practices, and system-supported collaborative efforts that are vital to patient safety, ambulatory service, and value across diverse health systems.

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