Point of Care Decision Support Point of Care Blog

Northwell Health System's Integration with Point of Care Anticoagulation (AC) Software

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

Before we get to part 5 and the final post in this series on Improving the Quality of Chronic Oral Anticoagulation with Evidence-Based Guidelines, we previously covered:

Part 1: Adverse Drug Events Related to Anticoagulation/VKA  

Part 2: Use of Outcome Measurements: Warfarin, NOACs and How They Apply to MU and National Quality Measures 

Part 3: Clinical Decision Support Tools in the Dosing of Both Warfarin & NOACs 

Part 4: Overview of EHR Key Features Necessary for Delivering Optimized AC Therapy 

This information has led us to our final part in this series of Northwell Health System’s integration with the Point of Care Decision Support Anticoagulation (AC) management system.  We are in the process of incorporating this AC clinical decision support system within our very large, 23-clinic Anticoagulation and Clinical Thrombosis Services at Northwell Health System.  I am very proud to be Medical Director one of the largest, virtual anticoagulation clinics in the United States.

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Topics: Anticoagulation, Interoperability, Patient Engagement, Warfarin, Adverse Drug Events, NOAC, TTR, Point of Care AC

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

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

Technology Teams Building Bridges to Bring Clinical Care and Patients Together

Posted by Stephen Hart

Every healthcare CIO has been there -- asked to deliver 400 high-value projects when they are staffed to deliver 150.  Even with this challenge facing them every day, healthcare technology teams are finding ways to bring more and more solutions to enable clinicians to do what they do best - provide care.

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Topics: Interoperability, Development, Industry Insight

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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