VUMC AMBULATORY PHARMACY SERVICES

ANTICOAGULATION MANAGEMENT CENTER

Admission Criteria

·        Patient is currently under the care of a Vanderbilt physician participating in the Anticoagulation Management Center or the Cardiology Anticoagulation Clinic.

·        It has been determined by the attending physician that the benefits of warfarin therapy outweigh the risk.

·        Patient has a documented indication for anticoagulant therapy management for period greater than one week.

·        Patient and/or liaison must have the capacity to understand the patient’s condition and implication of anticoagulant therapy.

·        Patient and/or liaison must be willing and competent to actively participate in care management.

·        Patient and/or liaison must be accessible by telephone.

·        Patient must be willing and able to have lab testing performed at assigned intervals.

·        Patients with known/documented medical non-adherence will be considered for enrollment after discussion among clinic staff, including the enrolling physician and medical director.

Discharge Criteria

There may be circumstances when a patient may be transferred from the care of the Anticoagulation Management Center to the direct care of the Primary Care Provider or warfarin prescriber.

·        No patient will be disenrolled from the clinic without the approval of the attending physician or the medical director.

·        Patient shows an unchanging pattern of chronic non-adherence to dosage instructions and/or lab testing.

·        Patient fails to have follow-up visits with the anticoagulation medication prescriber at least annually, with a six month grace period.  During this time, the Anticoagulation Management Center staff will encourage the patient to see the physician.

·        Patient no longer meets the eligibility criteria.

Updated 05/01/2005