Advances in managing Anticoagulant Therapy

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Advances in managing Anticoagulant Therapy

• Dr Robert Treharne Jones
• Marketing Director, Sullivan Cuff Software Ltd
• www.anticoagulation.com

PHCSG Conference, Eynsham Hall, 18 October 2008
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Minding the Gap in Anticoagulant Therapy

• Dr Robert Treharne Jones
• Marketing Director, Sullivan Cuff Software Ltd
• www.anticoagulation.com

PHCSG Conference, Eynsham Hall, 18 October 2008
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Warfarin is risky stuff

• Wisconsin Alumni Research Foundation
• Each patient requires different blood level
• Different patients require different dose
• Dose too low - treatment ineffective
• Dose too high - side effects incl. bleeding
• Optimal situation - steady blood level (INR) with
  minimal blood tests

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In the beginning.

• BMJ Wilson and James 1984
• Maintenance of anticoagulation is laborious and
  costly
• The results are often indifferent
• The results (from the computer) are at least as
  good as those achieved manually
• Medical and secretarial time is saved
• Statistics about the clinic and its efficacy are
  made available

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Clinician Requirements

• Easy dose calculations
• Easy review intervals
• Delegate task to team member
• Flexibility to suit different patients
• Flexibility to suit different doctors!
• Built-in audit package

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Key features

• Controls INR at least as well as manually
• Reduces clinical workload over time
• Reports activity at the touch of a button
• Uses BCSH national guidelines
• Conforms to all eGMS criteria
• Market leader in UK primary care

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INRstar is written and developed by GPs
for GPs and I commend it highly

• David FitzmauriceProfessor of Primary Care
  ResearchUniversity of Birmingham

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John Perry Prize Winner 2004for innovation and
excellence in medical IT
"INRstar showed significant value to primary
care, good technical merit, and a personal
involvement by the authors in improving primary
care."
Dr Glyn Hayes,
President, Primary Health Care
Specialist Group, British Computer Society
PHCSG.
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Jon Perry Prize Winner 2004
Sullivan Cuff Software Ltd www.anticoagulation.com
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Issues in continuity of care.

• Communication
• Patient discharge
• Different agencies involved in care
• PBC

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Web browser version.

• Common database
• Role based access
• Patient not tied to one testing centre
• Pharmacists can view/manage data
• Communication issues reduced
• PSM facilitated

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Continuing issues.

• Clinical system integration
• Hosted server solutions
• PCT IT departments
• Spine compliance

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The story continues.

• 2004
• UK market leader
• 400 sites

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The story continues.

• 2004
• UK market leader
• 400 sites
• 2008
• Still leading
• 1300 sites

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The End

• Any questions?
• www.anticoagulation.com