Clinical pharmacy anticoagulation services in a group model health maintenance organization.
The clinical pharmacy anticoagulation service (CPAS) at a large group model health maintenance organization is described. The service has expanded dramatically from a local service providing anticoagulation monitoring for the patients of a single physician to a regional service staffed by seven full-time employees who monitor over 3,000 patients. The structure and operations of the CPAS are described as well as the processes used to manage anticoagulation therapy complications. A program for treating patients with deep vein thrombosis in the outpatient setting using enoxaparin is also described.
Witt
D M
DM
Kaiser Permanente, Rocky Mountain Division, Westminster, CO 80234, USA.
Tillman
D J
DJ
D000553:Ambulatory Care / Q000458:organization & administration; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D003120:Colorado; D004347:Drug Interactions; D006125:Group Practice, Prepaid / Q000458:organization & administration* / Q000592:standards; D006279:Health Maintenance Organizations / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007318:Inservice Training; D017146:Models, Organizational; D010349:Patient Compliance; D010353:Patient Education as Topic; D010593:Pharmaceutical Services / Q000458:organization & administration* / Q000592:standards; D010865:Pilot Projects; D017410:Practice Guidelines as Topic; D011369:Professional-Patient Relations; D011787:Quality of Health Care; D012017:Referral and Consultation; D017749:Total Quality Management / Q000458:organization & administration*; D020246:Venous Thrombosis / Q000188:drug therapy
D000925:Anticoagulants