AnticoagulationCentersofExcellence(ACE)www.excellence.acforum.org

Launchedin2013,ACEraisesawareness&encouragesclinicaluseofbestpracticesandevidence-basedguidelines,improvingcareforallpatientsonallantithromboticmedications

HowdoesACEAccomplishthisgoal?• Freeaccessforall• Comprehensiveresourcecenter• Interactiveassessmenttool(inpatientoroutpatient)• Highlightingclinicsthrough“ExamplesofExcellence”

WhatisTheAnticoagulationCentersofExcellence(ACE)

ACEBoardCommitteeChair:DanielM.Witt,PharmD,FCCP,BCPS,CACPViceChairDepartmentofPharmacotherapy,AssistantDeanofClinicalAffairsUofUtahCollegeofPharmacySaltLakeCity,UT

ProgramManager:ElaineWhalenACForum

CommitteeMembers:

ArthurAllen,PharmD,CACPClinicalPharmacySpecialistAnticoagulation&ThrombosisServiceManagerVASaltLakeCityHeathCareSystem, SaltLakeCity,UT

BishoyRagheb,PharmDBCACP,CACP,CDEAnticoagulationClinicalPharmacySpecialistVA,Murfreesboro,TN

AllisonBurnett,PharmD,PhCInpatientAnticoagulationPharmacistUniversityofNewMexicoHospitalAlbuquerque,NM

LindaKelly,PharmD,PhCPresbyterianHealthcareServicesAlbuquerque,NM

OliviaRapacchietta,PharmD,BCPS,BCACP,CACPClinicalPharmacySpecialist;KaiserPermanenteClinicalPharmacyAnticoagulationandAnemiaService(Denver,CO

PamBurgwinkle,NP,CACPUMassMemorialMedicalCenterUmassMemorialAnticoagulationClinic,Worcester,MA

MaureenHoward,ANP,FNP,BC,CACPFormerSIUHAnticoagulationAdministrativeDirectorStatenIsland,NY

SusanO'NeillMS,FNP-BC,CACPNorthwellHealth/StatenIslandUniversityHospitalStatenIsland,NY

FAQ’sWhoshouldtaketheactualassessment?• PerformedbyServiceManagerorMedicalDirector• Theachievementbelongstothepractice,nottheperson

CanIgetacopyoftheassessmenttopreview?• Requestacopyviaemailorpreviewonline• Youcanalsoreviewyoursavedassessmentpagebypageby

goingto“account,pastresults”

• Measureyourpracticeagainstrigorousstandards• Obtainaroadmapforoperatingatyourhighestlevel• Ifyousucceed,youwillobtaina2-yearrecognitionasanAnticoagulationCenterofExcellence

Isithardtopasstheassessment?• Mostpracticestrymorethanoncetopass• Thecurrentpassrateisabout20%• Ifyoudon’tpass,youwillreceiveacustomlistofresourcesmatchingyourassessment

WhyshouldmypracticetrytheAssessment?

Approximately120practicesthroughouttheUSofalltypeshavepassedtheassessment

RealWorldExample

• Yourpracticehastakentheassessment• Youareproficientinsomeareasbutnotall• Yougetacustomizedlinktoresourcesinareasyouneedtoimprovein

• Whatwillfeedbacklooklike& howcanwillyouuseit?

Linkstospecificcategoriesareprovidedbasedonyourresults

Wheredoyouneedtoimprove?

• Bridgingprotocolsneedtobebolstered• Youareproficientin3ofthe5pillarareas• Transitions&coordinationofcareisanareathatyourpracticeshouldfocusimprovements

• Thesespecificresourceswillhelpyouimplementthenecessarychangestopasstheassessment

• Thisisoneexampleofmanagementguidelinesforperioperativecare

• TheResourceCenterhasmanyexamplesofalgorithms&protocolsaaswellassinglegranularexamplesofwhatoneorganizationmightuse

• Thesecanallbethebasisforcraftingyourownprotocols

RealWorldExample

• Cardiologywantstostartreferringvalvepatientstoyourservice

• Yourservicehasnotmanagedvalvepatients• Yourserviceneedstodetermineifitwillmanagepatientswithmechanicalheartvalves

• HowcanCOEhelpyouwiththisdecision?

Neworganizationalstructure!

RealWorldExample

• YourcentermanagesmanyRussian-speakingpatients

• YouneedpatienteducationmaterialinRussianlanguage

• HowcanCOEhelpyouwiththis?

WhatelseisintheResourceCenter?

• Comprehensivelibraryofover350clinicaltools• Organizedin12keyareas:

– Diseasestates(AF,VTE,Valves,Thrombophilia,ACS,IschemicStroke,HIT)

– Druginformation– Periprocedural– Bleedingmanagement– Serviceoperationalperformance– Patientandfamilyeducation

• SearchandPreviewabilitywithinresources• Contentregularlyupdated&reviewed

Howisitorganized?

• Frommostglobaltospecificexamples– Guidance– RiskAssessmentsandCalculators– TherapeuticManagement– ExamplesofExcellence– PatientEducation

Centerswhohaveachievedrecognitionareencouragedtosendintheirbesttoolstoshare

NewFeatures

• ResourceCenter–reorganizedlayout• Responsivesearchfeature• Dynamicondevicesandtablets• RollinglistofACEpractices• ExamplesofExcellenceasactualresources

• Returntotheassessmentatanytime

• Allattemptsarearchived

PatientCareEnhancedthroughCentersofExcellence

COEgivesyoutheopportunitytoaccess:– Dynamic&currentcontent,freetoall– Self-assessmentgivingyouaroadmaptobestpractices– Broadrangeofcontentfromliterature&consensusstatementstosinglegranularinstitutionalexamples

– Informationoncurrentliterature&thenewestagents,helpingyoustaycurrent

– ExamplesofExcellencedepictinnovation