Anticoagulation Management Service

The Anticoagulation Clinic (ACC) is staffed by pharmacists that provide initiation and ongoing management of anticoagulant therapies. The ACC manages patients at high thrombotic or bleeding risk, performing the following:

• individualized education
• coordination of applicable laboratory testing
• ongoing anticoagulant dosing decisions

After 6 months of management by the ACC, all patients will be assessed for transfer of anticoaglant management to their primary care physician, with only those at high thrombotic / bleed risk or having ongoing anticoagulant control issued being kept within the ACC.

1. age > 16 years
2. prior bleeding or thrombotic complication on anticoagulant therapy
3. significant comorbity impacting anticoagulant control
4. interacting medications impacting anticoagulant control
5. higher thrombotic risk encompasses:

• mechanical mitral valves
• mechancial aortic valves with AF, HF, HTN, CVA/TIA/TE
• valvular AF or NVAF with CHADS2 >/=3
• VTE (within 3 months), VTE with hypercoagulable states or recurrent VTE or atypical VTE

• inpatients continuing on anticoagulants previously managed by family doctor that are not high risk (criteria above)

An estimated wait time will be provided at the time of appointment booking.