Increased Adherence due to Ongoing Monitoring

Challenge

Patient on Coumadin therapy presented to hospital with INR of 13. She stated that she was not getting labs drawn as she had no one to take her. CM asked us to monitor her closely post-discharge.

Solution

APC clinicians continue to monitor the patient at home insuring compliance with medication and required maintenance labs. Initiated communication with HC SS Clinic to verify patient keeping appointments.

Results

Patient attending appointments regularly. She missed one clinic visit so APC contacted clinic to set up another appointment. APC talked to patient to remind her of the importance of monitoring while on Coumadin.