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Anticoagulation
Monitoring
and Testing
The
March 19, 2003 Meeting was held at the Hershey Public Library in
Hershey, Pa. Hosting
the meeting was Melody Botterbusch from York Hosptial-Wellspan and
Karen Espey from Lancaster General Hospital.
“Basics
of Warfarin Management”
The
first speaker of the day was Larry Owens, PharmD, a Clinical
Pharmacist at Wellspan Health System, York Hospital.
Larry is a Certified Anitcoagulation Care Provider and
practices with the Wellspan Health System Anicoagulation
Management Services. Larry’s
presentation entitled “Basics
of Warfarin Management” can be accessed thru the KEYPOCC web
site. Listed below is
an overview of Larry’s presentation:
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Discuss
warfarin’s mechanism of action
-
Review
indications for warfarin and corresponding INR ranges
-
Differentiate
between a prothrombin time
and an international normalized ratio.
-
Review
the most common side effects of warfarin
-
Summarize
diet/drug/herbal interactions and other influences on INR
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Discuss
important patient interview questions
-
Describe
how dosing adjustments are made and when to order another INR
To
view Dr. Owen’s presentation:
“POCT Billing – Can it be
done effectively”
Our
second speaker of the day was Chris Fetters of Nextivity.
Chris provided informative on “POCT Billing – Can it be
done effectively”. Chris’s
presentation was prepared for an AACC Audioconference conducted
the same day. The
information covered in Chris’s presentation can be accessed thru
the KEYPOCC website. Listed
below is an overview of Chris’s presentation:
-
POCT
billing is identical to Main Lab billing
-
Lab
range of CPT codes is 80000-89399
-
Discussed
ICD-9 codes and DRG’s
-
Discussed
Medicare Part A and B / Clinical Lab Fee Schedule
-
Discussed
Information necessary to bill for laboratory testing
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Discussed
LMRP and NCD
-
How
to make billing for POCT possible (barcoding, connectivity,
evaluating payor mix)
-
How
to evaluate the true impact of POC testing (revenue usage
report , net, and estimated net)
Thromboelastograph (TEG)
Our
third speaker of the day was Dr. Eli Cohen, Ph. D, CEO and
President of Heamoscope Corporation.
Dr. Cohn’s gave an informative presentation on
Thromboelastograph (TEG), guided hemostasis and Blood Management.
To
view Dr. Cohen’s presentation:
After
lunch the KEYPOCC business meeting was held.
Treasurers
Report:
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Beverly
is currently on maternity leave
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Expenses
of vendor appreciate meeting totaled $600.00.
Costs are offset by new membership fees
-
AACC
National Meeting ; Critical and Point of Care Division Forum,
July 24, 2003
-
AACC
meeting on July 24th will replace the June meeting.
-
Subcommittee
needed to develop a storyboard of the founding, growth and
development of KEYPOCC. Committee
and meeting time to be announced.
-
Meeting
would take place between 11am and 2pm.
Lunch is included.
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Morning
and afternoon educational tracks available (minimally invasive
testing, connectivity, vendor fair)
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There
will be a small registration fee
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KEYPOCC
would be the lead group of POC coordinators to attend.
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Organization
of the meeting is taken care of by AACC including invitations
and the agenda.
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Goal
of the meeting is for AACC to reach POCCs and get more
involved in POC Testing.
Future
meeting plans:
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September
17, 2003
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December
10, 2003
Timeliness
of Web updates was discussed.
Issues will continue to be evaluated and
reviewed
at later meetings to determine if a change in the current process
is needed.
Issues concerning new CAP checklist questions relating to
Alternative test systems and Physician performed testing.
Anyone interested in supplying comments to these issues can
send them to LuAnne Hildebrand.
LuAnne will coordinate comments and send to CAP.
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