2. Copyright 4S Dawn 2002 Dawn AC Benchmarking Mark Ainsworth 4S Dawn Clinical Software Mark Ainsworth 4S Dawn Clinical Software

3. Copyright 4S Dawn 2002 Dawn AC Benchmarking l Current Position l Future Plans l INR Control

4. Copyright 4S Dawn 2002 Current Position l 9th Benchmarking Run l 96,000 Patients l 690,000 INRs l 62 Subscribers

5. Copyright 4S Dawn 2002 Current Position l For every target INR range l 3 statistical profiles l 3 charts l Summary chart l Sample reports on website www.4s-dawn.com/dawnac

6. Copyright 4S Dawn 2002 Future Plans l Grouping patients l Statistical methods of identifying groups l Performance measures by group l Adjustments for Patient Mix l age l sex l time on treatment

7. Copyright 4S Dawn 2002 Standardising Measures % Time in Range

8. Copyright 4S Dawn 2002 Standardising Measures Standardised % Time in Range

9. Copyright 4S Dawn 2002 INR Control l Better INR Control = Reduced Events l Include events in Benchmarking results l What factors influence INR variation? l Prof. Palareti, Bologna, Italy l Italian Federation of Anticoagulation Clinics l AC Therapy Education is strong factor

10. Copyright 4S Dawn 2002 INR Control

11. Copyright 4S Dawn 2002 INR Control l BMJ 2002;325:1073-5 l INR control has effect on events (QC ?) Worth having good INR control

12. Copyright 4S Dawn 2002 INR Control l Identify poorly performing patients l Improve their INR control

13. Copyright 4S Dawn 2002 Summary l Third of Dawn AC sites now subscribe l Next improvements l Grouping patients l Adjusting statistics for patient mix

14. Copyright 4S Dawn 2002 Dawn AC Benchmarking

15. Copyright 4S Dawn 2002