4. P 4 5

5. The Role of the Anticoagulation Administrator ‘The Kettering Way’ By Julie Thurland

6. Current Climate 310,000 Population Served by KGH 310,000 Population Served by KGH 3,000 Active Patients on Database 3,000 Active Patients on Database The Current Growth Rate is 18.5% The Current Growth Rate is 18.5%

7. The 5 Year Growth of the Anticoagulant Out-patient Clinics

8. Where is Kettering on the Map? Kettering

10. The Anticoagulation Service ANTICOAGULATION SERVICE Satellite Hospital In-patients Drop-ins (Path Labs) Domiciliary Visits District Nurse Visits Out-patient Clinics New Referral Clinic Out-patient Postal Clinics KGH In-patients

11. Historical Administration Problems Card Based Card Based Time Factor Time Factor Resources – Physical and Staffing Resources – Physical and Staffing Amount of Data to Transfer Amount of Data to Transfer Patient Acceptance Patient Acceptance

12. Administrative Benefits of Computerisation Card Free Card Free Remove Possible Transcription Errors Remove Possible Transcription Errors Removes Labour Intensive System Removes Labour Intensive System Access to Clinical Data for Audit/Activity Analysis Access to Clinical Data for Audit/Activity Analysis Better Prediction of Nurse Specialists Workload Better Prediction of Nurse Specialists Workload Improves Quality & Safety of Service Standards Improves Quality & Safety of Service Standards

13. The Principle Role of the Anticoagulation Administrator To Facilitate The Anticoagulation Nurse Specialists With All The Information Necessary For Them To Provide Anticoagulant Therapy To The Highest, Safest Standard. To Facilitate The Anticoagulation Nurse Specialists With All The Information Necessary For Them To Provide Anticoagulant Therapy To The Highest, Safest Standard.

14. The Service Depends On A – Accurate D – Documentation M – Maintain I – Information N – Needed To fulfil the Anticoagulation Administration Role Administration Role

15. Administration ADMINISTRATION Other Hospitals Patients Satellite Hospitals ‘Self’ Administration Nurse Specialists KGH Wards General Practitioners Other KGH Departments

16. The Role of the Anticoagulation Administrator C - Collaborate L - Liaise I - Interrogate C - Communicate K - Knowledge I - Intuition N - Negotiate G - Good G - Good

17. The Partnership Between Dawn and Administration Analytical Tool Analytical Tool Patient Database Patient Database Accurate Patient Records Accurate Patient Records Introduction of Protocols Introduction of Protocols

18. Patient Questionnaire

19. Clinic Listing Report

20. Patient Questionnaire

21. What Does the Anticoagulation Administration Department Do? Accurate Patient Details Accurate Patient Details Complete Treatment Plan Details Complete Treatment Plan Details Accurate Next Visit Details Accurate Next Visit Details Letter Options Letter Options Drug Details Drug Details Event/Risk Details Event/Risk Details

22. What Does the Anticoagulation Administration Department Do? Daily Routines Daily Routines Group/Clinic Details Group/Clinic Details Reports – Ad Hoc Enquiries Reports – Ad Hoc Enquiries Diary Details Diary Details Utilities – Maintenance Function Utilities – Maintenance Function Options – Remote Clinic Function Options – Remote Clinic Function

23. The Sky Is the limit

24. Future Developments of the Anticoagulation Service Induction Package Induction Package Utilize User Letter Facility Utilize User Letter Facility Introduce Further Postal Clinics Introduce Further Postal Clinics Networked to Satellite Out-patient Clinics Networked to Satellite Out-patient Clinics Introduce New In-patient Ward Card Introduce New In-patient Ward Card Anticoagulation Service Patient Information Booklet Anticoagulation Service Patient Information Booklet

25. The Administration Team are … C - Committed H - Hardworking E - Enthusiastic E - Efficient R - Reliable F - Friendly U - Unique L - Loyal A TEAM!!!

26. To Summarize To Use ADMIN To Use ADMIN To Utilize CLICKING To Utilize CLICKING To Remain CHEERFUL! To Remain CHEERFUL! The Role of the Anticoagulation Administrator is: