Marsh Medical Centre, a rural practice in Lincolnshire with around 6,100 patients, has been running a level 4 practice-based Local Enhanced Service for anticoagulation for around 8 years. Sarah Parker is Lead Nurse and runs the service, which manages around 150 patients, all of whom are registered with the practice. The clinic uses point-of -care testing (PoCT) with Roche’s CoaguChek XS Plus for determining INRs and runs a domiciliary service for several homebound patients. The practice also benefits from INRstar’s interface with its clinical system: tpp SystmOne.
“We chose to move to INRstar for a number of reasons, one being the interface to our clinical system. The interface is absolutely seamless and is a great improvement on the last solution we used, which did not link up with our clinical system. With INRstar, you can input the INR results and these go straight into the patient’s medical record. It is so much quicker and easier than before and adding new patients is brilliant – you just click on the patient and it transfers all the details over!”
“As we are a rural practice, and one that operates at Level 4 LES, it is great that we can manage our patients locally and save them the inconvenience of travelling the 8 miles or so into town. Now that we carry out point-of-care testing on site, all our patients can benefit from attending their registered practice for their anticoagulation management. I also know each and every one of my patients. It is reassuring for patients to have a familiar face to deal with and helpful for me and the team, as we know about their background.”
Sarah and her team find the reporting within INRstar very helpful in their day to day running of the clinic.
“INRstar has excellent reporting functionality, which is quick and easy to use. We no longer have to spend a long time producing reports, they are all accessible at the click of a button. I find the Time in Therapeutic Range (TTR) particularly helpful to monitor the practice. Currently we are running at 47.7% greater than 75%; 39.4% between 50 and 75% and 10 % between 25 and 50% and 2.5% less than 25%.”