1.25 million1 anticoagulation patients in the UK can now access the first truly integrated self-care solution – available to 2,700 INRstar NHS locations across the UK with significant potential cost savings for CCGs.
We have launched an innovative new product, engage, which delivers seamlessly automated self-care for patients on warfarin therapy.
engage, enables anticoagulation patients to self-test at home and send their INR result back to their clinic via an app. Dosing schedules are reviewed by their care team and sent back to the patient. The whole process is fast and simple, providing convenience and freedom as the patient no longer has to undertake regular trips to the clinic but still remains under the supervision and guidance of the care team. In addition, engage, reduces clinical risk and saves around 1.5 hours of nurse time per patient per year.2
The solution has been developed to fully integrate with our market leading anticoagulation management software, INRstar, and has been successfully piloted at two clinical sites, where it is proving to eliminate data entry errors, improve patient health and reduce the risk of stroke.3 engage interfaces with the Roche CoaguChek XS and also the latest INRange meter to eliminate human error while carrying out supported self-care for anticoagulation.
For care teams, engage, is simple and quick to set up with no additional work involved for the clinic other than recording the patient’s interest in the INRstar patient record, which they register with the patient’s consent and on their behalf (the patient cannot sign up independently of their clinician). Training and education on how to self-test and understand the INR is included in the app as well as links to a dedicated technical support team.
Pernille Wood, Lead Practice Nurse at Three Spires Medical Practice says:
“engage, will make dosing much easier for patients. The engage, app has a formal training programme and will offer freedom and flexibility to both patients and healthcare professionals. There will definitely be a cost saving [using engage,] and there will be less need to have clinics.”
Clare Gardner, Marketing Manager at LumiraDx Care Solutions says:
“engage, is a game-changing solution for supported self-care: It is so simple and quick to implement for busy care teams and with full patient education and training included in the package, it means the patient’s self-care is fully safe and supported, increasing clinic capacity which can then be diverted to other patients and services.”
1Anticoagulation Europe (now UK).Commissioning effective anticoagulation services for the future: A resource pack for commissioners: “It is estimated that in the UK, there are approximately 1.25 million people currently prescribed oral anticoagulant drugs.” Available at: http://www.nwcscnsenate.nhs.uk/files/4714/8665/0539/Resource_pack_for_Commissioners.pdf
2From 2015 to 2016 the Isle of Wight CCG piloted self-testing with 78 out of 288 (27%) warfarin patients at a single practice. Time saving: On average 1.5 hours were saved per patient per year in clinic time.
3Self-monitoring (self-testing and self-management) showed statistically significant reduction in the risk of thromboembolic events by 42% compared with standard care. The risk reduction further increased to 48% when only major thromboembolic events were considered – www.nice.org.uk/guidance/DG14
Tags: anticoagulation, digital self-monitoring, engage, INR self-testing, INRstar, patient self-care, point of care testing, self-testing, Three Spires Medical Practice, warfarin management option, warfarin self-monitoring