Disease Management

Overview

Our Disease Management Clinic is designed to improve the health of patients with chronic conditions and reduce avoidable complications by identifying and treating chronic conditions more quickly and more effectively, to slow the progression of those diseases. Our team of specialists, including pharmacists and dietitians work together to empower patients to manage their conditions. We use evidence-based guidelines to optimize each patient’s plan of care.

Anticoagulation Clinic

When patients are diagnosed with a condition that requires them to take warfarin (known by the brand name Coumadin® or Jantoven®), their provider may refer them to the Anticoagulation Clinic for monitoring and dosing. Warfarin is a blood thinner that can help prevent and treat blood clots. It’s commonly used to manage the heart condition atrial fibrillation, among other diseases.

Warfarin requires ongoing monitoring with INR (international normalized ratio) testing, which measures how long it takes blood to clot. This test is performed in clinic at each Anticoagulation visit by the reviewing pharmacist. During this visit, the pharmacist utilize those results to perform necessary dosing adjustments, recommend future test dates, and fill warfarin prescription (as required). Pharmacists are available to discuss questions and concerns by phone or the patient portal.

Services

• Medication Therapy Management (MTM)
• Asthma management
• Diabetes management
• Remote Patient Monitoring
• Hypertension & cholesterol management
• Patient self-management education
• Anticoagulation clinic (Coumadin & Jantoven)
• DOAC Monitoring (Direct-Acting Oral Anticoagulants- Xarelto, Pradaxa, etc)
• Nutrition Therapy

Conditions

• Diabetes
• Congestive Heart Failure (CHF)
• Coronary Artery Disease (CAD)
• Asthma
• Hypertension

Resources

• Records Release