Safer Prescribing for Older Adults: Clinical and Business Imperatives Aligned

For the past 6 years, Dr. B had been treating Mr. J for atrial fibrillation. Two years ago, Dr. B’s large multispecialty medical group opened an anticoagulation clinic, and Dr. B referred Mr. J there for ongoing management.

Prior to joining the anticoagulation clinic, roughly 60% of Mr. J’s International Normalized Ratio (INR) results had been within the targeted therapeutic range; for the past 2 years, over 90% of his INRs have been therapeutic. Both Dr. B and Mr. J were pleased with the improved results.

Two months ago, the anticoagulation clinic had an unanticipated s...