If desired, “bundle” pricing can be obtained by registering for the activities in groups. This series consists of thirteen anticoagulation activities in our online selection.

You may register for individual topics at $17/CE Credit Hour, or for the Entire Anticoagulation Pre-requisite Series.

Pharmacist General Registration for 13 Anticoagulation Pre-requisite activities-(12 hours of CE)  $140.00

In order to attend the 2-day Anticoagulation Traineeship, you must complete all of the Pre-requisite Series or the equivalent.

Anticoagulation Traineeship at the University of Connecticut Health Center, Farmington, CT

The University of Connecticut School of Pharmacy and The UConn Health Center Outpatient Anticoagulation Clinic have developed 2-day practice-based ACPE certificate continuing education activity for registered pharmacists and nurses who are interested in the clinical management of patients on anticoagulant therapy and/or who are looking to expand their practice to involve patient management of outpatient anticoagulation therapy. This traineeship will provide you with both the clinical and administrative aspects of a pharmacist-managed outpatient anticoagulation clinic. The activity features ample time to individualize your learning experience. A “Certificate of Completion” will be awarded upon successful completion of the traineeship.

More Information About Traineeship

To receive CE Credit go to Blue Button labeled "take Test/Evaluation" at the top of the page.

Type in your NABP ID, DOB and the session code for the activity.  You were sent the session code in your confirmation email.

Download

1. The Joint Commission revised National Patient Safety Goal is intended to:

1. Ensure all providers are providing same level of care
2. Set standards on provider’s level of knowledge of anticoagulant medications
3. Reduce the likelihood of patient harm associated with the use of anticoagulant therapy
4. Provide guidance on how to deal with providers who do not adhere to the standards
5. None of the above

2. Which of the following are important Anticoagulation Management Considerations?

1. Assessing pt’s fall risk
2. Patient Education and Adherence
3. Selecting appropriate drug
4. All of the above
5. None of the above

3. Staff education should consist of:

1. Professionalism in the workplace
2. Strategies to manage difficult coworkers
3. Diversity training
4. Effective time management strategies
5. How to delegate

4. Which of the strategies is best when managing patients with language barriers?

1. Ask pt. to bring in family members who can help interpret
2. Ask pt. to bring in friend who can help interpret
3. Ask bilingual coworker to help interpret
4. Use google translate
5. Use qualified interpreter

5. When speaking to deaf patients it is important to:

1. Make indirect contact to avoid conveying incorrect tone/meaning thru facial expressions
2. Speak slowly and clearly
3. Learn ASL
4. Use Visual Aids
5. Repeat instructions

6. Which of the following statements are false?

1. Using pamphlets or videos will enhance learning for the Visual learners
2. A person can only have one learning style
3. It is important to tailor the education to meet the pt’s learning style
4. Kinesthetic learners learn best by gaining hands on experience
5. Asking pt’s to repeat your points back to you by asking questions and calling for audience answers enhances learning for the Auditory learner

7. The best strategy to manage the non-compliant patient is to:

1. Identify and address barriers to adherence
2. Use motivational interviewing
3. Minimize polypharmacy
4. Utilize available family and social support
5. All of the above

8. Select the most appropriate response:

1. Medicare codes 99495 and 99496 are reimbursable for transitional of care services
2. Transition of care addresses patients moving from one state to another
3. Transition of care is handled solely by hospital staff
4. Provide transition of care assistance to elderly patients who request it
5. None of the above

9. Select the most appropriate response:

1. Americans have been reported to have high health care literacy
2. Low health care literacy can be managed by ensuring patients learn how to speak English
3. Using interpreters can help combat low health care literacy
4. Low health care literacy indicates cognitive decline
5. None of the above

10. AIDET stands for:

1. Acknowledge, Introduce, Duration, Explanation, Train
2. Acknowledge, Inform, Duration, Explanation, Train
3. Acquaint, Inform, Describe, Extent, Teach
4. Acknowledge, Introduce, Duration, Explanation, Thank you
5. Acquaint, Introduce, Describe, Extent, Teach

Vitamin K Antagonist Pharmacology, Pharmacotherapy and Pharmacogenomics – 1 hour

Anticoagulation Management Pearls - 1 hour

Direct Oral Anticoagulants and Factor IIa and Xa Inhibitors – 1 hour

Laboratory Monitoring of Anticoagulation – 1 hour

Heparin/Low Molecular Weight Heparin and Fondaparinux Pharmacology and Pharmacotherapy – 0.5 hours

Developing an Anticoagulation Clinic – 1.0 hour

Pharmacist Reimbursement for Anticoagulation Services – 0.5 hour

Risk Management in Anticoagulation – 1 hour

Perioperative Management of Warfarin Interruption – 1 hour

Hypercoagulable States – 1 hour

Challenging Topics in Anticoagulation – 1 hour

Available Strategies to Reverse Anticoagulation Medications - 1 hour

Case Studies in Drug Interactions with Anticoagulation Therapy – 1 hour

If desired, “bundle” pricing can be obtained by registering for the activities in groups. It consists of thirteen anticoagulation activities in our online selection.

You may register for individual topics at $17/CE Credit Hour, or for the Entire Anticoagulation Pre-requisite Series.

Pharmacist General Registration for 13 Anticoagulation Pre-requisite activities-(12 hours of CE)  $140.00

In order to attend the 2-day Anticoagulation Traineeship, you must complete all of the Pre-requisite Series or the equivalent.

Anticoagulation Traineeship at the University of Connecticut Health Center, Farmington, CT

The University of Connecticut School of Pharmacy and The UConn Health Center Outpatient Anticoagulation Clinic have developed 2-day practice-based ACPE certificate continuing education activity for registered pharmacists and nurses who are interested in the clinical management of patients on anticoagulant therapy and/or who are looking to expand their practice to involve patient management of outpatient anticoagulation therapy. This traineeship will provide you with both the clinical and administrative aspects of a pharmacist-managed outpatient anticoagulation clinic. The activity features ample time to individualize your learning experience. A “Certificate of Completion” will be awarded upon successful completion of the traineeship.

More Information About Traineeship

To receive CE Credit go to Blue Button labeled "take Test/Evaluation" at the top of the page.

Type in your NABP ID, DOB and the session code for the activity.  You were sent the session code in your confirmation email.

Download

1. Pharmacist, as recognized providers, can directly bill Medicare for services

1. True
2. False

2. Medicare can be billed for:

1. Evaluation and management of an INR level
2. Performing a finger-stick POC INR test
3. Calling a patient to report their results
4. A and B

3. The level of service for a clinic visit for HOPPS billing is

1. Set to the same guidelines for “incident to billing”
2. Set by institution policy
3. Arbitrary
4. Must be code “99211”

4. Physician supervision rules:

1. are the same for both on and off-campus clinic sites
2. pertain only to “incident to” billing
3. May be satisfied by having an advanced practice nurse on site
4. Increase the allowable billing level when they are followed

5. A point-of-care INR test:

1. Can be billed separately as a lab procedure
2. Must be performed by a lab technician in order to be billed
3. Are not considered valid by Medicare
4. Are not covered

Vitamin K Antagonist Pharmacology, Pharmacotherapy and Pharmacogenomics – 1 hour

Anticoagulation Management Pearls - 1 hour

Direct Oral Anticoagulants and Factor IIa and Xa Inhibitors – 1 hour

Laboratory Monitoring of Anticoagulation – 1 hour

Heparin/Low Molecular Weight Heparin and Fondaparinux Pharmacology and Pharmacotherapy – 0.5 hours

Developing an Anticoagulation Clinic – 1.0 hour

Pharmacist Reimbursement for Anticoagulation Services – 0.5 hour

Risk Management in Anticoagulation – 1 hour

Perioperative Management of Warfarin Interruption – 1 hour

Hypercoagulable States – 1 hour

Challenging Topics in Anticoagulation – 1 hour

Available Strategies to Reverse Anticoagulation Medications - 1 hour

Case Studies in Drug Interactions with Anticoagulation Therapy – 1 hour

If desired, “bundle” pricing can be obtained by registering for the activities in groups. It consists of thirteen anticoagulation activities in our online selection.

You may register for individual topics at $17/CE Credit Hour, or for the Entire Anticoagulation Pre-requisite Series.

Pharmacist General Registration for 13 Anticoagulation Pre-requisite activities-(12 hours of CE)  $140.00

In order to attend the 2-day Anticoagulation Traineeship, you must complete all of the Pre-requisite Series or the equivalent.

Anticoagulation Traineeship at the University of Connecticut Health Center, Farmington, CT

The University of Connecticut School of Pharmacy and The UConn Health Center Outpatient Anticoagulation Clinic have developed 2-day practice-based ACPE certificate continuing education activity for registered pharmacists and nurses who are interested in the clinical management of patients on anticoagulant therapy and/or who are looking to expand their practice to involve patient management of outpatient anticoagulation therapy. This traineeship will provide you with both the clinical and administrative aspects of a pharmacist-managed outpatient anticoagulation clinic. The activity features ample time to individualize your learning experience. A “Certificate of Completion” will be awarded upon successful completion of the traineeship.

More Information About Traineeship

To receive CE Credit go to Blue Button labeled "take Test/Evaluation" at the top of the page.

Type in your NABP ID, DOB and the session code for the activity.  You were sent the session code in your confirmation email.

Download

1. High quality risk management programs protect…

1. The patient
2. The provider
3. The institution
4. All of the above

2. The three most important ways to reduce risk are:

1. Education, providing a quality service, and complete documentation
2. Physician involvement, light workload, and malpractice insurance
3. Commercial management software, education, and malpractice insurance
4. Providing a quality service, good customer service, and malpractice insurance

3. Application, analysis and synthesis of new knowledge can best be taught through:  

1. Lecture
2. Reading
3. Case presentation and practice-based learning
4. Observation

4. A high quality protocol will include:

1. Rigid dosing guidelines
2. Process for medication refill requests
3. Critical value cut-offs
4. All of the above
5. A B and C

5. It is important to document all patient interaction:

1. True
2. False

6. Documentation must be recorded by using:

1. Commercial software
2. A quality home-grown system
3. A paper record
4. A or B
5. Any medium as long as it’s complete and retrievable

7. Limiting risk through risk sharing can be accomplished by

1. Physician oversight
2. Patient education
3. Both A and B
4. Risk cannot be shared between involved parties

8. Adhering to institutionally approved clinic policies helps to minimize the risk of the individual practitioner

1. True
2. False

9. Quality improvement activities:

1. Increase risk
2. Decrease risk
3. Have no effect on risk

10. When a pharmacist’s recommendations are reviewed and approved by a physician:

1. The physician assumes all the risk
2. The pharmacist still carries risk
3. The pharmacist does not need to document
4. The pharmacist can only bill for the lab test

Vitamin K Antagonist Pharmacology, Pharmacotherapy and Pharmacogenomics – 1 hour

Anticoagulation Management Pearls - 1 hour

Direct Oral Anticoagulants and Factor IIa and Xa Inhibitors – 1 hour

Laboratory Monitoring of Anticoagulation – 1 hour

Heparin/Low Molecular Weight Heparin and Fondaparinux Pharmacology and Pharmacotherapy – 0.5 hours

Developing an Anticoagulation Clinic – 1.0 hour

Pharmacist Reimbursement for Anticoagulation Services – 0.5 hour

Risk Management in Anticoagulation – 1 hour

Perioperative Management of Warfarin Interruption – 1 hour

Hypercoagulable States – 1 hour

Challenging Topics in Anticoagulation – 1 hour

Available Strategies to Reverse Anticoagulation Medications - 1 hour

Case Studies in Drug Interactions with Anticoagulation Therapy – 1 hour

If desired, “bundle” pricing can be obtained by registering for the activities in groups. It consists of thirteen anticoagulation activities in our online selection.

You may register for individual topics at $17/CE Credit Hour, or for the Entire Anticoagulation Pre-requisite Series.

Pharmacist General Registration for 13 Anticoagulation Pre-requisite activities-(12 hours of CE)  $140.00

In order to attend the 2-day Anticoagulation Traineeship, you must complete all of the Pre-requisite Series or the equivalent.

Anticoagulation Traineeship at the University of Connecticut Health Center, Farmington, CT

The University of Connecticut School of Pharmacy and The UConn Health Center Outpatient Anticoagulation Clinic have developed 2-day practice-based ACPE certificate continuing education activity for registered pharmacists and nurses who are interested in the clinical management of patients on anticoagulant therapy and/or who are looking to expand their practice to involve patient management of outpatient anticoagulation therapy. This traineeship will provide you with both the clinical and administrative aspects of a pharmacist-managed outpatient anticoagulation clinic. The activity features ample time to individualize your learning experience. A “Certificate of Completion” will be awarded upon successful completion of the traineeship.

More Information About Traineeship

To receive CE Credit go to Blue Button labeled "take Test/Evaluation" at the top of the page.

Type in your NABP ID, DOB and the session code for the activity.  You were sent the session code in your confirmation email.

Download

1) Which of the following is not an advantage of having an Anticoagulation Clinic?
a) Improved patient communication and follow up
b) Improved TTR ad better clinical outcomes
c) Consistent dosing and monitoring
d) Formalized patient education
e) None of the above

2) What characteristics are essential when selecting an Anticoagulation Clinic Medical Director?
a. Extensive anticoagulation knowledge base
b. Approachable and available
c. Helps achieve goals of the clinic
d. Strong advocate for the clinic
e. All of the above

3) What is an Anticoagulation Clinic’s primary goal?
a. Optimize safety and efficacy
b. Improve efficiency
c. Provide cost effective care
d. Improve pt. satisfaction

4) Which of the following is an advantage of a Pharmacist run Anticoagulation Clinic?
a) Able to draw venous samples
b) Autonomy in both dosing and billing
c) Extensive knowledge of warfarin’s pharmacokinetic and pharmacodynamic properties
d) Able to assess vital signs

5) What are the requirements of having a collaborative practice agreement run Anticoagulation Clinic?
a. Pharmacists are required to submit minimum monthly therapeutic summaries
b. Pharmacists may only enter into collaborative practice agreement with prescribers permissible under state law
c. The physician must have an established relationship with patient
d. The collaborative practice agreement needs to be renewed yearly for each patient
e. All of the above

6) What are ongoing costs of running an Anticoagulation Clinic?
a) Printer
b) Personnel salaries
c) Office furniture
d) Fax
e) Scanner

7) Which of the following clinic tasks MUST be performed by a pharmacist?
a. Schedule patient appointments in the clinic for initial visit, follow up INR visits and education visits
b. Interpret INR results by assessing patient specific factors and adjust warfarin dose as needed
c. Order supplies
d. Retrieve INR results either from an outside laboratory
e. Identify past due INR patients and address as per policies and procedures

8) What are the characteristics of an ideal anticoagulation software program?
a. Data integrity
b. IT support after clinic hours
c. Ability to trend data for individual patient
d. A and C

9) Anticoagulation clinic staff training should:
a. Be documented
b. Be provided in an appropriate learning environment
c. Involve real world situations
d. All of the above

10) What characteristics should you look for when selecting an anticoagulation clinic support staff?
a. Strong interpersonal skills
b. Strong computer and data entry skills
c. Previous anticoagulation knowledge
d. A & B

Vitamin K Antagonist Pharmacology, Pharmacotherapy and Pharmacogenomics – 1 hour

Anticoagulation Management Pearls - 1 hour

Direct Oral Anticoagulants and Factor IIa and Xa Inhibitors – 1 hour

Laboratory Monitoring of Anticoagulation – 1 hour

Heparin/Low Molecular Weight Heparin and Fondaparinux Pharmacology and Pharmacotherapy – 0.5 hours

Developing an Anticoagulation Clinic – 1.0 hour

Pharmacist Reimbursement for Anticoagulation Services – 0.5 hour

Risk Management in Anticoagulation – 1 hour

Perioperative Management of Warfarin Interruption – 1 hour

Hypercoagulable States – 1 hour

Challenging Topics in Anticoagulation – 1 hour

Available Strategies to Reverse Anticoagulation Medications - 1 hour

Case Studies in Drug Interactions with Anticoagulation Therapy – 1 hour