Welcome to IPRO's Management of Anticoagulation in the Peri-Procedural Period app.
Despite the considerable efficacy of antithrombotics and the increased number of oral anticoagulants now available, preventable bleeding and thrombotic events are still unacceptably common. While recently marketed agents require less laboratory monitoring, problems with the clinical management of anticoagulated patients persist, particularly in the peri-procedural period.
Surgery and invasive medical interventions increase the risk of bleeding, while withholding anticoagulants increases the risk of thrombosis due to the underlying condition(s) for which anticoagulation was originally prescribed. The clinical team must therefore balance these competing risks and make educated decisions regarding the decision to interrupt oral anticoagulation for a medical procedure and, if interrupted, whether to "bridge" anticoagulation with injectable anticoagulants, such as low molecular weight heparin (LMWH) in warfarin treated patients.
This guide, updated in 2016, is intended to:
This material was created in April 2014 by the multidisciplinary members of the Peri-Procedural Task Force of the New York State Anticoagulation Coalition and IPRO, the Medicare Quality Improvement Organization for New York State, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS policy. 10SOW-NY-AIM-7.3-14-01
May 12, 2017, 11am-12pm ET
Please join us for a free Continuing Medical Education webinar on the management of anticoagulation in the peri-procedural period featuring the MAPPP app
Alex C Spyropoulos, MD, FACP, FCCP, FRCPC
Professor of Medicine, Hofstra Northwell School of Medicine Professor, The Merinoff Center for Patient-Oriented Research -The Feinstein Institute for Medical Research Director, Anticoagulation and Clinical Thrombosis Services Northwell Health at Lenox Hill Hospital
Jessica Cohen, MD
Division of Hospital Medicine, North Shore University Hospital, Department of Medicine Assistant Professor of Medicine, Hofstra Northwell School of Medicine
Registration Instructions – Pre-registration Required
Webinar Connection Instructions
Please join the event 15 minutes prior to the start time to ensure the automatic system set-up has been properly established.
If you have any questions or problems accessing the web portion of this meeting, please call the Ventech Solutions WebEx Helpline at 571-598-1988.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The Medical Society of the State of New York (MSSNY) and IPRO. MSSNY is accredited by ACCME to provide continuing medical education for physicians.
The Medical Society of the State of New York designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For more information contact: Anne Myrka, IPRO Director, Drug Safety (518) 320-3591 email@example.com
IPRO is a national organization providing a full spectrum of healthcare assessment and improvement services that foster more efficient use of resources and enhance healthcare quality to achieve better patient outcomes. Founded in 1984, IPRO is highly regarded for the independence of its approach, the depth of its knowledge and experience, and the integrity of its programs. IPRO holds contracts with federal, state and local government agencies, as well as private-sector clients, in more than 33 states and the District of Columbia. A national not-for-profit organization, IPRO is headquartered in Lake Success, NY and also has offices in Albany, NY, Hamden, CT, Camp Hill, PA, Morrisville, NC, Princeton, NJ, San Francisco, CA.
IPRO’s staff of more than 400 professionals includes physicians, registered nurses, mental health professionals, epidemiologists, biostatisticians, data analysts, medical record reviewers, health policy experts, pharmacists, coding professionals, claims analysts, auditors, programmers, systems analysts, web technology experts and healthcare communications specialists. IPRO also retains a network of more than 300 board-certified physician consultants.