Background: The main aims of arranging ACC in Arkhangelsk region for patients on AVK were the following: to provide the state of the art INR monit oring in the regional hospitals; Inter disciplinary approach to management of patients with VTE; registry manageme.

Aims: Creation of anti coagulant clinics.

Methods: The main AC was arranged in Arkhangelsk, it coordinates and controls the work of the remote clinics and also provides consulting work. The main antithrombotic clinic was arranged in Arkhangelsk, it coordinates and controls the work of the remote clinics and also provides consulting work. All parts of the project are fully compliant with Federal
Law – Personal Data Protection, data transfer protection, licens, medica l standards. All types of equipment are professional series that is: could be disinfected, have Regular QC and IT solution (IT1000) has been registered as Medical Device.

Results: The pharmacoeconomical analysis of the comparison of usual and new practice with ACC network showed double increase of the number of saved lives- from 25 to 50. At the same time the cost estimating relationship (CER) of saved lives with ACC network is reduced by twice. It is important to note that in the 5-year term, the economic effect of the implementation of ACC in Arkhangelsk region will reach 76 million rubles as a reduced costs for rebilitation, disability with prescription of AVK to all patients with indications. First experience of effect evedently demonstrates increase of TTR% (78-85%).

Conclusions: The main roles of central AC C are management, education, monitoring, reporting, TTR analysis, SE monitoring.

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ISTH Congress Abstracts - https://abstracts.isth.org/abstract/antithrombotic-offices-of-the-arkhangelsk-region-russia/