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. 2012 Feb 2;47(4):1541–1560. doi: 10.1111/j.1475-6773.2011.01377.x

Table 4.

Summary of Six Anticoagulation Clinics on Six Domains Related to Site Performance and Five Domains Not Related to Site Performance

High Outliers Low Outliers


Site 1 Site 2 Site 3 Site 4 Site 5 Site 6
Domains related to performance
 Staffing
 Innovation
 Champion
 Qualifications
 Group learning
 Measurement
Domains not related to performance
 Telephone clinic
 Commitment
 Integration
 Patient selection
 Tenure

Key to table:

✓ = present during measurement period of 2007–2008.

No symbol = absent during measurement period of 2007–2008.

Key to domains:

Staffing: Sufficient staffing to handle workload without rushing.

Innovation: Innovations to encourage evidence-based practice.

Champion: Presence of one or more quality champions for the ACC.

Qualifications: Hiring residency-trained pharmacists.

Group learning: Creating a climate of ongoing group learning.

Measurement: Internal performance measurement.

Telephone clinic: Majority of patients managed via telephone rather than face-to-face.

Commitment: Demonstrated commitment to serving veterans.

Integration: Effectively leverages the advantages of membership in an integrated health system.

Patient selection: Selectively refusing to treat difficult or troublesome patients (gaming).

Tenure: Clinic established more than 20 years ago.