Anticoagulation Clinic at the National Cardiology Institute - Brazil

Partnership objectives

To create an Anticoagulation Clinic in the Cardiology National Institute, in order to improve patient compliance and their health outcomes, redesigning the anticoagulation management (patient flow and with the use of Point of Care INR test - CoaguChek).

The National Cardiology Institute is the only public hospital in the district of Rio de Janeiro that performs heart surgery for children and adults. The National Cardiology Institute is the only public hospital in the district of Rio de Janeiro that performs heart surgery for children and adults. Copyright Roche

What are the health needs and challenges?

Anticoagulated patients need to be well managed, meaning be within INR target values (therapeutic range) to guarantee medicine effect and to avoid complications, such as thrombosis and haemorrhages. 

Needs: maintain anticoagulated patients within the therapeutic range, reduce the turnaround time, improve patients flow.

Challenges: create a systematic and multi-professional care to anticoagulated patients in a resource constrained scenario (public healthcare system). 

Description of partnership activities and how they address needs and challenges

Main activities: Roche supported the institution offering a LEAN project to map and to understand areas of improvement regarding disease management, patient flow, and Health Economic evaluation. The suggestions coming out of this comprehensive analysis were implemented and this institutions has become one of the references in anticoagulation clinics for the public healthcare system in Brazil.

Summary of impact and forward looking information

Main impacts of the new Anticoagulation Clinic:

  • Health Outcome: Time in the therapeutic range (TTR) – to achieve 65%, as guideline recommended
  • Productivity: from 65 patients/day to 120 patients/day (aspirational)
  • Turnaround Time: from 3:30h to 2:30h

Measurement of progress towards objectives

Estimated amount of people impacted: 2.400 patients per month


Partnership information

Company(ies) Roche

Partner(s) National Cardiology Institute, Roche Diagnostics Brazil

Type of Partner(s) Academia / Hospitals, Other Business

Therapeutic Focus Non-Communicable Diseases, Other

Disease(s) Atrial Fibrillation, Cardiovascular Diseases, General Health, Thrombotic diseases

Program Type(s) Health System Infrastructure - Development of Physical Infrastructure, Health System Infrastructure - Outreach & Medical Services

Region(s) Latin America & Caribbean

Number of Countries 1

Country(ies) Brazil

Start Date 2016

More information National Cardiology Institute

Anticipated completion date Ongoing