Driven by the desire to organize care better, more effectively, and more safely, in 2012 a project was
created in collaboration with Buurtzorg Nederland to give district nurses an active
role in thrombosis care. A logical step for several reasons. In terms of cost control in healthcare, de-duplicating
the physical infrastructure will directly save costs. After all, district nurses frequently visit clients behind their front doors,
whereby two to three care moments a day are not exceptional,
while a staff member of the thrombosis service visits them on average once every two weeks.
on average. An additional advantage is a close relationship that the district nurse has with the client, which
means that relevant issues for thrombosis care can easily be reported. Besides, the switch from venous blood sampling
to finger pricking proved to be a step forward for the client. With the
help of the Roche INR-meter and a Portavita or Trodis portal, a district nurse could
get to work. With the dosage schedule returned digitally, the district nurse could then set and administer the
More than 500 district teams and 32 anticoagulation clinics started working together
in this way. In 2014 this collaboration was threatened for financial reasons. The return on the investment of the INR
meter was considered too low by some anticoagulation clinics to continue. Purchasing of community care also did not
appear to be feasible, so a return to the old situation was obvious.
To prevent this, we started
looking for an alternative to the Roche INR meter. This became the qLabs INR meter which, at our request, is equipped
with Bluetooth. The first INR meter with Bluetooth on the market was primarily for safety reasons so
that manual data entry would become unnecessary and errors would be avoided.
This was the starting point for
optimizing the IT surrounding thrombosis care. By starting from scratch it was possible to create a
single ecosystem. With the change in funding for nursing homes in 2018, we anticipated that our concept could
contribute to anticoagulation care for clients. Through experiences and circumstances in the private situation, we are
more than motivated to protect clients from bleeding and infarctions. In a vulnerable target group, we have shown our
value by offering an all-in-one concept. A next step in our ambition is to serve anticoagulation services with our concept
from a Shared Service Center perspective. And that step has now been taken!