Southwest General Hospital

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Coumadin Clinics

Managing Anticoagulation Coumadin® (Warfarin) Therapy

coumadinCoumadin is a medication that prevents blood from clotting where it’s not supposed to. Many national safety organizations have labeled Coumadin as a high-risk drug because it is not a “one-size-fits-all” type of medication.  Our clinics help to assure that patients use it safely and receive optimum benefits from the drug.  

Clinics to Help Patients Understand and Manage Treatment

Since Coumadin is affected by diet, medications, activity level and other factors, everyone reacts to the medication differently. In fact a wide variety of doses may be needed. Southwest General provides outpatient Coumadin Clinics to educate patients about the drug and to help reduce the risk for complications.  Clinic services include:

  • Point-of-Care (POC) testing
  • Education
  • Dose adjustment
  • Individualized counseling and feedback regarding anticoagulation levels

Minimizing the Risk of Complications

Patients enrolled in the Coumadin Clinics receive printed patient education materials as well as a video and individual consultation with a pharmacist.  Family members and caregivers receive this information as well.

Additionally, patients receive regular checkups where blood tests using a simple finger stick are used.  A venipuncture lab draw, where blood is taken from veins, is not necessary.  The convenient fingerstick process is similar to the way diabetics test their blood sugar level. This provides results that are available within one to two minutes.

Based on test results, if a dosing change is needed, it is done immediately.  To help ensure that patients take this complicated medication, they receive a calendarcard explaining the change in dose.  The more our patients know about Coumadin, the less risk for complications.

Taking Part in the Clinics

Our Coumadin Clinics are open to any patient on the drug.

Prescribing physicians must fax areferral to 440-816-6688 or call 440-816-6743.  The referral should contain a prescription with the following information:

  • Patient name
  • Diagnosis
  • Referring physician name
  • Date next INR is needed
  • Demographic sheet, including insurance information
  • Anticoagulation flow sheet


The prescribing physician will be notified after every patient visit and will receive a hard copy of the INR result and a visit summary. This information with visit comments also will be available to physicians on Southwest General’s computer system under POC INR.

Patients coming to the Coumadin Clinics for their first visit should bring the following information:

  • Current insurance card
  • Medicines and/or medication list
  • If needed, request for Coumadin(warfarin) refills
  • A list of any questions for the pharmacist

Insurance information

Services rendered are billed through Southwest General. Any statements or bills are sent by Southwest General’s Patient Accounting Department.  Coumadin Clinic services are covered by Medicare and most insurances programs.  Patients are encouraged to call their insurer to check coverage prior to making an appointment.

We Look Forward to Helping You

Our Coumadin Clinics are in two convenient locations.

Southwest General’s main campus
Third floor of Building B
Room 316
18697 Bagley Road
Middleburg Heights

Southwest General’s Brunswick Medical Center
Suite 220
4065 Center Road
Brunswick (building next to City Hall)
Surface-level parking is free.

For more information about our Coumadin Clinics or to schedule an appointment, please call 440-816-6743.  If you need to cancel or re-schedule an appointment, please call us as soon as possible so that we may offer that time to another patient.

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