196 Implementation of a Centralized Direct Oral Anticoagulant Surveillance Program

Introduction: Standards of care and best practices have been well established with warfarin management over time. With the shift to Direct Oral Anticoagulant (DOAC) prescribing as the preferred therapy for most anticoagulation indications, there remains significant variability in the prescribing, management and oversight of DOACs across the Veterans Affairs healthcare system. The Centralized Anticoagulation Services Hub (CASH) DOAC surveillance program was created to maximize the use of readily available tools through a centralized model.