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Population Name

Population Size

Report for 12 months ending

Number of practices in the population

Participating practices - number (%)

Total number of patients from participating practices

Patients diagnosed with AF in participating practices – number and % of total patients

% of patients with CHADS2 score of >= 2 on an OAC

% of patients with CHA2DS2-VASc score of >= 2 on an OAC

Mean clinic TTR (Time-in-Therapeutic-Range)

Mean % INRs within therapeutic range

% of patients with a TTR of >60%

Number of adverse events (thrombosis or bleeding)

Number of critical INRs (<1.5; >5.0)

Participation in NEQAS (SOP)?

Actual number of strokes in your population.

What have you done to help patients manage their condition?

What have you done to educate the general clinical population in your area about atrial fibrillation?

What have you done to educate healthcare practitioners delivering anticoagulation services?

ADDITIONAL INFO: Estimate of cost savings

Contact person

Contact email