156 Continued Assessment of a Direct Oral Anticoagulant (DOAC) Dashboard

Introduction: As oral anticoagulation shifts from warfarin to direct oral anticoagulants (DOACs), a new management model is required to ensure safe, effective therapy. Michigan Medicine implemented a DOAC Dashboard within the electronic health record (EHR) to track patients needing DOAC dose or therapy adjustments based on renal function, age, weight, indication, and drug-drug interactions. The Dashboard currently manages 15,326 patients. This study aims to describe the use of the DOAC Dashboard and evaluate the effectiveness of pharmacist-led management in real-time.