Date of Award

Spring 2014

Document Type


Degree Name

Master of Health Policy and Management (HPM)


Public Health

First Advisor

Judy Tupper


clotting disorders, cardiology, Muskie School of Public Service


The Mercy Health System of Maine (MHSM) is a large healthcare system located in Southern Maine. It consists of three inpatient campuses, one level II Emergency Department, four Express Care centers, seven Primary Care locations and an array of specialist practices. The organization has identified a need for improved management of anticoagulation therapy within the system as a large number of patients are receiving anticoagulation therapy throughout all of the various healthcare access sites. In order to address this need, MHSM seeks to implement a system‐wide, standardized approach for managing patients receiving anticoagulation therapy.