Home' Australian Ageing Agenda : AAA May-Jun 2013 Contents References:
1. DiMatteo MR. Formulary 1995; 30: 596--8, 601--2, 605.
2. Heneghan C, Alonso-Coello P, Garcia-Alamino JM, Perera R, Meats E, Glasziou P. Self-monitoring of oral
anticoagulation: a systematic review and meta-analysis. Lancet 2006;367:404-411.
3. Ansell J et al. Int J Cardiol 2005; 99: 37--45.
4. Butchart EG et al. J Thorac Cardiovasc Surg 2002; 123: 715-23.
Roche Diagnostics Australia Pty Limited., 31 Victoria Ave Castle Hill NSW 2154,
Phone: 02 9860 2222 ABN 29 003 001 205
COAGUCHEK, BECAUSE IT'S MY LIFE are trademarks of Roche.
The importance of compliance
• Compliance rate with long-term medication in general has been estimated at between 50% and 60%1
• Evidence shows that INR monitoring improves the quality of oral anticoagulation between 50% and 85%2
The obvious choice is partnering VKA and
CoaguChek® XS Plus for improved compliance
* Aged Care Standards and Accreditation Agency Ltd, Accreditation Standard 2, 2.7 Medication management.
Compliance and monitoring - inter-related
factors in oral anticoagulation
...two essential components for optimising
oral anticoagulation therapy enables quality of care.*
Warfarin -- a particular case in point
• This is increasingly prescribed as lifelong therapy for patients with mechanical heart valves, atrial
fbrillation or thrombophilic disorders, effectively preventing arterial embolism in a wide range of
• Maintaining INR within its therapeutic range is effectively achieved through monitoring
• Patients on warfarin who have had a heart valve replacement there was a 32% difference in survival
15 years between patients with low and high variability in anticoagulation control4
k XS Plus
The ubiquitous board agenda and
its progeny, the minutes are often
assigned to a spring back folder
and buried on a shelf somewhere. A
board meeting and its record, once
distributed, approved and stored, can take on
an inert, colourless and even meaningless hue
only fit for the corporate archives.
The relentless monotony of what is
discussed and recorded or, at worst, not
discussed and recorded, can expose the
shallowness of meetings which are often
little more that repetitious rituals masking a
terminal dysfunction in a board. As well, the control of the agenda
and minutes can be a device to distort proper board decision-
making. Putting important items, for example, at the end of an
agenda when eyes are glazing, energy levels sagging and everyone
just wants to go home, is a tell-tale sign of meeting manipulation.
In the legal sphere, the quality and comprehensiveness of
minutes has also been in the spotlight. There is no doubt that
minutes are powerful evidence of how well a board is performing
and how compliant it is with the law.
Among the issues in the prosecution of the directors of James
Hardie for failing to perform their duties, was evidence about
the process and the accuracy of the minutes arising out of that
company's board meetings. While that case related to a for profit
company the same principles would apply to a not-for-profit entity.
In addition, there is little appreciation at board level
of the marketing power of these documents. High quality
prospective directors who are asked to join a board will often
have a preliminary look at the board minutes to gain insight
into an organisation's condition and the professionalism of its
governance. The often poor quality of the documents can, to use
management speak, 'disincentivise' or, in every day parlance, be
a proverbial 'turn off' to good candidates -- something which few
organisations can afford to do in this day and age when many do
not, and cannot, even pay good directors as an incentive.
The quality of an agenda and minutes are a reflection of the
quality of a board's performance and its morale and a barometer of
an organisation's past, present and, most importantly, its future. n
Brian Herd is a partner with Carne Reidy Herd lawyers. He
will present on this topic at the 7th Australasian Better Boards
Conference on 5-7 July at the Melbourne Convention and Exhibition
Centre. His presentation will include the principles and content
of good agendas and minutes and why they are so important,
including examples of bad ones and the legal consequences.
The quality of an agenda and its
board minutes are an important
barometer of an organisation's
past, present and its future,
writes Brian Herd.
www.australianageingagenda.com.au | 29
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