Community Pharmacy Anticoagulation Monitoring Service (CPAMS)

Community Pharmacy Anticoagulation Monitoring Service (CPAMS)

The overall objective of the Community Pharmacy Anticoagulation Management Service (CPAMS) is the provision of INR point-of-care testing by community pharmacy and adjustment of warfarin doses within a defined range with the aid of an approved decision-support system.

This information is intended for pharmacists. If you are a patient, please see information for patients.

The CPAMS service aims to:
(a) support Service Users and their families/whanau to better understand and manage their warfarin medication;
(b) reduce warfarin-related adverse medication events;
(c) improve accessibility and convenience for Service Users;
(d) improve multidisciplinary management of Service Users prescribed warfarin in the community;
(e) reduce the burden on Medical Practitioners; and
(f) prioritise services to the following patient groups, where possible

  • People with venous access issues
  • People with poor attendance at the practice, or those the practice has difficulty contacting with the results of the INR test
  • People with poor compliance / who are uncontrolled
  • High needs patients / people with poor health literacy
  • People with mobility issues.

College Education and Training provide a training course for pharmacists to become accredited to provide the CPAMS service.

The training course consists of the following topics

  • Anticoagulation management knowledge, Dr Paul Harper Consultant Haematologist, with assessment.
  • Training on using the hardware, Roche Diagnostics NZ Ltd, with a practical and written assessment.
  • Training on the Clinical Decision Support Software (CDSS) on laptops, INR Online Ltd.
  • Tips from an accredited pharmacist from the pilot project.

(In Canterbury and the West Coast additional training is provided on site by Canterbury Health Laboratories).

There are different training options depending if you have a new CPAMS contract or are an existing CPAMS contracted pharmacy with experienced CPAMS pharmacists on staff. More information on the CPAMS service can be found here.


CPAMS Training Programme

If your pharmacy holds a current contract to provide a CPAM service, please email through this enrolment form to college@psnz.org.nz

If you are interested in providing a CPAMS service in your pharmacy and you DO NOT have a current contract with your DHB, please complete our Expression of Interest form and return to college@psnz.org.nz

CPAMS Recertification

For those pharmacists who have completed the initial training, there is a mandatory two year recertification. If you are due for recertification, please register for the training using the link below. 

Go to Registration page

If you have been involved in the CPAM service previously, but will no longer be providing the service, please let us know by completing this form and returning it to college@psnz.org.nz