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MHC Healthcare

MHC Healthcare. Hepatitis C Screening Best Practices Jenitza Serrano-Feliciano M.D. Hepatitis C. Viral infection 75 - 85% of people that get in contact with the virus develop chronic infection One of the most common cause of liver disease Leading indication for liver transplant in the US.

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MHC Healthcare

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  1. MHC Healthcare Hepatitis C Screening Best Practices Jenitza Serrano-Feliciano M.D

  2. Hepatitis C • Viral infection • 75 - 85% of people that get in contact with the virus develop chronic infection • One of the most common cause of liver disease • Leading indication for liver transplant in the US

  3. Transmission is mostly through contaminated blood and bodily fluids. It can also be transmitted from mother to child, sexual intercourse, sharing needles, transplant and blood transfusions before 1992. • No vaccine available • IT CAN BE CURED!!!!!

  4. Screening • Recommended by several agencies including CDC and USPSTF is to screen all of those patients born between 1945 – 1965. • Approximately, 75% of Hepatitis C cases are baby boomers. • High risk populations should also be screened.

  5. Regardless of Any Symptoms, Screen Patients Who Have Any of These Risk Factors1-3 1. Smith BD et al. MMWR Recomm Rep. 2012;61(RR-4):1-32. 2. USPSTF. http://www.uspreventiveservicestaskforce.org/uspstf12/hepc/hepcfinalrs.htm. Accessed December 7, 2015. 3. AASLD, IDSA, IAS-USA. Recommendations for testing, managing, and treating hepatitis C. http://www.hcvguidelines.org. Accessed December 7, 2015.

  6. It is estimated that 3.5 million of Americans have chronic Hepatitis C.

  7. GOAL: IMPROVE PROPER SCREENING AND ACCESS TO TREATMENT

  8. STEP 1: EDUCATION • MHC’s clinical leadership provided education to providers through different ways of communication including email and provider meetings. • Partnered with Gilead who provided Lunch and Learns across all clinics on proper screening, diagnosis and treatment. • Onsite Webinar with outside primary care physician with extensive experience treating Hep C.

  9. STEP 2: REMINDERS

  10. STEP 3: DATA COLLECTION • In 2015, a total of 112 patients were screened for Hep C; 15% of them were baby boomers. • 2017 • screened 1554 patients, 85% of them baby boomers. • 249 patients were referred to GI for Hep C treatment. • 7 patients were started on treatment by MHC providers

  11. Recent Changes and Next Steps • Added Hep C screening to the Lab Standing Orders. • Continue to provide treatment education and availability of resources to medical providers to improve treatment rates without the need to refer.

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