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How CPD coordinators can help: Integration of Hepatitis C into Primary Care

How CPD coordinators can help: Integration of Hepatitis C into Primary Care. Friday 07 April 2011 S önke Tremper, GPV. Outline. Introduce a new initiative which aims to make treatment for chronic hepatitis C available in primary care

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How CPD coordinators can help: Integration of Hepatitis C into Primary Care

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  1. How CPD coordinators can help:Integration of Hepatitis C into Primary Care Friday 07 April 2011 Sönke Tremper, GPV

  2. Outline • Introduce a new initiative which aims to make treatment for chronic hepatitis C available in primary care • Show you where this initiative is being implemented and where you can get more information about services in your local areas • Inform you of the SH3ED program’s educational resources you can employ in your divisions to support local GPs with high hepatitis C case loads

  3. Why a new approach to hepatitis C treatment is needed • Treatment: Pegylated interferon + ribavirin for 6-12 months • 50%-80% success rate (“cure”)1 • There are more than 55,000 people with chronic hep C in Victoria • Only 2% access treatment2 • 3 x this number needs to access treatment to gradually reduce impact3 • HCV related hospital admissions cost the Victorian gov’t $49m per annum4

  4. The Integrated Hepatitis C Service (IHCS) Late last year, the Victorian Department of Health made $4.1m available for the integration of hepatitis C treatment into primary care. 12 nurses across are being employed to deliver the program. Over four years, the IHCS will: • Develop and promote a shared care model for hepatitis C • Contribute to prevention of transmission of hepatitis C • Reduce the morbidity and mortality caused by the infection • Minimise the personal and social impact of hepatitis C.”

  5. Who is affected by hepatitis C? People with co-morbidities People who inject drugs with co-morbidities (mental health, alcohol) People from CALD background People who inject drugs

  6. Stakeholders in management of hep C • General practitioner • Specialist (Gastroenterologist, Infectious Diseases Physician) • IHCS nurse (outreach focus) • Practice nurse • Psychologist, psychiatrist, mental health nurse • D&A workers • Non-clinical services (social worker, support groups, peer workers) • The person concerned: the patient!

  7. Access Issues: Disability, Psyche, IVDU, Homeless, Rural/Remote, ATSI, CALD Care at the moment Care requires a central point of care often a hospital unit - the patient needs to access this point of care. - carers outside of the central point have little means of communication Adapted from Dr Cameron LoyRACGPAddiction Medicine Committee

  8. Proposed Effect of IHCS Hepatology Nurse Pharmacist Specialist GP Patient Mental Health Support Social Worker Primary Care Nurse Hepatitis C Victoria Psychologist / Psychiatrist Peer Worker 9

  9. Challenges for Divisions • Is there an IHCS site in your division? • Do you know who provides care for people at highest risk of infection? • How well do their clients access mainstream healthcare and specialist services? • Do you know who their clients need to access? (addiction medicine, mental health, hepatologists, etc) • Do you know what the CPD needs of all of these providers are? • Can you meet these needs and where do you find help?

  10. The SH3ED Program • We are co-signatories to the majority of IHCS implementation plans and are members of steering committees for about half • We have established relationships with specialists and GPs working in this area • We provide hepatitis C education centrally and in divisions. • We pay for speakers • We have presentations ready to go • Contact me to find out how education can be tailored to your division’s needs

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