ArticleOpen forum infectious diseases2017
Implementation of a Large System-Wide Hepatitis C Virus Screening and Linkage to Care Program for Baby Boomers.
Article in Open forum infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Cost effectiveness of an intervention to increase uptake of hepatitis C virus testing and treatment (HepCATT): cluster randomised controlled trial in primary care.BMJ (Clinical research ed.) · 2020Trial
- The characteristics of residents with unawareness of hepatitis C virus infection in community.PloS one · 2018Trial
- Implementation of a Hepatitis C Screening Program for At-Risk Former Soviet-Bloc Immigrants in a Large Health Maintenance Organization.Open forum infectious diseases · 2026Article
- A care coordination program to support patients with hepatitis B virus at Kaiser Permanente Mid-Atlantic States.BMC health services research · 2024Article
- Engaging Physicians and Systems to Improve Hepatitis C Virus Testing in Baby Boomers.Healthcare (Basel, Switzerland) · 2023Article
- Association of Referral Source and Substance Use with Hepatitis C Virus Outcomes at a Southern Academic Medical Center.Southern medical journal · 2022Article
- Micro-Elimination of Hepatitis C among Patients with Kidney Disease by Using Electronic Reminder System-A Hospital-Based Experience.Journal of clinical medicine · 2022Article
- HCV testing: Order and completion rates among baby boomers obtaining care from seven health systems in Florida, 2015-2017.Preventive medicine · 2021Article
- Women in the 2019 hepatitis C cascade of care: findings from the British Columbia Hepatitis Testers cohort study.BMC women's health · 2021Article
- Population-Based Standing Orders: a Novel Approach to Hepatitis C Screening.Journal of general internal medicine · 2021Article
- Characteristics and Specialist Linkage to Care of Patients Diagnosed With Chronic Hepatitis C Across Different Settings in an Urban Academic Hospital: Implications for Improving Diagnosis and Linkage to Care.Frontiers in microbiology · 2021Article
- Accelerating the elimination of hepatitis C in Kuwait: An expert opinion.World journal of gastroenterology · 2020Review
- Patient and provider-level barriers to hepatitis C screening and linkage to care: A mixed-methods evaluation.Journal of viral hepatitis · 2020Article
- Prevalence of Spontaneous Clearance of Hepatitis C Virus Infection Doubled From 1998 to 2017.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2020Observational
- Article
- Hepatitis C Virus in the Elderly in the Direct-Acting Antiviral Era: from Diagnosis to Cure.Current treatment options in infectious diseases · 2020Review
- Article
- Universal HIV and Birth Cohort HCV Screening in San Diego Emergency Departments.Scientific reports · 2019Article
- Hepatitis C Screening: Barriers to Linkage to Care.Journal of clinical and translational hepatology · 2019Article
- Risk Factors Associated with Linkage to Care among Suburban Hepatitis C-Positive Baby Boomers and Injection Drug Users.Infectious diseases and therapy · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundWe implemented and evaluated a large health system-wide hepatitis C virus (HCV) screening and linkage to care program for persons born between 1945 and 1965 ("baby boomers").
methodsAn electronic health record (EHR) clinical decision support (CDS) tool for HCV screening for baby boomers was introduced in August 2015 for patients seen in the outpatient University of California, Los Angeles healthcare system setting. An HCV care coordinator was introduced in January 2016 to facilitate linkage to HCV care. We compared HCV testing in the year prior (August 2014-July 2015) to the year after (August 2015-July 2016) implementation of the CDS tool. Among patients with reactive HCV antibody testing, we compared outcomes related to the care cascade including HCV ribonucleic acid (RNA) testing, HCV RNA positivity, and linkage to HCV specialty care.
resultsDuring the study period, 19606 participants were screened for HCV antibody. Hepatitis C virus antibody screening increased 145% (from 5676 patients tested to 13930 tested) after introduction of the CDS intervention. Screening increased across all demographic groups including age, sex, and race/ethnicity, with the greatest increases among those in the older age groups. The addition of an HCV care coordinator increased follow-up HCV RNA testing for HCV antibody positive patients from 83% to 95%. Ninety-four percent of HCV RNA positive patients were linked to care postimplementation.
conclusionsIntroduction of an EHR CDS tool and care coordination markedly increased the number of baby boomers screened for HCV, rates of follow-up HCV RNA testing, and linkage to specialty HCV care for patients with chronic HCV infection.
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