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A Protocol for Analyzing Hepatitis C Virus Replication
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Pediatric Hepatitis C Quality Improvement Project Improves Healthcare Access
Monique K Vallabhan1, Ricardo Castillo2, Patricia Roldan1
1From the Division of Adolescent Medicine, Department of Pediatrics, School of Medicine, University of New Mexico, Albuquerque, NM.
Journal of Pediatric Gastroenterology and Nutrition
|February 2, 2023
Summary
Quality improvement initiatives successfully increased pediatric hepatitis C virus (HCV) referrals and appointments. These efforts also boosted treatment completion rates for children with HCV, addressing a growing public health concern.
Area of Science:
- Pediatric Gastroenterology
- Hepatology
- Public Health
Background:
- Hepatitis C virus (HCV) infection is rising in women of reproductive age.
- Vertical transmission leads to increased pediatric HCV prevalence.
- Timely access to specialized care is crucial for managing pediatric HCV.
Purpose of the Study:
- To enhance referrals and appointments at a pediatric HCV clinic.
- To increase HCV treatment completion among eligible children.
- To implement quality improvement (QI) strategies for pediatric HCV care.
Main Methods:
- Utilized the Model for Improvement and Plan-Do-Study-Act cycles.
- Focused on provider/family education, standardized referrals, patient tracking, and care coordination.
- Tracked referrals, appointments, no-shows, and treatment follow-up from July 2020 to August 2021.
Main Results:
- Referrals increased by 66% (80 vs. 48).
- Scheduled clinic visits rose by 95% (115 vs. 59).
- Treatment completers increased by 40% (7 vs. 5), with a 7% decrease in no-shows.
Conclusions:
- QI methodology improved awareness and access to pediatric HCV healthcare.
- QI efforts are vital for identifying best practices during the national HCV epidemic.
- Accelerated QI initiatives are needed to combat the nationwide HCV epidemic.
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