Impact and costs of a hepatitis C virus screening programme for adults hospitalised at an academic medical centre

Whitman, Timothy J.; Noyes, Cindy D.; Hale, Andrew J.; Singh, Devika; DeVoe, Stephen G; Repp, Allen B; Pierce, Kristen K.; Polish, Louis B.; Kirkpatrick, Beth D.; Dejace, Jean; Smith, Lindsay M.; Lahey, Tim; Huston, Christopher D.; Catoe, Laura J; Ghatage, Prateek; Bullis, Sean; Alston, W. Kemper

doi:10.1136/bmjoq-2020-001248

Cited by 2 publications

(7 citation statements)

References 10 publications

(8 reference statements)

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“…Examples of completed initiatives to improve care delivery within divisions include implementation of routine hepatitis C screening in hospitalized adults (Division of Infectious Disease) and promoting guideline‐concordant use of basal‐bolus insulin regimens in inpatients with type 2 diabetes (Division of Hospital Medicine). 16 , 17 Similarly, individual faculty members or trainees in the department may undertake efforts to improve care value, such as a resident‐led effort to promote appropriate utilization of laboratory tests for inflammation. 18 A table summarizing the clinical QI initiatives supported by the Quality Program during fiscal years 2019 through 2021 are provided in Supporting Information .…”

Section: Resultsmentioning

confidence: 99%

“…The Quality Program supports divisions, faculty or trainees in conducting clinical QI projects based on their specific requests or needs. Examples of completed initiatives to improve care delivery within divisions include implementation of routine hepatitis C screening in hospitalized adults (Division of Infectious Disease) and promoting guideline‐concordant use of basal‐bolus insulin regimens in inpatients with type 2 diabetes (Division of Hospital Medicine) 16,17 . Similarly, individual faculty members or trainees in the department may undertake efforts to improve care value, such as a resident‐led effort to promote appropriate utilization of laboratory tests for inflammation 18 .…”

Section: Resultsmentioning

confidence: 99%

“…Further study led to modifications of the interventions to optimize effectiveness and sustainability, and ultimately, dissemination of the learning beyond our institution through peer‐reviewed publication 18 . In contrast, we learned that routine hepatitis C screening in hospitalized adults was a low‐value practice, prompting discontinuation of the initiative 16 . Publication of a description of the hepatitis C screening initiative may help other institutions avoid applying resources to similar efforts 16 …”

Section: Discussionmentioning

confidence: 99%

“…18 In contrast, we learned that routine hepatitis C screening in hospitalized adults was a low-value practice, prompting discontinuation of the initiative. 16 Publication of a description of the hepatitis C screening initiative may help other institutions avoid applying resources to similar efforts. 16 Since…”

Section: Discussionmentioning

confidence: 99%

“…16 Publication of a description of the hepatitis C screening initiative may help other institutions avoid applying resources to similar efforts. 16 Since…”

Section: Discussionmentioning

confidence: 99%

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Promoting scholarship in improvement science: A model for academic clinical departments

DeVoe

Kennedy

Tompkins

et al. 2022

Learning Health Systems

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Introduction Clinical departments at academic medical centers strive to deliver clinical care, provide education and training, support faculty development, and promote scholarship. These departments have experienced increasing demands to improve the quality, safety, and value of care delivery. However, many academic departments lack a sufficient number of clinical faculty members with expertise in improvement science to lead initiatives, teach, and generate scholarship. In this article, we describe the structure, activities, and early outcomes of a program within an academic department of medicine to promote scholarly improvement work. Methods The Department of Medicine at the University of Vermont Medical Center launched a Quality Program with three primary goals: (a) improve care delivery, (b) provide education and training, and (c) promote scholarship in improvement science. The program serves as a resource center for students, trainees and faculty, offering education and training, analytic support, consultation in design and methodology, and project management. It strives to integrate education, research, and care delivery to learn, apply evidence and improve health care. Results Over the first 3 years of full implementation, the Quality Program supported an average of 123 projects annually, including prospective clinical quality improvement initiatives, retrospective assessment of clinical programs and practices, and curriculum development and evaluation. The projects have yielded a total of 127 scholarly products, defined as peer‐reviewed publications and abstracts, posters, and oral presentations at local, regional, and national conferences. Conclusions The Quality Program may serve as a practical model for promoting care delivery improvement, training, and scholarship in improvement science while advancing the goals of a learning health system at the level of an academic clinical department. Dedicated resources within such departments offer the potential to enhance care delivery while promoting academic success for faculty and trainees in improvement science.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…16 Publication of a description of the hepatitis C screening initiative may help other institutions avoid applying resources to similar efforts. 16 Since…”

Section: Discussionmentioning

confidence: 99%

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Promoting scholarship in improvement science: A model for academic clinical departments

DeVoe

Kennedy

Tompkins

et al. 2022

Learning Health Systems

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A Vermont Statewide Educational Intervention to Improve Access to Hepatitis C Virus Treatment in a Rural State

Hale

Lidofsky

2023

Journal of Medical Education and Curricular Development

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OBJECTIVES Improved knowledge of hepatitis C virus (HCV) screening, linkage to care, and treatment is needed among nonspecialist medical professionals to combat the HCV epidemic. The authors sought to implement and analyze the impact of an HCV curriculum for primary care professionals (PCPs) across the state of Vermont, USA. METHODS This investigation was a retrospective analysis of uptake of a Vermont HCV educational curriculum and its impact on HCV direct-acting antiviral (DAA) prescribing rates within the state before and after the study period. The curriculum was delivered online and in-person over 2 years from 2019 to 2020. The primary outcome was health care professional performance on a pre- and post-curriculum short-term knowledge assessment exam. The secondary outcome was assessing the number of unique healthcare professionals within a single payor database prescribing DAA treatment for HCV in Vermont before and after the study intervention, from January 1, 2017 until December 1, 2021. RESULTS There were 31 unique respondents on the pre- and post-intervention examinations, which represented 9% of known participants. Respondents included physicians (n = 15), nurse practitioners (n = 8), and nurses (n = 8). Pre- and post-intervention knowledge scores increased significantly across all provider groups, from 3.2 (SD 0.6) to 4.5 (SD 0.4) 1 to 5 scale ( P = .01). The total number of unique HCV DAA therapy prescribers decreased over the study period, from 17 in 2017 to 9 in 2021. CONCLUSIONS A Vermont statewide HCV curriculum for PCPs was successful at increasing short-term HCV-related knowledge. However, this did not obviously translate to an increase in new professionals treating HCV.

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Impact and costs of a hepatitis C virus screening programme for adults hospitalised at an academic medical centre

Abstract: et al. Impact and costs of a hepatitis C virus screening programme for adults hospitalised at an academic medical centre.

Cited by 2 publications

References 10 publications

Promoting scholarship in improvement science: A model for academic clinical departments

Promoting scholarship in improvement science: A model for academic clinical departments

A Vermont Statewide Educational Intervention to Improve Access to Hepatitis C Virus Treatment in a Rural State

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