Missed Opportunities in Providing HCV-Positive Patients with Treatment at Hospital Discharge

Document Type

Conference Proceeding

Publication Date

1-8-2025

Publication Title

Am J Health Syst Pharm

Abstract

Purpose: Hepatitis C Virus (HCV) is a blood-borne infection that affects millions globally. Despite the availability of effective HCV treatment, significant barriers such as insurance status, failure to screen or test, limited specialist availability, and infection stigmatization, often delay the initiation of treatment. At our institution, there is not an established transitions of care (TOC) workflow to link hospitalized patients with HCV, with outpatient follow-up to initiate treatment. Therefore, there is a need to improve TOC coordination for these patients. This study's purpose is to identify and evaluate barriers and missed opportunities for linking hospitalized patients with HCV with appropriate care. Methods: This is an IRB approved retrospective, cohort analysis of adult patients with a positive HCV-RNA test and admitted to Henry Ford Health from January 2023 through December 2023. Exclusion criteria are patients who elected for self-directed discharge, were discharged to hospice or palliative care, were actively receiving HCV treatment, or had previously completed HCV treatment documented by either a provider or a sustained virological response. Data will be obtained from electronic medical records. The collected data will include a description of the patient population, infection characteristics, and social determinants of health. Specific data include patient demographics, insurance status, housing status, liver disease severity assessments, labs for HCV evaluation and management, and coordination of care documentation such as clinical referral, direct acting antiviral prescriptions, and treatment response. Data will be analyzed using descriptive statistics to describe current practices in hospitalized HCV positive patients in addition to quantifying the proportion of patients who received coordination of care during hospital discharge.

Volume

82

First Page

S1235

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