TY - JOUR
T1 - Improving Hepatitis C Identification
T2 - Technology Alone Is Not the Answer
AU - Nitsche, Bruce
AU - Miller, Sara C.
AU - Giorgio, Margaret
AU - Berry, Carolyn A.
AU - Muir, Andrew
N1 - Funding Information:
The authors thank Sofia Carranza-Haynie for data abstraction and reporting, Ali Mayhew for project management, Rebecca Julian for editorial assistance, and Mary Catherine Downes for assistance with survey distribution and data gathering.
Funding Information:
abstraction and reporting, Ali Mayhew for project management, Rebecca Julian for editorial assistance, and Mary Catherine Downes for assistance with survey distribution and data gathering. The initiative was supported by an unrestricted educational grant from Gilead Sciences to Med-IQ and Duke University. The funding source had no involvement in the design, implementation, or analysis of the initiative or the development of this manuscript. Dr. Muir discloses that he has received consulting fees and/or has served on advisory boards for Achillion Pharmaceuticals, Inc.; AbbVie Inc., Bristol-Myers Squibb; Gilead Science, Inc.; GlaxoSmithKline; Merck & Co., Inc.; and Vertex Pharmaceuticals, Inc., and serves as principal investigator on studies funded by AbbVie Inc.; Achillion Pharmaceuticals, Inc.; Bristol-Myers Squibb; F. Hoffman-La Roche Ltd.; Gilead Sciences, Inc.; GlaxoSmithKline; Merck & Co., Inc.; and Vertex Pharmaceuticals, Inc. The remaining authors have nothing to disclose. Address correspondence to Sara C. Miller, Med-IQ, LLC, 5523 Research Park Drive, Suite 210, Baltimore, MD 21228, USA; e-mail [email protected].
Publisher Copyright:
© 2017, 2017 Society for Public Health Education.
PY - 2018/7/1
Y1 - 2018/7/1
N2 - An estimated 3 to 5 million Americans are chronically infected with hepatitis C virus (HCV), and approximately 75% of those persons were born between 1945 and 1965 (the so-called baby boomer generation). Because of the largely asymptomatic nature of HCV, up to 50% of those infected are unaware of their disease. Risk-based testing has been largely ineffective. Based on prevalence data, the Centers for Disease Control and Prevention and other organizations recommend a onetime HCV antibody test for all baby boomers. However, uptake of this recommendation requires significant changes in clinical practice for already busy primary care clinicians. We studied the effectiveness of a quality improvement initiative based on continuous audit and feedback combined with education for improving testing in alignment with guidelines; the control group was a cohort of clinicians whose only reminder was an institution-wide electronic health record prompt. Our data show improved testing rates among all clinician groups, but more significant improvement occurred among providers who received continuous feedback about their clinical performance coupled with education.
AB - An estimated 3 to 5 million Americans are chronically infected with hepatitis C virus (HCV), and approximately 75% of those persons were born between 1945 and 1965 (the so-called baby boomer generation). Because of the largely asymptomatic nature of HCV, up to 50% of those infected are unaware of their disease. Risk-based testing has been largely ineffective. Based on prevalence data, the Centers for Disease Control and Prevention and other organizations recommend a onetime HCV antibody test for all baby boomers. However, uptake of this recommendation requires significant changes in clinical practice for already busy primary care clinicians. We studied the effectiveness of a quality improvement initiative based on continuous audit and feedback combined with education for improving testing in alignment with guidelines; the control group was a cohort of clinicians whose only reminder was an institution-wide electronic health record prompt. Our data show improved testing rates among all clinician groups, but more significant improvement occurred among providers who received continuous feedback about their clinical performance coupled with education.
KW - Internet/electronic interventions
KW - continuing education
KW - environmental and systems change
KW - health research
KW - process evaluation
KW - quality assurance/quality improvement
UR - http://www.scopus.com/inward/record.url?scp=85048977815&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85048977815&partnerID=8YFLogxK
U2 - 10.1177/1524839917725501
DO - 10.1177/1524839917725501
M3 - Article
C2 - 28893101
AN - SCOPUS:85048977815
SN - 1524-8399
VL - 19
SP - 506
EP - 512
JO - Health promotion practice
JF - Health promotion practice
IS - 4
ER -