PharmD Neelam Gazarian MS PharmD Quentin N Burdick Memorial Health Care Facility Indian Health Service Belcourt ND Conflict of Interest Disclosure Statement None Objectives Learn the tools to appreciate the scope of hepatitis ID: 741228
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Slide1
Starting an HCV Clinic
Authored and Presented by: LCDR Jonathan Owen,
PharmD
Neelam
Gazarian, MS,
PharmD
Quentin N. Burdick Memorial Health Care Facility
Indian Health Service
Belcourt, NDSlide2
Conflict of Interest Disclosure Statement
NoneSlide3
Objectives
Learn the tools to appreciate the scope of hepatitis
C in their service area
At the end of this presentation, participants will have the knowledge and tool set to start a hepatitis c clinic at their service unitSlide4
Prior to HCV ClinicSlide5
Identifying Patients with Hepatitis CSlide6
Inter-collaborative
A
pproachSlide7
Challenges in Starting ClinicSlide8
EHR DocumentationSlide9
Managing Patients
Hepatitis C Patient Panel ListSlide10
Managing Patients
Hepatitis C Patient Panel ListSlide11
Managing Patients
Snapshot of stage in treatment process drop down
menus (these can be adjusted)Slide12
Managing PatientsSlide13
Managing PatientsSlide14
Navigating InsuranceSlide15
Patient Assistance ProgramSlide16
Patient Assistance Programs
Tribal ID card
Income documents
Max income allowed differs by program
Proof of no insurance
American Indians/Alaska Natives (AI/AN): Indian Health Coverage Exemption
“American
Indians and Alaska Natives (AI/ANs) and other people eligible for services through the Indian Health Service, tribal programs, or urban Indian programs (like the spouse or child of an eligible Indian)
don't
have to pay the fee for not having health coverage. This is called having an Indian health coverage exemption
.”Slide17
Current StatusSlide18
Screening RatesSlide19
Investment Cost AnalysisSlide20
$110,046
$546,666Slide21
Next StepsSlide22
Next Steps
Leading efforts in the Great Plains, Bemidji and Billings Areas
Sharing experiences and resources with other service unitsSlide23
Success Story
Drop minimum
fibrosure
score requirements
No NS5A resistance test required unless prescribing
Zepatier
®
12-months abstinence requirements
Lobbied ND MedicaidSlide24
Acknowledgement
Quentin N. Burdick Memorial Health Care Facility Eliminate Hepatitis C
Team:
Neelam Gazarian,
PharmD
. MS Pharmacology/Toxicology
LCDR Jonathan
Owen,
PharmD
.
USPHS
Thanks to:
Molly Steen,
PharmD
. Pharmacy Clinical Services Director
CDR Tyler Lannoye,
PharmD
. Chief of Pharmacy, USPHSSlide25
Special Thanks
Jessica Leston , HCV/HIV/STI Clinical Programs Director for the Northwest Portland Area Indian Health Board
Brigg Reilley, National HIV/AIDS
Program
David
Stephens, BSN,
RN,
Case Manager for the Northwest Portland Area Indian Health Board.Slide26
QuestionsSlide27
Thank you
Contact Info:
Neelam.Gazarian@ihs.gov
Jonathan.Owen@ihs.gov
701-477-6111
Ext 8426