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Increased HCV Screening in Veteran Populations

Jt Comm J Qual Patient Saf; ePub 2018 Sep 25; Wray, et al

Among urban and rural veteran populations in Texas, decision support improved hepatitis C virus (HCV) screening among birth cohort patients and significantly improved the rate of sustained virologic responses (SVR) achievement, a recent study found. Researchers sought to increase monthly HCV screening, diagnoses, and SVR among 88,652 unscreened birth cohort veterans in Texas. The interventions were enabled within 6 of the 8 healthcare systems (HCSs) that compose Veteran’s Integrated Service Network 17. The remaining 2 HCSs served as controls. The HCSs were separated into 2 groups: urban and rural. Among the findings:

  • Monthly screening increased 4.89 times and 2.97 times during the postinterventional period relative to control for urban and rural HCSs, respectively.
  • Increased screening boosted the monthly number of diagnoses in the urban HCSs, but not in the rural HCSs.
  • These interventions significantly improved the rate of SVR achievement relative to control.

Citation:

Wray D, Coppin JD, Scott D, Jacob DA, Jinadatha C. Increased HCV screening yields discordant gains in diagnoses among urban and rural veteran populations in Texas: Results of a statewide quality improvement initiative. [Published online ahead of print September 25, 2018]. Jt Comm J Qual Patient Saf. doi:10.1016/j.jcjq.2018.06.005.