“Screening in an integrated system, such as those in CAPP groups and at The Permanente Medical Groups (TPMG), have shown such promising results,” he says. “At the Mid-Atlantic Permanente Medical Group, the hepatis C screening program uses electronic health record alerts, care coordinators for each patient, and lab testing that has resulted in screening 72% of baby boomers for hepatitis C (more than 173,000 patients since 2014). This has led to earlier treatment for more than 2,500 patients with hepatitis C.”
The Permanente Medical Group (TPMG) in Northern California also integrates research and advanced technology to systematically encourage baby boomers to get tested and to screen them when they are already at appointments. When patients are diagnosed, a multidisciplinary team dedicated to Hepatitis C matches them to a treatment place and manages their care.
Parodi says CAPP is also working toward the care of patients with the virus.
CAPP is a multi-specialty group that shares a commitment to building systems of care that are coordinated, patient-centered, prevention-oriented, physician-led and data-driven. CAPP members work closely with a care team to treat patients with a diversity of medical conditions. By working in a system, CAPP uses data from the electronic health record to increase the evidence base for preventative and therapeutic purposes. Hepatitis C is one of the latest diseases where this approach is having a significant impact, he says.
For example, the Hepatitis C Clinic at Louisiana-based Ochsner Medical Center, a CAPP member, offers comprehensive care for patients diagnosed with the virus.
“Through a multidisciplinary, collaborative approach, the clinic’s team creates personalized care plans for patients,” he says. “They work to start hepatitis C treatment faster by organizing lab and imaging studies before their first clinic appointment with a specialist. The specialist, the advanced practice provider (APP), recommends a personalized treatment plan in that first visit. Most patients’ prescriptions are available that same day at the Ochsner Specialty Pharmacy. A minority of patients need more tests before their first treatment. At the clinic, a hepatologist is always available.”