Abstract

The gastroenterology clinic at Sanford Health, USA, anticipates an increase in patients with hepatitis C virus (HCV) based on the 2012 Centers for Disease Control (CDC) screening recommendations. The purpose of this practice improvement project was to refine the existing workflow of the gastroenterology clinic when caring for and managing patients with HCV. The plan, do, study, act (PDSA) model was followed to improve the processes and meet clinic goals. Utilising the PDSA model allowed many areas of weakness to be identified. These areas included a lack of: consistent communication, the referring providers knowledge about hepatitis C, and depression monitoring at the clinic. To address these areas of weakness, a standardised, hepatitis C referral protocol; the role of a designated hepatitis C nurse; provider reference algorithms; and a PHQ-9 administration were created and implemented. The introduction of the new processes at the gastroenterology clinic has created a positive performance improvement for staff members and patients.

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