Integrating Viral Hepatitis Care into the Safety Net Setting: A Collaborative for the Unique Needs of Frontline Providers

A Continuing Medical Education initiative presented by the Stanford Center for Continuing Medical Education at the Stanford University School of Medicine in collaboration with MED-IQ.

Sessions

 All sessions will take place at 12 pm  PST
 

  • October 21, 2021: Introduction to Project ECHO
    Liver Disease in the Primary Care Setting: Hepatitis, COVID, and Critical Lessons for the Future
  • November 4, 2021: Moving Toward Elimination Through Better Identification
  • November 18, 2021: Opioid Use Disorders and Viral Hepatitis
  • December 2, 2021: Hepatitis C Treatment Outside the Specialty Setting: A Practical Guide for Busy Clinicians
  • December 16, 2021: Managing Insurance/Affordability in Viral Hepatitis Treatment
  • December 30, 2021: Treatment Considerations and Guidelines for Hepatitis B Infection in the Primary Care Setting
  • January 13, 2022: Drug-Drug Interactions and Prescribing Medicines for Viral Hepatitis Treatment
  • January 27, 2022: Evaluation of Liver Health in Patients with Viral Hepatitis
  • Februarry 10, 2022: Comprehensive Counseling for Patients with Viral Hepatitis
  • February 24, 2022: TBA
  • March 10, 2022: HCC Surveillance and Diagnosis
  • March 24, 2022: Hepatitis B and Hepatitis C: Considerations for Women and Children
  • April 7, 2022: Fatty Liver Disease
  • April 21, 2022: TBA
  • May 5, 2022: Extrahepatic Manifestations of Viral Hepatitis  (subject to change)
  • May 19, 2022: TBA

Program goals

  • Improve identification and initiation of treatment of viral hepatitis
  • Facilitate easier identification and referral of patients whose disease requires specialty care
  • Provide wrap-around care and appropriate resources for patients and providers
  • Improve HCC surveillance

Program outline

Electronic Survey (before and after the series)

The pre- and post-survey will evaluate knowledge and attitudinal barriers to optimal hepatitis testing and treatment. Topics evaluated will include:

  • HBV and HCV testing
  • treatment or vaccination recommendations based on test results
  • treatment eligibility factors evaluation of liver disease
  • hepatocellular cancer surveillance


Time commitment for each of the two surveys is 15 minutes or less; survey respondents will receive stipend of $40 for each survey completed

ECHO Telementoring Sessions (beginning fall 2021)

A series of 16 1-hour videoconference clinics (ECHO sessions) will include:

  • De-identified case discussions
  • Evidence-based, didactic presentations
  • Unstructured question-and-answer session
  • Mentoring on the identification and management of hepatitis infection


Sessions to be held every other week; each session is certified for CME/CE credit

Chart Review (before and after the series)

A subset of participants in the ECHO telementoring sessions will participate in a self-abstracted chart review to identify current practice patterns and challenges at the onset of the initiative and the impact of the program using the same metrics at the end of the initiative.

This chart review will address:

  • HBV testing in alignment with recommendations
  • HCV Testing in alignment with age- and risk-based recommendations
  • Appropriate evaluation of liver disease in patients with HBV or HCV infection
  • Assessment of vaccination status/delivery of needed vaccines
  • HIV testing
  • Initiation of treatment (or referral in appropriate cases) and SVR


Participants will submit de-identified patient data for 10 patients through electronic data collection form in RedCap; time commitment for each of the two chart reviews is estimated to be approximately 1.5 hour; participants will receive a $500 stipend for each round of chart review.

CE Information

Accreditation
In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation
American Medical Association (AMA)
Stanford Medicine designates this internet live activity for a maximum of 16 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
American Nurses Credentialing Center (ANCC)
Stanford Medicine designates this internet live activity for a maximum of 16 ANCC contact hours.
American Academy of Physician Assistants (AAPA)
Stanford Medicine has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This live activity is designated for 16 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
To participate in the activity, complete the survey

Course Director

Paul Kwo, MD

Questions? Contact Us

For questions about the initiative, please contact: stanfordcme@stanford.edu

About Project ECHO

Project ECHO is a revolutionary guided-practice model that reduces health disparities in under-served and remote areas of the state, nation, and world. Through innovative telementoring, the ECHO model uses a hub-and-spoke knowledge-sharing approach where expert teams lead virtual clinics, amplifying the capacity for providers to deliver best-in-practice care to the underserved in their own communities.
To participate in the activity, complete the survey