This RWHAP Part F SPNS initiative aimed to link individuals co-infected with HIV and HCV to care by leveraging public health surveillance and clinical data systems. The Yale University School of Medicine was awarded a cooperative agreement to serve as a Technical Assistance Provider for participating jurisdictions: Arizona, Connecticut, Kentucky, Michigan, Puerto Rico, Orange County Florida, and the Southern Nevada Health District. Mission Analytics Group, Inc. served as the project evaluator by documenting jurisdiction approaches and lessons learned and assessing the effectiveness of project activities.
The project involved two major components:
- The creation of HCV clearance cascades: Clearance cascades helped jurisdictions identify gaps in HCV testing and treatment by tracking the movement of individuals with HCV from initial infection to cure (including potential reinfection).
- Outreach and linkage: Related activities focused on creating partnerships between jurisdictions and RWHAP clinics to develop clinic-based case conferencing lists and connect individuals to HCV treatment.
The HCV co-infection clearance cascade is a tool to help jurisdictions to visualize diagnosis and treatment milestones to identify gaps in care for individuals with HCV/HIV co-infection. By monitoring progress from initial infection to cure, jurisdictions can evaluate micro-elimination efforts that increase testing and linkage to care.
Jurisdictions partnered with RWHAP clinics to address gaps in HCV clearance cascades by utilizing an Excel-based Case Conferencing Data Tool, enabling identification of clients needing HCV care and tracking clinical outcomes to measure progress. This approach involves a case conferencing process offering insights and guidance for implementing similar processes in other jurisdictions.
Review of the data to care project and lessons learned on HCV micro-elimination activities from the Arizona Department of Health Services.
Review of Data to Care, an approach for leveraging existing clinical data and public health surveillance systems to identify people with HIV who are not engaged in care. During this webinar, subject matter experts outlined how jurisdictions can use the Data to Care approach to cure hepatitis C (HCV) infection among co-infected clients in the RWHAP.
Resources in Development
- Cleaning HIV and HCV databases
- Matching HIV and HCV databases
- Implementation Manual
- Yale School of Medicine
- Mission Analytics Group, Inc.
- Isenberg Consulting