Presentation on theme: "Department of Public Health Performance Profile Hepatitis B Screening Vaccination & Surveillance Hep B Free – IPA Presentation Albert Yu, MD, MPH, MBA."— Presentation transcript:
Department of Public Health Performance Profile Hepatitis B Screening Vaccination & Surveillance Hep B Free – IPA Presentation Albert Yu, MD, MPH, MBA Director, SFDPH Chinatown Public Health Center Clinical Professor, UCSF Department of Family & Community Medicine Mandana Khalili, MD, MAS Chief of Clinical Hepatology Associate Professor of Medicine, UCSF
Targeting Viral Hepatitis (HBV) as a System-Wide QI Priority 30% of patients within CHN are APIs Gaps between national guidelines & PCP knowledge and practice patterns A joint specialist-PCP CHN working group was established to address these gaps HBV data (labs, vaccination, imaging) are searchable from EHR and registry Leverage established QI infrastructure: –Share best practices & practice innovations –Provide technical assistance & regular reports –Develop population-based strategies
Hepatitis B and Hepatocellular Carcinoma Screening Among Asian Americans: Survey of Safety Net Healthcare Providers Mandana Khalili, Jennifer Guy, Albert Yu, Alexander Li, Nadia Diamond- Smith, Susan Stewart, Moon Chen Jr., and Tung Nguyen Dig Dis Sci. 2010 Nov 3 Only 76% had screened >50% of their Asian patients for Hepatitis B and 43% had vaccinated >50% of eligible patients against Hepatitis B Higher provider knowledge was associated with liver cancer screening Hepatitis B and liver cancer screening rates and Hepatitis B vaccination among Asians from physician report is suboptimal
Screening for HBV Among APIs? CLINIC3/4/2010 AB Clinic 127.7816.3 Clinic 263.3921.99 Clinic 360.997.76 Clinic 443.6336.01 Clinic 527.4316.02 Clinic 637.9425.06 Clinic 752.725.16 Clinic 812.70 Clinic 956.5116.44 Clinic 1059.7114.38 Clinic 1188.724.85 Clinic 122.5 Clinic 133.181.82 Clinic 1440.3824.12 Clinic 1565.525.17 Clinic 1611.592.9 Clinic 1760.6610.66 TOTAL41.9216.3 A % API pts with both HBsAg HBsAb B % API pts with ONLY HBsAg
Screening & Vaccination Guidelines Chronic Hepatitis B Surveillance and Management Algorithm
How Can We Collectively Leverage Each Others Strengths & Secure The Necessary Resources (External & Internal) In Order To Create A Learning Medical Community in SF (Bay Area) Where We Can Show The Nation That The Entire City (much like HBF in raising public awareness) Can Achieve Collectively Top Measurable Outcomes (screening, vaccination & management)?