HCV Indicator Denominators and Numerators for AIDS Institute Funded HCV Care and Treatment Programs Diagnosis of HCV Viremia -Percentage of HCV Ab + patients who received an HCV RNA assay. Denominator -All patients with a HCV+ Ab test result during the review period. Numerator -Number of patients who received an HCV RNA test. Exclusions: None Alcohol Education-Part 1 -Percentage of HCV infected patients who were assessed for alcohol use. Denominator - All HCV RNA + patients during the review period. Numerator -Number of patients who received a standardized assessment of alcohol use. Exclusions: None Alcohol Education-Part 2 -Percentage of HCV infected patients who were educated/counseled regarding alcohol use. Denominator -All HCV RNA+ patients during the review period who reported a use of alcohol during the alcohol use assessment. Numerator -Number of patients who received harm reduction counseling regarding alcohol use. Exclusions: None HIV Screening -Percentage of HCV infected patients who were screened and tested for HIV Denominator All HCV RNA + patients Numerator Number of patients screened and tested for HIV Exclusions: None 1 Substance Use Screening and Counseling -Percentage of HCV infected patients who underwent substance use counseling. Denominator -All HCV RNA+ patients during the review period. Numerator -Number of patients who had a discussion/assessment about substance use during the review period with the following breakdown of users: i. Current (within last 6 months) ii. Past (6 or more months) iii. Never (no history of SU) Exclusions: None Linkage to Care -Percentage of HCV infected patients who were linked to HCV care. Denominator -All HCV RNA+ patients diagnosed during the review period. Numerator - Number of HCV infected patients diagnosed during the review period who were referred to an experienced and trained HCV provider.(Refer to AI definition of experienced and trained HCV provider) Exclusions: None Adherence Assessment & Counseling-Barriers Discussion -Percentage of HCV infected patients who had an assessment of the ability to successfully complete HCV treatment and were counseled accordingly. Denominator -All HCV RNA+ patients Numerator -Number of patients who were assessed for potential barriers to treatment adherence. Exclusions: None Fibrosis Staging Percentage of HCV infected patients who were assessed for liver fibrosis. Denominator -All HCV RNA+ patients during the review period. Numerator -Number of HCV RNA+ patients who were assessed for liver fibrosis. Exclusions: None HCV treatment Initiation -Percentage of HCV infected patients who initiate HCV treatment 2 Denominator - All HCV RNA+ patients. Exclusions: None Numerator -Number of patients who initiate HCV treatment. Genotype Testing Prior to Treatment -Percentage of HCV infected patients who received a HCV Genotype Test prior to treatment initiation. Denominator -All HCV RNA+ patients who initiate treatment during the review period. Numerator -Number of patients who received a genotype test prior to HCV treatment initiation. Exclusions: None Adherence Assessment & Counseling-Education during Treatment Percentage of HCV infected patients who received adherence assessment while on HCV therapy. Denominator -All HCV RNA+ patients initiating HCV treatment. Numerator -Number patients who received a quantitative adherence assessment while receiving HCV treatment. Exclusions: None Assessment of Sustained Virologic Response (SVR) after treatment completion. -Percentage of HCV infected patients who have completed a full course of treatment and have undetectable HCV RNA. Denominator -All HCV RNA+ patients who completed HCV treatment. Numerator -Number patients who have an HCV RNA test at least 12 weeks after treatment completion, but no later than 30 weeks after the completion of HCV treatment. Exclusions: Patients currently on treatment or who completed treatment less 12 weeks from June 30, 2016 (the end of the data collection period). 3
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