Hepatitis C Clinical Resources

Below are up-to-date resources for clinicians and clinical administrators on preventing, treating, and recovering from hepatitis C.

Clinical Care

Hepatitis C Workflow (Project NICE video)
Brief video developed for clinicians and clinical administrators on developing an effective hep C clinic workflow.

Creating a Hepatitis C iCare Panel (Project NICE video)
5-minute webinar on how to create a hep C iCare panel.

Creating a Quick Order Menu for Required Labs for a Hep C Clinic (Project NICE video)
Useful demonstration on how to create a quick order menu for required labs for a hep C clinic.

Hepatitis C Database – A Patient Management Tool (IHS)
Useful patient management database tool developed by the Indian Health Service.

Hep C Patient Management Tool (Project NICE)
Patient management database tool developed by Project NICE. To learn how to use this patient management tool, watch this video.

HCV Nurse Case Management Protocol (UIHS)
Sample HCV nurse care management protocol; generously shared by the United Indian Health Service.

Harm Reduction

Harm Reduction Clinical Resources (Indian Country ECHO)
People who inject drugs are at increased risk for HCV infection. Harm reduction is a useful tool for helping patients’ decrease risk. View up-to-date harm reduction resources for clinicians and clinical administrators here.

Patient Education

Patient Education Resources for I/T/U Providers (Indian Country ECHO)
Free HCV patient education tools for providers serving American Indian and Alaska Native populations.

HCV Text Message Campaign Card (NPAIHB)
To be posted in clinical settings to encourage patients to text ‘HCV’ to 97779 to receive information about preventing, treating, and recovering from hepatitis C; text service developed and maintained by the Northwest Portland Area Indian Health Board.

HCV Audio PSA – Female Voice (NPAIHB)
To be shared on the radio to enhance community member knowledge of HCV, get tested, and seek treatment if needed.

HCV Audio PSA – Male Voice (NPAIHB)
To be shared on the radio to enhance community member knowledge of HCV, get tested, and seek treatment if needed.

Policies and Procedures (Tribal)

NPAIHB & CRIHB Joint HCV Resolution
Northwest Portland Area Indian Health Board and California Rural Indian Health Board’s Joint Resolution to create an initiative to eliminate hepatitis C in tribal communities in California, Idaho, Oregon, and Washington.

National Congress of American Indians HCV Resolution #MKE-17-038
NCAI’s adoption and support of the NPAIHB and CRIHB Joint Resolution on hepatitis C elimination.

Guidelines for Screening, Management, and Pre-Treatment Work-Up for HCV within IHS, Tribal, and Urban Indian Healthcare Facilities (IHS)
This template is a sample policy for HCV screening, follow up, and treatment for I/T/U facilities to provide a range of HCV services at the primary care level, and should be adapted as needed to reflect local conditions and priorities.

Provider Education

Hepatitis C Elimination Strategy for AI/AN Communities (NPAIHB)
Comprehensive guide for healthcare providers and tribal decision-makers seeking to develop a community-tailored HCV micro-elimination program.

Hepatitis C: It’s Everyone’s Responsibility – For Clinicians (NPAIHB)
Provides essential facts about HCV and tips for talking to patients about HCV testing and treatment.

Are You Screening for Hep C? (NPAIHB)
Fortunately, HCV is curable for most, but it is up to clinicians to screen and appropriately diagnose patients. Check out this tip card for providers for more info.

Hep C is My Responsibility Campaign Posters (NPAIHB)
In 2017, the Northwest Portland Area Indian Health Board launched a campaign to encourage clinicians at IHS, tribal, and urban clinics to screen, diagnose, and treat patients with HCV; these posters for clinicians are perfect for treatment rooms.

IHS, Tribal, and Urban Indian Clinics are Curing Hepatitis C (video) (NPAIHB)
Providers can make a difference in patients’ lives through diagnosing hep C early. Learn more about screening and offering patients effective- potentially life-saving – treatment.

Screening and Assessment Tools

Guidelines for Screening, Management, and Pre-Treatment Work-Up for HCV within IHS, Tribal, and Urban Indian Healthcare Facilities (IHS)
This template is a sample policy for HCV screening, follow up, and treatment for I/T/U facilities to provide a range of HCV services at the primary care level, and should be adapted as needed to reflect local conditions and priorities.

Recommendations for Hepatitis C Screening Among Adults — US, 2020 (CDC)
April 2020 MMWR outlining CDC recommendations for HCV screening among the adult population in the United States.

Hepatitis C Consultation Visit (UIHS)
Useful consultation visit form for HCV; generously shared by the United Indian Health Service.

Syringe Services

Guide to Developing and Managing Syringe Access Programs (HRC)
Comprehensive manual for starting and managing syringe access programs; guidance offered in several areas including: Planning and Design, Operational Issues, Organizational Issues, External Issues and Population-Specific Considerations.

Compassion, Action, and Healing: Working with Injection Drug Users in Native Communities (NNAAPC)
Important information relevant to people who inject drugs and those who work with this population.

Getting off Right: A Safety Manual for Injection Drug Users (HRC)
Easy-to-read survival guide for people who inject drugs (PWID); a compilation of medical facts, injection techniques, and strategies to keep PWID healthier and safer.

North American Syringe Exchange Network (NASEN)
Organization that offers useful information about starting and supplying syringe exchange programs.

The Syringe Access Fund (AU)
A national grantmaking collaborative that supports service providers and policy projects that reduce use of shared syringes and ensure their safe disposal.

Participant Orientation Agreement and Screening (Project NICE)
Sample participant orientation agreement and screening form from Project NICE Syringe Services Program.

Technical Assistance and Capacity Building

Indian Country ECHO – Technical Assistance and Capacity Building
Free service designed to optimize I/T/U clinical policies, enhance care delivery for patients, and build community capacity to prevent and treat complex medical conditions, including hepatitis C.

Training

Indian Country ECHO
Free service for I/T/U clinicians and programs to enhance care delivery for patients with complex conditions, including hepatitis C; offers a variety of online clinics, training, technical assistance, and capacity building.

Hepatitis C Online
Free training modules for CE credit, from screening and diagnosis to treatment.

Questionnaire Tracking (UIHS)
Creating Hepatitis C reports in NextGen; generously shared by the United Indian Health Service.

Treatment

Guidelines for Screening, Management, and Pre-Treatment Work-Up for HCV within IHS, Tribal, and Urban Indian Healthcare Facilities (IHS)
This template is a sample policy for HCV screening, follow up, and treatment for I/T/U facilities to provide a range of HCV services at the primary care level, and should be adapted as needed to reflect local conditions and priorities.

Hepatitis C Clinical Guidelines (Project ECHO)
This document is frequently edited to reflect current updates in treatment guideline for hepatitis C. The link will connect you to the most recently updated version.

Hepatitis C Evaluation for Treatment Checklist (Indian Country ECHO)
Brief sample patient checklist for hep C evaluation for treatment created by clinical experts at Indian Country ECHO. Download the most current updates in treatment guidelines here.

HCV Treatment Decision Trees (UNM and Project ECHO)
Decision making tool useful for clinicians treating patients with HCV.

United Indian Health Service Preparation for Hep C treatment (UIHS)
Pre-work for HCV treatment; generously shared by the United Indian Health Service.

Medicaid Letter
Template letter to obtain Medicaid coverage for hep C care; for states restricting access to DAAs.

HCV Treatment letter (UCSF)
Treatment letter generously shared by the University of California- San Francisco.

Generic Appeal (UIHS)
Generic appeal; generously shared by the United Indian Health Service.

HCV Cost Calculator
Use this treatment calculator to discover the costs of treating HCV based on your community needs.

Tribal Resources

Hepatitis C Elimination Strategy for AI/AN Communities (NPAIHB)
Comprehensive guide for healthcare providers and tribal decision-makers seeking to develop a community-tailored HCV micro-elimination program.

HCV Elimination in a Health Network Serving Indigenous Communities in Northern California (CLD)
Article published July 2020 in Volume 16, Issue 1 of Clinical Liver Disease.