Quality Improvement Targeting Early Phase of Hepatitis C Care Delivery

Abstract Liver fibrosis evaluation is one of the most important assessments in patients with chronic hepatitis C. In an inner-city infectious disease clinic, more than 30% of patients with hepatitis C did not have complete evaluation for liver fibrosis, potentially leading to negative clinical outcomes. A quality improvement project was developed to improve and standardize liver fibrosis evaluation through the implementation of an order set in the electronic medical record. The implementation of the electronic order set was effective in improving the fibrosis evaluation completion rate by more than 20% (P = 0.016).