A recent quality improvement project at a Federally Qualified Health Center in Tennessee focused on improving hepatitis C virus (HCV) treatment in primary care, emphasizing the role of nurse practitioners (NPs) in enhancing sustained viral response (SVR) rates among high-risk groups. Despite the availability of direct-acting antivirals and simplified treatment algorithms, barriers to treatment uptake remain, particularly among marginalized populations. NPs played a crucial role in bridging care gaps by integrating primary care and behavioral health services, improving access to care and supporting the World Health Organization’s goal of HCV elimination by 2030.

The project used a two-phase approach, starting with baseline data collection on HCV treatment access and followed by the implementation of a pilot program to increase treatment rates. The pilot, led by an NP, involved a simplified treatment protocol and regular patient monitoring. While patient enrollment was lower than expected, those who participated showed significant improvements, including achieving SVR. These results underscore the importance of innovative care models and NPs in improving HCV treatment outcomes, particularly for high-risk populations. They also demonstrate the potential for scaling this model in community health settings.

Reference: Malick-Petschulat K, Ketel C. Enhancing Hepatitis C Care in Primary Care: A Nurse Practitioner–Led Intervention. J Nurse Pract. 2024 Sep;20(9):105107.