The mission of the NICE (Northern Tier Initiative for Hep C Elimination) Project is to provide comprehensive and patient-centered support for clinics with or in process of introducing HCV services at their healthcare facilities in the Norther Tier Areas including but not limited to Great Plains, Billings and Bemidji.
Each month, the project offers a teleECHO clinic with Dr. Paulina Deming and Dr. Brad Moran focusing on the management and treatment of patients with Hepatitis C. The 1 hour long clinics include an opportunity to present cases, receive recommendations from a specialist, engage in a didactic session and become part of a learning community. Together, we will manage patient cases so that every patient gets the care they need.
- When: The fourth Wednesday of the month at 12pm MST
- How: Sign up below to join our email listserv. We’ll be sure to send you the connect information each month.
- Develop an area wide HCV program with aims of fostering communication and a multi-facility approach to eliminating the hepatitis c virus from the AI/AN population in the region.
- Provide an efficient means of starting HCV clinics at service units through sharing of knowledge and expertise.
- Collect data and endpoints to show impact of efforts on the disease burden in the area.
- To collaborate and share information with regards to accessing medications for HCV treatment and easing restrictions for Medicaid patients across state borders.
- Look for continuous improvement of the aforementioned goals and help develop additional resources to hepatitis C cure and prevention.
Hepatitis C is a disease state with historically complex and evolving regimens, requiring rigorous lab monitoring, and long-term morbidity and mortality if left untreated. Unfortunately, the vast majority of patients diagnosed with chronic hepatitis c never receive treatment. With new Direct-acting anti-viral agents in the market, treatment options have changed considerably in the past few years, allowing for high cure rates with minimal side effects. Concentrated efforts on routine and targeted screening of HCV infection is paramount to efforts for HCV eradication. Northern Tier Indian Health Service facilities and clinics have the capacity to make cure of HCV, eliminate incidence, and vastly reduce patient risk for developing liver cancer and failure in the IHS through initiation and collaboration of efforts with the NICE Project.
For more information please contact Neelam ‘Nelly’ Gazarian, MS, PharmD (Neelam.Gazarian@ihs.gov) and LCDR. Jonathan H. Owen, USPHS (Jonathan.Owen@ihs.gov)