Treating after Training Report

The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit North American phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

uN495yjoxD6wrTnumve62WmXKwnY2vpxz8pyKvKNhzRIhu8GN5xCC3p48fxhWcKkx3PQgXtiDCM3

You have taken the Provider and Support Staff Training to Treat Hepatitis C Independently in Your Community training, now you can help us accurately track the impact of the program.

Updating us on how you have impacted access to treatment for hepatitis C following your training through completing this survey once monthly will be a great benefit to us when we have the information from everyone that has attended the training over the past 4 years. It does not matter if you are or are not treating HCV after the training, it does make a difference that we hear from each of you.

First Name	Last Name	Title
Phone Number	Email Address
	Clinic/ Facility
If different than above:	Name of Person Reporting
	Role of Reporter Other

Are you currently treating hepatitis C in your practice?

Yes

reset

Do you hope to be treating hepatitis C in your practice in the next 6 months?

Yes

Unsure

reset

Does your practice offer OBAT? If so what type?

The data below is needed to quantify the value of our training program. Please enter the start and end time of the period you are reporting on.

It is your choice whether to continue to add to your previous numbers or to only count the new numbers for each period you report. If continuing to add on, leave the start date at the time you started treating and only change the end date.

If you have this information in an excel or other document and it is easier to just upload that than to pull this data- feel free to do so here and we will gather the data. REDCap is HIPAA secure.

Upload file

Start and end dates for data below
Number of patients:
Screened for hepatitis C (HCV)
Attended 1st appointment for HCV care
Prescribed treatment for HCV
Started treatment for HCV
Completed treatment for HCV
Completed lab 12 weeks after treatement for HCV
Undetectable viral load 12 weeks after treatment/ cured

Any quote you would care to share about how the training has impacted your patient care, or otherwise made a difference in your practice?

Expand

Any patient experience or quote you would care to share regarding hepatitis C care in your practice?

Expand

Would your clinic/ you like to be listed as a hepatitis C referral treatment contact on the Virginia HEPC map?

Yes

We already are

reset

Link to add your information to the VA HEPC Treatment Referral Map if you would like to, once you complete this survey- Open in new tab

Treating after Training Report

https://redcap.link/treatHepC

A couple of questions to keep the HEPC map up to date!

Any requirements for hepatitis C referral?

Expand

Do you accept Medicaid?

Yes

reset

Is there any insurance type or company you do not accept? Please list here

Expand

Any additional information you would like to add

Expand

What is your clinic process for referring patients positive with hepatitis C for treatment? If to outside clinic, please provide name of clinic.

Expand

Thank you for your time in filling this out. I know your time is valuable! The information is very helpful and enables us to continue to teach others. Feel free to reach out with any questions. We are always here to help as you continue to learn more about hepatitis C. hepc@sentara.com 434-235-0139

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.

Number of patients:

You have selected an option that triggers this survey to end right now.