If you DM me your email I can email you our nurse navigator handbook we developed for our program.

And yes to unhouse folks. Although we do ask where they plan to store their meds and help them think through different options or if they want our case manager to help dispense week at a time.

Unfortunately that and prison are the only two locations we can’t do it for.

We do it for skilled nursing facilities, jails, recovery housing, pts going home etc. but acute rehab rules prevent it.

ID docs bill for a normal inpt consult & The bonus for pts is no clinic appt needed - just a lab visit for SVR at some point (or in many cases we grab SVR labs the next time they are hospitalized or in the ED). Current SVR rate for the program is 74%.
Treatment failure rate is 2%, rest lost to care.

Most of the time we start the med at the time of discharge- but we set everything up while inpt (lab workup, Prior auth) &deliver meds to beds the day prior to discharge. No extra cost to inpt pharmacy!!
Patients leave hosp with a full course of HCV meds in hand & start tx home day of discharge.

The Opportuni-C trial showed how important this is. Our program demonstrates that these Inpatient starts and HCV meds on discharge are *doable* and *scalable* in our US healthcare system 🥳. Because the hospital is a healthcare access point!

Thankyou!!

Would love to be added. Thanks!