HCV Taskforce

Presentation

Harlem United

• Integrated care provider in the business for over 28 years

• Federally Qualified Health Center providing services in an

integrated care model

• Primary Care, Dental, Pediatrics, Individual Counseling, HIV &

STI testing, LGBTQ Groups, Substance Use and Recovery

• Two equipped mobile health centers for Primary and Dental

Care

Mission

• Our mission is to provide full access to integrated health care

and social services for clients experiencing multiple and

complex issues—HIV/AIDS, social stigma related to sexuality

and gender identity, mental illness, chronic substance and

alcohol use, homelessness, and extreme poverty—regardless

of race/ ethnicity, socioeconomic status, or sexual orientation.

About Us

The Check Hep C Patient Navigation Program is a NYC Council

funded program, administered by the NYC Health Department

that supports Hep C Patient Navigators at community health

programs. These are especially successful if collocated within

acute care settings, such as hospital outpatient clinics or

Federally Qualified Health Centers. Patient Navigators facilitate

linkage to care, complete medical evaluation, retention in care,

and successful treatment. Each Navigator manages a case load

of at least 75 patients in one year.

Our Team

• Adisa Yamusah, Sr. Director of Operations, Health

Services

• Cinthia Castro: Care Coordinator

• Stacy Irozuru: Patient Navigator

• 7 providers currently treating Hepatitis C

• BHI Social workers

• Health Homes

• Peer Educators

We Envision a New York

City Where… • Everyone is educated about HCV and has the opportunity to

know their HCV status;

• Everyone living with HCV receives the highest level of care

and support to ensure their quality of life and longevity; and

• There are no new HCV transmissions.

Our Program

• Enrollment of Patients

• Intake Assessment

• Care Coordination Plan

– Health Promotion Sessions

– Social Services and Other Benefits

– Weekly medication Adherence Support and Monitoring

– Case Conferencing

Care Coordination

• Multidisciplinary Team

– Substance Abuse/MAT

– Mental Health

– BHI Social workers

– Health Homes

– Syringe Exchange program

– Housing

– Health Promotion

– Referrals to Social services

– Accompaniment to appointments

– Entitlements and Benefit Services

Care Coordination Cont.

• Care coordination with medication

– Prior Authorization Process and Appeals

– Pre and Post- Treatment education

– Adherence Counseling/DOT

How are we different?

• Success with medication prior authorization

• Patients become part of the care team

• Continuous increase in the number of support group

attendees

• Mobile Van unit (Brooklyn and The Bronx)

• Harm reduction approach

– FROST’D and Medical Van Unit

• Substance Abuse Programs/MAT

• Motivated providers

• Peer Support

• Nurses/DOT

Demographics

Race/Ethnicity

Black 62%

Hispanic 30%

White 7%

Gender

Male 78%

Female 19%

Transgender 3%

Demographics

Ages

18-29 7%

30-59 68%

60-90 25%

Housing

Unstable Housing 67%

Stable Housing 23%

Demographics

Co-morbidities

Co-Infection 40%

Active substance use (in the last 12 months) 78%

Mental Health Disorder 73%

Treatment

Started Treatment 114

Completed Treatment 77%

Achieved SVR 12 76%

Our Clinics

The Nest

169 West 133rd Street

New York, NY 10030

El Faro (ADHC East)

179 East 116th Street

New York, NY 10029

Willis Green Health Center (ADHC West)

123 West 124th Street

New York, NY 10027

Other locations

Prevention

290 Lenox Ave

New York, NY 10027

Administration

306 Malcolm X Blvd

New York, NY 10027

Referrals

A referral to our clinic for any Hepatitis C services can be made to

Cinthia Castro, Care Coordinator

Email: Ccastro@harlemunited.org

Phone: 917-498-7553

Stacy Irozuru, Patient Navigator

Email: Sirozuru@harlemunited.org

Phone: 646-764-4697

Or make an appointment to any of our Clinics at

212-849-2780