{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T03:24:52Z","timestamp":1779333892682,"version":"3.51.4"},"reference-count":19,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Gilead Sciences"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Viruses"],"abstract":"<jats:p>New York State and New York City (NYC) developed hepatitis C (HCV) elimination plans to reduce premature deaths and new infections. NYC Health + Hospitals (NYC H + H), the municipal healthcare system for NYC serving over a million individuals annually, designed electronic health record (EHR) tools that collaboratively facilitated screening, linkage, and tracking of patients diagnosed with HCV through to cure. This study reviews the impact of this group of EHR tools by comparing data on HCV testing, linkage, and cure for 12 months before tools were released and a second 12-month period coinciding with the release of tools. Indicators related to HCV screening, diagnoses, treatment initiation, and cure were assessed. All indicators reviewed improved following the implementation of EHR tools. The proportion of individuals screened increased from 34% pre-intervention to 46% during the implementation phase; the number of individuals on direct-acting antivirals increased by 11%; and the number of individuals reaching cure increased by 37%. Efforts to collaboratively develop custom interlinking EHR tools to establish a systematic process proved impactful. Integrating the needs and functions of different care settings and the structure of the local epidemic allowed for the successful development and implementation of impactful resources.<\/jats:p>","DOI":"10.3390\/v17101297","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T12:05:13Z","timestamp":1758801913000},"page":"1297","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Utilization and Impact of Interconnected Electronic Health Record Tools on Hepatitis C Elimination Efforts in a Large Municipal Healthcare System"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8376-9889","authenticated-orcid":false,"given":"Eunice","family":"Casey","sequence":"first","affiliation":[{"name":"New York City Health and Hospitals, Office of Ambulatory Care and Population Health, New York, NY 10004, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7589-751X","authenticated-orcid":false,"given":"Kruti","family":"Gala","sequence":"additional","affiliation":[{"name":"New York City Health and Hospitals, Office of Ambulatory Care and Population Health, New York, NY 10004, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8653-4518","authenticated-orcid":false,"given":"Gabriel","family":"Cohen","sequence":"additional","affiliation":[{"name":"New York City Health and Hospitals, Office of Ambulatory Care and Population Health, New York, NY 10004, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marguerite","family":"LeLaurin","sequence":"additional","affiliation":[{"name":"New York City Health and Hospitals, Office of Ambulatory Care and Population Health, New York, NY 10004, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xingyu","family":"Dai","sequence":"additional","affiliation":[{"name":"New York City Health and Hospitals, Office of Ambulatory Care and Population Health, New York, NY 10004, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Kaplan-Lewis","sequence":"additional","affiliation":[{"name":"New York City Health and Hospitals, Office of Ambulatory Care and Population Health, New York, NY 10004, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2025, July 15). Elimination of Hepatitis by 2030. Available online: https:\/\/www.who.int\/health-topics\/hepatitis\/elimination-of-hepatitis-by-2030#tab=tab_1."},{"key":"ref_2","unstructured":"New York State Department of Health (2025, July 15). New York State Hepatitis C Elimination, Available online: https:\/\/www.health.ny.gov\/diseases\/communicable\/hepatitis\/hepatitis_c\/docs\/hepatitis_c_elimination_plan.pdf."},{"key":"ref_3","unstructured":"New York City Department of Health and Mental Hygiene (2025, July 15). Hepatitis, Available online: https:\/\/www.nyc.gov\/assets\/doh\/downloads\/pdf\/cd\/viral-hepatitis-elimination-plan.pdf."},{"key":"ref_4","unstructured":"Assistant Secretary for Technology Policy (2025, July 15). National Trends in Hospital and Physician Adoption of Electronic Health Records, Available online: https:\/\/www.healthit.gov\/data\/quickstats\/national-trends-hospital-and-physician-adoption-electronic-health-records."},{"key":"ref_5","unstructured":"Bruce, G., and Becker\u2019s Health IT (2025, July 15). Epic Increases Hospital Market Share Lead. Available online: https:\/\/www.beckershospitalreview.com\/healthcare-information-technology\/ehrs\/epic-increases-hospital-market-share-lead\/."},{"key":"ref_6","unstructured":"Bruce, G., and Becker\u2019s Health IT (2025, July 15). Epic\u2019s Dominance in 12 Numbers. Available online: https:\/\/www.beckershospitalreview.com\/healthcare-information-technology\/ehrs\/epics-dominance-in-12-numbers\/."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"451","DOI":"10.30574\/wjarr.2024.21.2.0478","article-title":"The impact of electronic health records on healthcare delivery and patient outcomes: A review","volume":"21","author":"Enahoro","year":"2024","journal-title":"World J. Adv. Res. Rev."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Hak, F., Guimar\u00e3es, T., and Santos, M. (2022). Towards effective clinical decision support systems: A systematic review. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0272846"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Taha, G., Ezra, L., and Abu-Freha, N. (2023). Hepatitis C Elimination: Opportunities and Challenges in 2023. Viruses, 15.","DOI":"10.3390\/v15071413"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1007\/s10096-021-04395-z","article-title":"Universal screening for hepatitis C\u2014In for a penny, in for a pound","volume":"41","author":"Garrido","year":"2022","journal-title":"Eur. J. Clin. Microbiol. Infect. Dis."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Hack, B., Sanghavi, K., Gundapaneni, S., Fernandez, S., Hughes, J., Huang, S., Basch, P., Fong, A., and Fishbein, D. (2023). HCV universal EHR prompt successfully increases screening, highlights potential disparities. PLoS ONE, 18.","DOI":"10.1371\/journal.pone.0279972"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1016\/j.cgh.2020.09.011","article-title":"eHealth Technologies for Screening, Diagnosis, and Management of Viral Hepatitis: A Systematic Review","volume":"19","author":"Haridy","year":"2021","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e237332","DOI":"10.6004\/jnccn.2023.7332","article-title":"Implementation of Universal Hepatitis C Virus Screening in a Tertiary Cancer Center","volume":"22","author":"Torres","year":"2024","journal-title":"J. Natl. Compr. Canc. Netw."},{"key":"ref_14","unstructured":"Li, L., Gala, K., Kaplan-Lewis, E., Casey, E., Park, S., and Cohen, G. (2024, January 11). External Laboratory Data Integration and Impact: Hepatitis C Registry and Care Continuum Classification Before and After. Presented at American Medical Informatics Association (AMIA) 2024 Annual Symposium, San Francisco, CA, USA. Session S19."},{"key":"ref_15","unstructured":"CDC (2025, July 15). Hepatitis C. Clinical Screening and Diagnosis for Hepatitis C, Available online: https:\/\/www.cdc.gov\/hepatitis-c\/hcp\/diagnosis-testing\/index.html."},{"key":"ref_16","unstructured":"New York State Department of Health (2025, July 15). Hepatitis C Testing Law, Available online: https:\/\/www.health.ny.gov\/diseases\/communicable\/hepatitis\/hepatitis_c\/docs\/testing_law_faqs.pdf."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1714","DOI":"10.1080\/07853890.2022.2084154","article-title":"Strengthening systems of care for people with or at risk for HIV, HCV and opioid use disorder: A call for enhanced data collection","volume":"54","author":"Eller","year":"2022","journal-title":"Ann. Med."},{"key":"ref_18","first-page":"e257","article-title":"Evaluating HCV screening, linkage to care, and treatment across insurers","volume":"24","author":"Mulligan","year":"2018","journal-title":"Am. J. Manag. Care."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1186\/s13063-022-06265-1","article-title":"The Determining Effective Testing in Emergency Departments and Care Coordination on Treatment Outcomes (DETECT) for Hepatitis C (Hep C) Screening Trial: Rationale and design of a multi-center pragmatic randomized clinical trial of hepatitis C screening in emergency departments","volume":"23","author":"Haukoos","year":"2022","journal-title":"Trials"}],"container-title":["Viruses"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1999-4915\/17\/10\/1297\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:49:32Z","timestamp":1760035772000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1999-4915\/17\/10\/1297"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,25]]},"references-count":19,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10]]}},"alternative-id":["v17101297"],"URL":"https:\/\/doi.org\/10.3390\/v17101297","relation":{},"ISSN":["1999-4915"],"issn-type":[{"value":"1999-4915","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,25]]}}}