National Viral Hepatitis Program
VHA Directive 1300.01, May 23, 2018
This VHA Directive gives this Program the responsibility to provide primary guidance and advice to the Under Secretary for Health on VHA policy and services related to viral hepatitis, and the lead coordination of quality improvement activities using population-based approaches for prevention, diagnosis, and care of viral hepatitis across the system.
The Department of Veterans Affairs (VA) is the largest single provider of medical care to people with hepatitis C in the United States. The VA's efforts in this area are led by the HIV, Hepatitis, and Related Conditions Programs.
VHA's hepatitis C care is implemented at VA medical facilities across the country and uses a comprehensive approach that includes:
- Universal screening for risk of hepatitis C infection
- Testing and counseling for those at risk
- Education for patients and their families
- Giving providers access to the best available information about hepatitis C
- Excellence in clinical care
- Support for research to improve clinical care
- Ongoing quality improvement
We put veterans first. VA's response to hepatitis C reflects the Department's highest ideal--to meet the needs of those who have served their country so nobly.
Programs and Contacts
Veterans Affairs Hepatitis C Virus Program Fact Sheet: Testing, Care, and Treatment
HIV, Hepatitis, and Related Conditions Programs; August 2018
Annual Report 2018
The HIV, Hepatitis, and Related Conditions Programs report on advances in caring for Veterans living with HIV or viral hepatitis.
VA Internal Resources
Data reports, policies, meeting notices, and educational resources for VA staff. Login required.
HIV, Hepatitis, and Related Conditions Programs
- David Ross, MD, PhD, MBI, Director
- Maggie Chartier, PsyD, MPH, Deputy Director
- Lorenzo L. McFarland, DHA, MPH, MSW, PMP, Senior Public Health Program Manager
- Marissa Maier, MD, National Public Health Infectious Disease Officer
- Marguerite A. Petrucci, National Clinical Public Health Program Coordinator
- Elizabeth Maguire, MSW, Communications Lead
The VA Viral Hepatitis and Liver Disease website leverages the expertise of clinicians across VA medical centers to develop best practices in hepatitis and advanced liver disease prevention, clinical care, patient and provider education, and program evaluation for use within VA as well as for other medical care systems. The products include treatment recommendations, clinician tools, and both provider and patient education materials.
From 2004 to March 2019, the VA Hepatitis and Liver Disease website was a collaboration between the HIV, Hepatitis, and Related Conditions Programs and the Center for HIV Information (CHI), a program of the University of California San Francisco School of Medicine. CHI partners with government agencies, foundations, and international organizations to identify and develop information on HIV care, prevention, and policy, and associated conditions. This website leverages the expertise of CHI to offer provider education and training, clinician tools, and educational materials for patients. CHI's Advisory Board is chaired by Paul A. Volberding, MD, San Francisco VA Medical Center, and Professor and Vicechair, Department of Medicine, UCSF.
David Ross, MD, PhD
Director, HIV, Hepatitis, and Related Conditions Programs
Rena Fox, MD
Rena Fox is a Professor of Clinical Medicine at University of California, San Francisco (UCSF). She has been on the faculty in the Division of General Internal Medicine since 2000, with a research and clinical focus in viral hepatitis and liver disease. At UCSF, she has a general medicine primary care practice and also sees patients in the Viral Hepatitis Clinic. She teaches UCSF medical students and residents in Internal Medicine. She has been a part of the VA National Hepatitis C Program since 2004, including serving continuously since 2014 as a panel member and co-author of the Chronic Hepatitis C Treatment Considerations. She performs clinical and epidemiological research in viral hepatitis, fatty liver disease, cirrhosis, and hepatocellular carcinoma at UCSF and the San Francisco VA Medical Center.
Significant contributions from our experts:
- Patricia Ellis
- Rachel Gonzalez
- Shawn Green
- Elizabeth Maguire
- Lorenzo McFarland
- Timothy Morgan
- Marguerite Petrucci
- Karine Rozenberg
- Michael Surdy
- Helen Yee
Debra Summers, UCSF Center for HIV Information
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For questions or feedback related to the VA viral hepatitis and liver disease programs, please contact: firstname.lastname@example.org. Note: Emails sent to this address are not secure. Please do not include personal data. To send a secure email, use VA's Ask a Question - IRIS.