Patients with advanced liver disease need close and careful follow up and management of complications, should they arise. Active measures are required to prevent or identify liver cancer. Complications such as ascites, hepatic encephalopathy and gastrointestinal bleeding need to be prevented and/or treated. We have developed protocols for treatment of these conditions and utilize electronic health records to accurately track and manage them. Dr. Ravinuthala has partnered with Liver transplant programs at University of Cincinnati and University of Kentucky in cases where liver transplantation is an option for patients.