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- Title
A Learning Collaborative Approach to Improve Primary Care STI Screening.
- Authors
McKee, M. Diane; Alderman, Elizabeth; York, Deborah V.; Blank, Arthur E.; Briggs, Rahil D.; Hoidal, Kelsey E. S.; Kus, Christopher; Lechuga, Claudia; Mann, Marie; Meissner, Paul; Patel, Nisha; Racine, Andrew D.
- Abstract
The Bronx Ongoing Pediatric Screening (BOPS) project sought to improve screening for sexual activity and sexually transmitted infections (gonorrhea and chlamydia [GCC] and HIV) in a primary care network, employing a modified learning collaborative, real-time clinical data feedback to practices, improvement coaching, and a pay-for-quality monetary incentive. Outcomes are compared for 11 BOPS-participating sites and 10 non-participating sites. The quarterly median rate for documenting sexual activity status increased from 55% to 88% (BOPS sites) and from 13% to 74% (non-BOPS sites). GCC screening of sexually active youth increased at BOPS and non-BOPS sites. Screening at non-health care maintenance visits improved more at BOPS than non-BOPS sites. Data from nonparticipating sites suggests that introduction of an adolescent EMR template or other factors improved screening rates regardless of BOPS participation; BOPS activities appear to promote additional improvement of screening during non-health maintenance visits.
- Subjects
GONORRHEA diagnosis; HIV prevention; SEXUALLY transmitted disease diagnosis; PREVENTION of sexually transmitted diseases; CHLAMYDIA infections; DOCUMENTATION; INTERPROFESSIONAL relations; LEARNING; MEDICAL screening; PEDIATRICS; PRIMARY health care; QUALITY assurance; HUMAN services programs; DATA analysis software
- Publication
Clinical Pediatrics, 2018, Vol 57, Issue 8, p895
- ISSN
0009-9228
- Publication type
Article
- DOI
10.1177/0009922817733702