A Learning Collaborative Approach to Improve Primary Care STI Screening.

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.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

McKee MD,Alderman E,York DV,Blank AE,Briggs RD,Hoidal KES,Kus C,Lechuga C,Mann M,Meissner P,Patel N,Racine AD

doi

10.1177/0009922817733702

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

895-903

issue

8

eissn

0009-9228

issn

1938-2707

journal_volume

57

pub_type

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