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A Learning Collaborative Approach to Improve Primary Care STI Screening.

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Title: A Learning Collaborative Approach to Improve Primary Care STI Screening.
Authors: McKee, M. Diane1,2 diane.mckee@einstein.yu.edu, Alderman, Elizabeth3, York, Deborah V.4, Blank, Arthur E.1, Briggs, Rahil D.1,2, Hoidal, Kelsey E. S.5, Kus, Christopher6, Lechuga, Claudia1, Mann, Marie7, Meissner, Paul1,2, Patel, Nisha1, Racine, Andrew D.1,2
Source: Clinical Pediatrics. Jul2018, Vol. 57 Issue 8, p895-903. 9p.
Subject Terms: *Documentation, *Interprofessional relations, *Learning, *Human services programs, Gonorrhea diagnosis, HIV prevention, Sexually transmitted disease diagnosis, Prevention of sexually transmitted diseases, Chlamydia infections, Medical screening, Pediatrics, Primary health care, Quality assurance, Data analysis software
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. [ABSTRACT FROM AUTHOR]
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Database: Education Research Complete
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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. [ABSTRACT FROM AUTHOR]
ISSN:00099228
DOI:10.1177/0009922817733702