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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]
Copyright of Clinical Pediatrics is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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DbLabel: Education Research Complete
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PubType: Academic Journal
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  Data: A Learning Collaborative Approach to Improve Primary Care STI Screening.
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  Data: <searchLink fieldCode="AR" term="%22McKee%2C+M%2E+Diane%22">McKee, M. Diane</searchLink><relatesTo>1,2</relatesTo><i> diane.mckee@einstein.yu.edu</i><br /><searchLink fieldCode="AR" term="%22Alderman%2C+Elizabeth%22">Alderman, Elizabeth</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22York%2C+Deborah+V%2E%22">York, Deborah V.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Blank%2C+Arthur+E%2E%22">Blank, Arthur E.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Briggs%2C+Rahil+D%2E%22">Briggs, Rahil D.</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Hoidal%2C+Kelsey+E%2E+S%2E%22">Hoidal, Kelsey E. S.</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Kus%2C+Christopher%22">Kus, Christopher</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Lechuga%2C+Claudia%22">Lechuga, Claudia</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Mann%2C+Marie%22">Mann, Marie</searchLink><relatesTo>7</relatesTo><br /><searchLink fieldCode="AR" term="%22Meissner%2C+Paul%22">Meissner, Paul</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Patel%2C+Nisha%22">Patel, Nisha</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Racine%2C+Andrew+D%2E%22">Racine, Andrew D.</searchLink><relatesTo>1,2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Clinical+Pediatrics%22">Clinical Pediatrics</searchLink>. Jul2018, Vol. 57 Issue 8, p895-903. 9p.
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  Data: *<searchLink fieldCode="DE" term="%22Documentation%22">Documentation</searchLink><br />*<searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br />*<searchLink fieldCode="DE" term="%22Learning%22">Learning</searchLink><br />*<searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Gonorrhea+diagnosis%22">Gonorrhea diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+prevention%22">HIV prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Sexually+transmitted+disease+diagnosis%22">Sexually transmitted disease diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention+of+sexually+transmitted+diseases%22">Prevention of sexually transmitted diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Chlamydia+infections%22">Chlamydia infections</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatrics%22">Pediatrics</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+assurance%22">Quality assurance</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: 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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  Data: <i>Copyright of Clinical Pediatrics is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/0009922817733702
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