A Learning Collaborative Approach to Improve Primary Care STI Screening

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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.

Original languageEnglish (US)
JournalClinical Pediatrics
DOIs
Publication statusAccepted/In press - Oct 1 2017

Keywords

  • adolescent
  • primary care
  • quality improvement
  • sexually transmitted infection

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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