A Learning Collaborative Approach to Improve Primary Care STI Screening

Melissa D. McKee, Elizabeth M. Alderman, Deborah V. York, Arthur E. Blank, Rahil D. Briggs, Kelsey E.S. Hoidal, Christopher Kus, Claudia Lechuga, Marie Mann, Paul Meissner, Nisha Patel, Andrew D. Racine

Research output: Contribution to journalArticle

1 Citation (Scopus)

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
StateAccepted/In press - Oct 1 2017

Fingerprint

Sexually Transmitted Diseases
Primary Health Care
Learning
Pediatrics
Sexual Behavior
Maintenance
Chlamydia
Gonorrhea
Motivation
HIV

Keywords

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

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

A Learning Collaborative Approach to Improve Primary Care STI Screening. / McKee, Melissa D.; Alderman, Elizabeth M.; 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.

In: Clinical Pediatrics, 01.10.2017.

Research output: Contribution to journalArticle

McKee, Melissa D. ; Alderman, Elizabeth M. ; 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. / A Learning Collaborative Approach to Improve Primary Care STI Screening. In: Clinical Pediatrics. 2017.
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