A Learning Collaborative Approach to Improve Primary Care STI Screening

M. Diane McKee, Elizabeth 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 journalArticlepeer-review

4 Scopus citations


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)
Pages (from-to)895-903
Number of pages9
JournalClinical Pediatrics
Issue number8
StatePublished - Jul 1 2018


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

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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