A Learning Collaborative Approach to Improve Primary Care STI Screening

作者：McKee M. Diane; Alderman Elizabeth; 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.

来源：Clinical Pediatrics, 2018, 57(8): 895-903.

DOI：10.1177/0009922817733702

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

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.

• 出版日期2018-7