Increasing Chlamydia Screening at Sugarhouse Clinic through Workflow Redesign

Update Item Information
Identifier EBP2016_poster_EVANS
Title Increasing Chlamydia Screening at Sugarhouse Clinic through Workflow Redesign
Creator Evans, Matt; MD; See, Melissa; Stoesser, Kirsten; Van Hala, Sonja; Knox, Jordan; Corcoran, Blake
Subject Evidence-Based Practice; Chlamydia; Chlamydia Infections; Asymptomatic Diseases; Sexually Transmitted Diseases; Female; Adolescent; Young Adult; Mass Screening; Primary Prevention; Workflow; Clinical Decision-Making; Stakeholder Participation; Quality Improvement; Poster
Description The AAFP, USPSTF, ACOG, AAP, and CDC recommend annual Chlamydia screening of asymptomatic sexually active women ages 14-24. National Chlamydia (CT) screening rates average at 45% for commercial insurance and 57% for Medicaid. The institutional goal for the University of Utah (U of U) community clinics is 50.4%. The rate of annual Chlamydia screening at Sugarhouse clinic (SHC) was 51.5% in women 16-24 at the start of the fiscal year when all patients assigned a PCP at SHC were counted. This clinic quality improvement project illustrates a very valuable concept that is commonly encountered in CQI projects: the need to redesign work flows versus adapt health care systems to work within current work flows to improve quality. Constant workflow redesign can result in "innovation fatigue", especially if each new workflow redesign adds new steps to the current processes in place to care for patients. One solution to avoid innovation fatigue amongst providers without compromising quality would be to redesign systems, not work flows, to work within work flows that already exist. The HM item solution to message patients directly about their overdue screening tests seems like a good one, but it should be noted that providers are unlikely to participate in population health (PH) management efforts like these unless they are provided with compensated time to perform them. Better yet, automate these PH management efforts entirely.
Relation is Part of Evidence Based Medicine - 2016
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date Digital 2016
Date 2016
Type Text
Format application/pdf
Source Evidence-Based Practice 2016
Rights https://rightsstatements.org/page/InC/1.0/
Language eng
ARK ark:/87278/s6g20cbk
Setname ehsl_ebp
ID 1399586
Reference URL https://collections.lib.utah.edu/ark:/87278/s6g20cbk
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