Same Day Testing Ability

Primary Drivers(Practice Level)

Addressing Barriers

Reach out to Qualified Patients

Pre Identify Qualified Patients

Cervical Cancer Screening

Within 1 year improve the number of woman completing a PAP test

within the recommended

guidelines by 30%

www.uspreventiveservicestaskforce.org the Health Collaborative

1. Identify ACOG guidelines with agreement on practices2. Use pre-visit screen visit questions3. Use health history in (EHR) to identify qualified patients (health maintenance protocols)4. Set reminder system within EHR for when due5. Consistent area in EHR or paper chart on pap status

1. Use patient portals2. Use population health reports to send letters and make phone calls3. Set system alerts4. Use of texting with patients5. Use survey forms at the time of appointment6. Talk to the patient @ appointment7. Have open access appointments8. Use of focus group with qualified pts to identify what prevents them from getting paps9. Use of health advocate in community to stress the importance of pap10. Education at health fair11. Set a pap clinic such as flu clinic12. College campus reach out13. Public Service Announcements

1. Use of clinical alerts at front desk to offer pap at time of appointment2. Work in pap for regularly scheduled appointments3. Ask patients who call for SDA if they would like to have their PAP completed4. Extend after hours

1. Identify female patients ages 21-64 who are due 2. Id patients with a hx of hysterectomy3. Run report on patients who had a pap in 2012 (CPT)4. Id patients with family history of any cancer5. Train staff on entering data into the EHR6. Track referrals of from other providers for paps7. Run reports to identify abnormal paps8. Retrieve patient self report and follow up referral report9. Have MOU with contracted serviced on how to retrieve reports

1. Alternate reimbursement options2. Test optional productivity ideas3. Manage patient reluctance4. Offer options to help patient be “ready” for the exam (a woman thing)5. Offer pap even if patient is only interested in her primary complaint6. Use interpretive services for language barriers

Raise Awareness of Importance

1. Train staff on our goals: where are we now and where do we want to go?2. Create a patient reward system to encourage patient activation 3. Train patients on why this is important to their health4. Use posters in open access and other spaces such as bathrooms5. During rooming encourage MA to ask patient if she would like pap that day6. Create a Public Service Announcement to help patients understand importance7. Create a provider report card on how their patient panel is working8. Make sure patients are aware costs could be paid for by ODH9. Look for help from community resources to educate and encourage patients in homeless

service areas

Data Capture