STD Screening STD Screening Program for Program for

At-Risk WomenAt-Risk WomenTeam: Team:

Women’s Health Women’s Health Physician PracticePhysician Practice

Sharon Bird RNSharon Bird RN

Margaret O’Connor RNMargaret O’Connor RN

The Problem:The Problem:Chlamydia is a treatable sexually transmitted disease (STD) with 3 million new cases reported each year. National Committee for Quality Assurance (NCQA) implemented a national campaign to test every sexually active woman, 25 years and younger, for chlamydia NCQA baseline screening data (2003):

30% of women with commercial insurance 44% of women with Medicaid

Loyola’s Opportunity:Loyola’s Opportunity:

Baseline Loyola data for STD screening– 33% for all sexually active

women, 25 years and younger , which is similar to NCQA data

Goal:– To offer STD screening to

all sexually active women, 25 years and younger

Why STD screening is Why STD screening is not offerednot offered

Lack of physician awareness regarding the NCQA screening campaignLack of patient education related to STD screeningPatient refusal

Solutions Solutions ImplementedImplemented

Collected baseline dataDecided to use Gen-probe specimen collection

Screens for chlamydia and gonorrhea

Established accountability for screeningPhysician education programStaff nurse educationShared results with physicians and staff

Accountability for Accountability for ScreeningScreening

NurseNurseResponsibilities:Responsibilities:

•Rooms patientRooms patient•Offers screeningOffers screening•Offers written Offers written education materialseducation materials•Sets up suppliesSets up supplies

Physician Physician Responsibilities:Responsibilities:

•Counsels patientCounsels patient•Performs testPerforms test•Instructs patient Instructs patient to call back for to call back for resultsresults

Results:Results:

STD Screening Performed in Women, age 25 and under

77%67%

33%

53%79%

0%

20%

40%

60%

80%

100%

Q1-2004 Q2-2004 Q3-2004 Q4-2004 Q1-2005

Quarter

Per

cent

Scr

eene

d

National average: 30-44%

AnalysisAnalysisSTD screening has improved since project implementation in January 04Loyola’s 4th quarter performance is greater than the NCQA baseline

47% of women with commercial insurance

17% higher than NCQA

53% of women with Medicaid 9% higher than NCQA

Next StepsNext Steps

Current data does not include patient refusal rate.

Plan to begin collection of this data in 2nd quarter,2005.If needed, based on refusal rates, review and revise patient education plan

Ongoing education of physicians and staff