Implementation of standard clinical performance measures for contraceptive services in school-based health centers (SBHCs)
ABSTRACT SUMMARY
The purpose of this workshop is to discuss the application of clinical performance measures for contraceptive services in School-Based Health Centers (SBHCs) that serve high school students and provide reproductive health services, including contraceptive services. Adoption of these measures in SBHCs enhances the capacity for evaluation and quality improvement as they are nationally standardized measures that can be benchmarked against other comparable clinics.
ABSTRACT DESCRIPTION
The purpose of this workshop is to discuss the application of clinical performance measures for contraceptive services in School-Based Health Centers (SBHCs) that serve high school students and provide reproductive health services, including contraceptive services. The Centers for Disease Control and Prevention (CDC) and Office of Population Affairs (OPA) of the US Department of Health and Human Services released Providing Quality Family Planning Services in 2014, which details recommendations for the provision of quality family planning services for all providers of family planning services including those that offer family planning services in a comprehensive primary care setting. One component of the recommendations is that programs should have a system for quality improvement in order to continuously improve the quality of services provided. For programs that provide family planning and contraceptive services, the CDC and OPA have proposed two standard clinical performance measures for contraceptive services. The first measure is the proportion of female clients, aged 15-44 years, who are at risk of unintended pregnancy who adopt or continue use of FDA-approved methods of contraception that are most or moderately effective. The second measure is the proportion of female clients, aged 15-44 years, who are at risk of unintended pregnancy who adopt or continue use of long-acting reversible contraception (LARC). These measures and the recommendations from the CDC and OPA are intended for medical providers providing contraceptive services, even as embedded in a primary care setting, including SBHCs. Adoption of these measures in SBHCs that provide contraceptive services enhances the capacity for evaluation and quality improvement as they are nationally standardized measures that can be benchmarked against other comparable clinics. This workshop will detail why and how the New York City Department of Health and Mental Hygiene’s (NYC DOHMH) School-Based Health Center Reproductive Health Project (SBHC RHP) is adopting these measures for evaluation and quality improvement. We will describe our process for identifying benchmarks on these measures using data from Family Planning Annual Report (FPAR) Table 7 for NYC Title X clinics for 15-19 year olds. We will demonstrate the calculation of these measures for the SBHC RHP participating clinics, and how we use these measures for evaluation and quality improvement. Additionally, we will provide guidance on how other SBHCS can identify and establish comparable FPAR benchmarks on these measures.
PRESENTER(S)
NAME: Lorraine Tiezzi MS ORGANIZATION: New York City Department of Health and Mental Hygiene NAME: Rebecca Fisher MA, MPH ORGANIZATION: NYC Department of Health and Mental Hygiene
AUDIENCE
ADMINISTRATORS: Y
PRIMARY HEALTH: Y
MENTALHEALTH: N
ORGANIZATIONAL: Y
PUBLIC HEALTH: N
EDUCATION: Y
YOUTH: N
Technical
issues should be directed to Deirdre Taylor via email: dtaylor@sbh4all.org
or Telephone: (202) 638-5872, ext. 204
