Addressing Overscreening at Addressing Overscreening at MIC: A Team ApproachMIC: A Team Approach

MHRA / MIC RepresentativesMHRA / MIC RepresentativesRachel BaumRachel Baum

Alex ElyAlex ElySepia Owens-VillasSepia Owens-Villas

High rates of testing outside of age High rates of testing outside of age criteriacriteria

Screening at all initial and annual visitsScreening at all initial and annual visits

Half of all 2005 Screens were outside criteria:Half of all 2005 Screens were outside criteria: 13 % (n=2,804) were women 25-29 years13 % (n=2,804) were women 25-29 years

Positivity 1.6%Positivity 1.6%

38% (n=3,977) were women 30+ years38% (n=3,977) were women 30+ years Positivity 1.2%Positivity 1.2%

Team ApproachTeam Approach

Created plan with managementCreated plan with management Presented information to CDs, CNAs Presented information to CDs, CNAs

& providers& providers Letter from Medical Director to providersLetter from Medical Director to providers Changed exam room set-up protocolChanged exam room set-up protocol Implemented concurrent reviewImplemented concurrent review Disseminated progress resultsDisseminated progress results Chart auditsChart audits

Progress in first 2 monthsProgress in first 2 months

Number of Chlaymdia Test Performed on Patients Over 25

0

100

200

300

400

500

600

700

Aug-05 Sep-05 Oct-05 Nov-05 Dec-05 Jan-06 Feb-06 Mar-06 Apr-06 May-06 Jun-06 Jul-06 Aug-06 Sep-06

% of Patients over 25 Tested for Chlamydia

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

Aug-05 Sep-05 Oct-05 Nov-05 Dec-05 Jan-06 Feb-06 Mar-06 Apr-06 May-06 Jun-06 Jul-06 Aug-06 Sep-06

July – September 2006July – September 2006

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

% of Women Screened- Age 25 and over

June-06July-06August-06September-06