Abstract
The Bronx Ongoing Pediatric Screening (BOPS) project sought to improve screening for sexual activity and sexually transmitted infections (gonorrhea and chlamydia [GCC] and HIV) in a primary care network, employing a modified learning collaborative, real-time clinical data feedback to practices, improvement coaching, and a pay-for-quality monetary incentive. Outcomes are compared for 11 BOPS-participating sites and 10 non-participating sites. The quarterly median rate for documenting sexual activity status increased from 55% to 88% (BOPS sites) and from 13% to 74% (non-BOPS sites). GCC screening of sexually active youth increased at BOPS and non-BOPS sites. Screening at non–health care maintenance visits improved more at BOPS than non-BOPS sites. Data from nonparticipating sites suggests that introduction of an adolescent EMR template or other factors improved screening rates regardless of BOPS participation; BOPS activities appear to promote additional improvement of screening during non–health maintenance visits.
Original language | English (US) |
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Pages (from-to) | 895-903 |
Number of pages | 9 |
Journal | Clinical Pediatrics |
Volume | 57 |
Issue number | 8 |
DOIs | |
State | Published - Jul 1 2018 |
Keywords
- adolescent
- primary care
- quality improvement
- sexually transmitted infection
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health