www.kdheks.gov Our Vision – Healthy Kansans living in safe and sustainable environments.

Kansas Infertility Prevention Project Jennifer VandeVelde, HIV/STD Testing Director www.kdheks.gov Our Vision – Healthy Kansans living in safe and sustainable environments.

Who Cares? Resource Allocation Clinical time Increased testing in populations not truly at high risk of infection Decreased positive predictive value? Our Vision – Healthy Kansans living in safe and sustainable environments.

Repeat Testing Overview Calendar Year 2006 Data “Repeat Tester”-minimum of 2 negative tests in 12 month period. (Range was 2-7 visits) 68/116 (58.6%) testing sites reported at least one patient with a repeat test. Our Vision – Healthy Kansans living in safe and sustainable environments.

Repeat Testing Overview Number of Visits Frequency 2 1,065 3 230 4 42 5 10 6 1 7 Total Clients: 1,349 equaling 3,051 tests Our Vision – Healthy Kansans living in safe and sustainable environments.

Repeat Testing Overview “Clinic hoppers” accounted for only 12 patients (0.9%) and less than 40 tests (1.3%). Chart audits were performed on patients at five sites with the highest number of repeat testers. The five sites accounted for 945/1349 total patients (70.0%). Our Vision – Healthy Kansans living in safe and sustainable environments.

Repeat Testing Overview 836/945 (88.5%) charts have been reviewed to date. 146/836 (17.5%) patients with repeat testing had tests deemed appropriate by reviewers. Our Vision – Healthy Kansans living in safe and sustainable environments.

Repeat Testing-What we found out Clinic A Clinic B Clinic C Clinic D Clinic E Total Charts Reviewed 199 (%) 165 176 203 93 Recurrent symptoms 41.2 7.4 12.5 12.6 6.0 Repeat request 11.6 8.4 7.2 3.9 3.4 STD & Initial/Annual 10.1 13.0 19.2 10.7 22.2 Prenatal & Initial/Annual 15.8 15.4 1.7 Unspecific symptoms 9.6 7.8 Annual/Initial & Repeat Pap 1.4 1.9 44.7 Our Vision – Healthy Kansans living in safe and sustainable environments.

Repeat Testing-What we found out Number of Tests Potentially Saved=757 Our Vision – Healthy Kansans living in safe and sustainable environments.

Repeat Testing-What we found out Average .91 tests saved per repeat client Applied to all repeat patients=savings of $12,894 ($10.50/test) Or 1,228 tests saved Our Vision – Healthy Kansans living in safe and sustainable environments.

Repeat Testing-What we found out The majority of repeat testing appears to be a provider issue. The specific reason for repeat testing tended to be site specific “Clinic Hoppers” were not a major concern (this time) Our Vision – Healthy Kansans living in safe and sustainable environments.

Repeat Testing-What WE Need to Fix Overwhelmingly a provider issue Discussion of BV/Scope of service Provider education Change wording on screening criteria Our Vision – Healthy Kansans living in safe and sustainable environments.

Jennifer L. VandeVelde, CHES Questions? Jennifer L. VandeVelde, CHES Jvandeve@kdhe.state.ks.us (785)296-6544 www.kdheks.gov Our Vision – Healthy Kansans living in safe and sustainable environments.

www.kdheks.gov Our Vision – Healthy Kansans living in safe and sustainable environments.

Repeat Testing-What we found out Our Vision – Healthy Kansans living in safe and sustainable environments.