1. Cervical Cancer Screening Primary Drivers (Practice Level)
Train staff on our goals: where are we now and where do we want to go?
Create a patient reward system to encourage patient activation
Train patients on why this is important to their health
Use posters in open access and other spaces such as bathrooms
During rooming encourage MA to ask patient if she would like pap that day
Create a Public Service Announcement to help patients understand importance
Create a provider report card on how their patient panel is working
Make sure patients are aware costs could be paid for by ODH
Look for help from community resources to educate and encourage patients in homeless service areas
Raise Awareness of Importance
Identify ACOG guidelines with agreement on practices
Use pre-visit screen visit questions
Use health history in (EHR) to identify qualified patients (health maintenance protocols)
Set reminder system within EHR for when due
Consistent area in EHR or paper chart on pap status
Use patient portals
Use population health reports to send letters and make phone calls
Set system alerts
Use of texting with patients
Use survey forms at the time of appointment
Talk to the appointment
Have open access appointments
Use of focus group with qualified pts to identify what prevents them from getting paps
Use of health advocate in community to stress the importance of pap
Education at health fair
Set a pap clinic such as flu clinic
College campus reach out
Public Service Announcements
Use of clinical alerts at front desk to offer pap at time of appointment
Work in pap for regularly scheduled appointments
Ask patients who call for SDA if they would like to have their PAP completed
Extend after hours
Identify female patients ages who are due
Id patients with a hx of hysterectomy
Run report on patients who had a pap in 2012 (CPT)
Id patients with family history of any cancer
Train staff on entering data into the EHR
Track referrals of from other providers for paps
Run reports to identify abnormal paps
Retrieve patient self report and follow up referral report
Have MOU with contracted serviced on how to retrieve reports
Alternate reimbursement options
Test optional productivity ideas
Manage patient reluctance
Offer options to help patient be “ready” for the exam (a woman thing)
Offer pap even if patient is only interested in her primary complaint
Use interpretive services for language barriers
Pre Identify Qualified Patients
Within 1 year improve the number of woman completing a PAP test within the recommended guidelines by 30%
Reach out to Qualified Patients
Same Day Testing Ability
Data Capture
Addressing Barriers
the Health Collaborative