1.
Our Vision – Healthy Kansans living in safe and sustainable environments.

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

3. 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.

4. 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.

5. 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.

6. 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.

7. 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.

8. 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.

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

10. 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.

11. 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.

12. 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.

13. Jennifer L. VandeVelde, CHES
Questions?
Jennifer L. VandeVelde, CHES
(785)
Our Vision – Healthy Kansans living in safe and sustainable environments.

14.
Our Vision – Healthy Kansans living in safe and sustainable environments.

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