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Improving Cervical Cancer Screening Rates in a Community Health Center

Title: Improving Cervical Cancer Screening Rates in a Community Health Center: A Quality Improvement Project.
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Name(s): Balaji, Anusuyadevi Rajeevi, author
Type of Resource: text
Genre: Text
Research Report
Date Issued: 2018-04-23
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Purpose: The purpose of this quality improvement (QI) project was to increase the rates of routine cervical cancer screening (CCS) in eligible women of ages 21-64 years in an Adult Health Clinic (AHC) at a Community Health Center (CHC). The specific aim of this project was to determine the effect of a new CCS protocol and “Pap & Physical” appointments on cervical cancer screening incidence rates (CCSIRs). Methods: A QI committee developed a new CCS protocol and provided staff training on it. Pap & Physical appointments were also implemented along with client and provider reminder/recall interventions. A pretest/posttest design was used to determine effectiveness of these interventions. Results: The sample (N = 3354) consisted of all women of ages 23-64 years who presented for care during the pre- and post-intervention periods. The chi-square test did not reveal a significant association between the screening status and the pre- and post-intervention periods. The effect size was small (χ2 = 2.89, df = 1, p = 0.089, φ = 0.067). The overall CCSIRs did not improve from the pre- to post-intervention period (23% and 19.6% respectively). Discussion: There was no improvement in CCSIR from the pre- to post-intervention period despite interventions that targeted multiple barriers. Patients, staff, and system related factors affected CCSIRs. Information gleaned from this preliminary study should be used in further PDSA cycles and this has the potential to streamline processes and improve CCS rates in the AHC. Conclusion: To meet Healthy People 2020 goal for CCS, healthcare environments should evaluate their current CCS rates and implement evidence-based interventions in a manner that is adaptable to the healthcare environment’s workflow. Effective training and post-training assessment should be provided to staff. Providers should administer Pap smears on the same day as physical exams to reduce the need for multiple appointments. Studies addressing provider unwillingness to perform Pap smears are needed.
Identifier: FSU_libsubv1_scholarship_submission_1524536894_2efa2cb3 (IID)
Keywords: cervical cancer screening, quality improvement project
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_libsubv1_scholarship_submission_1524536894_2efa2cb3
Owner Institution: FSU

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Balaji, A. R. (2018). Improving Cervical Cancer Screening Rates in a Community Health Center: A Quality Improvement Project. Retrieved from http://purl.flvc.org/fsu/fd/FSU_libsubv1_scholarship_submission_1524536894_2efa2cb3