Using a clinic self-assessment tool for providing high-quality contraception services OHA Transformation Center Thursday, July 13 th Helen Bellanca & Emily Elman
What is OPRHAC? Oregon Preventive Reproductive Health Advisory Council (OPRHAC) • Partnership between state, local, private and public health sectors, with significant support provided by OHA, Oregon Foundation for Reproductive Health, and Health Share of Oregon • Convened in 2014 to provide technical support to OHA on the effective contraceptive use (ECU) CCO metric and to offer guidance on standards for contraception and preconception care
Purpose of today’s webinar To introduce a new tool to support clinics in providing high-quality contraception care!
Why is this important? • Recommendations from Institute of Medicine (IOM) and Health Resources and Services Administration (HRSA) stress the importance of contraception care as part of routine preventive services that should be included in the provision of primary care to reproductive-age women. https://www.hrsa.gov/womensguidelines/ • Increasing awareness of and emphasis on effective contraception use: • Oregon adoption of CCO incentive metric on effective contraceptive use • National Quality Forum (NQF) endorsement of clinical performance measures for contraceptive care in 2016. https://www.hhs.gov/opa/sites/default/files/clinical-performance-measures.pdf
Contraception works
Basis for tool development
Quality Family Planning - QFP • Informed by Title X program (gold standard of care) • Answers the question: "What services should be offered to a client who is in need of family planning, and how should those services be provided?" • Comprehensive review of existing evidence, expert opinion, synthesis of clinical recommendations
Goals of Oregon’s clinic self - assessment tool 1. Help clinics assess their contraception care and find areas for quality improvement 2. Support clinics in working to meet the ECU incentive metric 3. Promote national standards for contraception care
How do you do it? • Review the guidance • Convene a team that includes clinicians, clinic managers and support staff • Go through each section of the tool and discuss where your clinic scores • Add up your score at the end to determine whether you meet criteria for a Quality Contraception Provider or an Expert Contraception Provider • Identify areas with low scores and make a plan for improvement • Repeat the assessment annually to chart your progress
What does the tool cover? Domains on: • Access • Service Provision • Community Collaborations with Other Providers • Evaluation of Patient Experience with Contraception Services
Examples
Scoring • Clinics must score at least 50 to rate as a Quality Provider , 70 or above to rate as an Expert Provider • Scoring has been informally validated, but needs more testing • Clinics can advertise themselves to their patients as being quality or expert contraception providers • Clinics can communicate to other clinicians that they are experts for referrals
Strategies and Resources • Strategy and Resource Guide mirrors the tool format with the same domains and components • Guide includes strategies, articles, websites
Tool and Strategy & Resource Guide are Linked
Let’s Take a Tour! healthoregon.org/rh
What Next? • Possible uses for tool: • Internal clinic quality improvement efforts • Assessment of provider networks • Strengthening of network of providers for training and referrals • Payment reform • Incorporation into existing certifications/designations • Feedback! https://www.surveymonkey.com/r/OPRHAC
Questions
Contact Information Oregon Reproductive Health Program 971-673-0355 rh.program@state.or.us healthoregon.org/rh Helen Bellanca, MD, MPH Associate Medical Director, Health Share of Oregon helen@healthshareoregon.org
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