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Increasing Chlamydia Testing Rates via Targeted Outreach.

Deyze Badarane1, Jordan Knox2, Ana Camacho3

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Persistent outreach improved chlamydia screening rates in a family medicine clinic. This quality improvement initiative demonstrates the effectiveness of targeted patient contact for increasing STI testing.

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Quality Improvement in Healthcare

Background:

  • Chlamydia trachomatis is the most common bacterial sexually transmitted infection (STI) in the U.S.
  • Annual screening is recommended for sexually active women aged 16-24 and at-risk older women.
  • Previous quality improvement (QI) efforts aimed to increase chlamydia screening rates.

Purpose of the Study:

  • To increase the chlamydia screening rate by 10% in a university-based family medicine clinic.
  • To identify the optimal number of patient contacts for maximizing chlamydia test rates.

Main Methods:

  • Prospective cohort study conducted from December 2017 to March 2018.
  • Utilized the FOCUS-PDSA model for QI intervention development and implementation.
  • Retrospective analysis of prior QI cycle data to assess patient contact effectiveness.

Main Results:

  • Chlamydia testing rates increased from 54% to 56.3% during the study period.
  • Most chlamydia tests were completed within four patient contacts.
  • Further patient contacts yielded minimal increases in testing rates.

Conclusions:

  • Sustained patient outreach is effective in improving chlamydia screening rates.
  • This QI model can be adapted for other clinical settings and diseases.
  • Optimizing patient contact strategy enhances screening efficiency.