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Region II IPP Data & Infrastructure Performance Measures. Kelly Opdyke, MPH Region II IPP Advisory Committee Mtg May 16-17, 2007 Cicatelli Associates Inc. Region II IPP Workplan, 2006-2007.

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Region II IPP Data & Infrastructure Performance Measures

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Region II IPP Data & Infrastructure Performance Measures

Kelly Opdyke, MPH

Region II IPP Advisory Committee Mtg

May 16-17, 2007

Cicatelli Associates Inc.


Region II IPP Workplan, 2006-2007

  • PRIORITY 2: Incorporate Analysis of Regional Prevalence Monitoring Data for Regional and Local Data-Directed Planning and Quality Assurance

    • GOAL: IPP data will direct the most cost effective implementation of screening and treatment funds.

      • OBJECTIVE 2B: Identify what percentage of eligible women are being screened on an annual basis among select sites participating in the Region II IPP.


Region II IPP2005 Screening “Audit”

Purpose:

  • Estimate chlamydia screening coverage among eligible female patients according to Region II IPP minimum screening criteria

  • Pilot regional methodology for assessing screening coverage and adherence to screening criteria in anticipation of CDC proposed measures of effectiveness


Region II IPPMinimum Screening Criteria

Title X Family Planning Clinics

  • All women ≤ 24 years of age attending the clinic for an initial or annual visit will be screened for chlamydia.

    STD Clinics

  • All women ≤ 29 years of age attending the STD clinic will be screened for chlamydia.


FP Screening Coverage(Expected 85%)


Implications/Discussion

  • Region II IPP minimum screening criteria for FP include only those women who have an initial or annual (i.e. pelvic) exam

  • In the past, chlamydia testing required the collection of a cervical specimen.

  • Highly-sensitive urine-based NAATs (nucleic acid amplification tests) provide an opportunity for expanded screening to additional high-risk clients.


Percent of Ct Tests Reported as NAATRegion II IPP, 2004-2006


Current Use of Urine Specimen forCt Testing Among FemalesRegion II IPP, CY2005


Current Use of Urine Specimen forCt Testing Among FemalesRegion II IPP, CY2006


Region II IPPStrategic Plan 2005-2009

  • PRIORITY 1: Target/Expand Chlamydia Screening to Young Sexually Active Women and Men at Risk for Infection in Public and Private Settings.

    • GOAL: All at risk men and women under the age of 25 will be screened at least annually.

      • OBJECTIVE 1C: By December 2007, decrease routine CT and GC screening by 50% in women >30 years of age in FP clinics where the prevalence of CT is less than 2%.


Screening Trends inFP Clinics, Region II IPP

N (2003) = 46,077 22,691 41,609 4,684 2,030 117,091

N (2004) = 36,825 21,995 26,050 6,503 2,019 93,392

N (2005) = 47,54220,871 95,9577,054 966 172,390

N (2006) =4838714,388101,8806,710 800172,165


Chlamydia Positivity Among Females Age 30+ Yrs in FP Clinics


2007 Regional IPP Infrastructure Performance Measures

Measure 1: Screening Coverage in FP

Proportion of female Family Planning users screened for chlamydia, by age group

  • Data Source: FPAR Tables 1 & 11

    Measure 2: Test Utilization

    Proportion of chlamydia tests conducted on females, stratified by age group

  • Data Source: IPP Prevalence Monitoring Data


IPP Infrastructure PM 1:Estimated Ct Screening Coverage


IPP Infrastructure PM 1:Estimated Ct Screening Coverage

Proportion of Female Family Planning Users Screened for Chlamydia, by Age Group, 2006 FPAR


IPP Infrastructure PM 2:Chlamydia Test Utilization


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