 Effective Practice
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The administrator receives a centrally generated quarterly report of patients who have an abnormal Pap smear result. The list is given to the PCP and the MAs or nursing staff on the team perform the follow up with documentation in the medical record.
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| Benefit: Automated report identifies patients who might be a loss to follow up. |
In practice at: HVMA Post Office Square, Quincy, Watertown, Wellesley
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Effective Practice
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The practice receives a monthly “Abnormal Pap report” which is reconciled by the nursing staff with documentation of the follow up plan in the medical record.
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| Benefit: Practiced based automated report which provides information on patients in the need of follow up. |
In practice at: HVMA Burlington, Cambridge, Chelmsford, Copley, Kenmore, Lynnfield, Medford, Peabody, Somerville, BWH Brigham and Women's at Newton Corner, Brigham Internal Medicine Associates, BWH Internists Associated of Needham, Brigham and Women's of Norwood, Brigham and Women's at Newton Corner, BWH Southern Jamaica Plain Health Center
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Effective Practice
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The administrator receives a centrally generated quarterly report of patients who have an abnormal Pap smear result. The list is given to the PCP and the MAs or nursing staff on the team perform the follow up with documentation in the medical record.
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| Benefit: Automated report identifies patients who might be a loss to follow up. |
In practice at: HVMA Post Office Square, Quincy, Watertown, Wellesley
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Effective Practice
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A designated staff person works to reconcile abnormal cervical cancer screen, providing outreach and follow up for patients.
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Benefits: - Practiced based.
- Patients don't fall through the cracks.
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In practice at: CHA (most sites), MAH Primary Care Center, Mount Auburn Health Care at Arlington
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Effective Practice
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Paper system:
- Pap tests requiring follow-up are placed in a logbook or computerized database.
- Staff person is assigned to review on a scheduled basis.
- Follow-up attempts are documented in the medical record.
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Benefits: - Facilitates identification of due health screenings.
- Prevents episodic patients from slipping through the cracks.
- Paper-based / cost effective.
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In practice at: Waltham Family Practice (NWH), Back Bay Health Care (MGH), South Shore Medical Center (HVMA), Brookside Community Health Center (BWH), Lynnfield Medical Associates (HVMA), Prima Care Office of Office of Dr. Pedrotty (BWH), CHA Senior Health Center
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Effective Practice
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- Patients with abnormal Pap test results are tracked by the NP to ensure they received follow-up care.
- Patients who have not received follow-up care are contacted by phone, letter, or (when necessary) certified letter.
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Benefits: - Relies on a point person rather than technology.
- Prevents episodic patients from slipping through the cracks.
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In practice at: Fish Center for Women's Health (BWH), Spanish Clinic (BWH)
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Effective Practice
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Abnormal Pap tests performed at parent institution are tracked by the QI administrative support staff to identify patients requiring follow up. Patients requiring follow up are referred to the provider for further action.
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Benefits: - Facilitates identification of due health screenings.
- Prevents patients from falling through the cracks.
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In practice at: Healthcare Associates (BIDMC)
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Effective Practice
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Monthly lab report of Pap results. Medical assistants follow-up by phone with patients who have not scheduled an appointment. The patient will either be referred to gynecology or an appointment will be made for a repeat test at the time of the call.
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| Benefit: Prevents patients from slipping through the cracks. |
In practice at: North Shore Medical Group (NSMC), North Shore Family Medicine (NSMC)
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