1 / 12

Appropriate CT/GC Screening & Factors to Consider

Appropriate CT/GC Screening & Factors to Consider. Becky McCoy MSN, RN, CEN STD Nurse Consultant. Infertility Prevention Project “IPP”. The CDC in collaboration with the Office of Population Affairs of the Department of Health and Human Services supports the program.

leia
Download Presentation

Appropriate CT/GC Screening & Factors to Consider

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Appropriate CT/GC Screening & Factors to Consider Becky McCoy MSN, RN, CEN STD Nurse Consultant

  2. Infertility PreventionProject“IPP” • The CDC in collaboration with the Office of Population Affairs of the Department of Health and Human Services supports the program. • Promotes (and funds!) women's reproductive & sexual health via chlamydia/gonorrhea screening & treatment. • Services are intended for low-income, sexually active women attending public clinics (family planning) to prevent infertility.

  3. Who Do We Need To Screen ? Females age 25 and younger: • Does FP clinic have high positivity (> 3%) ? • If so, perform routine CT/GC screening Females age 26 and older: • Do not conduct routine screening • Test if sx are reported or observed • Test if there is a new partner or multiple partners in previous 60 days • Test if exposure to an infected individual

  4. ScreeningStatistics~ WhatDoWeLookAt ?? Essentially divided into 2 groups of data: • Females 25 years and younger • Females 26 years and older

  5. Data ~ 25 and Younger We look at: • Total number tested • Number of “positives” from those tested • Positivity rate Sites identified with low positivity (< 3 %) should cease routine screening & perform targeted screening, i.e. pt complaint of sx, observation of sx, new or multiple partners within previous 60 days or exposure to infected individual

  6. Data ~ 26 and Older We look at: • Total number tested • Number of “positives” from total number tested • Positivity rate Testing should be conducted only if patient is determined to be “at-risk” based on previously indicated criteria, i.e. symptoms, new or multiple partners in previous 60 days or exposure to infected individual

  7. Fiscal Impact STD Program in Frankfort contributes approximately $400,000 annually via CDC-STD grant to support the program, i.e. purchase test kits. Current contract price for each CT/GC test kit is approximately $9.60 per kit. Keep in mind that this is the kit only – does not include labor nor costs at the state lab for actual testing

  8. Local Effect • Decreasing public health dollars • Competing priorities • Recent updates from CDC emphasizing federal goal of avoiding duplication, stating CDC funding should not be used to provide clinical services • Increased emphasis on cost-effective screening, screening rates and timely treatment

  9. Factors to Consider • Are we using test kits / IPP services to process testing for patients with health insurance, Medicaid, etc? • What type of billing systems or process is in place to recover such funds? • What screening tool is in place to assess need for testing prior to collection of specimens ~ use of test kit? • Need for education of all staff regarding significance of appropriate screening & testing

  10. What’s Next? • Be proactive instead of reactive! • Identify as a team what will work best for your individual facilities and implement appropriate interventions.

More Related