Involving PCP in Gaps in Care for Cervical Cancer Screening

We are planning get involve our Primary Care Providers to involve them for our cervical cancer screening. How can we avoid provider burn out and emphasizing to them our patient’s gap in care.

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Ask the providers how they would like to be involved in closing care gaps in cervical cancer screening for the patients in their panel; we all want to do what is best for our patients but may lack confidence or interest in collecting Pap samples. Some will feel comfortable incorporating this into the care they provide to their patients while others will feel most comfortable having others, like women’s health nurse practitioners, provide this service. I think you will be most successful if you offer PCPs and patients options rather than requiring PCPs to collect Pap samples when they may not be comfortable doing so. Those that want to do it may need re-training, while all staff will need to given training and tools to make the process as efficient as possible. Patients should also be offered easy access to women’s health providers (e.g., same-day appointments) to respond to patient preferences and PCP scope-of-practice limitations.
David Campa, MD
L.A. County Department of Health Services

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We share our performance on CCS by Pod and by provider with the entire medical department. We’ve found that our teams’ competitive nature really came through when they were able to see how they compared with their peers. Not all of our providers do Paps, but they find ways to coordinate care for their patients with other providers in their Pod, so they can bring up their Pods numbers.

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Cervical cancer screening is part of our providers QI bonus. If the provider meets a certain threshold of completing CCS per quarter, then they get a bonus the next quarter.

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