The document discusses a project aimed at improving cervical cancer screening rates at an HIV clinic using the PDCA model. Data collected showed that only 4% of women had documented cervical cancer screenings, highlighting issues with documentation in electronic records. Strategies for improvement included patient education, reminder calls, and co-locating gynecological services with HIV care.

1. Using the PDCA Model toUsing the PDCA Model to
Improve Cervical CancerImprove Cervical Cancer
ScreeningScreening
Dana D. Hines
Marion County Health Department
Indianapolis, IN
2009

2. Project GoalProject Goal
Improve cervical cancer screening
rates at an HIV clinic

3. MethodsMethods
Surveyed HIV clinic staff and HIV
positive women to identify strategies
that would increase access and
adherence to cervical cancer
screening.
Collected cervical screening HAB
data from June 1, 2008-June 1, 2009.

4. ResultsResults
Of the 155 who received a medical
visit, only 4% had documented
cervical cancer screening.

5. ResultsResults
Date of last PAP
0
10
20
30
40
50
60
70
80
0-12 months 2-4 years 5-7 years 8-10 years unknown
Years
Percentage
0-12 months 2-4 years 5-7 years 8-10 years unknown

6. Discussion of ResultsDiscussion of Results
The high percentage of women
reported as “unknown” may indicate
an issue with lack of documentation
in the electronic medical record (Lab
Tracker).

7. Strategies to Improve ScreeningsStrategies to Improve Screenings
Clinic Staff Improvement Ideas
0
1
2
3
4
5
6
Includewith
HIVclinic
visit
sameday
orwalk-in
screeings
Patient
education
Reminder
calls/letters
Educational
materials
Cross-
trainingHIV
staff
Co-located
GYNcare
provider
Insurance
coverage
Strategies
Frequency
Staff Ideas

8. Strategies to Increase AccessStrategies to Increase Access
Patient Ideas
Patient Ideas for Increasing Access
12%
12%
6%
18%
52%
Transportation
assistance
Nurse education
Not being scared
Annual reminders
Screening on same day
as clinic visit

9. DiscussionDiscussion
Strategies identified by clients and
staff and implemented at clinic:
– Annual reminders
– Educational brochures in waiting and
exam rooms.
– Education for clinic staff regarding how
and where to document cervical cancer
screening in Lab Tracker.

10. Future Ideas for ImprovementFuture Ideas for Improvement
Cross-train staff at HIV clinic to
perform gynecological and related
exams.
Partner with a gynecological
provider that is co-located to the HIV
clinic.
– Offer cervical cancer screenings on
same day as HIV clinic visit.