Online Program

Opportunities to monitor title x service quality using family planning annual report (FPAR) data

Wednesday, November 6, 2013 : 9:10 a.m. - 9:30 a.m.

Christina Fowler, PhD, MPH, RTI International, Research Triangle Park, NC
Susan Moskosky, MS, RNC, Office of Population Affairs, U.S. Department of Health and Human Services, Rockville, MD
Julia Gable, MS, RTI International, Atlanta, GA
Nancy Mautone-Smith, MSW, LCSW, Office of Population Affairs, U.S. Department of Health and Human Services, Rockville, MD
Two priorities of the Title X Family Planning Program are to expand access to a broad range of acceptable and effective contraceptives and related preventive health services, and to assure that Title X-funded providers deliver these services in accordance with nationally recognized standards of care. The Family Planning Annual Report (FPAR), which is the only source of uniform reporting by Title X services grantees, is one of several mechanisms that the Office of Population Affairs (OPA) uses to monitor program performance in these priority areas. The 14 FPAR reporting tables provide consistent national, regional, state, and grantee-level data on the characteristics of individuals receiving Title X services, provider characteristics and types of services provided, and project revenue. This study demonstrates how FPAR data can be used to examine program performance on selected measures of service quality, specifically use of effective contraceptives by female clients at risk of unintended pregnancy (all ages, teens [<20] and young adults [20 to 29]) and chlamydia screening among women under age 25. For each measure, we use data from 2005 to 2012 to examine national and regional trends, and data for selected years of this 8-year period to examine differences in these measures across states. We will present and discuss factors that hinder and facilitate performance related effective contraceptive use and chlamydia screening in the Title X program, and examine the opportunities and limitations of the current FPAR for monitoring service quality.

Learning Areas:

Administer health education strategies, interventions and programs

Learning Objectives:
Analyze and describe trends and state-level patterns in effective contraceptive use and chlamydia screening in the Title X National Family Planning program. Identify and explore supply- and demand-side factors that may facilitate and hinder effective contraceptive adoption/provision or chlamydia screening. Demonstrate the use of FPAR administrative data to assess Title X program performance on selected service quality measures, and identify and discuss the analytic opportunities and limitations of aggregate FPAR data.

Keyword(s): Health Care Quality, Performance Measurement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently the RTI project director for the federally (OPA) funded FPAR Compilation and Dissemination Project. In this role, I provide technical/administrative oversight to the RTI team that (1) operates the FPAR Data Syste to collect FPAR data, and (2) validates, analyzes, and disseminates FPAR data. RTI has processed FPAR data since 2005, and operated the FPAR data system since 2011. My interests include improving data quality and measuring performance in Title X.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.