2015 APHA Annual Meeting & Expo

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Recorded Annual Meeting Presentations (RAMP) are now available for purchase.
Only $90 for presenters, $140 for registered attendees and $200 for non-attendees.

Online Program

317713
Cervical cancer screening rate outcomes in federally funded community health centers through patient-centered medical home transformation


Monday, November 2, 2015 : 10:30 a.m. - 10:50 a.m.

Sue Chienshy Lin, PhD MS, Bureau of Primary Health Care, U.S. Department of Health and Human Services, Health Resources and Services Administration, Rockville, MD
Audio (mp3) recording Recorded Presentation (mp4)
Background/Significance: In 2012, federally funded health centers (HCs) received one-year funding through the Affordable Care Act (ACA) to improve clinical quality through patient-centered medical homes (PCMH) transformation and ensure more women are screened for cervical cancer. The PCMH model supports enhanced coordination, increasing access to after-hours coverage, treating patient in a holistic approach to health, and engaging patient as partner in directing their own care.

Objective/Purpose: The study aims to describe the outcomes in cervical cancer screening (CCS) rates and PCMH transformation efforts across the 810 HCs. 

Methods: We conducted univariate and bivariate analysis on attributes of HCs, cervical cancer screening rate and efforts towards PCMH transformation.  In addition, we assessed the association between changes from baseline cervical cancer screening rate and PCMH practice transformation efforts. 

Results: At the end of the funding period, 88.3% of HC either submitted PCMH recognition application or attained PCMH recognition and 63% of HCs reports increases in CCS rates.  A paired-samples t-test conducted to compare the CCS rate indicated significance differences between pre and post supplemental funding (p-value = <0.0001).

Discussion/Conclusions: We observed positive outcomes in CCS rates as well as efforts towards PCMH transformation among the majority of HCs who received supplemental grant funding.   The findings demonstrate that initiatives focused on single clinical quality measure coupled with PCMH transformation can lead to quality improvement.   Future research is needed to investigate the impact of PCMH transformation on other preventive screening and chronic disease management measures for patients receiving care in health centers.

Learning Areas:

Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice
Public health administration or related administration

Learning Objectives:
Evaluate the impact of patient-centered medical home transformation initiative at federally funded community health centers on cervical cancer screening rates. Identify attributes of patient-centered medical home model that lead to improvement in cervical cancer screening rates at initiative at federally funded community health centers

Keyword(s): Cancer Prevention and Screening, Cancer and Women’s Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Sue is currently the Senior Advisor in the Office of Quality Improvement within the Bureau of Primary Health Care (BPHC), at the Health Resources and Services Administration (HRSA). She leads the medical home initiative at BPHC, which targets improvements in clinical quality measures including cervical cancer screening at federally funded community health centers. Prior to joining HRSA, she has directed programs at the national and state level on public health research, education, and service.
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.

Back to: 3190.0: Let's talk about it: Cervical cancer, messaging and intergenerational communication (a collaborative session between the Women's Caucus and Cancer Forum)