Patient-centeredness is a core aspect of quality and is particularly important in the preference-sensitive context of contraceptive counseling. Given the history in the United States of reproductive coercion and racial/ethnic inequities in quality of care, it is crucial to not just pay attention to access of contraceptives, but also whether contraceptive counseling is equitable and person-centered. The Person-Centered Reproductive Health Program (PCRHP) at the University of California, San Francisco developed the Person-Centered Contraceptive Counseling (PCCC) measure as a patient reported outcome measure of the patient-centeredness of contraceptive counseling. This measure is endorsed as a reliable and valid measure by the National Quality Forum and has been implemented in clinics throughout the United States, including Planned Parenthood Federation of America (PPFA) clinics and Federally Qualified Health Centers (FQHCs).

This session will describe existing evidence about gaps in quality and disparities in contraceptive care provision. This will include a discussion of how approaches to counseling that prioritizes effectiveness at preventing pregnancy have interfered with patient-centered care and reproductive autonomy. We will then share the development of the PCCC measure, and how scores on this measure provide actionable information about how to improve quality and equity in care. Then, we will share case studies from PPFA and partnered FQHCs to highlight how PCCC has been successfully leveraged to advance the provision of patient-centered contraceptive care, as well as challenges of and solutions for PCCC integration into clinic quality improvement strategies.