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Strengthen the Evidence for Maternal and Child Health Programs

New: MCHbest strategies database for sample ESMs

Evidence Tools
MCHbest. NPM 1: Well-Woman Visit

MCHbest Logo well-woman visit

Strategy. University-Based Quality Improvement (QI) Initiatives  

Approach. Work with academic institutions to develop and adopt multicomponent QI initiatives to increase annual well-woman visits and preventive screening on college campuses.

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Overview. Studies show that multicomponent, quality improvement initiatives such as college campus health campaigns, university-based learning collaboratives, and the recruitment of medical students to staff student clinics are effective in increasing well woman visits and preventive screening.

Evidence. Moderate. University-based quality improvement initiatives based on this strategy are likely to work. This strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).

Target Audience. Schools; Provider/System; Patient/Consumers.

Outcome. Increase annual well-woman visits, preventive screening, and HPV vaccination among college students. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the “Intervention Results” for each study. 

Examples from the Field. Access descriptions of ESMs that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM.

Sample ESMs. Using the approach “Work with academic institutions to develop and adopt multicomponent QI initiatives to increase annual well-woman visits and preventive screening on college campuses,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):

Quadrant 1:
Measuring Quantity of Effort
("What/how much did we do?")

  • Number of school health centers that implemented QI initiatives to increase preventive visits for students.
  • Number of colleges/universities that initiated a multicomponent cancer screening/prevention campaign on campus.

Quadrant 2:
Measuring Quality of Effort
("How well did we do it?")

  • Percent of school health centers that implemented a QI initiative to increase annual well-visits for students.
  • Percent of colleges/universities that initiated multicomponent cancer screening/prevention campaigns on campus.

Quadrant 3:
Measuring Quantity of Effect
("Is anyone better off?")

  • Number of college students who had an annual preventive visit at a school health center that implemented a QI initiative.
  • Number of college students who had a preventive visit at a school clinic during a campus-wide multicomponent cancer screening/prevention campaign.

Quadrant 4:
Measuring Quality of Effect
("How are they better off?")

  • Percent of college students who had a preventive visit at a school health center that implemented a QI initiative.
  • Percent of college students who had a preventive visit at a school clinic during a campus-wide multicomponent cancer screening/prevention campaign.

Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).

Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.


 

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.