MCH Best. NPM 1: Well-Woman Visit
Strategy. Patient Navigation
Approach. Adopt protocols where clinic staff (e.g., WIC) assist with scheduling preventive visits.
Overview. Culturally and linguistically appropriate interventions may improve Pap testing levels among women in North America.”1
Evidence. Moderate. Interventions targeting the patient/consumer such as patient navigation appear to be effective. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Patient/Consumer.
Outcome. Percent of women with a past year preventive visit. 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. There are currently 0 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Adopt protocols where clinic staff (e.g., WIC) assist with scheduling preventive visits,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framewor (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies)k:
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).
1McKenney, K. M., Martinez, N. G., & Yee, L. M. (2018). Patient navigation across the spectrum of women’s health care in the United States. American journal of obstetrics and gynecology, 218(3), 280-286.