MCH Best. NPM 1: Well-Woman Visit
Strategy. Designated Clinics/Extended Hours
Approach. Increase access and visibility to clinics that offer extended hours of service within close proximity to MCH populations.
Overview. Multiple access, scheduling, and time-related factors contribute to 'missed opportunities' in providing comprehensive preventive care. Designated clinics and extended hours have shown to address some of these missed opportunities in providing preventive services to women.”1
Target Audience. Provider/Practice.
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.
Sample ESMs. Using the approach “Increase access and visibility to clinics that offer extended hours of service within close proximity to MCH populations,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework:
The Role of Title. Title V Agencies can:
- Coordinate clinics across the state/jurisdiction to schedul extended hours through the week/month to give women options.
- Outreach to women focused on clinic services and extended hours.
- Provide direct assistance or through other programs.
- Help to evaluate utilzaiton of the well-woman visit by analyzing BRFSS data by key demographics and state geographic markers.
For additional suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies.
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).
1 Singh, M. K., Einstadter, D., & Lawrence, R. (2010). A structured women's preventive health clinic for residents: a quality improvement project designed to meet training needs and improve cervical cancer screening rates. Qual Saf Health Care, 19(5), e45-e45.