MCHbest. 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. Increase access to and visibility of clinics that offer extended hours of service within close proximity to MCH populations.
Evidence. Moderate. Multiple access, scheduling, and time-related factors contribute to 'missed opportunities' in providing comprehensive preventive care. "Designated clinics and extended hours have been shown to address some of these missed opportunities in providing preventative services to women."1 Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
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. 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.
The Role of Title V. Title V agencies can support organizations that offer extended hours through a number of approaches:
- Coordinating clinics across the state/jurisdiction to schedule extended hours through the week/month to give women options to access services.
- Reaching out to women focused on clinic services and availability of extended hours (direct or through other service programs such as women's shelters).
- Helping to evaluate utilization of the well-woman visit by analyzing BRFSS data by key data 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.
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:
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.