Clinic-level strategies to increase effective contraceptive use

June 5, 2017   |  Tags: Blog   |  Tags: CCO Metric , preventive care , Quality Improvement
Rebekah Bally, MPH

Throughout the month of June, the Oregon Health Authority (OHA) Transformation Center is offering a 5-part webinar series focused on clinic-level strategies to increase effective contraceptive use. Many readers may already know that one of the incentive metrics for the Coordinated Care Organizations (CCOs) is “effective contraceptive use among women at risk of unintended pregnancy.” The OHA calculates this measure as the number of women aged 18-50 who were continuously enrolled in a CCO for the 12-month measurement period with evidence of one of the following methods of contraception during the measurement period: sterilization, IUD/IUS, implants, contraceptive injection, contraceptive pills, patch, ring or diaphragm. Learn more about this measure by reading the OHA Effective Contraceptive Use Guidance Document and checking out this throwback PCPCI webinar "Contraception as a Quality Metric: The Innovative Work in Oregon".

In the CCO 2016 Mid-Year Performance Report, data reflected that none of the CCOs are currently meeting the benchmark of 50% for this measure and therefore the Transformation Center identified this metric as one of three to focus on during the 2017 Innovation Café: Improving Key Metrics event hosted  by the OHA on May 9 in Salem.

Patty Cason, family nurse practitioner and Assistant Clinical Professor, UCLA School of Nursing presented one of the plenary sessions titled ‘Patient-Centered Reproductive Goals and Contraceptive Counseling: Shared Decision-Making in Action’. The Transformation Center’s webinar series will build on some of the topics Ms. Cason highlighted in her keynote including practical considerations for implementation; integrating information for health literacy; and the promotion of the patient, not the method.

Ms. Cason shared several resources with the audience including a Centers for Disease Control & Prevention (CDC) smart phone application with contraceptive guidelines and the Bedsider contraceptive chart. One method shared that I found valuable was the idea of a “question sandwich” to help patients integrate information by asking an open-ended question, then providing relevant information and following-up with another open-ended question. Learn more about this and other strategies by registering and tuning in to the 5-part webinars series this month.  

Webinar Schedule

This 5-part webinar series will provide strategies and share first-hand experience to clinics and CCOs working to improve women’s health and reduce unintended pregnancies by implementing reproductive goals counseling and providing effective contraceptives to women who do not want to become pregnant. You’ll find a detailed description of each webinar on its registration page (links below). 

Presenter: Patty Cason, Assistant Clinical Professor, UCLA School of Nursing

Audience: Providers, clinic staff and administrators (see each webinar for more details)

Background: OHA has convened a cross-agency work group to comprehensively address the issue of unintended pregnancy and develop a strategic plan for the state to move toward the goal of reducing unintended pregnancy and improving pregnancy planning and spacing. Providing technical assistance to health systems, CCOs and clinics is one strategy to increase effective contraceptive use, address disparities in unintended pregnancies and improve women’s health, pregnancy and birth outcomes.

May 31, 2-3 p.m. 

Health literacy in family planning

June 7, 2-3 p.m.

Advanced long-acting reversible contraceptives: successfully managing IUD and implant challenges

June 15, 3-4 p.m.

Practical strategies for efficiently implementing patient-centered contraception counseling

June 22, 10-11 a.m.

Same-day placement of implants and IUDs: solutions to common barriers

June 29, 10-11 a.m.

Providing quality contraceptive care throughout the lifespan