Funded by the New York City Department of Health and Mental Hygiene (NYC DOHMH), the goal of this three-year project was to reduce teen pregnancy rates in disproportionately affecting neighborhoods in the Bronx, Brooklyn, and Manhattan.
In support of this goal, the Healthy Teens Initiative (HTI) aimed to:
- Increase the rate of sexual history taking among providers starting at age 11 years
- Increase providers’ rate of offering contraception to sexually active clients, especially using the same-day quick start method number
- Increase the contraceptive prevalence rate among sexually active clients.
CAI collaborated with the DOHMH to identify healthcare providers serving at risk teens and tweens to participate in HTI. The CAI project team worked with these providers and the DOHMH to define performance measures (numerator and denominator) related to the three aims listed above, to design tools for providers to report aggregate data for key measures, to identify data sources to inform each measure, and where needed to devise data collection instruments to be implemented at the clinic level. CAI convened webinars and in-person meetings with participating providers to review the project goals, to train providers on how to collect, report and interpret performance measure data, to develop improvement plans based on these data, and to share their findings with their peers as part of a collaborative quality improvement initiative.
Preliminary results indicated that many providers were able to significantly improve performance around key measures with virtually no additional staff resources by implementing systems-level changes. The programs most successful in implementing changes were those with strong leadership from senior management.