Measure Status: Active
Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)
Service Type: Middle level: enabling services
Service Recipient: Activities related to systems-building
Goal: Increase resources, training and practice improvement support for adolescent health providers to provide well-care visits aligned to Bright Futures.
Numerator: Numerator: Total Actual Score from Adolescent Health Data Collection Form
Denominator: Denominator: Total Possible Score from Adolescent Health Data Collection Form
Significance: Many health plan, provider, parent and adolescent challenges exist which limit access to comprehensive adolescent well care (AWC) visits which include:
• Poor utilization of AWC
• Perception that the AWC lacks value
• Variability in health plan benefit cost share for families of the AWC and follow up services
• High utilization of sports physicals instead of AWCInconsistent practices addressing confidentiality
• Provider discomfort with mental health, substance abuse, and reproductive health interventions
• Lack of knowledge of community resources
Teen-centered care includes:
• Teens’ contraceptive and reproductive health needs are assessed at every visit e.g. emergency contraception is available to male and female adolescents.
• Teens receive STD/HIV counseling, testing, and treatment without having an exam.
• Mental health, substance use, violence, and other health concerns are assessed and appropriate referrals are made.
• Health information disclosed or discussed during a visit is confidential, consistent with state laws and regulations.
• Billing procedures maintain teen’s confidentiality.
• The health center environment and staff leave teen patients feeling respected and engaged in their health care.
• Culturally competent care is provided, and care is sensitive to and respectful of each teen’s culture, ethnicity, community values, religion, language, educational level, sex, gender, and sexual orientation.
• The care provided addresses the unique biologic, cognitive, and psychosocial needs of adolescents.
• Conversations between teens and providers are two-way, where teens feel respected and not judged.
Everyone knows thereʻs an “ART & Science” in supporting adolescents. Title V will address the documentation of practices and resources through itʻs “ART” and provide the “Science” support through continuing education training.
Data Sources and Data Issues: This is a summary of the Data Collection Form that lists 17 strategy components organized by the following domains:
• Adolescent Resource Toolkit
• Continuing Education Curriculum Series (Science)
• Outreach and Training
Each item is scored from 0-3 (0=not met; 1=partially met; 2=mostly met; 3=completely met), with a maximum total of 51. Scoring is completed by Title V staff, with input from ART & Science Workgroup. The data collection form is attached as a supporting document.
Unit Type: Scale, Unit Number: 51