Chlamydia Screening in Women

  • July 20, 2017

    Chlamydia Screening in Women (CHL) continues to be a challenging quality measure for many providers to address. This National Committee on Quality Assurance (NCQA) measure requires screening all sexually active 16- to 24-year-old females for chlamydia to prevent pelvic inflammatory disease (PID).

    As you care for patients during check-ups and sports physicals this summer, here are three useful tips to improve care and your clinic's performance on this measure:

    1. Testing is easy. A dirty catch urine sample is all that you need.
    2. Setting patient expectations is best. When prescribing or refilling birth control pills, talk to patients about the national screening standard for women ages 16-24. This helps focus the requirement at the population level rather than suggesting something about the patient.
    3. Make it a protocol. Many clinics that perform well on this measure implement a practice protocol. These clinics ask all female patients ages 16-24 to give an annual urine sample, with the option to opt out of testing via a signed consent form.

    For more information and tools to make screening and treating for chlamydia a routine part of your practice, check out Why Screen for Chlamydia? An Implementation Guide for Healthcare Providers published by the American Sexual Health Association and the National Chlamydia Coalition.

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