Who Developed Q4T?
Q4T (Quality for Teens): A Quality Improvement Package for Adolescent Sexual and Reproductive Health Care was developed and produced by the National Association of Community Health Centers (NACHC) in collaboration with Cicatelli Associates Inc. (CAI) and with support from the Centers for Disease Control and Prevention (CDC) Division of Reproductive Health to facilitate the delivery of high-quality adolescent sexual and reproductive health (ASRH) services in Community Health Centers.
Health care and adolescent health experts and implementers from across the country were engaged to inform the development of Q4T to ensure its relevance to health centers. This includes 26 professionals who participated in a virtual technical panel convening on improving the quality of ASRH services in health care settings on February 18, 2021.
The following individuals with expertise in implementing ASRH quality improvement initiatives in health center settings supported the development of Q4T by providing feedback on multiple drafts and on the feasibility of using the package in health centers:
Gina Wilson, DNP, RN, FNP | Lincoln Community Health Center | Durham, NC
Jacalyn Bitterman, MD, FAAP, FSAM | Urban Health Plan | Bronx, NY
Jane Lose, ANP, CNM | STRIDE Community Health Center | Denver, CO
Josephine Jones, MPA, RN | Signature Health | Mentor, OH
Rina Ramirez, MD, FACP | Zufall Health Center | Dover, NJ
Stephanie Rose, CCE | HealthEfficient | Albany, NY
The following organizations participated in a 5-month learning community to pilot test Q4T in health center and other health care settings, yielding invaluable insights for improvement:
Community Health Connection | Tulsa, OK
Grand Traverse County Health Department | Traverse City, MI
Holyoke Health Center | Holyoke, MA
Southwest Community Health Center | Bridgeport, CT
NACHC is grateful to Anna Willingham Brittain, Kendra Hatfield-Timajchy, Riley J. Steiner, and Mikayla Bobrow for their extensive knowledge, care, and partnership to create Q4T.
National Association of Community Health Centers. Q4T (Quality for Teens): A Quality Improvement Package for Adolescent Sexual and Reproductive Health Care. Bethesda, MD: National Association of Community Health Centers; 2023.
Website addresses are provided solely as a service to readers. Provision of an address does not constitute an endorsement for this organization by NACHC, and none should be inferred. NACHC is not responsible for the content of other organizations’ webpages. The list of resources provided is not an exhaustive list of all resources that may be available, and as the evidence to improve ASRH care continues to evolve, some tools may become outdated over time.
This publication was made possible by grant/cooperative agreement #NU38OT000310 from Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of Centers for Disease Control and Prevention.