Example Performance Measures
Performance Goals to Measure Progress
Establishing systems to collect, report, and use data is essential to monitoring adolescent sexual and reproductive health quality improvement efforts. Health centers can devote time and resources to establish infrastructure to capture data, either through the electronic health record or other mechanisms such as patient surveys. These example performance measures are intended to help your improvement team consider what performance measures could be used to monitor progress toward and success in achieving Q4T improvement goals. To clearly calculate performance measures, define the denominator, including the age range of adolescents to include (e.g., number of unduplicated patients aged 15-19 seen within last calendar year). Performance measures can be stratified by sub-groups to inform health equity (e.g., sex, gender, sexual orientation, age, race, ethnicity). Measures that align with Healthcare Effectiveness Data and Information Set (HEDIS) measures or National Quality Forum-endorsed measures are noted with an asterisk.
Improvement Goals/ Example Performance Measures
- Percent of unduplicated adolescent patients who had a sexual history taken
- Percent of care team members trained to provide behavioral counseling related to sexual health
- Percent of unduplicated sexually active adolescent patients who are screened for chlamydia and/or gonorrhea*
- Percent of unduplicated sexually active adolescent patients who tested positive for chlamydia and/or gonorrhea
- Percent of unduplicated sexually active adolescent patients who tested positive for chlamydia and/or gonorrhea and received treatment
- Percent of care team members trained to provide patient-centered contraceptive counseling
- Percent of unduplicated adolescent patients screened for pregnancy or parenting intentions
- Percent of unduplicated adolescent patients who gave a top score (5) on all four items on the Person-Centered Contraceptive Counseling measure scale*
- Percent of overall visit slots available for same-day contraceptive provision, including IUD and implant
- Percent of clinic sessions that all methods, including IUDs and implants, are available and in stock
- Percent of care team members trained to provide all contraceptive methods, including IUD and implant, according to clinical guidelines
- Percent of unduplicated adolescent patients who reported a positive patient experience
- Percent of unduplicated adolescent patients who received a well visit in past 12 months
- Percent of visits with adolescent patients that time alone with care team member was offered
- Percent of visits with adolescent patients that time alone with care team member was provided
- Percent of staff trained in using a trauma-informed approach
