Contraceptive Services and Supplies. Reference: “Contraceptive services and supplies that are made available off-site through a community medical provider are: Offered in conjunction with care coordination; Available through a community medical provider with which the community-based program has formal linkages; Meets all patient privacy and confidentiality requirements that patients require; Available in a timely manner; Follow XX-XX/RH standards of practice (including US-MEC guidelines), and standards of practice; Follow other applicable program requirements, including privacy protections under HIPAA” (Page 37) XX-XX/RH Programs ensure and verify that the level of privacy protection and confidentiality safeguards that each patient requires and expects will be met through all external referral providers to which patients are referred. XX-XX/RH Programs have the capacity to ensure confidential contraceptive management (such as LARC), cytology screening and management (including colposcopy services), and other clinical services following XX-XX/RH Guidelines If (or when) services are not provided by program staff on-site. (Page 123) Describe how patient privacy and confidentiality requirements are assured through off-site services and referrals. (What agreements and mechanisms are in place to assure all points of confidentiality potential breech are safeguarded when services are provided off-site or a referral is made? Address areas in which disclosure and release can occur, including release of health care information, patient scheduling, appointment reminders, laboratory testing, after visit summary and EOBs.) The Kenosha County Division of Health (KCDOH) has the usual and customary methods of maintaining patient privacy protection and confidentiality safeguards using HIPAA mandate. KC RH-FP clinical services ensures workplace environmental measures are in place to maintain patient confidentiality safeguards throughout every aspect of program operations, communications, and information management. This including verification when scheduling or providing laboratory tests results (i.e. use of patient identifiers over the phone). Patients also have the option of accepting their after- patient summary through electronic medical records. To further ensure client privacy and confidentiality, the EMR system has a reproductive location with specific staff rights designated to staff ‘assigned’ to the KC RH-FP clinical services program. The release of information must be complete and accurate prior t...
Contraceptive Services and Supplies. Reference: “A full range of FDA approved contraceptive methods and supplies are available through the community-based program. A broad range of FDA supplies (prescription and non-prescription) are available on-site.” (Page 37) Maximum On-site Provision of Services Reference: “XX-XX/RH Programs provide maximum on-site provision of services, intervention, procedures, treatment, and supplies for maximum quality assurance, maximum privacy protection and confidentiality controls, patient convenience, and patient preference. XX-XX/RH Programs maintain a full-range of commonly used contraceptive supplies as part of its on-site formulary”. (Page 122) List the on-site formulary that is available. Identify any contraceptive services, procedures, or supplies that are not provided on-site. OCHD-RHC offers hormone birth control pills (Xxxxx, Orthotricyclen-LO, Orthocyclen, Cryselle, Junel FE 1.5/30, Cyclafem1/35, Micronor) NuvaRing, Xulane Patches, Depo-Provera/DMPA, Nexplanon and Emergency Contraception kits, male condoms (both latex and non- latex), and female condoms. Barrier methods also include GynoII contraceptive Gel and Contraception Foam. Patients who requests IUD inserts or sterilization are referred to private clinics.
Contraceptive Services and Supplies. Reference: “Dual protection kits, education and dual protection screening integrated with contraceptive supplies and all other patient visits or encounter” (Page 38) {All established female patients at return visits or re-supply are assessed for dual protection supplies on hand and the need to replenish supplies. Supplies are provided as needed, unless refused} (Page 159) Describe how this standard and practice is assured and consistently performed. (Describe how this practice of dual protection intervention is integrated into all patient visits and encounters and consistently performed). All patients (male and female) are informed of the Dual Protection (DP)concept at their initial visit at the RHC office . Female clients receive “in-advance” emergency contracption (EC) kits along with male and female condoms at their first office visit. All return visits or supply visits are assess for additional DP supply needs. When people call in for a contraceptive supply pick-up, a paper slip is completed and clients are assess over the phone of their DP or EC “in–advance” needs. Mailed birth control supplies will also include DP supplies if requested by client. Newsletters and website also describe additional education on Dual Protection Contraceptive services. Dual Protection conversations with clients are encourage to anticipate “next steps” and “what if” senerios as it related to their reproductive life plans.
Contraceptive Services and Supplies. Reference: “A full range of FDA approved contraceptive methods and supplies are available through the community-based program. A broad range of FDA supplies (prescription and non-prescription) are available on-site.” (Page 37) Maximum On-site Provision of Services Reference: “XX-XX/RH Programs provide maximum on-site provision of services, intervention, procedures, treatment, and supplies for maximum quality assurance, maximum privacy protection and confidentiality controls, patient convenience, and patient preference. XX-XX/RH Programs maintain a full-range of commonly used contraceptive supplies as part of its on-site formulary”. (Page 122) List the on-site formulary that is available. Identify any contraceptive services, procedures, or supplies that are not provided on-site. The on-site formulary includes DepoProvera, Fallback Solo (Plan B), Cryselle, Nuvarings, OrthoCyclen, OrthoTricyclen, OrthoTricyclen Lo, Ortho Micronor, male condoms, latex-free male condoms, and female condoms. On-site laboratory includes pregnancy testing, hemoglobin and urinalysis. Currently not available on-site, but under consideration are, Nexaplanon insertion and removal, Mirena insertion and removal, colposcopies, and antibiotics for treatment of STI and other infections. Testing provided on-site and shipped to the Wisconsin State Lab of Hygiene include thin preps, wet mounts, pap tests, HPV, gonorrhea and chlamydia.
Contraceptive Services and Supplies. Reference: “Dual protection kits, education and dual protection screening integrated with contraceptive supplies and all other patient visits or encounter” (Page 38) {All established female patients at return visits or re-supply are assessed for dual protection supplies on hand and the need to replenish supplies. Supplies are provided as needed, unless refused} (Page 159) Describe how this standard and practice is assured and consistently performed. (Describe how this practice of dual protection intervention is integrated into all patient visits and encounters and consistently performed). All new clients, WIC, PNCC, walk ins or scheduled appointments are offered a dual protection kit at the initial visit. Temporary Enrollment (TE) is offered to pay for the kit and, if eligible, done as part of the visit. Kits may be declined, but, clients are aware that the offer stands and available if ever they change their minds. At each subsequent visit, clients are offered supply refills. The Xxxxx County Health Department has GYT and ARC condoms on hand that can be given out at no cost for those not eligible for FPOS. A variety of brands, flavors, latex-free, and sizes of condoms are available to maximize client’s willingness to use them. We also have a lock box on site for after-hours Plan B needs. Education on the importance of condom use to increase pregnancy prevention as well as STD protection is discussed at all interactions. This is the backbone of our services and is continuously revisited with clients.
Contraceptive Services and Supplies. Reference: “A full range of FDA approved contraceptive methods and supplies are available through the community-based program. A broad range of FDA supplies (prescription and non-prescription) are available on-site.” (Page 37) Maximum On-site Provision of Services Reference: “XX-XX/RH Programs provide maximum on-site provision of services, intervention, procedures, treatment, and supplies for maximum quality assurance, maximum privacy protection and confidentiality controls, patient convenience, and patient preference. XX-XX/RH Programs maintain a full-range of commonly used contraceptive supplies as part of its on-site formulary”. (Page 122) List the on-site formulary that is available. Identify any contraceptive services, procedures, or supplies that are not provided on-site. Contraceptive Supplies on-site include: Oral Contraceptives; Depo Provera Injection (Shot); Nuva Ring, Emergency Contraception (Fallback Solo); Male and Female Condoms; Referral for an IUD and Implanon Implant. Contraceptive supplies not available on-site include the Contraceptive Patch, Diaphragm, Contraceptive Sponge, Cervical Cap and Spermacides.
Contraceptive Services and Supplies. Reference: “Dual protection kits, education and dual protection screening integrated with contraceptive supplies and all other patient visits or encounter” (Page 38) {All established female patients at return visits or re-supply are assessed for dual protection supplies on hand and the need to replenish supplies. Supplies are provided as needed, unless refused} (Page 159) Describe how this standard and practice is assured and consistently performed. (Describe how this practice of dual protection intervention is integrated into all patient visits and encounters and consistently performed). During each client interaction, whether it’s an initial visit for a new client, an annual health assessment for an established client, a routine pill pick-up, or a client seeking STI or pregnancy testing services; the need for dual protection kit supplies is assessed and offered. The need is typically assessed by asking the client if they have condoms and emergency contraception on-hand. If not, the clients are encouraged to accept a DPK and education is provided in regards to STI prevention. STI testing is offered per the nurse’s discretion or per the client’s request.
Contraceptive Services and Supplies. Reference: “A full range of FDA approved contraceptive methods and supplies are available through the community-based program. A broad range of FDA supplies (prescription and non-prescription) are available on-site.” (Page 37) Maximum On-site Provision of Services Reference: “XX-XX/RH Programs provide maximum on-site provision of services, intervention, procedures, treatment, and supplies for maximum quality assurance, maximum privacy protection and confidentiality controls, patient convenience, and patient preference. XX-XX/RH Programs maintain a full-range of commonly used contraceptive supplies as part of its on-site formulary”. (Page 122) List the on-site formulary that is available. Identify any contraceptive services, procedures, or supplies that are not provided on-site. The Kenosha County (KC) RH-FP clinical services program provides a full-range of FDA approved contraceptive methods and supplies (prescription and non prescription) in a timely manner as part of its on-site formulary, including: - Non Hormonal Contraception-Barrier- Condoms-Male, Condoms-Internal Non-Hormonal Contraception-Intrauterine- Paraguard-Copper intrauterine device Progestin Only Contraception-Oral- Ortho Micronor-0.35 mg Norethindrone Progestin Only Contraception-Injectable- Medroxyprogesterone Acetate 150 /mL Progestin Only Contraception-Implantable- Nexplanon-Etonogestrel 68 mg Progestin Only Contraception – Intrauterine- Mirena-52 mg levonorgestrel - intrauterine system Combined Hormonal Contraceptives - Oral – Cyclic Necon 7/7/7 ----- Norethindrone 0.5/35 mcg ethinyl Estradiol 7 tablets ----- Norethindrone 0.75mg/35 mcg Ethinyl Estradiol 7 tablets ----- Norethindrone 1mg/35 mcg Ethinyl Estradiol 7 tablets ----- Inert - 7 tablets Trinessa ----- 0.180mg Norgestimate/0.035mg Ethinyl Estradiol - 7 tablets ----- 0.215mg Norgestimate/0.035mg Ethinyl Estradiol - 7 tablets ----- 0.250mg Norgestimate/0.035mg Ethinyl Estradiol - 7 tablets ----- Inert- 7 tablets Ortho-Tricyclen ----- 0.180mg Norgestimate/0.035 mg Ethinyl Estradiol 7 tablets ----- 0.215mg Norgestimate/0.035mg Ethinyl Estradiol 7 tablets ----- 0.25mg Norgestimate/0.035mg Ethinyl Estradiol 7 tablets ----- Inert - 7 tablets Combined Hormonal Contraceptive - Oral -Non Cyclic Necon 1/35 1mg Norethindrone/35mcg Ethinyl Estradiol 21 tabletsInert - 7 tablets Aviane 0.1mg Levonorgestrel/20 mcg Ethinyl Estradiol 21 tabletsInert - 7 tablets Combined Hormonal Contraceptive – Vaginal Nuva Ring 0.12 Etonogesrtel/0.015 mg Ethiny...
Contraceptive Services and Supplies. Reference: “Dual protection kits, education and dual protection screening integrated with contraceptive supplies and all other patient visits or encounter” (Page 38) {All established female patients at return visits or re-supply are assessed for dual protection supplies on hand and the need to replenish supplies. Supplies are provided as needed, unless refused} (Page 159) Describe how this standard and practice is assured and consistently performed. (Describe how this practice of dual protection intervention is integrated into all patient visits and encounters and consistently performed). KC RH-FP clinical services promotes priority practices such as, dual protection, emergency contraception in advance of need (ECIA), third trimester contraceptive intervention, early post-partum contraceptive initiation, initiating pregnancy plans and contraception discussions, post-STD treatment re-test, Expedited Partner Therapy (EPT), and contraceptive “Quick-Start” management. All patients receive standard messaging on the use of condoms as part of dual protection and backup contraception, including the benefits of internal condoms. Further, the XX-XX-XX department questionnaire is integrated into all contraceptive and reproductive health visits to assess for dual protection supplies on hand and the need to replenish supplies. Supplies are provided as needed, unless refused.
Contraceptive Services and Supplies. Reference: “A full range of FDA approved contraceptive methods and supplies are available through the community-based program. A broad range of FDA supplies (prescription and non-prescription) are available on-site.” (Page 37) Maximum On-site Provision of Services Reference: “XX-XX/RH Programs provide maximum on-site provision of services, intervention, procedures, treatment, and supplies for maximum quality assurance, maximum privacy protection and confidentiality controls, patient convenience, and patient preference. XX-XX/RH Programs maintain a full-range of commonly used contraceptive supplies as part of its on-site formulary”. (Page 122) List the on-site formulary that is available. Identify any contraceptive services, procedures, or supplies that are not provided on-site. Contraceptive Services are offered five days a week by appointment with some walk-in appointment availability, as well as NP/RHC appointments one day per week beginning November 2016. Due to transitions in the Nurse Practitioner position, Xxxxxx County Reproductive Health (PCRH) has not been able to provide IUD insertions since January of 2016. Clients seeking IUD services have been referred to other local providers for IUD insertions. PCRH has plans for the current Nurse Practitioner to complete IUD insertion training this upcoming November through Health Care Education & Training technical assistance. There are plans to be able to offer this service on a regular basis beginning in 2017. After evaluating cost-effectiveness and distribution of PCRH contraceptive supplies, it was determined that it is not fiscally responsible to purchase and store Xulane patches for the limited number of clients we have choosing and continuing with this method. Once the in-house supply of Xulane patches is distributed PCRH will no longer be purchasing or have this method available at client appointments. If a client desires to start or continue with this method, a prescription will be called in to a local pharmacy, these clients can continue to use FPOS when picking up their supply. * PCRH onsite formulary: Apri, Xxxxx, Cryselle, Jolessa, Junel FE 1/20, Junel FE 1.5/30, Xxxxx (POPs), Ortho Cyclen, Nortrel 1/35, Ortho Tri Cyclen Lo, Tri-Sprintec, Nuva Ring, Depo Provera, Fallback Solo, Condoms (male, female, latex-free), Nexplanon. Available late November 2016: Xxxxx, Xxxxxx, Paraguard, Not available/limited supply:Xulane – we have a small supply on hand when current stock is gone, PCRH will offer to...
