To improve colorectal cancer screening, breast cancer screening, cervical cancer screening, pneumococcal vaccination, and influenza vaccination in the UNC Primary Care Improvement Collaborative practices.
Many patients have care gaps in colorectal cancer screening, mammography, cervical cancer screening, and vaccination. Preventive care varies based on the limited population management infrastructure of practices.
We need to move beyond visit-based care and introduce interventions based on a philosophy of population management. Healthier patients who rarely visit the doctor do not receive reminders for important prevention services. Patients who come in frequently because of complicated medical problems often do not have preventive care needs met.
Patients who do not receive recommended preventive services as a result of visit-based prompting or limited outreach receive no other assistance from the clinics to seek preventive care.
Shana Ratner, MD
July 2014 - June 2015