QI Project 18-24 Limitations

Describe how to use different methods of communication to ensure that the work carried out is productive.

Human papillomavirus is currently affecting the entire US population without discrimination. To mitigate this, the Advisory Committee on Immunization Practices (ACIP) recommended that adolescent girls be required to vaccinate at age 11 – 12 while boys were optional (Kepka et al., 2016). Today, adolescent boys are required to vaccinate too. The focus of this research is about adolescent boys age 12 – 15 in the United States (US). However, the study is not focused on assessing the population at risk. Instead, the focus will be on the state and territory immunization programs that are responsible for meeting the Healthy People 2020 goals for HPV vaccination in males. The sample size will be extracted from the population.

Only 10% of the participants had a positive history for STIs. The group that had the highest majority of risky sexual abuse was the HA patients. The group that had the most frequency in being sexually assaulted and having homosexual acts was the SCH patients. None of the participants were positive for HIV. The highest groups for positive hepatitis B and C were also the

Over one million cases of Chlamydia were reported to the CDC in 2013. Despite this large number of reports it actually was a decrease by 1.5% since 2012 (CDC, 2014). Epidemiology statistics showed an increase in reported syphilis, including congenital. Other sexually transmitted diseases can pose higher risks for acquiring HIV. According to new studies, HIV is growing faster in populations that are over 50 versus 40 years and younger (BenRose, 2014). Factors may play a role in this such as higher divorce rates, new medications, and safe sex measures. Therefore, it is important for the healthcare provider screen for sexual activity and any change in sexual partners to provide routine testing when necessary and education on preventive

At Fort Madison Community Hospital they are focus at continuing improving quality service and managing care within the facility. To do this they have to measure accurately by different methods of quality improvement strategies. The managers also have to look at information technology applications and use benchmarking, milestones to help manage quality improvement to have a more effective facility.

Wysocki, 2015 estimated that half of all people in the United States will have contracted a sexually transmitted disease in their lifetime. Numerous young women under age 25 haven’t been screened and are asymptotic. Infections impact individuals of all economic levels and backgrounds. Three sexually transmitted diseases are required to be reported by physicians to public health officials. These three are syphilis, gonorrhea and chlamydia. African American and Latinos have barriers which increase rates of sexually transmitted diseases (Sutton, 2012).

The individuals that participated for this study used a format that was more of an open-response type report during a 4 months period time frame. We used: male and female sexual partners, they had to account how many times they times they had unprotected vaginal sex (e.g., not using a condoms), they also had to answer how many time they had unprotected vaginal and anal sex, with either a mates that was in jail, prison or normal every day citizen. They also had to answer if any form of alcohol or drugs where used before or after sexual contact, and the total number of partners (different partners) they were engage with.

Data collected provides the health care organization, providers, administrators and the patients with valuable information. Tools assist the organization by measuring the performance data that provide the information to improve the patient experience and improve their care. These tools engage the organization in self-evaluation on an ongoing basis. These tools also provide and effective method of containing costs and provides the means to meet the regulatory requirements to improve quality care. Tools allow organizations to provide a

Of the 43,780 completed surveys, a total of 29,308 (66.9 %) were included in this analysis based on the above criteria. Descriptive statistics and cross-tabulations were calculated to characterize demographic information and sexual and other risky behaviors. Those with missing values or “not applicable” responses were excluded from the relevant analyses.

The possibility of sexually transmitted diseases and infections poses a huge risk to all those who are sexually active. Without proper diagnosis and treatment, STDs and STIs such as Chlamydia, Gonorrhea, HIV/Aids, and HPV may leave permanent damage to one’s body and increase the likeliness of cervical cancer, infertility, ectopic pregnancy, and more. Planned Parenthood offers extensive testing for patients upon every visit to decrease the spread and damage of any and all diseases. According to Sonfield’s research, “Nearly half of female family planning clients receive chlamydia and gonorrhea tests, and 19% receive an HIV test… Without access to these services, in 2010, an estimated 3.6 million women and men would have forgone chlamydia or gonorrhea testing, which would have resulted in tens of thousands of undetected and untreated STIs. By reducing transmission to partners, these testing services helped prevent an estimated 99,000 chlamydia infections, 16,000 gonorrhea infections and 410 HIV infections that year” (Sonfield). The great amount of transferable diseases requires the counteractive services of Planned Parenthood to provide treatment and prevent the further spread of disease. Patients are offered and encouraged to receive testing to maintain sexual health. In the event of an issue, full treatment options are presented at low or no cost and

Education about sexual health is no longer just in the classroom or in a hidden book in the library. It can now be accessed anywhere such as magazines, movies, and especially through websites on the internet. Even though the internet is a widely used resource for information on sexual health, not all of these websites are reputable. In this analysis we will be investigating three websites that talk about sexual health, and how resourceful they are to the public.

The Every Woman Matters Program was created as a tactic to fix the current suboptimal levels of cancer screening for women in Nebraska. Researchers found that even though low income level women understood the importance of these types of screening, this specific type of comprehension did very little to push women towards getting screened for these types of cancers (Backer et al., 2005). This is of course understandable: women in low income households are more likely to have a host of other stressors and anxieties regarding day to day existence and the task of making ends meet, than women in high income groups. Daily survival getting to work, taking care of one's kids and other obligations leave these women with little time for much else; while the importance of such screenings might be understood, they're often not a high priority. For example, "African-American and low-income women have lower rates of cancer screening and higher rates of late-stage disease than do their counterparts" (Park et al., 2008). This is simply a trend that many medical professionals are aware of and one which needs to be corrected and which is in part one of the reasons that the Every Woman Matters Program was created. All women should participate in cervical and breast cancer screening regardless of income.

Numerous sexual partners enables the chances of contracting an STI, such as Chlamydia, Gonorrhea, or Syphilis, to increase; that being said, statistics indicate that one in every five teens has had four or more sexual partners. Teens of the ages 15 through 19 are among the highest rates of the population infected with the previously mentioned sexually transmitted diseases. Teens engaging in sexual activity are often exposed to diseases without full understanding of the ease that these infections can be transmitted; students need to be exposed to the severe consequences in order to promote more cautious future decisions, like the amount of sexual encounters. Many young males and females never acquire information on the numerous sexually transmitted infections that they could catch and distribute nor how to prevent or treat such diseases. The statistics of high school students that document receiving counseling on STDs and STD testing at a routine checkup with their doctor meets low expectations, recording at 42.8 percent for females and only 26.4 percent for males. The high rates of infected teens could be directly related to the lack of knowledge they receive on the possible diseases that can be distributed through sex. Without proper knowledge on sexually transmitted diseases, the

Healthcare consumers such as the patient, family, and friends play a critical role in GCMC’s QI process. According to Hibbard (2008) healthcare consumers can impact quality improvement through informed choice (market

The night before the clinical, I have tried my best to learn as much as I can about the nurse’s role in the care of pediatric patient in a public health setting; immunization, patient interaction, and patient education. So, after learning that I would spend most of my day at the women’s health clinic, particularly at the sexually transmittable disease unit, I was disappointed. However, as the day went along and after observing the first patient testing procedure, this clinical assignment does not seem so bad after all. I have observed four different sexually transmitted disease cases, each one different from the other, but every patient seemed to have similarities in terms of their risks taking behaviors. Indeed, it was interesting to note that some patient are repeatedly seen at the clinic, without any alteration to that kind of behavior. Moreover, the patient seen at the clinic that day, coming from a very diverse demographic, engaging in activities that detrimental