It is recommended that the Tool be used and completed by a team of staff members who are involved in the delivery of reproductive health services within the clinic, to ensure all staff roles are represented. Examples include clinicians, medical assistants, administrative and billing staff, reception and appointment schedulers, interpreters, lab and pharmacy staff, medical director, clinic manager, nurse supervisor, etc. Once your team is assembled:
Step 1:
Review the overview of the Oregon Guidance for the Provision of High-Quality Contraception Services: A Clinic Self-Assessment Tool. Or you can download the print version to review the full assessment.
Step 2:
Discuss the process and logistics for completing the Tool as a team. (Alternatively, the team may divide into several pairs or small groups to assess specific domains, followed by a team meeting to share and discuss results.) If more than one person from your clinic will be completing the assessment, you will need to use the same username and password as the person who registered.
Step 3:
Review each measure, discuss with team members and select the numbered response that best describes your clinic’s practice. Complete all measures in each component and all components in each domain. When you’ve completed an entire domain, click “Submit Domain.” You can complete the domains in whatever order you choose and can complete the assessment in more than one session.
If you have already submitted a domain, you can go back and change your answers. To save your new answers, click “Submit Domain” again
Scoring
Once you’ve completed all four domains, the Tool will tabulate your scores and provide an overall score, along with the option to download your clinic’s custom summary report.
- Overall score of 70 or above: Clinics that score 70 or above are considered expert contraception providers. While these clinics would routinely provide care at the highest level, most clinics – even at expert level will have room for improvement.
- Overall score of 50 to 69: Clinics that score between 50 and 69 are considered quality contraception providers.
- These designations are to be considered along a continuum because clinics will have areas of relative strength and weakness. Thus, the designation of quality versus expert is likely to be fluid over time.
Step 4:
Consider the following guidance when completing the Tool:
- Keep the patients’ perspective in mind when scoring each measure.
- Avoid making assumptions about how another clinic staff member may score a measure. Solicit input from the appropriate staff to ensure accuracy.
- Measures with “uncertain” or “do not know” responses may require further team discussion and/or consultation with another clinic staff member.
- Try to score each measure in a way that represents the majority of relevant clinic staff, not the experience or capacity of any one provider within the clinic.
Step 5:
Summarize the findings with your team and determine next steps:
- What are the most important domains and components for your clinic to address?
- Prioritize which components your clinic would like to focus their improvement efforts on.
- Review the Strategy and Resource Guide for resources and recommended strategies.
- Create an action plan for improving your clinic’s scores on priority components.
- Consider integrating the priority components into your clinic’s quality improvement plan.
- Identify and highlight the strengths of your clinic in the provision of contraception services and consider how your clinic might build on those strengths.
- Determine how your clinic can communicate the Tool results to relevant audiences and develop a plan to do so.
If you have any questions, concerns, or feedback about the Clinic Self-Assessment Tool, please contact the Oregon Reproductive Health Program at: [email protected].