Abnormal Pap Smear Notification Improvement


Impact Statement: 
Yadkin-County Health department used QI tools and methods decrease the time for notifying clients of abnormal Pap smear results, enabling clients to make informed decisions about follow-up care.

The Yadkin County Health Department (YCHD) reviewed the medical records of clients who had received Pap smears and documented the timeframe when clients were notified. There was not a standardized timeframe, and the current Abnormal Pap Smear Policy was vague about notification times. YCHD felt that it needed to update policy, streamline the process, and eliminate the multiple staff and multiple steps that were involved in the process. The average wait from having a Pap smear to the time it takes the North Carolina State Laboratory to return the result to YCHD was 29 days. If the results of the Pap smear are high-grade lesion or greater, the State Laboratory contacts YCHD prior to sending the written results. In June 2010, YCHD made changes to its Abnormal Pap Smear Policy and developed a policy that specifically addresses priority notification of clients with abnormal Pap smears. From September 2010 to January 2011, YCHD had a 100% notification rate.

Organization that conducted the QI initiative: 
Yadkin County Health Department

Ivester, L. Public Health Quality Improvement Exchange. Abnormal Pap Smear Notification Improvement. Thu, 12/14/2017 - 11:18. Available at https://phqix.org/content/abnormal-pap-smear-notification-improvement. Accessed May 20, 2024.

Submission Status: 
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