Table 2. Lessons learned.

How many overdue CCSs does your institution have?

– Examine details about the numbers: # overdue CCS/provider and # overdue CCS/department to see if education is needed regarding screening guidelines or clinical workflows.

– Identify high-risk groups to target patient outreach: no CCS for >5 y, history of abnormal CCS, first CCS overdue.

Why is CCS not being done?

– Random sampling of overdue list and deep dive into chart and identify why the CCSs were not done and change workflows accordingly. Changes in workflow should consider CCS-only clinics for new providers or providers coming back from leave. Evening/weekend CCS clinics are not necessarily the best use of resources.

If your clinic has a high no-show/cancellation rate for CCS, why?

– Electronic outreach and education, language-specific messaging to these patients.

– Survey these patients to see why they are not coming in for CCS.

– Create a targeted Cervical Cancer Awareness campaign if possible.

Educate clinical and administrative leaders

– Use data from your clinic’s overdue CCS list to obtain buy-in from strategic stakeholders who can support changes in clinical and electronic workflows.

Standardize workflows for rescheduling patients who decline/provider who can’t get to CCS during clinic visit.

Have a cervical cancer navigator/population health manager to oversee electronic outreach and data collection/analysis.

CCS, cervical cancer screening.