Table 4.
Early syphilis treatment performance and performance achievement among community practices by practice characteristics, Baltimore City, Maryland 2018-2019 (n = 122 providers)
| Treated1 [Health Department Goal: ≥ 90%] | Appropriately Treated2 [Health Department Goal: ≥ 90%] | Promptly Treated3 [Health Department Goal: ≥ 85%] | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Practice Characteristics | N | Median % Diagnoses Treated per Practice (IQR) | % Practices achieving goal (n) | N | Median % Diagnoses Appropriately Treated per Practice (IQR) | % Practices achieving goal (n) | N | Median % Diagnoses Promptly Treated per Practice (IQR) | % Practices achieving goal (n) |
| Practice Type (n = 122) | |||||||||
| Sexual Health Clinics | 2 | 94.7 (94.4 – 95.0) | 100.0 (2) | 2 | 100.0 (100.0 – 100.0) | 100.0 (2) | 2 | 72.3 (70.1 – 74.6) | 0.00 (0) |
| FQHC | 16 | 100.0 (98.7 – 100.0) | 93.8 (15) | 16 | 100.0 (100.0 – 100.0) | 100.0 (16) | 16 | 82.8 (50.0 – 100.0) | 43.8 (4) |
| Private Sector | 42 | 100.0 (100.0 – 100.0) | 88.1 (37) | 41 | 100.0 (100.0 – 100.0) | 97.6 (40) | 40 | 84.3 (51.7 – 100.0) | 50.0 (20) |
| Hospital | 18 | 100.0 (100.0 – 100.0) | 100.0 (18) | 18 | 100.0 (100.0 – 100.0) | 88.9 (16) | 18 | 81.9 (76.2 – 100.0) | 44.4 (8) |
| Acute Care | 16 | 100.0 (100.0 – 100.0) | 87.5 (14) | 16 | 100.0 (100.0 – 100.0) | 87.5 (14) | 16 | 91.7 (78.9 – 100.0) | 50.0 (8) |
| HIV Specialty or Infectious Disease | 7 | 100.0 (98.0 – 100.0) | 85.7 (6) | 7 | 100.0 (100.0 – 100.0) | 100.0 (7) | 7 | 100.0 (50.0 – 100.0) | 57.1 (4) |
| Corrections Facilities | 5 | 100.0 (93.3 – 100.0) | 80.0 (4) | 5 | 100.0 (100.0 – 100.0) | 100.0 (5) | 5 | 85.7 (60.0 – 96.7) | 60.0 (3) |
| Behavioral Health Clinics4 | 11 | 100.0 (100.0 – 100.0) | 81.8 (9) | 11 | 100.0 (100.0 – 100.0) | 100.0 (11) | 11 | 33.3 (0.0 – 100.0) | 36.4 (4) |
| School-Based/University Clinics | 5 | 100.0 (100.0 – 100.0) | 100.0 (5) | 5 | 100.0 (100.0 – 100.0) | 100.0 (5) | 5 | 100.0 (100.0 – 100.0) | 100.0 (5) |
|
| |||||||||
| Reporting STI Volume Diagnoses (n = 122) | |||||||||
| Low (≤ 5 cases) | 92 | 100.0 (100.0 – 100.0) | 92.4 (85) | 91 | 100.0 (100.0 – 100.0) | 96.7(88) | 90 | 100.0 (50.0 – 100.0) | 54.4 (49) |
| High (> 5 cases) | 30 | 98.3 (92.3 – 100.0) | 83.3 (25) | 30 | 100.0 (100.0 – 100.0) | 93.3 (28) | 30 | 82.1 (76.2 – 87.5) | 33.3 (10) |
|
| |||||||||
| Funding Source (n = 122) | |||||||||
| Title X Funded | 13 | 100.0 (100.0 – 100.0) | 100.0 (13) | 13 | 100.0 (100.0 – 100.0) | 100.0 (13) | 13 | 91.7 (81.8 – 100.0) | 61.5 (8) |
| Not Title X Funded | 109 | 100.0 (100.0 – 100.0) | 89.0 (97) | 108 | 100.0 (100.0 – 100.0) | 95.4 (103) | 107 | 83.3 (60.0 – 100.0) | 47.7 (51) |
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| |||||||||
| Population Served (n=74) | |||||||||
| Pediatric | 36 | 100.0 (100.0 – 100.0) | 91.7 (33) | 36 | 100.0 (100.0 – 100.0) | 100.0 (36) | 36 | 82.4 (50.0- 100.0) | 44.4 (16) |
| Non-Pediatric | 38 | 100.0 (100.0 – 100.0) | 86.8 (33) | 37 | 100.0 (100.0 – 100.0) | 91.9 (34) | 36 | 100.0 (63.3 – 100.0) | 52.8 (19) |
|
| |||||||||
| Adult Primary/acute Care | 55 | 100.0 (100.0 – 100.0) | 85.4 (47) | 54 | 100.0 (100.0 – 100.0) | 96.3 (52) | 54 | 81.2 (50.0 – 100.0) | 42.6 (23) |
| Non-Adult | 19 | 100.0 (100.0 – 100.0) | 100.0 (19) | 19 | 100.0 (100.0 – 100.0) | 94.7 (18) | 18 | 100.0 (66.7 – 100.0) | 66.7 (12) |
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| Women’s Health | 36 | 100.0 (100.0 – 100.0) | 94.4 (34) | 36 | 100.0 (100.0 – 100.0) | 100.0 (36) | 36 | 84.5 (66.7 – 84.5) | 50.0 (18) |
| Non-Women’s Health | 38 | 100.0 (100.0 – 100.0) | 84.2 (32) | 37 | 100.0 (100.0 – 100.0) | 91.9 (34) | 36 | 81.7 (51.7 – 100.0) | 47.2 (17) |
Among 122 community healthcare practices that reported at least one early syphilis diagnosis. (Subset for population served included 74 practices). Treated was defined as health department documentation of any early syphilis treatment.
Among 121 practices community healthcare practices with treatment documented for at least one reported early syphilis diagnosis (Subset for population served included 73 practices). Appropriate treatment was defined as documentation with a CDC-recommended treatment as per the 2015 CDC Treatment Guidelines, the guidance in place during the observation period.
Among 120 community healthcare practices with appropriate treatment documented for at least one reported early syphilis diagnosis. (Subset for population served included 72 practices). Prompt treatment was defined as appropriate treatment prescribed within 14 days of specimen collection.
Behavioral Health Clinics include clinics that provide mental health treatment, substance use treatment, or both.