1. Point-of-care service	4. Process improvement
Trained nurses and providers to treat every medical encounter as an opportunity for cervical cancer screening.	Standardized Papanicolaou test trays were stocked and stationed in all clinic rooms to improve efficiency.
Urgent and episodic care visits were used to discuss and address cervical cancer screening with patients.	Staff members were encouraged to share best practices and pilot process improvement cycles.
	Bilingual appointment reminder slips were placed on patient pillows at shelter sites.
2. Multidisciplinary screening	5. Population management
Behavioral health and primary care services are integrated with a team focus on preventive health care needs.	Teams, sites, and providers distributed transparent quality indicator comparative dashboards.
Nonclinical staff and nurses became part of the inquiry process for cervical cancer screening.	Patient registries were used by staff across sites during team case conferencing, in team huddles, and in direct street and shelter outreach to encourage screening.
Front desk staff at outreach sites assisted patients with preventive care needs assessment surveys.	Front desk staff combined appointment reminder reports and preventive care reports in patient outreach calls.
Cervical cancer screening questions were integrated in core nursing standards.	Teams used huddle reports to conduct previsit preparations for patients with preventive and chronic care needs.
Community support workers and case managers were also incorporated into screening inquiry process.
3. Health maintenance form in the electronic health record (EHR)	6. Provider and patient education
Updated health maintenance form in EHR enhanced visual trigger for providers.	Provider:
Up-to-date measures were in green, and out-of-date measures were in red.	Experts in the field of cervical cancer screening were invited to grand rounds and other teaching events.
Quality measures could be assessed by a multidisciplinary team, including RNs and MAs, during all visits through the EHR.	Providers were offered refresher courses on cervical cancer screening techniques.
Documentation of data in structured fields allowed for efficient aggregation and analysis for data-driven process improvement initiatives.	Patient:
	Papanicolaou test day health fairs offered same-day Papanicolaou tests.
	Culturally and linguistically appropriate brochures and posters were created and disseminated by BHCHP’s quality team.