KPNW's Safety Net for Preventive Services: The Challenge of Reaching the Unscreened

KPNW's Safety Net for Preventive Services: The Challenge of Reaching the Unscreened

Nancy H. Stevens, PhD

Fall 1998 - Volume 2 Number 4

https://doi.org/10.7812/TPP/98-053

In 1991, a Middle Management Development Project (MMDP) proposed that Kaiser Permanente Northwest (KPNW) strengthen its prevention program by creating a Safety Net. The proposal called for the prevention Safety Net to ensure that members at greatest risk, eg, the unscreened, would receive services known to be effective in decreasing the risk of morbidity and mortality.

In 1994, a Prevention Steering Committee selected breast and cervical cancer screening as initial Safety Net interventions as these were known to be cost-effective and to have predictable screening intervals. A dual strategy was developed: unscreened members would receive an outreach letter; in addition, those who had clinical encounters would receive a verbal reminder from their clinician that they were overdue for screening.

Data suggest that the Safety Net has contributed to improved screening performance. Moreover, preliminary data from KPNW's Tumor Registry suggest that we are finding a greater incidence of invasive cervical cancers that may have gone undetected without the Safety Net initiative. KPNW believes the Safety Net has enhanced preventive services for the Region. The Safety Net should prove to be a potent strategy for other preventive and population-based screening services.

 

etoc emailClick here to join the eTOC list or text TPJ to 22828. You will receive an Email notice with the Table of Contents of each issue.

The Permanente Journal advances knowledge in scientific research, clinical medicine and innovative health care delivery. It is a peer-reviewed journal of medical science, social science in medicine, and medical humanities.

The Permanente Press

The Permanente Press publishes The Permanente Journal and books related to health care. For information about subscriptions, missing issues, billing, subscription renewal, and back issues, Email: permanente.journal@kp.org.

Circulation

27,000 print readers per quarter, 15,350 eTOC readers, and in 2018, 2 million page views of TPJ articles in PubMed from a broad international readership.

CME

The Kaiser Permanente National CME Program designates this journal-based CME activity for 4 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


ISSN 1552-5767 Copyright © 2019 thepermanentejournal.org.

All Rights Reserved.