Background:
In Idaho public health clinics, diagnostic testing for STDs is performed at the Bureau of Laboratories. Prior to the introduction of the lab requisition/data collection form, (LRDCF) clinicians completed a different requisition for ordering chlamydia, another when ordering gonorrhea, syphilis, hepatitis or herpes and yet another for HIV. Clinicians grumbled about repetitious documentation and requested paperwork reduction.


Objective:
•By 12/31/06 clinicians will report they complete at least 20% less paperwork to requisition labwork than with the multiple form system.
•By 12/31/06 clinicians will report they spend 20% less time requisitioning labwork than with the previous system.
•By 12/31/06 the STD/AIDS Program will have comprehensive risk factor information and demographic data on CT, GC, herpes, hepatitis, & syphilis. (reports will be included)


Method:
The creation of the form was a collaborative effort between the following stakeholders
•STD/AIDS Program
•Family Planning Program
•Bureau of Laboratories
•Region X Infertility Prevention Program (IPP)
•Ahlers and Associates Database management company
•Public health departments
•Idaho Division of Health
•Office of Epidemiology & Food Protection (OEFP)
The project coordinator and representatives from each stakeholder group collaborated to create and revise the LRDCF. (form will be provided)


Result:
Idaho uses different selective screening criteria for each disease on the LRDCF. To assist the clinicians in accurately completing the form and identifying the SSC for each test the form was color-coded. The form is legal sized and costs $0.27 per form. A corresponding color-coded laminated 3x5 pocket tool was also given to clinicians. (tool will be provided)
Clinics began using the form 10/3/2005. The feedback has been positive.


Conclusion:
Idaho successfully integrated lab requisition forms. Clinicians also use LRDCF as a tool to determine who is most at risk for certain STDs

Implications:
HIV data is not collected on LRDCF. The duration of use is eight months. A cost analysis could be performed.