P61 Trends in Performance: STD Program Performance Measures 2005-2008

Tuesday, March 9, 2010
Pre-Function Lobby & Grand Ballroom D2/E (M4) (Omni Hotel)
Daniel R. Newman, MA1, Thomas A. Peterman, MD, MSc1 and Dayne E. Collins, BS2, 1Division of STD Prevention, Epidemiology and Surveillance Branch, Centers for Disease Control and Prevention, Atlanta, GA, 2Division of STD Prevention, Program and Training Branch, Centers for Disease Control and Prevention, Atlanta, GA

Background: In 1999 CDC started developing Performance Measures and Project Areas have reported on the measures continuously since 2005.

Objectives: To describe changes in performance on Performance Measures.

Methods:  58 Project Areas are asked to report on a total of 16 measures once or twice yearly depending on the measure. The measures indicate the ‘timeliness’ of interviews, treatment, and screening in certain venues for P&S Syphilis, Gonorrhea and Chlamydia. Other measures include the ‘completeness’ and ‘timeliness’ of reporting for P&S, Early Latent, Congenital Syphilis, Gonorrhea and Chlamydia.

Results: 58 Project Areas are reporting on the measures. The mean %’s of P&S Syphilis interviews completed within 14 days of specimen collection reported in 6 month intervals from 2005 through 2008 were: 48, 49, 48, 47, 41, 46, 48, and 49%. The mean number of contacts to P&S Syphilis treated (per 100 cases) within 14 days of specimen collection for the 4 year time period equaled: 40, 37, 37, 35, 30, 37, 37, and 35. The mean %’s with documented treatment for Chlamydia in Family Planning clinics within 14 days of diagnosis were: 59, 64, 66, 64, 64, 64, 64, and 69%. The mean %’s with documented treatment for gonorrhea in Family Planning clinics within 14 days of diagnosis were: 55, 65, 67, 65, 65, 64, 62, and 69. The mean %’s of Juvenile detainees screened for Chlamydia were: 57, 52, 58, 59, 59, 45, 51 and 56. Additional measures illustrate more of the same with stagnant levels of performance nationally.

Conclusions: Project Areas reports on Performance Measures from 2005-2008 indicate flat performance nationally with no discernable program improvement.

Implications for Programs, Policy, and/or Research: Additional interventions are needed in order to improve performance.

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