Despite low-income patients and under-served communities having high unmet contraceptive needs, many health care providers get little training or support to offer contraceptive information, counseling, and services.

PHS’ Family Planning Capacity Building Program (FPCBP) supports primary care practices in ensuring that underserved patients are screened for contraceptive needs and have access to high-quality services, including a full range of contraceptive methods.

PHS’ support to health centers includes quality improvement coaching, training, and technical assistance on health education, counseling, and clinical service provision, as well as proper revenue cycle management and billing and coding procedures to ensure sites maximize financial resources available to support these services.

Participating Federally Qualified Health Centers (FQHCs) and adolescent clinics, from New York City to South Carolina, have seen remarkable improvements, screening more patients for contraceptive needs and observing more patients initiate or continue the use of contraception, indicating increased access.

RESULTS

PHS piloted this program in 2014-2015, leading a Quality Improvement Learning Collaborative (QILC) with four FQHCs in New York City.

As a result of the pilot project, annual screening for pregnancy intention among the four sites increased from 3% to 76%, and patients not seeking pregnancy who initiated or continued use of an effective contraceptive method increased from 2% to 68%.

Using lessons from this work, PHS developed a toolkit called Improving the Quality of Contraceptive Care in Primary Care Settings: A Toolkit for Practitioners. It is available to download for healthcare organizations and providers undertaking quality improvement projects to improve contraceptive care in their practices.