Development of a Pap-Hub to Ensure Up-to-Date Cervical Cancer Screening and Follow-Up [ID: 1375247

Abstract

INTRODUCTION: Complex American Society for Colposcopy and Cervical Pathology guidelines for cervical cancer screening compound challenges in ensuring proper follow-up for patients. We describe a “Pap-Hub” system for coordinating up-to-date screening and follow-up for patients and report preliminary outcomes on 10 years of data. METHODS: A retrospective analysis of Pap smear screening and follow-up data was conducted for patients in two health care systems (A and B) using the “Pap-Hub.” Clinician and patient surveys were administered to detail thoughts on systems effect on care coordination. RESULTS: Institution A managed 99,708 patients over 3 years. 76,842 patients (77%) had all recommended screening, follow-up, and or HPV vaccinations. Of these patients, 56,910 (74%) were screened and 60,744 (79%) completed their vaccination series. Institution B managed 81,795 patients over 3 years. 61,484 (75%) had all recommended screening, follow-up, and or HPV vaccinations. Of these patients, 46,630 (76%) were screened, and 46,756 (76%) completed their vaccination series. Screening rates at both institutions equaled or exceeded national rates each year. 50 patient survey responses have been completed. Forty-four patients (88%) reported that the system made results “much easier to understand” compared to electronic messages or letters. Ten percent (n=5) and 76% (n=38) of patients felt that it made them “more likely” or “much more likely” to follow up, respectively. CONCLUSION: The Pap-Hub system simplifies cervical cancer screening and follow-up. With ongoing data analysis and increasing patient and clinician survey responses, we aim to describe the scope of its effect for over 200,000 patients over 10 years.