Article Figures & Data
Figures
- Figure 1
Core clinical outcomes from the Transforming Primary Care for LGBT People intervention, 2016-2017.
FQHC = federally qualified health center; LGBT = lesbian, gay, bisexual, and transgender; SOGI = sexual orientation and gender identity.
Tables
Outcome Measure Component Description Percentage of patients with SOGI documentation Numerator Number of patients in denominator who had SOGI documented in their health record Denominator Patients aged 13 years and older who had a medical visit in last 12 months Percentage of LGBT patients who received risk-based sexual health screening Numerator Number of patients in denominator who had evidence of a risk-based sexual health screening in their health record Denominator LGBT patients aged 13 years and older who had a medical visit in last 12 months Percentage of LGBT patients screened for syphilis Numerator Number of patients in denominator who had a documented syphilis test Denominator LGBT patients aged 13 years and older who had a medical visit in last 12 months Percentage of LGBT patients screened for chlamydia and gonorrhea Numerator Number of patients in denominator who had a documented chlamydia and gonorrhea test Denominator LGBT patients aged 13 years and older who had a medical visit in the last 12 months Percentage of HIV-unknown LGBT patients screened for HIV Numerator Number of patients in the denominator who had a documented HIV test Denominator HIV-unknown LGBT patients aged 13 years and older who had a medical visit in last 12 months LGBT = lesbian, gay, bisexual, and transgender; SOGI = sexual orientation and gender identity.
- Table 2
Spread of the Transforming Primary Care for LGBT People Intervention Among FQHC Clinicians and Clinical Sites, 2016-2017
FQHC Clinicians Clinical Sites Pre-intervention, No. Post-intervention, No. Affiliated,a No. Adoption,b % Pre-intervention, No. Post-intervention, No. Affiliated,a No. Adoption,b % FQHC 1 1 18 18 100.0 1 3 3 100.0 FQHC 2 1 8 13 61.5 1 6 10 60.0 FQHC 3 1 29 31 93.5 1 8 8 100.0 FQHC 4 1 3 20 15.0 1 1 6 16.7 FQHC 5 1 4 80 5.0 1 4 10 40.0 FQHC 6 1 39 39 100.0 1 27 27 100.0 FQHC 7 1 2 60 3.3 1 1 22 4.5 FQHC 8 1 1 470 0.2 1 1 9 11.1 FQHC 9 1 207 207 100.0 1 13 13 100.0 FQHC 10 1 120 120 100.0 1 15 15 100.0 All FQHCs 10 431 1,058 40.7 10 79 123 64.2 Measure (Question Numbera) Preintervention, No. Postintervention, No. Change, % LGBT culturally affirming training FQHC trains all new hires in medical decision making for LGBT preventive health services (Q4) 1 2 100.0 FQHC trains all new hires in the behavioral health needs of LGBT clients (Q4) 1 3 200.0 FQHC trains all new hires in disclosure of LGBT status and confidentiality of information (Q4) 5 7 40.0 FQHC trains all new hires in culturally competent care and service delivery (Q4) 6 8 33.3 LGBT culturally affirming practices Preferred names and pronouns of patients are collected (Q9) 7 10 42.9 LGBT services are posted to FQHC website (Q11) 2 5 150.0 LGBT educational brochures are available to clients (Q11) 2 5 150.0 LGBT signage is clearly posted in public areas of the FQHC (Q11) 0 5 N/A Staff member is identified as LGBT liaison or navigator for clients (Q11) 1 4 300.0 LGBT-specific clinicians are made known to clients (Q11) 2 5 150.0 LGBT advisory group is fully operational (Q11) 5 4 –20.0 LGBT culturally affirming policies Policies protect staff from discrimination based on sexual orientation (Q5) 9 10 11.1 Policies protect staff from discrimination based on gender identity and/or gender expression (Q5) 6 9 50.0 FQHC has clear mechanisms for reporting and addressing discrimination or disrespect of LGBT people (Q5) 6 9 50.0 FQHC has a clear policy protecting patients based on gender identity and/or gender expression (Q5) 7 10 42.9 Systems to improve LGBT care All patients are asked SOGI questions (Q7) 2 9 350.0 FQHC has the capacity to capture SOGI data (Q8) 6 10 66.7 SOGI can be captured as structured data in the EHR (Q9) 5 10 100.0 Patients living with HIV can be broken down by LGBT category (Q15) 4 10 150.0 Reports can be generated from the EHR on patients living with HIV, by LGBT category (Q15) 0 7 N/A Transgender patients can be identified for targeted HIV/STD screening (Q24) 4 9 125.0 MSM patients can be identified for targeted HIV/STD screening (Q24) 5 8 60.0 EHR = electronic health record; FQHC = federally qualified health center; LGBT = lesbian, gay, bisexual, and transgender; MSM = men who have sex with men; N/A = not available; SOGI = sexual orientation and gender identity; STD = sexually transmitted disease.
↵a From the Practice Assessment Survey questionnaire in the Supplemental Appendix 2, available at https://www.AnnFamMed.org/content/18/4/292/suppl/DC1/.
Supplemental Appendixes
Supplemental Appendixes 1-6
Files in this Data Supplement:
- Supplemental data: Appendixes - Supplemental Appendixes 1-6
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