Quality improvement initiative increases urinary incontinence awareness and treatment in women through automated screening in primary care.
Key Points
Evaluate the impact of an automated screening and education initiative for urinary incontinence in primary care settings on diagnosis and treatment referral rates.
Conducted a quality improvement study at 43 primary care practices
Utilized electronic health records to gather data on women during annual visits
Implemented automated UI screening and education workflows for primary care clinicians
6578 women (9.1%) reported bothersome UI symptoms and sought information
Initial step increase in UI diagnoses of 0.51 per 100 encounters (P = .01) post-implementation
Consistent increase in pelvic floor therapy referrals by 0.38 per 100 encounters (P < .001)
Initial increase in subspecialty care referrals by 0.29 per 100 encounters (P < .001) after implementation