Using the Contraceptive Care Measures in the Title X Program

On November 28, 2016, the National Quality Forum (NQF) endorsed clinical performance measures for contraceptive care submitted by the U.S. Office of Population Affairs (OPA). The measures will monitor the percentage of women aged 15-44 at risk for unintended pregnancy that is provided a most (sterilization, implants, intrauterine devices or systems (IUD/IUS)) or moderately (injectables, oral pills, patch, ring, or diaphragm) effective method of contraception and the percentage of women at risk for unintended pregnancy provided a long-acting reversible contraceptive (LARC) method (implants or IUD/IUs).

The measures are intended to increase screening for pregnancy intention among all women and men of reproductive age, and help providers ensure that the full range of most and moderately effective methods are offered using a client-centered approach to counseling.

This webpage provides information about how to use the measures in the Title X program, using Family Planning Annual Report (FPAR) data. FPAR data is readily accessible to Title X grantees and service sites, and has several advantages over other data sources for purposes of measuring contraceptive care.

Definitions, Rationale, and Interpretation 

  • OPA’s Performance Measures Page: Information about the contraceptive care measures for all women and postpartum women, including a rationale for the measures and how they should be used. It also includes information about how to calculate the measures using billing/claims data.

Calculating the Performance Measures using FPAR

Using the Performance Measures for Quality Improvement

  • Family Planning Performance Dashboard: An interactive way for Title X grantees to compare themselves nationally on the contraceptive care and chlamydia performance measures. Grantees and service sites can also track performance on these measures over time using a run chart.

  • Contraceptive Access Change Package: A tool comprised of evidence informed best practices and quality improvement strategies to support Title X grantees’ performance improvement on the NQF-endorsed contraceptive care measures.

  • Webinar: Performance Measurement Learning Collaborative (Cohort 1) Results and Change Package: This webinar describes how 12 Title X grantee/service site teams increased access to contraception through the Performance Measurement Learning Collaborative (PMLC). It summarizes the results of the PMLC, highlights experiences of two participating teams, and reviews the Contraceptive Access Change Package that guided their efforts.