CREW is a learning collaborative where healthcare providers collaborate to find practical, data-driven solutions that will help to improve clinical outcomes for adolescents.
Through the learning collaborative healthcare professionals can:
- Define and improve the specific metrics important to their organization.
- Get help tracking their progress toward their clinical goals for adolescents.
- Network with other healthcare professionals and health organizations throughout the state to share ideas and data.
- Get free education and training materials from Fact Forward.
Contact us to join the CREW today!
An economic analysis provided us with initial results demonstrating the benefit to providers of CREW participation. Quantifying the benefits to the provider allows the program to scale up and become self-sustainable.
This economic analysis of CREW used data from South Carolina Medicaid claims requested from the South Carolina Revenue and Fiscal Affairs Office (RFA), for the years 2012-2017, and were limited to patients between the ages of 15-24 years of age who were receiving care at a federally qualified health clinic or DHEC family planning clinic. If a patient received reproductive counseling, reproductive health services, sexually transmitted disease (STD) screenings then they were identified as having received reproductive services.
In this study, we first examined trends in the prevalence of reproductive service provision from 2012-2017, with the first CREW cohort in 2015 (4 sites), the second CREW cohort in 2016 (11 sites), and the third CREW cohort in 2017 (15 sites). For FQHCs, we found a significant increase in reproductive services provided by sites that participated in CREW in 2016.
Second, we examined trends in the amount paid per individual claim for reproductive services. For FQHCs, we found statistically significant increases in the per claim amount for sites that participated in CREW in 2015, from 2015 to 2017; sites that participated in CREW in 2016, from 2016 to 2017; and sites that participated in CREW in 2017, from non-CREW sites compared to CREW sites in 2017. There was a statistically significant increase in the median amount paid per patient seen at CREW implementation sites.
"I feel CREW provided me a road map to where my center needed to be in regards to contraceptive care, services, awareness and training as it related to unintended pregnancy, specifically in teens. The CREW team took me under their wing and several of them mentored me, recognizing my strengths and helping me overcome my own weaknesses when it came data and changing the culture of our facility. They were instrumental in helping build a good foundation in contraceptive services. Many of the Best Practice care and guidelines are still in place today. I am thankful for the opportunity to have been able to work with CREW.”
-Teresa Smith, Little River Medical Center
“We became involved with the initiative that is now CREW in Spring of 2016. Since that time there has been an amazing increase in the use of LARCS at our clinic as well as an increase in the knowledge base of both providers and students regarding birth control options. We have benefited from funding, marketing strategies, trainings and seminars that were facilitated by CREW. The changes made in our way of practice are now a part of our day to day function. They cared for us and because of them we have improved the quality of care we can give to our patients.”