CHSU Discovery

QI project Aim- Insertion of Etonogestrel implant on first clinic visit. Introduction-Current clinical practice mandates 2 clinical visits for Etonogestrel implant, first to rule out pregnancy with urine pregnancy test and then additional wait of 7 days for repeat urine pregnancy test and insertion of implant. Method- Using current CDC/AAFP/ACOG recommendations, clearly manifesting, insertion of Etonogestrel implant on the first visit with introduction of pregnancy related questionnaire and urine pregnancy test. Comparing outcome and benefits of two visits Etonogestrel implant insertion with single visit insertion. Benefits noticed- Among patient with Etonogestrel Implant insertion on the first visit; Post insertion questionnaire indicated higher satisfaction rate, lower no show rate, no coordination efforts were required by office staff for scheduling the patient for second visit. Decrease in billing cost was noticed with initial visit placement as compared to second visit insertion. End Result- Since 12/2022 patient at our clinic coming for Etonogestrel Implant insertion get benefit of same day procedure completion.