title: Improving quality of preventive care at a student-run free clinic.
abstract: Student-run clinics increasingly serve as primary care providers for patients of lower socioeconomic status, but studies show that quality of care at student-run clinics has room for improvement.
  
  
  OBJECTIVE
  To examine change in provision of preventive services in a student-run free clinic after implementation of a student-led QI intervention involving prompting.
  
  
  METHODS
  Review of patient charts pre- and post-intervention, examining adherence to screening guidelines for diabetes, dyslipidemia, HIV, and cervical cancer.
  
  
  RESULTS
  Adherence to guidelines among eligible patients increased after intervention in 3 of 4 services examined. Receipt of HIV testing increased from 33% (80/240) to 48% (74/154; p = 0.004), fasting lipid panel increased from 53% (46/86) to 72% (38/53; p = 0.033), and fasting blood glucose increased from 59% (27/46) to 82% (18/22; p = 0.059).
  
  
  CONCLUSIONS
  This student-run free clinic implemented a student-led QI intervention that increased provision of prevention. Such a model for QI could extend to other student-run clinics nationally.
authors.affiliation: Yale University School of Medicine, New Haven, Connecticut, United States of America.
authors.forename: Neel M
authors.initials: NM
authors.lastname: Butala
authors.forename: Harry
authors.initials: H
authors.lastname: Chang
authors.forename: Leora I
authors.initials: LI
authors.lastname: Horwitz
authors.forename: Mary
authors.initials: M
authors.lastname: Bartlett
authors.forename: Peter
authors.initials: P
authors.lastname: Ellis
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D010808:Physical Examination; D011314:Preventive Health Services / Q000592:standards*; D011320:Primary Health Care / Q000592:standards*; D058996:Quality Improvement; D013337:Students, Medical; D055815:Young Adult