Text descriptions for graphics on HPV primary screening and abnormal screen results

Implementation phases

The three-phase diagram on Practical considerations for implementing HPV primary screening lists the following:

Building a foundation: Early exploration of how to implement HPV primary screening

• initial steering committee and advisory groups
• screening registry and IT
• guidelines and pathway
• predictive models

Implementation planning: Creating implementation teams and developing concrete implementation plans

• implementation team and champions
• implementation plan
• common and unified messaging
• clinician involvement
• laboratory changes
• coloposcopy increases
• pathway pilots

Execution: Executing the implementation plan

• communication, supportive material and training
• monitoring and evaluation

Triage flowchart

This flowchart on Cervical screening pathway steps indicates the following:

• If the screening test is negative, the patient returns to routine screening.
• If the screening test is positive, the patient may have a Pap test or go for colposcopy.
• If the Pap test is positive, the patient goes for colposcopy.
• If the Pap test is negative, the patient would wait and retest after a period of time.

Overview of the factors that determine next steps after colposcopy

The diagram on Abnormal screen follow up indicates the following:

After colposcopy, factors such as adequacy of colposcopy examination, hrHPV status, biopsy results and grade of cytology, colposcopic impression of CIN, and patient preference influence what happens next. A patient could either have treatment, have another colposcopy, or undergo a period of waiting and repeat HPV testing with cytology.