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Health department announces changes for Pap test protocol

The North Carolina Division of Public Health’s cervical cancer screening program has completed a comprehensive review of all Pap tests to ensure that the 185 affected patients have been contacted.

Nearly all patients were reached and provided with instructions and appointments for any follow-up screenings.

Division of Public Health disease investigation specialists continue to look for the results that are still missing.

In addition, a number of changes to the program are being made.

Changes

  • All patients will be notified of their Pap test results within 30 days of the test, regardless of the result.
  • New reporting procedures have been implemented that track adherence to the abnormal Pap test notification process. These reports will be reviewed and monitored by Dr. Plescia.
  • An additional experienced medical assistant has been hired to ensure timely follow-up of Pap test results.
  • A plan to centralize follow-up activities is being developed. Recruitment of a full-time, experienced case management nurse to oversee follow-up of all clinical tests is in progress.
  • Recruitment of an experienced clinic manager to provide oversight and management of this clinic's operation is in progress.
  • On Monday, Barbra Azzara was retained by the county as a contract clinic manager. She will oversee all operations of the clinic until a permanent clinic manager is hired. Azzara will report directly to Dr. Plescia so there is clear direction and accountability.
  • The county's Internal Audit Department is conducting a formal review of the internal controls to assess and resolve vulnerabilities that may negatively affect patient care.
  • The North Carolina Division of Public Health has been contacted to request assistance with an assessment of public health department operations and compliance with state and federal rules and regulations.
  • The Division of Public Health will provide a progress update to the board at an upcoming regular meeting