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.