Editors: Suzan Goodman MD, MPH, Gabriel Flaxman MD
Integrating services into your practice setting will help to normalize abortion as a part of your patients’ regular health care.
Finding and working with additional champions in your organization will spread the mission and maximize your efforts.
Involving various stakeholders is critical to the service’s success and sustainability.
Providing a safe, respectful opportunity for staff to voice feelings (positive as well as concerning) about participating in abortion care will help support their involvement.
Using and infusing huddles, debriefs, and staff meetings with an emphasis on problem solving over blame can help facilitate gradual change in clinic culture.
Achieving rapid appointment access, staff courtesy, and ready information to patient questions are the most commonly reported factors affecting patient’s satisfaction with their abortion experience (Tilles 2016).
Preparing for medical and security-related emergencies, while rarely needed, is important for making staff feel secure, and should be carried out on a recurrent basis.
Maintaining necessary medications and equipment for abortion related emergencies, as well as hospital back-up arrangements, will prepare for patients’ rare needs.
Being patient and persistent with the process of integrating services is critical, as it may take some time.
Being familiar with practice improvement methodologies used in other parts of your practice, such as small tests of change, or readiness to scale and spread.
Using your the local and national networks will build a sense of collaborative community, help answer your medical and administrative questions, and challenge you to learn best practices.