More than 60% of adult women experience urinary incontinence, but the majority do not seek care. Most women want their primary care provider to ask about their UI.
What is WI-INTUIT?
WI-INTUIT is one of five sites in a federally-funded national project to help busy primary care practices screen for and manage urinary incontinence (UI) in female patients.
Why should your practice participate?
In addition to monetary compensation ($3,000) your practice will:
- Achieve better bladder health for your patients and improve patient satisfaction
- Implement simple UI solutions
- Gain tools to streamline difficult conversations
- Connect with experts and resources you can trust
- Choose processes that limit practice burden
- Work with experts who understand your setting
- Receive dedicated quality improvement coaching
- Support Maintenance of Certification (MOC) for providers
How to join
Interested in discussing this project with a WI-INTUIT physician?
- A three-step process (ASK - ADVISE - ASSIST) to help busy primary care practices screen for and manage urinary incontinence (UI) in women
- Based on processes proven to be feasible and efficient in primary care
- Menu-based so you can tailor and adopt what works for your team
How does UI-Assist support Primary Care Providers to manage UI?
- Supports evaluation and treatment in clinic
- Minimal work up
- Prescribing algorithms to treat UI
- Patient education materials (paper and online)
- Provides hands-on training in pessary fitting
- Offers educational meetings and feedback from primary care and subspecialist experts
- Facilitates peer-to-peer learning
How does UI-Assist promote linkages with community resources?
- Provides contact information for specialists in your community who treat UI
- Physical and occupational therapists
- Urogynecologists and urologists
- Enables referrals to community-based self-management workshops proven to improve UI
- Provides practices access to a UI-management website with resources proven to improve UI including an 18-minute video and a mobile application (app) that patients can download
- Provides additional online resources for providers
- Offers participating practices access to an online learning community
- All practices will receive dedicated quality improvement (QI) support from an expert
- We will evaluate practice success
We are very excited that Wisconsin was 1 of 5 sites selected for this $3 million federal grant sponsored by the Agency for Healthcare Research and Quality (AHRQ).
1. Advancing Heart Health
In 2015, AHRQ launched EvidenceNOW: Advancing Heart Health with four goals:
- Help practices implement evidence to improve healthcare, starting with heart health
- Build practice capacity to receive and incorporate evidence in the future
- Learn how external QI support helps these practices improve workflow and patient health
- Build and disseminate a blueprint of how to improve primary care with external help
2. Managing Unhealthy Alcohol Use
In 2019, AHRQ launched the EvidenceNOW: Managing Unhealthy Alcohol Use Initiative to raise awareness about the evidence for and support the implementation of:
- Screening for unhealthy alcohol use
- Brief interventions and referral to treatment for those who screen positive
- Medication-assisted treatment for those diagnosed with alcohol use disorder
3. Building State Capacity
In 2021, AHRQ launched EvidenceNOW: Building State Capacity to catalyze the creation or enhancement of such an infrastructure in four States. AHRQ is investing in the development of additional State-based external quality improvement (QI) support infrastructure to increase the capacity of States to help primary care practices deliver evidence-based care and to address equity in health outcomes. In order to address disparities, AHRQ sought applications from States whose capacity is currently limited but have the potential to expand primary care improvement activities.
4. Managing Urinary Incontinence
In February 2022, AHRQ launched the Improving Nonsurgical Treatment of Urinary Incontinence among Women in Primary Care (INTUIT-PC). The initiative builds on AHRQ’s EvidenceNOW Model of external support to help primary care practices implement patient-centered outcomes research (PCOR) on effective nonsurgical interventions for UI such as behavioral approaches, medications, and neuromodulation. The initiative will help close the gap between evidence and primary care practice in care for UI in women.
How to join
Interested in discussing this project with a WI-INTUIT physician?
Role title: Principal Investigator
Role title: Practice Facilitator
The practice will be enrolled.
Independent primary care practices and practices that are within a healthcare system can participate in this quality improvement study. If your primary care practice is in a healthcare system, not all primary care practices in your healthcare system are required to participate.
This quality improvement study enrolls at the practice level. Therefore, all physicians in a primary care practice will participate in the study. However, not all physicians are required to be part of the practice change team. A physician champion for the primary care practice can contribute more to the study by serving on the practice change team.
- 5 hours of free practice facilitation to tailor a streamlined quality improvement plan for your practice
- A curated list of local resources (specialists and community organizations) for your practice to support urinary incontinence (UI) screening and treatment
- Access to physicians (primary care and urogynecology) with expertise in treating UI
- Access to an online community of other practices in WI participating in this project
- Practice stipend of at least $3,000 to thank you for your participation
- Merit-based Incentive Payment System (MIPS) and/or American Board of Family Medicine (ABFM)/American Board of Internal Medicine (ABIM) maintenance of certification module assistance
After enrolling in the project, half of the practices will be randomly assigned to receive this additional support, so we cannot tell you ahead of time whether your practice will get it.
2 free sessions to personally connect you with specialists & community resources
For the practice overall:
3 project meetings, each lasting 1 hour, during the first 6 months of the project
- Education about screening & treating UI in primary care
- Tailored roadmap for how to screen for and treat UI for your practice
- Connections to local resources (community, specialists) to support treatment
- Data dashboard - see how your practice is doing with the project
For the practice change team:
The practice change team will consist of 2-5 providers / staff who are project champions
- Two planning meetings (each meeting is less than an hour long)
- 4 video/phone calls (Less than 30 minutes each) in the first 6 months & 3 in next 12 months
- 2 additional 1-hour meetings if practice is in partnership building group
- Practice change team members will receive $25 for completing 2 additional questionnaires
The project lasts for 6 months. The research team will continue to collect information for another 12 months. Your practice will have access to online project resources for the whole 18 months.
- Share your feedback through participating in meetings and completing surveys (3 times)
- Provide automated quarterly reports from your electronic health record (EHR)
- Distribute patient surveys before and during the project (4 weeks total)
- Post flyers in clinic bathrooms and common areas
- With support, your practice will implement UI-Assist (Ask, Advise, Assist) to screen and treat patients with urinary incontinence (UI).
- Your practice will select the best strategies for your practice to implement from the UI-Assist menu.
- Your practice will be randomly allocated to an implementation strategy:
- Strategy 1 - Our implementation team will support your practice through facilitation to promote adaptability. These practices will receive $3,000 for their time and participation.
- Strategy 2 – Practices allocated to this strategy will receive the same implementation components as practices in strategy 1, but our implementation team will additionally help your practice engage with community resources and build coalitions. Practices allocated to this strategy will receive an additional stipend to help facilitate additional partnerships