Monitoring Tools, Protocols & Publications

Monitoring Tools

This is a sample listing of the different types of monitoring tools available to Agency Providers.  Monitoring worksheets are provided to assist providers in preparing for on-site visits by listing the items to be reviewed.  Contact Gayla Gilmore to request the most current documents available. Gayla Gilmore (gayla.gilmore@doh.wa.gov) or (360) 236-3454.

Monitor Tool Cover Page - Coversheet with Name of Agency, Reviewers, Contact information, etc.

Administration – On–Site Monitor Tool for Administrative review, including Follow–up Action

Medical Record Review – Worksheet for Chart Review

Clinical (Preparation) – On-Site Agency Review: Preliminary Instructions for Clinical Services Section

Clinical Services Review  – On–site Monitoring Tool for Title X Agencies

Evaluation Form  – On–Site Monitor Agency Feedback

Financial Review – On–site Monitor Financial Management Tool for Title X Agencies

Financial Preparation – List of Financial Documents Needed for On–Site Review

Risk Assessment Tool – Technical Assistance Monitoring & Evaluation Tool

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Protocols

This is a sample listing of the different types of clinical care protocols available to Agency Providers.  Contact Chris Knutson to request the most current documents available.  Chris Knutson (chris.knutson@doh.wa.gov) or (360) 236–3469.

Clinic Procedures

• Adolescent Clients
• Client Record
• Consults / Referrals
• Education and Counseling
• Prescribing / Dispensing
• Quality Assurance

Contraception

• Barrier Contraception
• Combination Hormonal Contraceptive
• Contraceptive Examination - Female
• Contraceptive Examination - Male
• Emergency Contraception
• Intrauterine Contraception
• Natural Family Planning
• Progestin Only Contraceptive
• Sterilization

Resources

• Abbreviations & Common Errors
• National organizations' screening & treatment standards
• BMI Table
• Quality Plan Template
• Sexual Abuse Laws
• Summary Table of Contraceptive Effectiveness
• U.S. Medical Eligibility Criteria for Contraception

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Publications & Reports

Publications

• Family Planning Manual
• Birth Control Brochure (1.7MB)
• WA State Rape Poster (18KB)

State Reports & Fact Sheets from Family Planning & Reproductive Health

• 2010 Family Planning and Reproductive Health HIV Fact Sheet (604KB)
• 2009 Washington State Title X & State Funded Client Data Sheet (1.1MB)
• 2008 Family Planning and Reproductive Health Annual Fact Sheet (2.4MB)
• 2008 County Inserts (715KB) - Summary of County Information

Federal Reports

• 2009 Family Planning Annual Report
• For earlier reports, please contact Family Planning Staff.

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Unless otherwise noted, all materials and forms on this page are in  PDF format.

Links to external resources are provided as a public service and do not imply endorsement by the Washington State Department of Health.

Documents posted in PDF, Word, and other formats on the Department of Health Web site will be made available on request to users who are unable to download or view them. For persons with disabilities, PDF documents will be made available on request in other formats. To submit a request, contact the Web Coordinator. Download the free viewers here.

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Last Update:  February 15, 2012
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