Frequently Asked Questions

1. What are some promising strategies my SBHC can use to identify students who are sexually active?

  • Confidentiality is key: Educate youth about what types of information and services can be kept confidential.
  • Ask students the right questions. Rather than asking “Are you sexually active?”, consider asking, “Have you ever had sex?” or “Have you had sex since you were last tested for an STI?” Ask students what type of sex they had (vaginal/oral/anal) and when.
  • Consider using birth control codes or STD codes in your EHR as proxies for sexual activity.
  • Create a discrete field in the EHR to document whether or not a patient is sexually active. Make sure that each provider enters data into the EHR in the same way.

2. There are so many ways to collect these data. Which way is best?

  • There are a variety of data-collecting methods for Chlamydia screenings. These include running reports with STD screen codes for ICD-10 or CPT codes for urine Chlamydia screening. Any of these codes can be used — just make sure that all providers are entering data the same way into the EHR.