The percentage of women aged 15-44 years at risk of unintended pregnancy is provided a LARC method (implants or intrauterine devices or systems (IUD/IUS)).
How the Measure Should be Used
This measure should be used as an access measure to identify very low rates of LARC use (less than 1-2% use); very low rates may signal barriers to LARC provision that should be addressed through training, changes in reimbursement practices, quality improvement processes, or other steps. The barriers to obtaining LARC are well documented, and include client physician lack of knowledge, financial constraints, and logistical issues. The Contraceptive Care – Access to LARC measure should NOT be used to encourage high rates of use as this may lead to coercive practices. This is especially important given the historical context of coercive practices related to contraception. For the same reason, it is not appropriate to use the Contraceptive Care – Access to LARC measure in a pay-for-performance context.
Measure specifications and SAS code have been developed to calculate the measures using administrative claims data:
- Link to 2014 Measure Specifications (151 KB)
- Link to 2015 Measure Specifications (200 KB)
- Link to 2016 Measure Specifications (275 KB)
- Link to 2017 Measure Specifications (214 KB)
- Link to 2018 Measure Specifications (updated) (89 KB)
- Link to 2019 Measure Specifications (95 KB)
- Link to 2020 Measure Specifications (230 KB)
- Value Sets, Code Lookup Tables, and SAS Code Instructions for Calculating the Measures for All Years