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This image represents the Pap Hub and Spoke model using color coding, green for sites that are enrolled, orange for those in process and pink for those not yet enrolled.

Pap Hub and Spoke Program

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There are 14,100 new cases of cervical cancer, and 4,280 deaths annually. Cervical cancer usually develops over years. Optimizing screening participation and follow-up after an abnormal result will reduce cancer incidence and mortality. During an audit in 2019, the VA Office of Inspector General (OIG) found that 20 out of 42 VA facilities (48%) were non-compliant with VA requirements to notify patients of abnormal results within 7 days and to track abnormal results to ensure that patients receive indicated follow-up.

This innovation is replicating across multiple facilities as its impact continues to be validated. See more replicating innovations.


5 successful

Awards and Recognition:

VA Women's Health Research Impact Award


Women’s Health



  • Improvement in adherence to ASCCP guidelines from an error rate of 8.7% to 2.6%
  • Time to patient contact of Pap results has been 100% within the VHA Directive 1088(1), average patient contact is within 24 hours
  • 100% of clinicians surveyed with a patient who required referral to Gynecology were satisfied with the Pap Hub referral process
  • 94% of patients surveyed agreed results were communicated in a way that was easy to understand
  • 100% of follow-up results letters were sent

Diffusion tracker

Does not include Clinical Resource Hubs (CRH)


There are no in-progress adoptions for this innovation.

There are no unsuccessful adoptions for this innovation.