PICCK Resources Archive

Below is an archive of resources from PICCK, Partners in Contraceptive Choice and Knowledge, is an innovative clinical and public health program designed to improve access to and quality of contraception services across the Commonwealth of Massachusetts.

PICCK’s five year grant ended in the fall of 2023. PICCK is no longer actively working with hospital partners and is not creating new materials. PICCK encourages PNQIN affiliates to access and use their created and curated materials, but they will no longer be updated.

Billing for Contraceptive Counseling

5/19/21

The contraceptive counseling discussion is a billable service

separate from the provision of a contraceptive method. This

one-pager provides guidance to help you bill for the work you

provide.

PICCK-Billing-for-Contraceptive-Counseling

Birth Control Methods You Can

Get Without an In-Person Visit 4/6/20

This document for Massachusetts patients lists birth control

methods and how you can access them – from your provider via

telemedicine, online from a provider that is not yours, and on your

own without a prescription.

PICCK-Birth-Control-Methods-You-Can-Get-Without-a-Visit

Bridge Methods of Contraception

4/6/20

This quick reference guide describes best practices for prescribing

bridge methods of contraception as well as lists what methods

patients can access with a prescription and which methods

patients can access without a prescription.

PICCK-Bridge-Methods-of-Contraception

Contraception Bill of Rights

12/18/19

Contraceptive justice is an important component to

patient-centered care. We provide a Contraception Bill of Rights

which outlines six tenets of contraceptive care and counseling that

we believe equip patients with the information and autonomy

necessary to make informed decisions about contraceptive

methods.

PICCK-Contraception-Bill-of-Rights

Contraceptive Counseling

Sample Auto Text for EMR

6/7/23

Sample autotext for your EMR when providing patient-centered

contraceptive counseling. Follows the PHI CARE model of

contraceptive counseling.

PICCK-Contraceptive-Counseling-Sample-Auto-Text-for-EMR

Contraception Guide – Provider

Guide 6/29/22

For providers to learn about the decision aid and method

information sheets and how to optimally use them with patients.

PICCK-Contraceptive-Counseling-Sample-Auto-Text-for-EMR

Contraception Guide – Patient

Guide

6/29/22

While these materials (Decision Aid and Method Information

Sheets) were designed to be used during the counseling

interaction, if a patient has found their way to this website, this

guide is for you. Learn about these resources and how they can

help you explore your contraceptive options.

Patient-Guide

Contraception Guide (available

in English, Spanish, Portuguese

and Haitian Creole)

6/29/22

A best practice for shared decision-making is to use a decision aid

with patients during the counseling interaction. The contraception

decision aid “Contraception (Birth Control) Guide” is designed to

support the exploration of patients’ values and preferences and

center patients. To accompany the decision aid, a set of 17 method

information sheets were developed to support patient education.

There is also a provider guide and patient guide to learn about the

materials.

Contraception-Birth-Control-Guide-Haitian-Creole Contraception-Birth-Control-Guide-Portuguese Contraception-Birth-Control-Guide-Spanish Contraception-Birth-Control-Guide-English

Method Information Sheets

(available in English, Spanish,

Portuguese, Haitian Creole,

Chinese, Vietnamese, and

Arabic)

6/29/22

English:

Sterilization-Information-Sheet Spermicide-including-Sponge-Information-Sheet Shot-Information-Sheet Ring-Information-Sheet Pulling-Out-Information-Sheet Progestin-Pills-Information-Sheet Phexxi-Information-Sheet Patch-Information-Sheet Implant-Information-Sheet Hormonal-IUD-Information-Sheet Fertility-Awareness-Methods-Information-Sheet Emergency-Contraception-Information-Sheet Diaphragm-and-Cervical-Cap-Information-Sheet Copper-IUD-Information-Sheet Condoms-Information-Sheet Combined-Pills-Information-Sheet Breast_Chestfeeding-as-Contraception-Information-Sheet

Spanish:

Chinese:

Portuguese:

Haitian Creole:

Vietnamese:

Arabic:

Postpartum Contraception Guide

(available in English, Spanish,

and Portuguese)

7/28/2023

Postpartum-Contraception-Birth-Control-Guide-Portuguese Postpartum-Contraception-Birth-Control-Guide-Spanish Postpartum-Contraception-Birth-Control-Guide-English

DIY: Postpartum IUD (PPIUD

Model Guide

9/17/20

Learn how to build your own low-fidelity model to practice vaginal

insertion of immediate postpartum IUD with four materials. This

model was originally created by Dr. Paul Blumenthal of Stanford

University.

PICCK-DIY-Postpartum-IUD-Model-Guide

DIY: Postpartum IUD (PPIUD)

Model Video

9/17/20

Learn how to build your own low-fidelity model to practice vaginal

insertion of immediate postpartum IUD with four materials. This

model was originally created by Dr. Paul Blumenthal of Stanford

University.

Emergency Contraception

Information Sheet

1/29/20

We provide a one-page infographic about emergency

contraception (EC) for providers to use as a tool for determining

what EC is, when it should be used, and the available methods of

EC.

PICCK-Provider-Facing-Emergency-Contraception-Information-Sheet

Emergency Contraception

Toolkit

1/10/20

A resource for providers and administrative staff providing

emergency contraception (EC) to patients in hospital ambulatory

and postpartum settings.

PICCK-Emergency-Contraception-Toolkit

Extended Use of LARC Methods 4/2/20

There is research data that supports extended use for most

methods of long-acting reversible contraception (LARC) available

in the US. Studies have shown that some hormonal IUDs (Mirena,

Liletta), as well as the copper IUD (Paragard), and the

contraceptive implant (Nexplanon) are effective beyond their

FDA-approved duration. This document outlines those research

findings.

PICCK-Extended-Use-LARC-Methods

Guideline for DEPO-subQ

Provera 104 Self-Injection

4/28/20

This quick reference guide co-branded by PICCK and Upstream

provides information on DEPO-subQ PROVERA 104, including

step-by-step instructions and videos for patients on how to

self-inject.

PICCK-Upstream-Guideline-for-DEPO-subQ-PROVERA-104-Self-Injection

How To Remove Your

Intrauterine Device (IUD) By

Yourself

8/15/22

It is safe and okay to remove your IUD at home for any reason.

This guide will explain how to remove your IUD, answer common

questions, and provide helpful tips.

PICCK-How-to-Remove-Your-Intrauterine-Device-IUD-By-Yourself

Insertion of IUD During Cesarean Delivery

4/14/20

A quick procedure reference for IUD insertion during cesarean delivery.

PICCK-Insertion-of-IUD-During-Cesarean-Delivery

Insertion of IUD Immediately

Post Vaginal Delivery 4/14/20

A quick procedure reference for IUD insertion within 10 minutes of

vaginal delivery.

PICCK-Insertion-of-IUD-Immediately-Post-Vaginal-Delivery

Insertion of Postpartum IUD

Before Hospital Discharge

4/14/20

A quick procedure reference for IUD insertion postpartum before

discharge.

PICCK-Insertion-of-Postpartum-IUD-Before-Hospital-Discharge

Insurance Verification Form For

IUD and Implantable Subdermal

Contraception

2/7/20

Not every device or method is covered by every carrier. It is good

practice to check with every payer to confirm coverage. This form

can allow for your biller/verification staff to collect information

needed to verify coverage of LARC procedures and devices.

PICCK-Insurance-Verification-Form-for-IUD-and-Implantable-Subdermal-Contraception

LARC Billing Guideline

3/4/20

Guidance on how to accurately bill for long acting reversible

contraception (LARC) supplies and services. This includes

examples of coding, billing scenarios, and a sample insurance

verification form.

PICCK-LARC-Billing-Guideline

Massachusetts 24 Hour

Pharmacies That Stock Ella

3/22/22

This document lists the retail pharmacies in Massachusetts, all

open 24 hours/day, that typically stock Ella.

PICCK-MA-24-Hour-Pharmacies-That-Stock-Ella

My Postpartum Birth Control

Plan

9/7/21

This document includes tips and strategies for community health

workers discussing contraception with pregnant or postpartum

people. It can be used by support teams to prepare patients for

discussing their contraceptive goals with their health care provider.

PICCK-My-Postpartum-Birth-Control-Plan

Nexplanon Equipment List

6/10/21

We provide a list of the equipment and materials needed for

Nexplanon insertion. You can prepare pre-made kits or pull

materials as needed. Creating pre-made Nexplanon kits may be

helpful for easing provision and increasing efficiency.

PICCK-Nexplanon-Equipment-List

Patient Education and Resources

Toolkit

1/22/20

A resource for selecting patient education materials for clinicians,

administrators, and health educators who work in health care

settings.

PICCK-Patient-Education-Materials-Toolkit

Phone Room Guidance for

Emergency Contraception

1/29/20

Talking points and key takeaways to share with staff members who

answer patient calls when implementing an emergency

contraception triage protocol.

PICCK-Phone-Room-Guidance-on-Emergency-Contraception

PICCK Checklist for Champion:

Emergency Contraception

11/21/19

We provide these checklists for Champions to help them ensure

that all tasks and trainings in regards to expanding emergency

contraception services, PICNIC, the implementation of immediate

postpartum contraception, and same-day contraception are

completed, and to follow and track the training and

implementation of shared decision-making, at their institution.

PICCK-Emergency-Contraception-Champion-Checklist

PICCK Checklist for Champion:

Postpartum Contraception

11/21/19

PICCK-PPLARC-Champion-Checklist

PICCK Checklist for Champion:

Same Day Contraception

11/21/19

PICCK-Same-Day-LARC-Champion-Checklist (1)

PICCK Checklist for Champion:

Shared Decision-Making

11/21/19

PICCK-Shared-Decision-Making-Champion-Checklist

Approaches to Contraceptive

Counseling

Postpartum IUD Preparation and

Equipment

4/14/20

A quick reference for postpartum IUD preparation and equipment.

PICCK-Postpartum-IUD-Preparation-and-Equipment

Postpartum LARC Counseling

and Consent

4/14/20

Best practices for LARC counseling during the prenatal period and

how to document informed consent.

PICCK-Postpartum-LARC-Counseling-and-Consent

Postpartum LARC Provider

Credentialing Guide

1/17/20

We provide a sample checklist of steps for provider credentialing

in immediate postpartum IUD insertion, that you can adapt for your

institution.

PICCK-PPLARC-Provider-Credentialing-Guide

Postpartum LARC Revenue

Cycle Processes

6/8/21

Revenue Cycle teams can reference this document as a guide to

ensure key operational and systems considerations are addressed

prior to support postpartum LARC claims submission.

PICCK-Postpartum-LARC-Revenue-Cycle-Processes

Postpartum LARC Sample Auto

Text for EMR

1/17/20

Sample autotext for your EMR when providing immediate

postpartum LARC.

PICCK-PPLARC-Sample-Auto-Text-for-EMR

Postpartum LARC Sample

Protocols #1

3/31/20

We provide samples of clinical protocols for postpartum IUD

insertion that you can adapt for use in your institution.

PICCK-PPLARC-Sample-Protocol-1

Postpartum LARC Sample

Protocols #2

3/31/20

PICCK-PPLARC-Sample-Protocol-2

Postpartum LARC Sample

Protocols #3

3/31/20

PICCK-PPLARC-Sample-Protocol-3

Postpartum LARC Sample

Protocols #4 – Ambulatory

Sample Protocol

3/31/20

PICCK-PPLARC-Ambulatory-Sample-Protocol

Postpartum LARC Ultrasound

Placement Video

3/28/22

A video to observe postpartum IUD insertion with ultrasound

guidance.

Postpartum Contraception

4/3/20

This document describes the need for postpartum contraception,

lists best practices for providing postpartum contraception, and

distinguishes between methods that are safe for immediate

postpartum use, methods that become safe after 6 weeks

postpartum, and methods that are not recommended for

postpartum use. We also include additional information on

contraception and lactation, lactational amenorrhea method (LAM),

counseling on postpartum Plan B or ella, and immediate

postpartum IUD and implant insertion.

PICCK-Postpartum-Contraception

Postpartum Contraception

Maternity Care Guideline

6/10/21

Adapt this guideline for your institution to provide clinicians with

evidence-based information on postpartum contraception and

safety to enhance shared decision-making with patients regarding

these options. This guideline summarizes relevant medical

information and relevant protocols in the immediate postpartum

period.

PICCK-Postpartum-Contraception-Maternity-Care-Guideline

Sample Email Blast About

Change in Emergency

Contraception Protocol

1/17/20

Here you will find a drafted email for you to send out to your team

about the change in your emergency contraception protocol.

PICCK-Sample-Email-Blast-About-Change-in-Emergency-Contraception-Protoco…

Sample Telephone Triage

Protocol for Emergency

Contraception – Simplified

11/10/19

We have two different sample nurse telephone triage guidelines

for when a patient calls needing emergency contraception – a

complete and a simplified version. The information is the same,

though, the first protocol is more complete and contains

considerations for patients with a BMI over 35.

PICCK-Simplified-Sample-Telephone-Triage-Protocol-for-Emergency-Contraception

Sample Telephone Triage

Protocol for Emergency

Contraception – Complete

11/10/19

PICCK-Complete-Sample-Telephone-Triage-Protocol-for-Emergency-Contraception

Shared Decision-Making PHI

CARE Framework

1/14/20,

updated

9/16/22

The steps of the shared decision-making process for contraception

counseling can be remembered with the mnemonic PHI CARE.

Post this in your clinical space to help you remember the steps.

You may be thinking “how can you possibly perform shared

decision-making with a patient in under 5 minutes?” Watch our

video to see shared decision-making around contraception in

action–and see how efficient it can be.

PICCK-PHI-CARE-Infographic

Shared Decision-Making PHI

CARE Video

1/14/20,

updated

3/20/23

The steps of the shared decision-making process for contraception

counseling can be remembered with the mnemonic PHI CARE.

Post this in your clinical space to help you remember the steps.

You may be thinking “how can you possibly perform shared

decision-making with a patient in under 5 minutes?” Watch our

video to see shared decision-making around contraception in

action–and see how efficient it can be.

Watch Now – Shared Decision-Making PHI CARE Video

Social Determinants of Health

(SDOH) Editable Question Set 11/08/22

Here you will find a compilation of evidence-based SDOH

screening questions that have been tested in clinical and/or

research settings. These are being provided to you as a starting

point for use in your own clinic. We are mindful of the fact that a

standard visit is 15 minutes and there are a lot of questions to ask.

You may adapt them as you see fit, including editing language, and

the order in which they are asked.

SDOH-Editable-Question-Set

Social Determinants of Health

(SDOH) Launch Email Template 11/08/22

Here you will find a drafted email for you to send out to your team

about the implementation of social determinants of health (SDOH)

screening protocol at your practice.

SDOH-Launch-Email-Template

Social Determinants of Health

(SDOH) Referrals 11/08/22

In some circumstances, the information obtained from a social

determinants of health (SDOH) assessment tool not only improves

the immediate health care provided, but also creates an

opportunity for a patient to be referred for other services unrelated

to the visit that will impact other areas of the patient’s health. Once

an assessment identifies a social need, clinicians or health care

providers must refer patients to organizations for additional

resources and services. To ensure referrals to high-quality external

resources, health care providers should consult trusted

clearinghouses of quality providers such as those listed in this

document.

SDOH-Referrals

Social Determinants of Health

(SDOH) Toolkit 11/08/22

This toolkit provides an in-depth explanation of social

determinants of health (SDOH), their impact on sexual and

reproductive health as well as overall health, and the importance

of integrating SDOH screening into clinical care. We provide

guidance and recommendations to help you develop your clinic’s

workflow for conducting SDOH screening.

SDOH-Toolkit-PDF

Social Determinants of Health

(SDOH) Trainings 11/08/22

Part of the importance of pre-determining and standardizing your

clinic’s workflow around conducting SDOH screening is that asking

these questions without proper training and infrastructure to react

and refer patients appropriately can cause more harm than good.

Many of these questions are sensitive and disclosure may be

challenging. Therefore, staff may need training to ensure the

successful implementation of a new SDOH screening protocol at

your practice. Here you will find a list of trainings on different

dimensions of SDOH.

SDOH-Training

Social Determinants of Health

(SDOH) Worksheets 11/08/22

These worksheets will help you to plan your clinic’s workflow for

asking each social determinants of health (SDOH) screening

question. Completing this worksheet will ensure that you have

thought through all the necessary components of developing an

SDOH screening plan.

SDOH-Worksheets

SDOH Short Form

08/15/23

This tool was designed to assist sexual and reproductive health

(SRH) agencies in Massachusetts in meeting the SRHP standards

for social determinants of health (SDOH) screening. While this tool

is not the only way to meet the standards, it can be time- and

resource-intensive to design a comprehensive SDOH screening

tool. Thus, this tool was developed as an option for clinics to

implement in part or in whole, depending on their needs and

existing screening infrastructure. Providers and practices outside

of Massachusetts are welcome to use and adapt this tool.

SDOH-short-form-Final-Version

SDOH Short Form Scorer

08/15/23

SDOH-Short-Form-Scorer-and-Referral-Information-Final-Version

SDOH Short Form

Implementation Guide 08/15/23

note, while this tool was designed using an evidence-informed

process, it has not yet been validated.

In this set of resources you will find the survey, scorer, and

implementation guide. Before using this tool with patients, it is

critical that your clinic has established referral pathways for all

SDOHs for which you will be screening. We suggest that you

review the implementation guide for tips for developing

appropriate referrals. We have provided PDF and editable versions

of the survey and scorer so you can adapt the referrals and

community resources as needed.

SDOH-Short-Form-Implementation-Guide-Final-Version

Tips and Strategies for

Discussing Contraception With

Postpartum Patients 9/7/21

This document includes tips and strategies for community health

workers discussing contraception with pregnant or postpartum

people. It can be used by support teams to prepare patients for

discussing their contraceptive goals with their health care provider.

PICCK-Tips-and-Strategies-for-Discussing-Contraception-with-Postpartum-Patients

Tips and Tricks for MassHealth

Postpartum LARC Billing 12/17/20

PICCK has assembled these tips and tricks to help billers avoid

common reasons for rejected claims when submitting MassHealth

inpatient claims for LARC devices.

PICCK-Tips-and-Tricks-for-MassHealth-Postpartum-LARC-Billing

Top 10 Tips for Prenatal

Contraception Counseling 5/13/21

This document lists the top ten tips for prenatal counseling for

postpartum contraception. Use this document as a quick reference

guide for considerations when counseling patients prenatally for

postpartum contraception.

PICCK-Top-10-Tips-for-Prenatal-Contraception-Counseling

Translating Patient Preferences

and Needs In To Contraceptive

Method Options

3/9/22

This handout is intended to help providers and counselors tailor

their counseling and education based on the patient’s preferences

toward their contraceptive method.

Translating-Preferences-into-Contraceptive-Method-Options

Authors Partners in Contraceptive Choice and Knowledge

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