Allana Hearn, Moses Li, Kaitlin Kirkpatrick ? We worked with Downtown Community Health Centre to streamline and update various screening tools ? Researched health promotion, benefits and consequences of screening in vulnerable populations and health literacy ? Created clinician and patient educational tools ? Presented to Quality Improvement Committee at DCHC ? Screening as health promotion strategy ? Benefits and Risks ? Efficacy ? Sensitivity vs specificity ? Outcome measures Patient ? Provide education, facilitate informed consent ? Provide patient with resources within the community ? Consideration of health literacy Concise delivery of evidence-based facts Clinician ? Provide up to date information on current standards ? Provide answers for common patient questions ? Implications for nursing practice and workload ? Controversy of universal screening ? Lack of evidence showing screening significantly reduces outcomes ? Lack of evidence that is generalizable to the DTES ? Lack of evidence showing screening significantly reduces mortality ? Burden of treatment ? Trauma-informed care ? Who and when to screen ? Standardizing Framingham screening throughout clinic ? Ensuring proper documentation of BP measurements and follow-up protocol ? Discussing lifestyle education through a harm reduction lens ? Use of ?cardiovascular age? as a way to engage patients ? Want to provide common terminology used in lab results report ? Inform who and when screening should/should not take place ? Hysterectomy ? Following HPV vaccine ? Not sexually active ? Way to promote screening within the DCHC through monthly campaigns ? Used national and provincial health promotion days/weeks to guide planning ? Use pre-existing social marketing campaigns to enhance chosen screening months ? Hope to implement calendar within DCHC in the near future ? Next steps ? creating/gathering resources and generating staff awareness ? Framework can be applied to future topics of interest ? Colorectal cancer ? Breast cancer ? Working on algorithm for workflow ? Need staff input and feedback