scholarly journals Use of Evidence-Based Interventions and Implementation Strategies to Increase Colorectal Cancer Screening in Federally Qualified Health Centers

2018 ◽  
Vol 43 (6) ◽  
pp. 1044-1052 ◽  
Author(s):  
Swann Arp Adams ◽  
Catherine L. Rohweder ◽  
Jennifer Leeman ◽  
Daniela B. Friedman ◽  
Ziya Gizlice ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Implementation Strategies ◽  
Health Centers ◽  
Evidence Based ◽  
Federally Qualified Health Centers

scholarly journals Assessing Levels and Correlates of Implementation of Evidence-Based Approaches for Colorectal Cancer Screening: A Cross-Sectional Study With Federally Qualified Health Centers

2018 ◽  
Vol 45 (6) ◽  
pp. 1008-1015 ◽  
Author(s):  
Timothy J. Walker ◽  
Betsy Risendal ◽  
Michelle C. Kegler ◽  
Daniela B. Friedman ◽  
Bryan J. Weiner ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Medical Record ◽  
Colorectal Cancer Screening ◽  
Implementation Strategies ◽  
Health Centers ◽  
Evidence Based ◽  
Federally Qualified Health Centers ◽  
Record System ◽  
Cross Sectional

Multiple evidence-based approaches (EBAs) exist to improve colorectal cancer screening in health clinics. The success of these approaches is tied to effective implementation. Therefore, the purpose of this study was to assess the implementation of EBAs for colorectal cancer screening and clinic-level correlates of implementation in federally qualified health centers (FQHCs). We conducted descriptive and cross-sectional analyses using data collected from FQHC clinics across seven states ( n = 51). A clinic representative completed electronic surveys about clinic characteristics (e.g., size, patient characteristics, and medical record system characteristics) and the implementation of Community Guide recommended EBAs (e.g., client reminders, small media, and provider assessment and feedback). We used bivariate Spearman correlations to assess clinic-level correlates with implementation outcomes. Most clinics were planning to implement, in the early implementation stages, or inconsistently implementing EBAs. No EBA was fully implemented by more than nine (17.6%) clinics. Clinic size variables were inversely related to implementation levels of one-on-one education; medical record variables were directly related to implementation levels of client and provider reminders as well as provider assessment and feedback; and rapid and timely feedback from clinic leaders was directly associated with implementation levels of four out of six EBAs. Given the varying levels of implementation, clinics need to assess current use of implementation strategies and improve effective program delivery to increase colorectal cancer screening among their patients. In addition, clinics should also consider how their characteristics may support or serve as a barrier to implementation in their respective settings.

scholarly journals Cost and Effectiveness of Reminders to Promote Colorectal Cancer Screening Uptake in Rural Federally Qualified Health Centers in West Virginia

2020 ◽  
Vol 21 (6) ◽  
pp. 891-897
Author(s):  
Mary Ellen Conn ◽  
Stephenie Kennedy-Rea ◽  
Sujha Subramanian ◽  
Adam Baus ◽  
Sonja Hoover ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
West Virginia ◽  
Colorectal Cancer Screening ◽  
Return Rate ◽  
Health Centers ◽  
Federally Qualified Health Centers ◽  
Process Measures ◽  
Return Rates ◽  
Phone Calls

The purpose of this study is to evaluate the effectiveness of the West Virginia Program to Increase Colorectal Cancer Screening in implementing patient reminders to increase fecal immunochemical test (FIT) kit return rates in nine federally qualified health centers (FQHCs). Using process measures and cost data collected, the authors examined the differences in the intensity of the phone calls across FQHCs and compared them with the return rates achieved. They also reported the cost per kit successfully returned as a result of the intervention. Across all FQHCs, 5,041 FIT kits were ordered, and the initial return rate (without a reminder) was 41.1%. A total of 2,201 patients received reminder phone calls; on average, patients received 1.61 reminder calls each. The reminder interventions increased the average FIT kit return rate to 60.7%. The average total cost per FIT kit returned across all FQHCs was $60.18, and the average cost of only the reminders was $11.20 per FIT kit returned. FQHCs achieved an average increase of 19.6 percentage points in FIT kit return rates, and costs across clinics varied. Clinics with high-quality health information systems that enabled tracking of patients with minimal effort were able to implement lower cost reminder interventions.

scholarly journals Making It Work: Health Care Provider Perspectives on Strategies to Increase Colorectal Cancer Screening in Federally Qualified Health Centers

2013 ◽  
Vol 28 (4) ◽  
pp. 777-783 ◽  
Author(s):  
Clement K. Gwede ◽  
◽  
Stacy N. Davis ◽  
Gwendolyn P. Quinn ◽  
Alexis M. Koskan ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Care Provider ◽  
Care Provider ◽  
Health Centers ◽  
Federally Qualified Health Centers ◽  
Provider Perspectives ◽  
Work Health

scholarly journals Clinical Perspectives on Colorectal Cancer Screening at Latino-Serving Federally Qualified Health Centers

2014 ◽  
Vol 42 (1) ◽  
pp. 26-31 ◽  
Author(s):  
Gloria D. Coronado ◽  
Amanda F. Petrik ◽  
Mark Spofford ◽  
Jocelyn Talbot ◽  
Huyen Hoai Do ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Centers ◽  
Federally Qualified Health Centers

Reported Use of Electronic Health Records to Implement Evidence Based Approaches to Colorectal Cancer Screening in Community Health Centers

2015 ◽  
Vol 26 (4) ◽  
pp. 1235-1245 ◽  
Author(s):  
Allison M. Cole ◽  
Shin-Ping Tu ◽  
Maria E. Fernandez ◽  
William A. Calo ◽  
James Hotz ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Electronic Health Records ◽  
Community Health ◽  
Colorectal Cancer Screening ◽  
Community Health Centers ◽  
Health Centers ◽  
Evidence Based ◽  
Health Records ◽  
Electronic Health

scholarly journals Predictors of Colorectal Cancer Screening Prior to Implementation of a Large Pragmatic Trial in Federally Qualified Health Centers

2017 ◽  
Vol 43 (1) ◽  
pp. 128-136 ◽  
Author(s):  
Amanda F. Petrik ◽  
Thuy Le ◽  
Erin Keast ◽  
Jennifer Rivelli ◽  
Keshia Bigler ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Pragmatic Trial ◽  
Health Centers ◽  
Federally Qualified Health Centers

scholarly journals System Strategies for Colorectal Cancer Screening at Federally Qualified Health Centers

2015 ◽  
Vol 105 (1) ◽  
pp. 212-219 ◽  
Author(s):  
Jeanette M. Daly ◽  
Barcey T. Levy ◽  
Carol A. Moss ◽  
Camden P. Bay
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Centers ◽  
Federally Qualified Health Centers

scholarly journals Developing a Co-Production Strategy to Facilitate the Adoption and Implementation of Evidence-Based Colorectal Cancer Screening Interventions for Rural Health Systems: A Pilot Study

2021 ◽  
Author(s):  
Jungyoon Kim ◽  
Paul Estabrooks ◽  
Alisha Aggarwal ◽  
Analisa McMillan ◽  
Khalid Alshehri
Keyword(s):  
Colorectal Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Implementation Strategies ◽  
Systems Change ◽  
Content Delivery ◽  
Evidence Based ◽  
Rural Primary Care ◽  
Adoption And Implementation

Abstract Background: Evidence-based colorectal cancer screening (CRCS) interventions exist, but have not been broadly adopted in rural primary care settings. Participatory adoption and implementation strategies may be promising in closing this gap through a clinical-academic partnership to guide rural practitioners to locate, select, and implement CRCS interventions that align with local context. We developed a prototype strategy adapted from the National Cancer Institute’s ‘Putting Public Health Evidence in Action’ curriculum in collaboration with two rural clinics to facilitate systems change related to CRCS. This paper describes the process of co-development and delivery of a systems-focused strategy to improve adoption, implementation, and sustainability of CRCS interventions. Methods: We used a bundle of implementation strategies with a core focus on academic-clinical partnership development and Plan-Do-Study-Act cycles to identify clinical partner interests/preferences on delivery methods and content needed to facilitate intervention identification and systems-change processes that improve CRCS rates. Clinic physicians and staff (n=7) at the rural clinics were asked to evaluate the approach based on overall reactions and perceptions of innovation characteristics using 5-point Likert scale. After completing the systems-change process, we conducted key-stakeholder interviews (n=5) to assess feasibility and acceptability on content/delivery format and plans for ongoing implementation of CRCS evidence-based interventions (EBIs). Results: Electronic blueprints for CRCS EBI selection and implementation (8 modules) were developed and followed by an online forum/live-streaming conference to allow for CRCS tailoring. The two clinics used different learning approaches: one completed the modules together while the other completed the modules separately to cover material before a group video conference. Across all modules, participants in both clinics reported positive reactions toward the systems-change modules. Both clinics reported improvements in how they perceived the characteristics of the modules and the participatory approach to tailor selected CRCS EBIs. Through the process both clinics developed a specific EBI implementation plan. Interview participants reported that the approach was feasible and acceptable, and provided suggestions for further improvements on content, delivery, and format of the approach.Conclusions: The bundle of implementation strategies used were feasible and acceptable in rural primary care practices to facilitate the use of evidence-based approaches to improve CRCS.

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