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Tracking and Improving Screening for Colorectal Cancer Intervention

A Systems Approach


These materials enable implementation of the System Approach to Tracking and Increasing Screening for Public Health Improvement of Colorectal Cancer (SATIS-PHI/CRC) intervention. This toolkit includes materials for planning the intervention, identifying a central entity to manage the program, educating medical practices about the program, and communicating with patients.

Select for print version: PDF File PDF file (800 KB).


Prepared by: Daniel M. Harris, Ph.D., and Amanda E. Borsky, M.P.P., CNA; Brian Stello, M.D., Melanie Johnson, M.P.A., and Nancy Gratz, M.P.A., Lehigh Valley Health Network; Mona Sarfaty, M.D., Ronald Myers, Ph.D., Randa Sifri, M.D., James Cocroft, M.A., and Martha Kasper-Keintz, Sc.M., Thomas Jefferson University.

Contents

I. Introduction
   Purpose
   Intended Users
   Rationale and Supporting Evidence for SATIS-PHI/CRC
   Overview of Toolkit Contents
II. Background
   Overview of the Task Order for SATIS-PHI/CRC Development
   Description of the SATIS-PHI/CRC Intervention
   Description of the Intervention Setting, Transferability to Other Settings, and the Central Entity
   Intervention Findings
III. Intervention Steps and Tools
   Step 1: Recruit Practices
       1.a-1 Information Packet for Participating Practices
   Step 2: Conduct Academic Detailing
       2.a-1 Preintervention Survey of Clinicians and Practice Staff
       2.a-2 Practice Focus Group Guide (Preintervention)
       2.a-3 Key Informant Interview Guide (Preintervention)
       2.b-1 Academic Detailing Slides
       2.b-2 Web Links to CRC Screening Guidelines From ACS/U.S. Multi-Society Task Force/ACR and USPSTF
       2.b-3 Screening Tracking Sheet for Practices
       2.c-1 Academic Detailing Booster Letter
   Step 3: Identify Eligible Patients
       3.a-1 Sample Programming Criteria for Initial Electronic Record Review
   Step 4: Mail Screening Information and Materials
       4.a-1 Introduction Letter to Patients With Instructions for Completing SEA Form
       4.a-1 Introduction Letter to Patients With Instructions for Completing SEA Form (Spanish)
       4.a-2 Screening Eligibility Assessment (SEA) Form
       4.a-2 Screening Eligibility Assessment (SEA) Form (Spanish)
       4.b-1 Invitation to Screen Letter to Patients (Version 1—Kit Enclosed)
       4.b-1 Invitation to Screen Letter to Patients (Version 1—Kit Enclosed) (Spanish)
       4.b-2 Invitation to Screen Letter to Patient (Version 2—Request Card)
       4.b-2 Invitation to Screen Letter to Patient (Version 2—Request Card) (Spanish)
       4.b-3 Web Links to CDC Patient Information on CRC Screening
       4.b-4 Stool Test Kit Request Card
       4.c-1 Letter to Patient for Responding to Stool Test Kit Requests
       4.d-1 Reminder Letter to Patients (Version 1—Kit Enclosed)
       4.d-1 Reminder Letter to Patients (Version 1—Kit Enclosed) (Spanish)
       4.d-2 Reminder Letter to Patients (Version 2—Request Card)
       4.d-2 Reminder Letter to Patients (Version 2—Request Card) (Spanish)
   Step 5: Track Patient Screening and Results
       5.a-1 Master Patient Database Elements
       5.d-1 Chart Audit Review Form
   Step 6: Provide Feedback to Practices
       6.a-1 Feedback Form for Stool Test Positive
       6.a-2 Feedback Form for Stool Test Negative
       6.b-1 Feedback Form for CDE
   Assessment
       A.1-2 Practice Focus Group Guide (Postintervention)
       A.2-1 Key Informant Interview Guide (Postintervention)
       A.3-1 Patient Focus Group Guide
IV. References

The toolkit was prepared for the Agency for Healthcare Research and Quality (AHRQ) by the CNA Health ACTION Partnership for SATIS-PHI/CRC under Contract No. HHSA290200600014, Health Care Systems for Tracking Colorectal Cancer Screening Tests, Task Order 290-06-0014-1.

Disclaimer and Copyright Information

The authors of this toolkit are responsible for its content. Statements in this toolkit should not be construed as endorsement by the Agency for Healthcare Research and Quality, the Centers for Disease Control and Prevention, or the U.S. Department of Health and Human Services. This document is in the public domain and may be used without permission.

AHRQ Publication No. AHRQ 11-0016

Page last reviewed December 2010
Internet Citation: Tracking and Improving Screening for Colorectal Cancer Intervention. December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/crctoolkit/index.html