scholarly journals Effectiveness and cost of multilayered colorectal cancer screening promotion interventions at federally qualified health centers in Washington State

Cancer ◽  
2018 ◽  
Vol 124 (21) ◽  
pp. 4121-4129 ◽  
Author(s):  
Kathryn E. Kemper ◽  
Becky L. Glaze ◽  
Casey L. Eastman ◽  
Roxane C. Waldron ◽  
Sonja Hoover ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Washington State ◽  
Health Centers ◽  
Federally Qualified Health Centers ◽  
Cancer Screening Promotion

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 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

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.

Evaluation of Colorectal Cancer Screening in Federally Qualified Health Centers

2018 ◽  
Vol 54 (2) ◽  
pp. 190-196 ◽  
Author(s):  
Kara S. Riehman ◽  
Robert L. Stephens ◽  
Joenell Henry-Tanner ◽  
Durado Brooks
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Centers ◽  
Federally Qualified Health Centers
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