Implementing an Organized Colorectal Cancer Screening Program: Lessons Learned From an Academic–Community Practice
Introduction: The effectiveness of mailed fecal immunochemical test outreach might be enhanced through an organized colorectal cancer screening program, yet published real-world experiences are limited. We synthesized the process of implementing a colorectal cancer screening program that used mailed...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | AJPM Focus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773065424000075 |
| _version_ | 1827355891894059008 |
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| author | Amanda Kimura, MPH Ari Bell-Brown, MPH Nkem Akinsoto, MSc Jerry Wood, CHES Amy Peck, RHIT Victoria Fang, MD Rachel B. Issaka, MD, MAS |
| author_facet | Amanda Kimura, MPH Ari Bell-Brown, MPH Nkem Akinsoto, MSc Jerry Wood, CHES Amy Peck, RHIT Victoria Fang, MD Rachel B. Issaka, MD, MAS |
| author_sort | Amanda Kimura, MPH |
| collection | DOAJ |
| description | Introduction: The effectiveness of mailed fecal immunochemical test outreach might be enhanced through an organized colorectal cancer screening program, yet published real-world experiences are limited. We synthesized the process of implementing a colorectal cancer screening program that used mailed fecal immunochemical test outreach in a large integrated academic–community practice. Methods: Data from a pilot mailed fecal immunochemical test program were shared with healthcare system leadership, which inspired the creation of a cross-institutional organized colorectal cancer screening program. In partnership with a centralized population health team and primary care, we defined (1) the institutional approach to colorectal cancer screening, (2) the target population and method for screening, (3) the team responsible for implementation, (4) the healthcare team responsible for decisions and care, (5) a quality assurance structure, and (6) a method for identifying cancer occurrence. Results: The Fred Hutch/UW Medicine Population Health Colorectal Cancer Screening Program began in September 2021. The workflow for mailed fecal immunochemical test outreach included a mailed postcard, a MyChart message from the patient's primary care provider, a fecal immunochemical test kit with a letter signed by the primary care provider and program director, and up to 3 biweekly reminders. Patients without a colonoscopy 3 months after an abnormal fecal immunochemical test result received navigation through the program. In the first program year, we identified 9,719 patients eligible for outreach, and in an intention-to-treat analysis, 32% of patients completed colorectal cancer screening by fecal immunochemical test or colonoscopy. Conclusions: Real-world experiences detailing how to implement organized colorectal cancer screening programs might increase adoption. In our experience, broadly disseminating pilot data, early institutional support, robust data management, and strong cross-departmental relationships were critical to successfully implementing a colorectal cancer screening program that benefits all patients. |
| first_indexed | 2024-03-08T04:49:51Z |
| format | Article |
| id | doaj.art-a658a564eaa54ae0a67e7d39ee6b50bd |
| institution | Directory Open Access Journal |
| issn | 2773-0654 |
| language | English |
| last_indexed | 2024-03-08T04:49:51Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJPM Focus |
| spelling | doaj.art-a658a564eaa54ae0a67e7d39ee6b50bd2024-02-08T05:18:34ZengElsevierAJPM Focus2773-06542024-04-0132100188Implementing an Organized Colorectal Cancer Screening Program: Lessons Learned From an Academic–Community PracticeAmanda Kimura, MPH0Ari Bell-Brown, MPH1Nkem Akinsoto, MSc2Jerry Wood, CHES3Amy Peck, RHIT4Victoria Fang, MD5Rachel B. Issaka, MD, MAS6Hutchinson Institute for Cancer Outcomes Research, Fred Hutchinson Cancer Center, Seattle, WashingtonHutchinson Institute for Cancer Outcomes Research, Fred Hutchinson Cancer Center, Seattle, WashingtonUW Medicine Primary Care and Population Health, University of Washington, Seattle, WashingtonUW Medicine Primary Care and Population Health, University of Washington, Seattle, WashingtonUW Medicine Primary Care and Population Health, University of Washington, Seattle, WashingtonDivision of General Internal Medicine, University of Washington School of Medicine, Seattle, WashingtonHutchinson Institute for Cancer Outcomes Research, Fred Hutchinson Cancer Center, Seattle, Washington; Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, Washington; Division of Gastroenterology, University of Washington School of Medicine, Seattle, Washington; Address correspondence to: Rachel B. Issaka, MD, MAS, Fred Hutchinson Cancer Center, 1100 Fairview Avenue North, Mail Stop M3-B232, Seattle WA 98109.Introduction: The effectiveness of mailed fecal immunochemical test outreach might be enhanced through an organized colorectal cancer screening program, yet published real-world experiences are limited. We synthesized the process of implementing a colorectal cancer screening program that used mailed fecal immunochemical test outreach in a large integrated academic–community practice. Methods: Data from a pilot mailed fecal immunochemical test program were shared with healthcare system leadership, which inspired the creation of a cross-institutional organized colorectal cancer screening program. In partnership with a centralized population health team and primary care, we defined (1) the institutional approach to colorectal cancer screening, (2) the target population and method for screening, (3) the team responsible for implementation, (4) the healthcare team responsible for decisions and care, (5) a quality assurance structure, and (6) a method for identifying cancer occurrence. Results: The Fred Hutch/UW Medicine Population Health Colorectal Cancer Screening Program began in September 2021. The workflow for mailed fecal immunochemical test outreach included a mailed postcard, a MyChart message from the patient's primary care provider, a fecal immunochemical test kit with a letter signed by the primary care provider and program director, and up to 3 biweekly reminders. Patients without a colonoscopy 3 months after an abnormal fecal immunochemical test result received navigation through the program. In the first program year, we identified 9,719 patients eligible for outreach, and in an intention-to-treat analysis, 32% of patients completed colorectal cancer screening by fecal immunochemical test or colonoscopy. Conclusions: Real-world experiences detailing how to implement organized colorectal cancer screening programs might increase adoption. In our experience, broadly disseminating pilot data, early institutional support, robust data management, and strong cross-departmental relationships were critical to successfully implementing a colorectal cancer screening program that benefits all patients.http://www.sciencedirect.com/science/article/pii/S2773065424000075Colorectal cancerscreeningfecal immunochemical testorganized screeningcolonoscopypopulation health |
| spellingShingle | Amanda Kimura, MPH Ari Bell-Brown, MPH Nkem Akinsoto, MSc Jerry Wood, CHES Amy Peck, RHIT Victoria Fang, MD Rachel B. Issaka, MD, MAS Implementing an Organized Colorectal Cancer Screening Program: Lessons Learned From an Academic–Community Practice AJPM Focus Colorectal cancer screening fecal immunochemical test organized screening colonoscopy population health |
| title | Implementing an Organized Colorectal Cancer Screening Program: Lessons Learned From an Academic–Community Practice |
| title_full | Implementing an Organized Colorectal Cancer Screening Program: Lessons Learned From an Academic–Community Practice |
| title_fullStr | Implementing an Organized Colorectal Cancer Screening Program: Lessons Learned From an Academic–Community Practice |
| title_full_unstemmed | Implementing an Organized Colorectal Cancer Screening Program: Lessons Learned From an Academic–Community Practice |
| title_short | Implementing an Organized Colorectal Cancer Screening Program: Lessons Learned From an Academic–Community Practice |
| title_sort | implementing an organized colorectal cancer screening program lessons learned from an academic community practice |
| topic | Colorectal cancer screening fecal immunochemical test organized screening colonoscopy population health |
| url | http://www.sciencedirect.com/science/article/pii/S2773065424000075 |
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