Identifying quality improvement targets to facilitate colorectal cancer screening completion.

ABSTRACT: The colorectal cancer (CRC) screening process involves multiple interfaces (communication exchanges and transfers of responsibility for specific actions) among primary care and gastroenterology providers, laboratory, and administrative staff. After a retrospective electronic health record (EHR) analysis discovered substantial clinic variation and low CRC screening prevalence overall in an urban, integrated safety-net system, we launched a qualitative analysis to identify potential quality improvement targets to enhance fecal immunochemical test (FIT) completion, the system's preferred screening modality. Here, we report examination of organization-, clinic-, and provider-level interfaces over a three-year period (December 2011-October 2014). We deployed in parallel 3 qualitative data colle

SUBMITTER: Lee SJC 

PROVIDER: S-EPMC5840842 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature