Table 3 Summary of actionable area and propossed strategy

1. EHR provider reminder

• Perceived burden and provider fatigue with EHR provider reminders

• EHR provider reminders are not up to date and becomes unreliable and ineffectual

• Use teamwork approach and share the burden

 ○ Conduct morning huddles

 ○ Implement standing order for CRC screening

 ○ Use medical assistant to check, confirm and update CRC screening status during patient intake

2. Provider assessment & feedback (provider- & clinic-level)

• Absence of CRC screening goals at the organizational and clinic levels

• Poor communication on goals and performance

• Assist leadership to set realistic goals for CRC screening rate at the organizational level and individual clinic

• Include the target CRC screening rates in the quarterly assessment and feedback report

• Disseminate the quarterly clinic level assessment and feedback report to all members of the clinic

• Provide technical support and financial assistant to create a quality data dashboard within EHR to provide timely feedback

3. CRC stewards (integrated care specialists)

• Challenges to providing health care services to diverse patient populations

• Lack of awareness about CRC screening among patients

• Absence of print materials for frontline implementers to educate patients

• Identify and collect culturally and linguistically specific CRC education material

• Develop CRC related information beyond types of screening methods

• Develop a resource guide for frontline implementers