Table 3 Brief description of clinic partner integrated implementation approaches, by site
Site | Approaches to integrated implementation by clinic partners |
|---|---|
Rhode Island | Used a chronic care delivery model that integrates CRC screening with other cancer and chronic disease screenings. Integration of CRC with other chronic disease screenings is reflected in workforce development, clinical practice guidelines, EHR prompts with physician reminders, and patient navigation |
Nebraska | Integrated CRC screening within an EHR-based provider reminders system (clinical decision support rules) used for multiple screenings Used a FluFIT program to integrate CRC screening (FOBT kits or colonoscopy referral) with flu shots |
Washington | Integrated CRC screening within EHR-based patient and provider reminders that are used for multiple screenings Expanded interventions focused on reducing structural barriers (e.g., providing mobile mammography and transportation vouchers) to include barriers to CRC screening (e.g., mailing FIT kits to patients due for CRC screening) |
Kentucky | Integrated CRC screening into an existing patient reminder system (i.e., phone calls to remind patients about the need for CRC screening, other cancer screenings). Reduced structural barriers for CRC screening by including screening as part of “max packing” appointments that also included flu shots and/or mammograms |