Table 1 Summary of phase, program description, and integration model evaluated by three colorectal cancer control programs

Planning

Idaho Department of Health & Welfare worked with 6 health system partners^a that implemented evidence-based interventions to promote colorectal cancer screening and, in many instances, to promote breast and cervical cancer screenings, as well.

Conducting baseline assessment to understand optimal approaches (e.g., provider assessment and feedback, patient reminders) to integrate colorectal, breast, and cervical cancer screenings

Implementing

The Rhode Island Department of Health worked with 8 federally qualified health centers (one was WellOne Primary Medical and Dental Care). All colorectal cancer, breast, and cervical cancer screening funding to federally qualified health centers (FQHC) was provided under one contract, and patient navigation was implemented across the 8 FQHCs.

Pilot testing inclusion of breast and cervical cancer screening with patient navigation for colorectal cancer screening in one health center (WellOne Primary Medical and Dental Care)

Sustaining

Eligible men and women in Nebraska are screened for colorectal cancer through the state-funded Nebraska Colon Cancer Screening Program. Eligible women also receive breast, cervical, heart disease, and diabetes screening via Nebraska’s Every Woman Matters Program. Nebraska changed its payment model in 2018 from fee-for-service to fixed cost subawards.

Designing an optimal reimbursement approach for integrated payments for colorectal, breast, and cervical cancer screening to local health departments that administered the screening (19 in FY2018, 14 in FY2019, and 13 in FY2020)