Implementation (2018) (%) | |
---|---|
Patient navigation cancer screening services provided (N=1023) | |
Colorectal cancer screening only | 76.1(779) |
Multiple cancer screenings (e.g., colorectal cancer, cervical, and breast cancer screenings) | 16.8 (172) |
Breast cancer screening only | 4.8 (49) |
Follow-up diagnostic testing for screen positivesa | 1.5 (15) |
Cervical cancer screening only | 0.8 (8) |
Patient barriers to cancer screening identified by patient navigator (N=148) | |
Financial barriers or insurance coverage issues | 30.4 (45) |
Psychosocial issues (including fear) | 23.6 (35) |
Transportation issues | 23.6 (35) |
Family/community support issues | 6.8 (10) |
Medical and mental health comorbidity or disability | 6.8 (10) |
Work schedule conflicts | 6.8 (10) |
System problems with scheduling care | 1.4 (2) |
Literacy or language barriers | 0.7 (1) |
Total cost of implementation in 2018 (labor and nonlabor)b | $28,160 |
Identify patients due for screening via list or provider referral | 1077 |
Review patient record for previous referrals, documentation of screening conversation with provider, high-risk status | 2992 |
Contact patient to discuss colorectal cancer and other cancer screenings when appropriate | 10,293 |
By phone | 7899 |
By mail | 2394 |
Document contact in Electronic Health Records | 3112 |
Ordering/referring patients to screenings | 1317 |
Following up with patients if no screening documented | 1915 |
Following up with patients if positive screen | 957 |
Nonlabor costs (e.g., materials, supplies, printing) | 6497 |