ASPO Abstracts
Increasing Colorectal Cancer Screening Rates through Implementation of Evidence-based Interventions with Federally-qualified Health Centers in South Carolina
Category: Early Detection & Risk Prediction
Conference Year: 2019
Abstract Body:
Purpose: The purpose of the study is to implement evidence-based interventions (EBIs) to increase colorectal cancer screening (CRCS) with federally-qualified health centers (FQHCs) to aid in prevention and early detection of colorectal cancer among average risk individuals. Methods: The Colorectal Cancer Screening Program in South Carolina (CCSPSC) works with eight FQHC systems in South Carolina and several partners, including the American Cancer Society, South Carolina Primary Health Care Association, and Colorectal Cancer Prevention Network, to implement at least two priority EBIs (provider assessment and feedback, provider reminders and recall, client/patient reminders), supportive strategies (professional education, small media), and additional activities (standard procedures, 80% by 2018 pledge) with a goal of increasing CRCS rates by at least 5% annually. An adaptive, iterative, and phased approach is used to implement EBIs. Quarterly and annual CRCS data are submitted to track outcomes.Results: Three years of CRCS data have been collected to date. From 2015 to 2017, an average increase of 18% (33% to 51%) in CRCS was observed in the eight FQHCs with which the CCSPSC worked. During this period, the state average showed an average increase of 6% and 4% nationally in CRSC among FQHCs. From 2016 to 2017, an average increase of 11% (36% to 47%) in CRCS was observed in the 13 FQHCs with which the CCSPSC worked. During this period, the state average showed an increase of 5% and 2% nationally in CRCS among FQHCs. Additional data on implementation processes show high quality implementation across partner FQHCs. Conclusions: The CCSPSC has demonstrated increases in CRCS as a result of partnered implementation of EBIs with FQHCs that outpace state and national averages during the same time periods. The program is in its fourth year focused on sustainability and maintenance of CRCS outcomes and enhanced implementation processes to inform replication and scalability.
Keywords: Colorectal cancer screeningEvidence-based interventionsFederally-qualified health centersCancer health disparities