Effective Practices for Colorectal Cancer Screening

The following is an exerpt from What Works: Effective Practices for Office Based Care. You can find more resources for office-based care in Office Practice: What Works.



What Works: Effective Practices for Office-based CareHealth Screening Guidelines
Screening for Colorectal Cancer

Recommendation: Colorectal screening tests are obtained for patients > age 50 or according to recommended guidelines

Source: American Cancer Society



 Effective Practice
Adaptation of the IDX practice management system creating a facsimile of the doctor's schedule used to track and reconcile critical referrals, and colorectal cancer screening. Outstanding results are reconciled at standard intervals. MACIPA sends a list of abnormal colorectal screening results monthly. The practice relies heavily on this information in its efforts to track follow-up.
Benefit: Use of existing technology to track and reconcile health screening.
In practice at: MAH Lexington


 Effective Practice
  • The office distributes home testing guaiac kits.
  • Office staff use a monthly tickler system to reconcile outstanding kits.
  • Patients are sent reminders when results are not received by the office.
Benefits:
  • Paper-based tickler system is easy to use
  • Promotes appropriate follow-up of abnormal results
In practice at: : Healthcare Associates (BIDMC), Office of Dr. Perkins (BWH), Office of Dr. Pinto (BWH), Office of Dr. Stubbert (BWH), Office of Dr. Phillip (BWH), Internal Medical Associates (MGH), South Shore Medical Center (HVMA), HVMA Quincy, Waverly Primary Care, MAH Office of Dr. Christopher Peckins, Primary Care Center


 Effective Practice
The practice distributes home guaiac testing kits to patients over age 50. A system, such as a logbook or a billing form, tracks if results are received at the office.
Benefit: Process facilitates identification of due health screens
In practice at: Primary Care at Faulkner (BWH), The Office of Drs. Goldman and Gassiraro (MAPS), Waverly Primary Care (MAPS), North Shore Medical Center Office of Dr. Chaoui (NSMC), Concord Hillside Adult Medicine


 Effective Practice
Excel database to track colorectal screening due dates and follow up.
Benefit: Facilitates identification of due health screening.
In practice at: APG-Chelsea (BIDMC), Office of Dr. Triffletti


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