Category: State-Based Screening Program

Founded in 2006, the Colorado Cancer Screening Program (CCSP) is a statewide program of the University of Colorado Cancer Center, fueled by the academic and public health expertise of The Colorado School of Public Health and funding from the Cancer, Cardiovascular and Pulmonary Disease (CCPD) Grant Program. CCSP partners with Federally Qualified Health Centers, rural health clinics, and other safety net clinic systems to use evidence-based approaches to reduce disparities in CRC screening, lung cancer screening, and hereditary cancer risk assessment. Patient navigators and healthcare teams support low-income patients with overcoming barriers and increasing access to care through patient education, care coordination, client reminders and addressing social determinants to health. CCSP clinics have navigated average-risk and high-risk patients into 9,582 colonoscopies during the current grant cycle to-date (July 2018-June 2022) and >36,800 total colonoscopies since 2006. CCSP supports several clinic systems with strengthening their stool-based testing approaches and will soon be expanding the program to additional evidence-based interventions to further support efforts to reach 80% screening rates.

Category: Community Health Center

Founded in 1991, Kintegra Health provides continuing comprehensive and accessible primary care services to individuals and families of all economic levels at over 30 practice sites in North Carolina. Following a drop in CRC screenings amidst the COVID-19 pandemic in 2020, Kintegra Health began partnering with North Carolina Partnership to Increase CRC Screenings (NC PICCS), a Centers for Disease Control and Prevention (CDC) program, to increase CRC screenings in four of the organization’s practices in Lincolnton, Hickory, and Gastonia. In addition to receiving ongoing technical assistance from NC PICCS, the four practice sites participated in the American Cancer Society’s Tri-state Quality Improvement Learning Collaborative developed aim statements; performed process mapping, gap analyses, and Plan, Do, Study, Act (PDSA) cycles, which are an iterative process to test whether a change leads to an improvement; implemented evidence-based interventions, including patient reminders; and reduced structural barriers. Kintegra Health has successfully negotiated a colonoscopy cost rate well below the Medicare rate and developed a medical neighborhood for sustainability. Within a year, all four practices reported increased CRC screening rates ranging between 15 to 34 percentage points.

Category: State Primary Care Association 

The Ohio Association of Community Health Centers (OACHC) supports all of Ohio’s 57 Federally Qualified Health Centers and FQHC Look-Alikes (more commonly referred to community health centers or CHCs), providing care to nearly one million Ohioans across 480+ sites in 75 of the 88 counties. CHCs are non-profit health care providers that deliver affordable, quality comprehensive primary care to medically under-resourced populations, regardless of insurance status. OACHC leads many projects in support of improved patient outcomes through quality improvement initiatives. Since 2016, more than 25 CHCs have implemented FluFIT: a program where patients eligible for CRC screening are offered are offered a Fecal Immunochemical Test (FIT) at the time of their annual influenza vaccination. In collaboration with the regional American Cancer Society, OACHC provides participating CHCs with comprehensive training, technical assistance, and data collection tools. The performance for CHCs participating in the FluFIT program has grown from a rate of 32% screened in 2020 to 40% in 2021.

Category: Hospital/Health System 

Virginia Mason Franciscan Health (VMFH) provides expert, compassionate medical care at 10 hospitals and nearly 300 care sites throughout the Puget Sound region of Washington State. In 2019, the Franciscan Medical Group (FMG), part of the VMFH system, set a goal to increase CRC screening rates to 70% and higher among patients served by its primary care sites in King, Pierce, and Kitsap Counties. Working in partnership with the American Cancer Society as a Hospital Systems Capacity Building community of practice site, FMG used PDSA cycles to test and implement systems changes to increase CRC screening, including standardized outreach methods, shared decision making, data scorecards, and staff and patient education. FMG’s Colorectal Cancer Screening Challenge, an annual eight-week initiative, also provides clinicians and staff with engaging incentives for meeting performance targets. CRC screening among the 85,000 patients eligible for CRC screening increased from 58% in February 2019 to 69% as of November 2022, a considerable achievement given the challenges to health care delivery posed by the COVID-19 pandemic.