What Can Hospitals Do To Advance 80% By 2018?

Learn how hospitals and health systems can be part of the national effort to make sure 80% of adults ages 50 and older are regularly screened for colorectal cancer by 2018.

Steps For Increasing Colorectal Cancer Screening Rates: A Manual For Community Health Centers

Steps for Increasing Colorectal Cancer Screening Rates: A Manual for Community Health Centers – September 11, 2014

This webinar introduced the new resource, Steps for Increasing Colorectal Cancer Screening Rates: A Manual for Community Health Centers.


  • Richard Wender, MD, American Cancer Society
  • Mary Doroshenk, MA, NCCRT
  • Maria Syl D. del la Cruz, MD, Thomas Jefferson University

Steps for Increasing Colorectal Cancer Screening Rates: A Manual for Community Health Centers

This manual provides step-by-step instructions to help community health centers implement processes that will reduce physician workload and increase colorectal cancer screening. Important topics, such as conducting baseline screening rates, assessing capacity and preparing your team are covered. The goal of this manual is to offer practical advice for implementing expert-endorsed recommendations one step at a time.

The manual is organized into three primary sections: 1) An Introduction that provides information on the importance of colorectal cancer screening; 2) Steps to Increase Cancer Screening Rates, which maps out a plan for improving your screening rates and gives step by step instructions for doing so; and 3) The Appendices, which provides field-tested tools, templates, and resources to get you started.

We suggest that you use the manual in segments, focusing on the three or four pages of information you need at a time, and make good use of the appendices, which have several templates, tools, and resources to save you time.

If you use the live links throughout the manual, you can get back to where you were by pressing “Alt+Left Arrow” on a PC or “Command+Left Arrow” on a Mac.

View the September 11, 2014 webinar introducing the new manual.

The manual serves as a supplement to the existing How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician’s Evidenced based Toolbox and Guide.

Note: The NCCRT issued a request for proposals to update, revise, and modernize this signature NCCRT resource in July 2020. We expect to release the updated manual in late 2020 or early 2021. 

Improving Northern Plains American Indian Colorectal Cancer Screening (INPACS) Report

The American Indian Cancer Foundation’s Improving Northern Plains American Indian Colorectal Cancer Screening (INPACS) project recruited 54 Indian Health Services (IHS), tribal health, and urban health clinics within MN, WI, ND, SD, NE, MT, and WY to better understand successes and challenges for colorectal cancer screening and to collaboratively develop strategies to improve cancer screening rates.

About 96,000 American Indians between ages 50 and 74 reside in the Northern Plains, where the incidence of colorectal cancer is 53% higher for American Indians compared to non-Hispanic Whites. Although rates are improving, less than half of Northern Plain American Indians ages 50 years and older are up to date with colorectal cancer screening.

Data for this report was collected by INPACS staff during visits to each participating site. Multiple components of the project comprehensively assessed quality assurance measures at both the provider-level and the systems-level such as colorectal cancer policies and clinic systems for provider and patient reminders.

A clear, overarching finding of this project is that system-level strategies are needed to impact colorectal cancer screening rates in clinics across Indian Country. A provider who recommends screening is the most influential factor in patients completing colorectal cancer screening. The report also discusses clinic policies on screening, clinic reminder systems, communication systems, highlights from provider discussions, and lessons learned from the INPACS project.

Evaluation: The INPACS project used surveys and one-on-one discussions to assess clinic colorectal cancer screening practices. The project focused on evaluating the use of evidence-based practices, such as patient and provider reminders, described in in NCCRT’s “How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician’s Evidence-Based Toolbox & Guide.”

Permissions: Made publicly available online through the American Indian Cancer Foundation.

Publication date: May 2013

Post date: October 2, 2017

Contact: Send comments, questions, and suggestions to Anne Walaszek at awalaszek@aicaf.org or info@aicaf.org.

Report on Use of Electronic Medical Records to Facilitate Colorectal Cancer Screening in Community Health Centers

The NCCRT joined with the American Cancer Society and the National Association of Community Health Centers to issue a report entitled, “Use of Electronic Medical Records to Facilitate Colorectal Cancer Screening in Community Health Centers.”  The purpose of this study was to gather insights from individuals who use electronic medical records (EMRs) in community health centers about the use of EMRs to facilitate colorectal cancer screening, including for those with a family history of the disease. To meet this goal, the NCCRT commissioned Aeffect Inc. to conduct a series of qualitative interviews with clinicians and technical staff in community health centers (CHCs) across the country. This report provides important recommendations about the barriers, opportunities, and next steps needed to enhance effective use of EMRs in community health centers.

How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician’s  Evidenced-Based Toolbox and Guide

The CRC Clinician’s Guide and slide set is a practical guide for primary care clinicians containing evidenced-based tools, sample templates and strategies that can help practices improve their screening performance. A printable slide set is available for download. For PowerPoint version please contact us.

An interactive, online version of CRC Clinician’s Guide has been launched to offer an interactive, web-based version of the CRC Evidence Based Toolkit and Guide that can walk physicians through the contents of the Guide in an interactive, online format. Also available is a CA Journal article, “How to Increase Colorectal Cancer Screening Rates in Practice,” which provides a quick overview of the evidence in the Guide, and a CRC Clinician’s Guide brochure, which is a quick one-page overview of the Guide that can be emailed or downloaded and printed.

Colorectal Cancer Screening Clinician’s Guide: Cancer Screening Action Plan. This shorter version of the Colorectal Cancer Screening Clinician’s Toolbox and Guide was designed for busy clinicians after collecting extensive feedback from physicians on the original Guide. The most important material from the full Guide was condensed into a step by step tool that still offers an expansive collection of the most relevant charts, templates and sample materials that clinicians can put to use.

To access this new tool click here.

Options for Increasing Colorectal Cancer Screening Rates in Community Health Centers. In addition, researchers from the University of North Carolina Lineberger Comprehensive Cancer Center, have recently adapted the CRC Clinician’s Guide for use in the Community Health Center setting.

To access this specialized tool click here.

Promoting Cancer Screening within the Patient Centered Medical Home

This NCCRT commissioned article, published in CA: A Cancer Journal for Clinicians, helps frame the needs and opportunities with respect to integrating cancer screening into the medical home.

This article is a result of a meeting that the NCCRT convened in September 2010 on integrating cancer screening into the patient centered medical home.