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New Links to Colorectal Cancer Prevention. American Cancer Society Wellmark Foundation. Program Goal. Increase age appropriate colorectal cancer screenings through collaboration with medical providers.

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New Links to ColorectalCancer Prevention

American Cancer Society

Wellmark Foundation


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Program Goal

  • Increase age appropriate colorectal cancer screenings through collaboration with medical providers.

  • Our primary care practices are located in 15 counties in Iowa and South Dakota. These counties exceed state and national incidence for colorectal cancer.


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Colorectal Cancer Incidence

Age-adjusted rates per 100,000

Iowa Incidence Rate: 62.9

S Dakota Incidence Rate: 61.9

U.S. Incidence Rate: 53.1

Source: CDC National Program of Cancer Registries

Cancer Surveillance System (NPCR-CSS) 2006 data and SEER United States Cancer Statistics 2003.


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Project Plan

  • Education

    • Health professionals

    • Patients

    • Public Awareness

  • Increase age and risk appropriate colorectal cancer screening by health care providers in targeted practices


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Process to increase colorectal cancer screening by health care providers

  • Query software programs for patients ages 50-85

  • Audit records to determine screening status of each patient.

  • Send letter from primary care physician requesting patients call their office to schedule an appointment for screening.


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Process to increase colorectal cancer screening by health care providers

  • Identify patients requiring earlier colorectal cancer screening due to family medical history.

  • Send high risk letter to patient ; request family health history.

  • Place screening status reminder on patient record for each patient without screening.

  • Place American Cancer Society/Clinic ads in the local newspapers.


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Reporting Measures care providers

  • Increased colorectal cancer screening rates over baseline rates by at least 10% per provider

  • Numbers of patients identified and letters sent from primary care practice

  • Number of colonoscopies scheduled

  • Results from colonoscopy reports

  • Number of patients at high risk for genetic colorectal cancer identified


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Process Results: care providersAkron Mercy Medical Clinic

  • Number of letters sent: 736

  • Number of additional colonoscopies since project initiated: 276

  • Increase over baseline: 92%


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Colonoscopy Results: care providersAkron Mercy Medical Clinic

  • Number of abnormal colonoscopies: 66

  • Number of colon cancers detected: 0

  • Number of high risk surveys: 19


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Akron (Plymouth County)Results to date: care providersProgram-Initiated Colonoscopies

Based on 175 colonoscopy reports received to date


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Process Results: care providersPrimghar Mercy Medical Clinic

  • Number of letters sent: 214

  • Number of additional colonoscopies since project initiated: 148

  • Percent increase over baseline: 80%


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Colonoscopy Results: care providersPrimghar Mercy Medical Clinic

  • Number of abnormal colonoscopies: 67

  • Number of colon cancers detected: 3

  • Number of high risk surveys: 2


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Primghar (O’Brien County)Results to date: care providersProgram-Initiated Colonoscopies

Based on 129 colonoscopy reports received to date


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Process Results: care providersHartley Mercy Medical Clinic

  • Number of letters sent: 300

  • Number of additional colonoscopies since project initiated: 59

  • Percent increase over baseline: 30%


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Colonoscopy Results: care providersHartley Mercy Medical Clinic

  • Number of abnormal colonoscopies: 20

  • Number of colon cancers detected: 0

  • Number of high risk surveys: 0


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Results to date: care providersProgram-Initiated Colonoscopies

Based on 52 colonoscopy reports received to date


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Benefits care providers

  • Early screening

    • Reduces incidence

    • Detects colon cancer at an earlier, more treatable stage

  • Identifies and educates families at high risk of colon cancer due to genetic mutations


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Increase in Colonoscopy Screens care providersGoal: 10% over baseline


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Results to date: care providersProgram-Initiated Colonoscopies

Based on 391 colonoscopy reports received to date


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Barriers to Colorectal Screening care providers

  • Anxiety

  • Lack of education

  • No insurance

  • High deductibles


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The Colossal Colon: care providersSeeing is Believing


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