New links to colorectal cancer prevention
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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 Colorectal Cancer Prevention

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New Links to ColorectalCancer Prevention

American Cancer Society

Wellmark Foundation


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.


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.


Project Plan

  • Education

    • Health professionals

    • Patients

    • Public Awareness

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


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.


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.


Reporting Measures

  • 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


Process Results: Akron Mercy Medical Clinic

  • Number of letters sent: 736

  • Number of additional colonoscopies since project initiated: 276

  • Increase over baseline: 92%


Colonoscopy Results: Akron Mercy Medical Clinic

  • Number of abnormal colonoscopies: 66

  • Number of colon cancers detected: 0

  • Number of high risk surveys: 19


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

Based on 175 colonoscopy reports received to date


Process Results: Primghar Mercy Medical Clinic

  • Number of letters sent: 214

  • Number of additional colonoscopies since project initiated: 148

  • Percent increase over baseline: 80%


Colonoscopy Results: Primghar Mercy Medical Clinic

  • Number of abnormal colonoscopies: 67

  • Number of colon cancers detected: 3

  • Number of high risk surveys: 2


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

Based on 129 colonoscopy reports received to date


Process Results: Hartley Mercy Medical Clinic

  • Number of letters sent: 300

  • Number of additional colonoscopies since project initiated: 59

  • Percent increase over baseline: 30%


Colonoscopy Results: Hartley Mercy Medical Clinic

  • Number of abnormal colonoscopies: 20

  • Number of colon cancers detected: 0

  • Number of high risk surveys: 0


Results to date: Program-Initiated Colonoscopies

Based on 52 colonoscopy reports received to date


Benefits

  • 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


Increase in Colonoscopy ScreensGoal: 10% over baseline


Results to date: Program-Initiated Colonoscopies

Based on 391 colonoscopy reports received to date


Barriers to Colorectal Screening

  • Anxiety

  • Lack of education

  • No insurance

  • High deductibles


The Colossal Colon:Seeing is Believing


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