Nebraska’s Women’s and Men’s Health Programs intends to work with all seven Federally Qualified Health Centers and two safety net clinics to implement evidence based interventions to increase colorectal cancer screening rates within the clinic population. These nine clinics will provide statewide wide coverage, serving the state’s most vulnerable populations.
All nine clinics currently partner with the WMHP using integrated fixed cost subawards to increase cancer screening rates. The CDC funded projects implement EBIs to increase breast and cervical cancer screening rates and increase hypertension control rates.
Processes are already in place to assess clinic readiness by utilizing EHRs (Electronic Health Records) to calculate screening rates and implement appropriate EBIs based on clinic capacity and resources. Both WMHP staff and clinics have experience in utilizing data and documenting patient pathways to implement clinic EBIs. Through provision of technical assistance from program nursing TAs (Technical Assistants) and external partners with expertise in using various EHRs to identify quality issues and data capture issues, clinics have begun to make positive changes in preventive screening rates, including colorectal cancer screening rates.
Colorectal cancer screening has been identified as a priority for all clinics. They are excited about the opportunity to expand current activities to include identification and implementation of EBIs specifically to increase CRC screening rates.
All nine clinics have been working with their existing EHR systems to calculate screening rates and identify those patients who are due or past due for colorectal cancer screening. However, due to an inability to adequately follow up on individuals with positive FOBT/FIT results the clinics have been reluctant to engage in more aggressive strategies to increase screening rates. Grant funding will provide resources for follow up colonoscopy after positive FOBT/FIT.
Resources provided to the clinics will include technical assistance in the areas of utilizing EHR screening data, data capturing, implementing EBIs, and utilizing data to plan and implement midcourse corrections to meet clinic screening goals.
Each clinic will implement one or more of the following EBIs: client reminders, provider reminders, provider assessment and feedback, and decrease in structural barriers through one to one navigation.