Article Figures & Data
Tables
Clinic Characteristic Clinics n (%) Total clinics 29 Rurality, defined by RUCA codesa Micropolitan (RUCA codes 4 to 6) 19 (66%) Rural (RUCA codes 7 to 10) 9 (31%) Urban (RUCA code 2) 1 (3%) Clinic categories Federal designationb Rural Health Clinic 12 (41%) Federally Qualified Health Center 5 (17%) Tribal Health Center 1 (3%) No Federal Designation 11 (38%) Clinic network structureb Hospital-affiliated clinic 14 (48%) Health care network-affiliated clinic 4 (14%) Clinic with multiple locations 6 (21%) Individual clinic (single location) 5 (17%) Patient-Centered Primary Care Home Program Accreditation (Oregon) Tier 3 6 (21%) Tier 4 17 (59%) Tier 5 6 (21%) Electronic Health Record (EHR) EHR vendor Epicc 16 (55%) Greenway Intergy 4 (14%) eClinicalWorks 2 (7%) Athenahealth 2 (7%) NextGen 2 (7%) Otherd 3 (10%) Length time with current EHR 3 years or less 7 (24%) 3 to 10 years 13 (45%) More than 10 years 7 (24%) Unknown 2 (7%) EHR site specialist (yes) 14 (48%) Quality systems questions Clinic provides providers with assessment and metrics regarding CRC screening (agree) 17 (59%) Clinic has a staff member or administrator who champions colorectal cancer screening initiatives (agree) 13 (45%) EHR features to help with identifying eligible patientse (% yes) (n = 28) Provider reminder functionality 22 (79%) Patient reminder functionality 21 (75%) The ability to automate identification of patients due for CRC screening 20 (71%) Automated identification of patients who are referred for a screening colonoscopy appointment 9 (32%) Cancer screening summary page/dashboard 11 (39%) Access to gastroenterology patient portals that show colonoscopy appointments 4 (14%) Automated identification of patients with a positive FIT result 5 (18%) Automated identification of patients with a positive FIT who have been referred for a colonoscopy 3 (11%) Abbreviations: RUCA = Rural-Urban Commuting Area; FIT = fecal immunochemical test.
↵aAll Oregon sites (RUCA codes 2 to 10) are classified as rural or frontier by the Oregon Office of Rural Health (ORH).
↵bIndicates that research team determined categorization.
↵cIncludes OCHIN EPIC (n = 4) is a national nonprofit provider of EHR systems, providing equitable health care innovations and solutions - https://ochin.org/.
↵dSingle clinics used GE Healthcare (Centricity), AdvancedMD, or RPMS.
↵eOne clinic did not provide this information and are excluded from the denominator (denominator for these items: n = 28).
Patient Population Characteristic Clinics Able to provide information (of responding clinics n = 28) Total number of patients 25 (89%) Number of patients aged 50 to 75 19 (68%) Number of Medicaid patients 21 (75%) Race of the population 21 (75%) Hispanic or Latino (ethnicity of the population) 17 (61%) Number of patients ages 50 to 75 screened for CRC in the prior year 19 (68%) Number of patients screened by FIT in the prior year 8 (29%) Number of patients with an abnormal FIT, or abnormal FIT with colonoscopy completed w/in 1 year 9 (32%) Abbreviations: FIT = fecal immunochemical test.
Patient Population Characteristics Health Plan 1 Health Plan 2 Health Plan 3 Overall n (%) Total Number of Eligible Patients based on Health Plan list* (n) 1705 1875 2036 5616 Female 55% 49% 53% 2949 (53%) Age (mean) 58.8 56.9 58.8 58.2 Ethnicity Hispanic 4% 7% 5% 303 (5%) Unknown Ethnicity 18% <1% 24% 799 (14%) Race White 73% 56% 61% 3519 (63%) Non-White 5% 4% 5% 263 (5%) Unknown Race 22% 40% 34% 1834 (33%) Language English 95% 85% 96% 5173 (92%) Non-English 4% 5% 3% 226 (4%) Unknown Language 1% 10% 1% 217 (4%) ↵*Population includes all eligible patients.
