Table 1.

Participating Clinic Characteristics

Clinic CharacteristicClinics n (%)
Total clinics29
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 Clinic12 (41%)
 Federally Qualified Health Center5 (17%)
 Tribal Health Center1 (3%)
 No Federal Designation11 (38%)
Clinic network structureb 
 Hospital-affiliated clinic14 (48%)
 Health care network-affiliated clinic4 (14%)
 Clinic with multiple locations6 (21%)
 Individual clinic (single location)5 (17%)
Patient-Centered Primary Care Home Program Accreditation (Oregon) 
 Tier 36 (21%)
 Tier 417 (59%)
 Tier 56 (21%)
Electronic Health Record (EHR)
EHR vendor 
 Epicc16 (55%)
 Greenway Intergy4 (14%)
 eClinicalWorks2 (7%)
 Athenahealth2 (7%)
 NextGen2 (7%)
 Otherd3 (10%)
Length time with current EHR 
 3 years or less7 (24%)
 3 to 10 years13 (45%)
 More than 10 years7 (24%)
 Unknown2 (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 functionality22 (79%)
 Patient reminder functionality21 (75%)
 The ability to automate identification of patients due for CRC screening20 (71%)
 Automated identification of patients who are referred for a screening colonoscopy appointment9 (32%)
 Cancer screening summary page/dashboard11 (39%)
 Access to gastroenterology patient portals that show colonoscopy appointments4 (14%)
 Automated identification of patients with a positive FIT  result5 (18%)
 Automated identification of patients with a positive FIT who have been referred for a colonoscopy3 (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).