Participating Clinic Characteristics
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).