Table 1.

Multi-Component CRC Screening Intervention in Rural Family Medicine Clinic March–May 2020

Interventions to increase provider delivery of screening services

  • - Surveyed “exemplar” providers in our health system to identify their best practices

  • - Academic detailing of all clinic providers

  • - Providers dedicating time each week to panel management

  • - Each provider audited monthly and received a statement about their individual CRC screening rates

  • - Overall clinic CRC screening rates were posted and updated monthly on a white board inside the staff clinic entrance

Interventions to increase community demand

  • - Follow up phone call and letter to each patient at 1- and 2-months post MT-sDNA order

  • - Staff and clinicians wore CRC awareness ribbons

  • - CRC informational posters and brochures (small media) were originally planned for clinic waiting areas but removed due to COVID-19 infectious disease control measures

Interventions to increase community access

  • - Prioritization of use of mailed MT-sDNA tests rather than colonoscopy/ sigmoidoscopy

  • - Phone call from provider to overdue patients recommending CRC screening and offering MT-sDNA screening

  • - One staff designated for patient follow up and navigation on all MT-sDNA orders

  • Abbreviation: CRC, colorectal cancer.