Table 2.
Provider responses to 749 positive FOBT notifications and associated median times from notification to response (if any) pre and post implementation
Response following a positive FOBT | N (%) | P Value | |
---|---|---|---|
Median Pre-QI (n=379) | duration in days* Post-QI (n=370) | ||
Appropriate response | 216(57.5) | 269(73.1) | <.0001 |
18 | 6 | <.0001 | |
Inappropriate response | 31(8.2) | 6(1.6) | <.0001 |
54 | 15 | 0.06 | |
•Barium Enema ordered | 9 (2.4) | 4(1.1) | |
•Flexible Sigmoidoscopy ordered | 0 (0.0) | 1(0.3) | |
•Provider attributed positive FOBT to other non-colonic causes | 12(28.6) | 0(0.0) | |
•Provider repeated FOBT | 8(19.1) | 1(5.3) | |
•Provider documented that patient was not a candidate for work-up (did not meet exclusion criteria listed in Table 3) | 2(4.8) | 0(0.0) | |
Response not needed | 66(17.5) | 46(12.5) | 0.0559 |
92 | 6.5 | 0.0004 | |
•Documentation by PCP of patient refusal | 19 (5.0) | 14(3.8) | |
•Documentation by PCP of patient having had test at other location | 27(7.1) | 21(5.7) | |
•Documentation of an exclusion criterion | 3 (7.1) | 0(0.0) | |
•Documentation of patient preference to have private physician perform the test | 11(26.2) | 9(47.4) | |
•Documentation of a previous colonoscopy performed elsewhere (within past 10 years) | 6(14.3) | 2(10.5) | |
No documented response | 66 (17.4%) | 49 (13.2%) | 0.11 |
represented by shaded rows