Table 3.

Key quotes on the PCA–FQHC relationship and opportunities to improve cancer prevention

Topic	Key theme	Quotes
PCA–FQHC Relationship	Urban-based FQHCs thought PCAs served them by sharing best practices, disseminating information, and lobbying.	"They [PCAs] do a lot of organizing and getting the different centers together. Hopefully, we’re sharing best practices at those meetings."
	Rural-based FQHCs emphasized their independence and noted that PCAs were not often involved with internal programs.	"We don’t see a lot of people from the PCA in our facilities, nor does any other rural CHC [FQHC]." "We’re pretty independent folks. It would not go well for someone to come in and tell us what we need to do."
	FQHCs did not know how PCAs relate to them on cancer prevention, except indirectly through the PCMH process.	"Cancer screening and prevention has not been a high profile initiative of the association, but more supported through an overall approach to PCMH."
Opportunities to improve cancer prevention in FQHCs	FQHCs want culturally appropriate educational materials that share best practices.	"Educational materials in many languages would probably be one of the areas that we could all be working on together better."
	Urban FQHCs need support for patient navigators to guide patients towards prevention.	“They [patient navigators] would appreciate in-person training on how to use the [cancer prevention] tools and how to integrate them into the system.” "As far as the challenges go, it’s just finding the infrastructure to support this patient navigation concept."
	Cancer prevention efforts in FQHCs should integrate with PCMH, EHRs, and routine clinical flow.	“If we were trying to do something to bump up cancer screening, the carrot can be that this will help you to achieve your meaningful use incentives.” "If they could be assessing what is needed in the health centers to increase cancer screenings that matches, integrates, and dovetails with this massive overarching PCMH, I think that would be really, really helpful."