Table 3.

Distribution of facilities and patients across organizational structures and processes examined

Characteristic	Facilities (N=98)1		Patients (N=74,104)
	N	%	N	%
ORGANIZATIONAL STRUCTURES
Leadership support GI
Primary Care leadership support b Is a key barrier	0	0	0	0
Is not a key barrier	75	100	56,897	100
Missing	23		17,207
Gastroenterology leadership support c - Is a key barrier	2	2	671	1
Is not a key barrier	78	98	61,171	99
Missing	18		12,262
Resources
Colonoscopy appointment availability c - Is a key barrier	38	49	37,658	63
Is not a key barrier	39	51	22,021	37
Missing	21		17,207
Tracking b > weekly	15	20	13,340	21
At least weekly	27	36	26,513	42
No tracking	33	44	23,429	37
Missing	23		10,822
Feedback
Primary Care feedback b – Aggregate	5	6	2,655	4
None	47	62	34,001	59
Individual, infrequent	8	11	6,520	11
Individual, frequent	16	21	14,394	25
Missing	22		16,534
Gastroenterology feedback c - None	22	27	15,014	24
Written, infrequent	18	22	14,720	23
Verbal, infrequent	12	15	12,146	19
Verbal, frequent	18	22	13,432	21
Written, frequent	11	14	7,970	13
Missing	17		10,822
Incentives
Primary Care incentives b - None	42	56	28,439	50
Recognition only	6	8	4,789	8
Monetary reward (alone or in combination with other strategies)	6	8	4,452	8
Reprimand (alone or in combination with recognition)	21	28	19,217	34
Missing	23		17,207
Gastroenterology incentives c – None	52	64	37,204	59
Recognition only	15	19	12,893	20
Monetary reward (alone or in combination with other strategies)	7	9	6,257	10
Reprimand (alone or in combination with recognition)	7	9	6,599	10
Missing	17		10,822
ORGANIZATIONAL PROCESSES
Demand Efficiency Processes
Contraindications on colorectal Cancer Screening Reminder b – None	39	52	29,996	53
1–2	21	28	14,327	25
3	7	9	4,669	8
4+	8	11	7,905	14
Missing	23		17,207
Information on colonoscopy consult b - Contraindications	35	47	29,167	51
Indication	22	29	16,781	29
Neither	18	24	10,949	19
Missing	23		17,207
Surveillance for 1–2 Adenomas <1 cm c – <5 years	6	8	2,519	4
5 years	67	84	56,645	90
7–10 years	7	9	3,693	6
Missing	18		11,247
Supply Efficiency Processes
Gastroenterology notification c - by primary care	55	70	42,829	69
by Lab	19	24	14,005	22
by Gastroenterology	5	6	5,512	9
Missing	19		11,758
Colonoscopy prep instruction c – separate appointment required	24	30	21,079	33
Separate appointment not required	57	70	42,203	67
Missing	17		10,822
Pre-op Appointment c – required	31	38	28,060	44
Not required	50	62	35,222	56
Missing	17		10,822
Overbooking c – is used to meet colonoscopy demand	43	54	38,087	60
Is not used	24	30	17,427	28
No changes to meet colonoscopy demand	13	16	7,494	12
Missing	18		11,096
Patient-centered Processes
Patients notification b – Written contact only	25	33	21,649	38
Some phone contact	50	67	35,248	62
Missing	23		17207
Colonoscopy Scheduling c – call from scheduler	25	31	19,560	31
Letter requesting patient call for appointment	11	14	7,887	12
Letter with assigned appointment	28	35	23,895	38
Other	17	21	11,940	19
Missing	17		10,822
Colonoscopy prep instruction c – Verbal phone and individual appointment	19	23	15,965	25
Written only	36	44	23,442	37
Verbal Group or other combined verbal/written method	16	32	23,875	38
Missing	17		10,822
Appointment reminders c – do not review prep/no reminder	25	31	24,385	39
Do review prep	56	69	38,897	61
Missing	17		10,822

^aDistribution from 81 facilities responding to Gastroenterology Survey, or 76 responding to Primary care survey, depending on measure (98 facilities responded to one or both of the surveys).

^bPrimary Care survey item

^cGastroenterology survey item