Table 3.
PCMH Colorectal Cancer Screening Best Practices Reported by Survey Respondents
| Never n (%) |
Rarely n (%) |
Occasionally n (%) |
Usually n (%) |
Always n (%) |
|
|---|---|---|---|---|---|
| Daily huddles, huddle sheets or checklists to go over scheduled patients who need CRC screening. | 175 (59.1) | 8 (2.7) | 16 (5.4) | 54 (18.3) | 43 (14.5) |
| Standing CRC screening orders or orders prepared by nurses/medical assistants then signed by providers. | 167 (56.4) | 3 (1.0) | 17 (5.7) | 62 (21.0) | 47 (15.9) |
| Tracking of patients who had CRC screening orders. | 140 (47.3) | 20 (6.8) | 22 (7.4) | 59 (19.9) | 55 (18.6) |
| Tracking of patients who completed CRC screening tests. | 129 (43.6) | 15 (5.1) | 23 (7.8) | 64 (21.6) | 65 (21.9) |
| Tracking of abnormal CRC screening tests. | 104 (35.1) | 12 (4.0) | 13 (4.4) | 68 (23.0) | 99 (33.5) |
| Referrals for diagnostic work-up of abnormal CRC screening tests. | 57 (19.3) | 6 (2.0) | 23 (7.8) | 66 (22.3) | 144 (48.6) |
| Tracking of diagnostic work-up completed by patients with abnormal CRC screening tests. | 96 (32.4) | 9 (3.1) | 21 (7.1) | 69 (23.3) | 101 (34.1) |
| Referrals to specialists* for patients with abnormal colonoscopies. | 52 (17.5) | 10 (3.4) | 26 (8.8) | 55 (18.6) | 153 (51.7) |
PCMH = Patient Centered Medical Home; CRC = colorectal cancer screening
*
Referrals may range from follow-up with gastroenterologists, evaluation and treatment by surgeons and/or oncologists, to consultation from palliative care specialists.