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. 2018 Jun 18;11:131–138. doi: 10.1016/j.pmedr.2018.06.009

Table 3.

Practical applications of P3 Model to interventions targeted at improving immunization and colorectal cancer screening.

Immunization Colorectal cancer screening
Practice-level
  • Standing orders (allow for vaccine services to be given even in nursing visit situations)

  • Immunization champion

  • Immunization information systems with reminder-recall functionality

  • Assessment, Feedback, Incentives, eXchange (AFIX) program

  • Coordination of staff to identify patients in need of vaccination to allow promotion messaging to occur at all stages of the clinical encounter (e.g. at check-in, preliminary intake, clinical examination, and check-out, including scheduling for future immunization visits, as necessary)

  • Provision of Vaccine Information Statements

  • Standing orders for distribution of home fecal immunochemical tests for colorectal cancer screening as part of an effective multicomponent intervention to improve colorectal cancer screening

  • Prevention (cancer screening) champion

  • Provision of materials (e.g. screening recommendations)’

  • Coordination of staff to identify patients in need of screening to allow promotion messaging to occur at all stages of the clinical encounter (e.g. at check-in, preliminary intake, clinical examination, and check-out, including scheduling for follow-up contact and visits, as necessary)

Provider-level
  • EMR or IIS prompts for patients who are in need of vaccination

  • Standardized communication style (e.g. standard recommendation language and answers to FAQ) for communicating about vaccination services

  • Training related to changes in vaccination recommendations

  • EMR prompts for patients who are in need of screening

  • Training related to changes in screening recommendations

Patient-level
  • Education (e.g. pamphlets, magazines, electronic tablets)

  • One-on-one education

  • Small media