TABLE 3.

Common Data Elements for Each Group of Stakeholders

Stakeholders	Data Elements
Individuala	Age; sex; race; education level; Hispanic ethnicity; primary language; CRC risk (personal and family history; no. of first-degree relatives diagnosed with CRC and age at diagnosis); insurance coverage, including plan type (Medicaid, Medicare, private, uninsured, other) and copayment requirements; CRC screening status (screening date, type of test, test results, date of diagnostic colonoscopy [when required], treatment initiation [when required], and rescreening recommendations)
Providera	No. of staff by type (eg, receptionists, nurses), role of staff (eg, recruit patient for screening; track screening results),b medical specialty of clinicians, CRC trainings received, clinician screening performance
Health system/clinica	Screening test offered, diagnostic colonoscopy availability, EMR system, patient identification process (manual, electronic, mixed), adoption of guidelines at point of care, integrating CRC screening within quality-improvement processes, patient invitations for screening (eg, in-person discussion, mailings), mode of communicating test results to patient (eg, in-person, mail), funding/resources for CRC intervention implementing, activity-based cost
Awardee	No. of staff; qualifications of staff activities conducted to support clinics and health systems (activity list)b; funding/resources, both labor and nonlabor, for CRC intervention support; activity-based cost
Community partners	No. of partners, key activity of partners (activity list)b

Abbreviations: CRC, colorectal cancer; EMR, electronic medical record.

^aUS Office of Management and Budget (OMB) approval was obtained for clinical data elements used to derive the screening uptake measures (OMB control no. 9020-1074) and other details collected through the grantee annual survey (OMB control no. 0920-1074).

^bFor details on the common set of activities, see Table 1 and Supporting Table 1.