Table 2.
Clinic and patient characteristics, costs, and screening uptake by health system
| Awardee | Colorado Department of Public Health & Environment | Washington State Department of Health |
West Virginia University | |
|---|---|---|---|---|
| Partner (# of clinic sites) | Health System 1 (9) | Health System 2 (4) | Health System 3 (9) | Health System 4(1) |
| Patients age 50–75 years (N) | 10,933 | 6,421 | 15,516 | 3,012 |
| Female (%) | 64.8 | 72.9 | 59.7 | 52.0 |
| Uninsured (%) | 12.0 | 11.5 | 15.9 | 4.0 |
| Race and ethnicity (%) | ||||
| Non-Hispanic White | 55.2 | 61.8 | 44.1 | 98.0 |
| Non-Hispanic Black | 1.5 | 1.8 | 12.3 | 0.0 |
| Hispanic | 38.7 | 35.1 | NR | NR |
| Other/unknown | 4.6 | 1.3 | 43.6 | 2 |
| Evidence-based interventions implemented | ||||
| Patient reminder systems | ✓ | ✓ | ✓ | ✓ |
| Provider reminder systems | ✓ | ✓ | ||
| Provider assessment and feedback | ✓ | ✓ | ✓ | ✓ |
| Reduction of structural barriers | ✓ | |||
| Intervention evaluated | Multicomponent interventions implemented over a 2-year period |
Multicomponent interventions implemented over a 3-year period |
Mailed FIT and outreach activities to increase FIT uptake over a 12-month period |
Multicomponent interventions implemented over a 12-month period |
|---|---|---|---|---|
| Time period | ||||
| Baseline | 7/2012–6/2013 | 7/2013–6/2014 | 7/2014–6/2015 | 11/2015–12/2015 |
| Implementation | 7/2013–6/2015 | 7/2014–6/2017 | 7/2015–6/2016 | 1/2016–12/2016 |
| Screening uptake (%) | ||||
| Baseline | 21.1 | 25.7 | 51.2 | 38.3 |
| Implementationa | 39.2 | 35.4 | 58.3 | 57.2 |
| Change in screening uptake | 18.1 | 9.7 | 7.1 | 18.9 |
| Intervention implementation phase cost ($) | $60,224 | $27,497 | $30,148 | $13,278 |
| Additional persons screened (#) | 2,533b | 943c | 1,607 | 332 |
| Based on changes between baseline and implementation |
Based on changes between baseline and implementation |
Based on number of individu- als who returned FIT kitd |
Based on changes between baseline and implementation |
|
|---|---|---|---|---|
| Incremental intervention cost per person successfully screened ($) | $23.78 | $29.16 | $18.76 | $40.00 |
NR not reported
a
Screening uptake was assessed for the last 12-month period of implementation
b
The calculation for the additional person screened was for the 2-year period
c
The calculation for the additional person screened was for the 3-year period
d
The fecal immunochemical test (FIT) return rate for Washington was 31%