Table 3.

How study findings inform development of capacity-building training and tools

CFIR domain and construct	Target gaps in FQHC staffs’ capacity to . . .	Leverage existing partnerships and other capacity-building strategies
Process
Planning	Assess local factors that contribute to low screening rates
Engaging	Identify and prepare champions and implementation leaders	Align with other external change agents that build FQHC capacity
Executing	Develop and execute implementation plans
Reflecting and evaluating	• Use existing sources of data • Collect qualitative and quantitative data • Use data to improve processes and outcomes
Outer setting
Patient needs and resources	• Assess patient level factors that contribute to low screening rates • Identify and partner with colonoscopy providers	Refer to sources of tailored patient education materials (e.g., Make it Your Own [28])
External policy and incentives		Provide grant funding for CRC screening intervention selection in addition to implementation
Cosmopolitanism		Work within existing regional and state QI networks
Inner setting
Networks and communication	• Leverage FQHC’s existing QI and communication infrastructure • Strengthen QI and communication infrastructure	Establish minimum QI infrastructure as a criterion for FQHC to participate in training
Implementation climate	Use data feedback and other strategies to sustain investment in CRC screening as a priority	Provide grant funding so that FQHCs will prioritize CRC screening
Readiness for implementation	• Engage leadership support • Educate and motivate staff	Provide grant funding to hire additional staff and purchase resources

CRC colorectal cancer; FQHC Federally Qualified Health Center; QI quality improvement.