| Patient education, awareness building, and outreach to increase motivation and dispel myths through in office and/or outside of office efforts |
21 |
“I think better or stronger patient education for screening process and benefits of the screening process, maybe provide handouts in the waiting areas or even to mail out to the patients to let them know that hey we offer this service to help teach them the benefits of actually getting the colorectal screenings regularly. [Giving patients information out in the waiting room?] Offering it there or in the rooms or even patients that are on Medicare or over the age of 50 try to you know send them out a pamphlet or include it with their appointment information.” – Staff B “One more if we had a way to do like on the TV. [OK.] Informational videos I think would be awesome.…… and I like those because no matter you know like the TV or the tablet something they could watch that we you push a button, start it for them. Then you don’t have to worry about people being able to read or to.” – Staff K “Mainly some way to educate that that they would be easily available to them that you could educate people on the importance of the screening and the rates of success if they have had screening and identify polyps let them know you know that that’s could be something precancerous. Get rid of it now and then just teach them if you have more education out there.” – Staff L “I know we do a lot of outreach things for black lung and for blood pressure checks but I think would be great for community organizations if we offered a cancer outreach screening and education. Even partner with some of the local larger businesses. You know that set at the table in their lunch lunchroom or offered as scheduled appointments where they can have their pap smear and all that schedule for them and just big picture that’d be great to partner with some of the big businesses and corporations.” – Staff Q “I think we can probably do a little bit more raising awareness about colorectal cancer or maybe do like normalize it a bit more like breast cancer, and breast cancer awareness because that’s so common and everybody talks about that. When it comes to something like this, especially the people in this area there’s like a big stigma I think that it’s hush hush and you don’t want to get that done.” - Staff G |
| Make CRC screening more accessible to patients by offering free tests, incentives, or mail-back option for FOBT |
10 |
“That [they] would be able to send it off from home with a prepaid envelope. I think would be huge.” – Staff C “I would say the money is always a motivator but that’s for us that’s not feasible.” – Staff J “You know we talked about that being able to mail it in and that might help streamline it a little.” – Staff M |
| Establish systems that could support patient transportation barriers |
9 |
“Consulting with the patient to get dates that are good to try to help get them transportation scheduled prior to scheduling the appointment to ensure that they do have transportation before we actually schedule.” – Staff B “If they provide maybe a voucher a taxi voucher to and from.” – Staff C “And then you know, if there’s a transportation barrier or something like that you can you can try to come up with some other transportation and things like that…” – Staff F |
| Establish a system for following up with patients about noncompleted FOBT tests |
9 |
“I think communication. I just think communication. Good communication with the patient and friendly reminders that of that it’s needed and to get it back in first screening test back and things like that.” – Staff F “I mean I think it would just be a reminder. And like you kind of touched on this if they were maybe a little bit on the hesitant side maybe just that little extra. Well you know that nurse actually care enough to call me and ask me maybe it’s really important that you go ahead and do this and take it back.” – Staff I “I really think if we had a reminder system in place like we do for our pap smears and mammogram and you know our pap smear and mammogram numbers aren’t astronomical or off the charts but I think they’re getter than our colorectal.” – Staff Q |
| Establish a system for tracking noncompleted FOBT tests |
8 |
“OK so me I would have EMR that would show you those that are lacking kind of like a kind of we have like a little sticky up.” – Staff J “Well, I think maybe to concentrate on it just like we do on paps and mammograms. Establish a report of who is due, who needs one, call those people, mail them letters and keep a log of that so that it’s readily available all we have to do is open a book or print off a report so that it’s not so time consuming for us to have to sit down and pull up each individual patient and try to find that information.” – Staff L “Well one, I think we need to do a better job of tracking them and reminding them that it’s due.” – Staff Q |
| Increase CRC screening as priority for staff through training and practice changes |
5 |
“I think we just have to keep reminding our providers and the staff…. measures, our meaningful use, and trying to get everybody … to understand why it’s necessary. And then for them to also stress to their own staff. It’s okay for us to keep stressing it but then you have to stress it to your own staff. Why this needs to be done. And I tell them to go over it with them when you get your report card from us on what you’re doing or not doing. Then you need to go and if you think you were doing this and you weren’t then you just sit down with your staff and find out.” – Staff F “…. Everybody just do it when they are supposed to. [All the patients doing it?] And some of the providers. We do have providers that don’t. They just don’t order it.” – Staff P |
| Have staff that could dedicate time to supporting patient navigation through the CRC screening process |
5 |
“I think there needs to be more nurses. I had proposed a long time ago I mentioned it to [name redacted] a while back. As you know every provider really needs two nurses, one for paperwork. So there’s a lot of that, phone calls, triaging because we get a lot of phone calls for Med refills. That’s very common. Even though we tell him to call the pharmacies, we still get phone calls. So that is a lot. And then the nurse that actually tries patients and does that type of work.” – Staff J “Just staffing maybe would be one. Like I said we all do so much and all try to pull it and help each other out doing everything. I think it might be hard to find. Just like to designate one person or if we all kind of apart to do a little bit here.” – Staff G |
