Table 4.

Proposed quality metrics for communication of increased familial risk in patients diagnosed with advanced colorectal neoplasia

Proposed Quality Metrics	Threshold	Type of Quality Metric
1. When a patient is found to have an advanced colorectal polyp* or colorectal cancer, the endoscopist should document notification to the referring provider that first-degree relatives of the patient may have an increased risk of colorectal cancer	≥90%	Process Measure
2. When a patient is found to have an advanced colorectal polyp* or colorectal cancer, the endoscopist should document notification to the patient that first-degree relatives may have an increased risk of colorectal cancer and should be notified and encouraged to talk to their health care provider about appropriate age and method to initiate screening	≥90%	Process measure

^*Advanced colorectal polyp (ACP): tubular adenoma ≥1cm in size, adenoma with villous histology or high-grade dysplasia, sessile serrated polyp ≥1cm in size, sessile serrated polyp with any degree of cytologic dysplasia, traditional serrated adenoma ≥1 cm, hyperplastic polyp≥1cm diagnosed proximal to the splenic flexure with endoscopic features suggestive of SSP (flat or sessile shape, indistinct border, mucus cap, rim of debris, cloud-like surface, lacy vessel pattern)⁴⁵