WellOne Primary Medical and Dental Care

WellOne Primary Medical and Dental Care Colorectal Cancer Presentation to CTC Practice Transformation March 16, 2017

Colon Cancer Screening Breakthroughs • Partnership with American Cancer Society • Regional Colorectal Cancer Collaborative • Patient Navigation program

Identification of Population to be Screened How to identify the eligible population • Who was already screened- Date of last screening, when is next date of screening • Identification of those that need screen-appropriate age, family risk –colonoscopy not stool testing • Where will information be recorded?

Workflow • Identification of patient by clinical staff, population based patient identification • Priority to do colonoscopy vs stool testing, offer patient testing options • Refer for colonoscopy or stool testing as identified by discussion with patient, engage navigation as needed • Testing done-is recorded in structured field, where will you record this information? Can it be recorded in one place or can it be recorded in many places, is it a structured field appropriate for reporting and alerts?

Testing not Completed-Follow-up Plan • Stool Testing-Call patients who have not returned stool testing, and/or reminder at next visit- allows for opportunity to talk about colonoscopy again • Referral for colonoscopy-Navigation intervention at this point (3 mos. after referral ordered), reminder letters, • Patient refuses testing: investigate barriers, reduce identified barriers, education as to the one preventable cancer if colonoscopy done, motivational interviewing.

Patient Navigation/Success Stories • Monthly reminders, 50 year old birthday cards, assist with patients not getting referral done • Success Stories/Provider feedback

Leadership Support • Identification of barriers in workflow process • Assist in reduction of barriers identified • Assist in building effective workflows • Staff education regarding standard for screening • Staff education regarding PREVENTION of Cancer-Do Colonoscopy • Fit testing- PDSA’s, implementation at one site, then spread to all locations • Data-ongoing data collection- measure if implementation of PDSA’S result in improvement • WellOne Data (Goal - 80% by 2018): 2015 Colon screening Percentage 51.75% RI UDS 41.5%, National UDS 38.3% 2016 Colon Screening Percentage 56.3%

Questions?

WellOne Primary Medical and Dental Care

WellOne Primary Medical and Dental Care

Presentation Transcript

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The Difference Between Primary, Secondary and Tertiary Medical Care

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