High performance in screening for colorectal cancer: a Practice Partner Research Network (PPRNet) case study

Area of Science:

• Public Health
• Primary Care Medicine
• Cancer Prevention

Background:

• Colorectal cancer (CRC) screening is recommended for average-risk adults aged 50+, but screening rates remain suboptimal in the US.
• This study examines strategies employed by high-performing primary care practices to improve CRC screening.
• Identifies a model for enhancing CRC screening within primary care settings.

Purpose of the Study:

• To identify and analyze practice strategies that lead to high rates of colorectal cancer (CRC) screening.
• To provide a framework for improving CRC screening in primary care based on successful practices.

Main Methods:

• Case study design analyzing performance and qualitative data from top-performing practices in the C-TRIP study.
• Utilized the PPRNet TRIP QI model for analysis.
• Grouped practice strategies into four key concepts: prioritize performance, redesign delivery system, electronic medical record tools, and activate the patient.

Main Results:

• Thirteen specific practice strategies were identified within the four conceptual groups.
• Practices achieving the highest CRC screening proportions (up to 78%) utilized most or all of these strategies.
• Demonstrated a correlation between specific systematic strategies and high screening achievement.

Conclusions:

• Primary care practices with high CRC screening proportions employ systematic organizational processes.
• The study offers a framework for developing systems to enhance early detection and prevention of colorectal cancer.
• Highlights the importance of integrated strategies for maximizing CRC screening uptake.