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Related Experiment Video

Updated: May 9, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Fostering partnerships and program success.

Ellen Phillips-Angeles¹, Lin Song, Peggy A Hannon

¹Public Health, Seattle & King County, Seattle, Washington 98104, USA.

|July 23, 2013

Summary

Partnerships were key to the Colon Health Program (CHP), which improved colorectal cancer screening for low-income, uninsured individuals. The program successfully increased screening rates and expanded access to colonoscopies through collaboration.

Keywords:

clinic policies, procedures, and systems to increase screening and assure follow-up colorectal cancer expand access to colonoscopies partnerships program dissemination

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Last Updated: May 9, 2026

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Area of Science:

Public Health
Health Services Research
Cancer Prevention

Background:

The Colon Health Program (CHP) in Greater Seattle was modeled after the Breast and Cervical Health Program (BCHP).
A system for delivering quality colorectal cancer screening to low-income, uninsured populations was established.
Partnerships were fundamental to the program's development and success.

Purpose of the Study:

To describe the development, implementation, and sustainability of a colorectal cancer screening program through strategic partnerships.
To evaluate the effectiveness of the Colon Health Program in increasing screening rates and access to colonoscopies.

Main Methods:

Partners were recruited and engaged across three phases: development, implementation, and sustainability planning.
Tactics focused on building trust and fostering collaboration among diverse partners.
The program leveraged the existing BCHP framework for a replicable system.

Main Results:

Partners were crucial in developing clinic policies, improving follow-up, expanding colonoscopy access, and facilitating statewide dissemination.
Fecal occult blood test completion was 61%, and colonoscopy completion was 78%.
A colonoscopy navigation system demonstrated effectiveness with an 8% "no show" rate, and secured CDC funding for statewide expansion.

Conclusions:

Key implementation factors included leveraging the BCHP framework, staff training, problem-solving consultations, administrative support, and a dedicated program champion.
Program institutionalization required progress assessment, documentation, dissemination of lessons learned, new partner engagement, and strategic expansion planning.