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Using an Automated Data-driven, EHR-Embedded Program for Mailing FIT kits: Lessons from the STOP CRC Pilot Study.

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This pilot study shows electronic health record (EHR) tools can improve colorectal cancer (CRC) screening. Refinements to EHR functions will enhance patient identification for screening interventions.

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Area of Science:

  • Health Informatics
  • Preventive Medicine
  • Public Health

Background:

  • The Strategies and Opportunities to Stop Colorectal Cancer (STOP CRC) study aims to improve colorectal cancer screening rates.
  • Federally Qualified Health Centers (FQHCs) will utilize electronic health record (EHR) clinical decision support (CDS) tools for intervention.
  • Large-scale studies using EHR-embedded systems for CRC screening improvement are limited.

Purpose of the Study:

  • To pilot an EHR-embedded real-time patient registry reporting tool.
  • To assess the feasibility and effectiveness of clinic-based approaches for increasing colorectal cancer screening.
  • To identify specific elements of the EHR tool requiring refinement for optimal performance.

Main Methods:

  • Conducted a pilot study prior to the main STOP CRC study.
  • Utilized an EHR-embedded real-time patient registry reporting tool.
  • Employed work sessions and qualitative interviews with clinic personnel to evaluate the tool and gather feedback for refinement.

Main Results:

  • An EHR tool facilitated efficient mailing of FIT kits through laboratory interfacing and direct lab ordering capabilities.
  • Identified needs for refinement in the Health Maintenance function for tracking screening eligibility and developing report templates.

Conclusions:

  • Most elements of the EHR-embedded program demonstrated successful functionality.
  • Specific refinements to the EHR tool can improve patient identification accuracy for screening.
  • Findings will inform the development of future EHR-embedded CDS tools for preventive services.