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Colorectal Cancer Screening Rates at Community Health Centers that Use Electronic Health Records: A Cross Sectional

David W Baker, David T Liss, Kari Alperovitz-Bichell

    Journal of Health Care for the Poor and Underserved
    |April 28, 2015
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    Summary
    This summary is machine-generated.

    Electronic health records (EHR) can accurately measure colorectal cancer (CRC) screening rates in community health centers (CHCs). However, data validation requires repeated accuracy assessments to ensure reliable CRC screening quality measurement.

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    Area of Science:

    • Public Health
    • Health Informatics
    • Cancer Prevention

    Background:

    • Community health centers (CHCs) are vital for delivering cancer screenings.
    • Accurate measurement of colorectal cancer (CRC) screening rates is essential for quality improvement initiatives.

    Purpose of the Study:

    • To validate the use of electronic health record (EHR) data for measuring CRC screening rates.
    • To assess the accuracy of EHR data in capturing screening via colonoscopy, flexible sigmoidoscopy, and fecal occult blood testing (FOBT).

    Main Methods:

    • Querying EHR data to identify patients who underwent CRC screening.
    • Conducting manual chart reviews to confirm the accuracy of EHR-derived screening data.
    • Stratifying data validation by screening modality (colonoscopy, FOBT).

    Main Results:

    • EHR data demonstrated high accuracy in measuring CRC screening rates (e.g., 99.1% for colonoscopies, 100% for FOBTs).
    • Significant variation in CRC screening rates was observed across CHCs, ranging from 9.7% to 67.2%.
    • Colonoscopy was the predominant screening method used.

    Conclusions:

    • EHR data provide a valid method for measuring CRC screening rates in CHCs.
    • Ongoing validation of EHR data extraction programming is necessary for sustained accuracy.
    • CHCs may require additional support for utilizing EHR data to enhance CRC screening quality and rates.