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Preventive Healthcare Services01:30

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Related Experiment Video

Updated: Sep 15, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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System-Wide Implementation of Colorectal Cancer Screening in a Value-Based Care Setting.

Kimon Stathakos1, John Hon1, Lindsey Palazzo1

  • 1Northwell, New Hyde Park, NY, USA.

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|July 14, 2025
PubMed
Summary
This summary is machine-generated.

Home-based fecal immunochemical testing (FIT) increased colorectal cancer screening rates in value-based care (VBC) patients. This initiative improved STAR Quality Ratings, highlighting opportunities for enhanced diagnostic follow-up.

Keywords:
FITColorectal cancer screeningImplementationQuality improvementValue-based care

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Area of Science:

  • Public Health
  • Health Services Research
  • Oncology

Background:

  • Colorectal cancer (CRC) screening is a Healthcare Effectiveness Data and Information Set (HEDIS) measure within value-based care (VBC) models.
  • Current CRC screening rates among patients enrolled in VBC programs remain suboptimal, indicating a need for improved intervention strategies.

Purpose of the Study:

  • To enhance CRC screening participation among VBC patients utilizing a home-based fecal immunochemical test (FIT) program.
  • To evaluate the impact of the FIT initiative on the Centers for Medicare & Medicaid Services (CMS) STAR Quality Ratings for VBC plans.

Main Methods:

  • An observational study was conducted involving patients aged 45-75 years within VBC plans who had not completed CRC screening in 2023.
  • Home-based FIT kits were mailed to eligible patients, followed by telephone calls for non-responders, and expedited referrals for abnormal results.
  • Primary outcomes included FIT kit completion rates, with secondary outcomes assessing changes in STAR Quality Ratings.

Main Results:

  • A total of 3680 FIT kits were mailed, with a 94.2% delivery rate and a 13.4% completion rate among delivered kits.
  • Patients with recent provider visits (within 18 months) demonstrated significantly higher FIT completion rates (15.9%) compared to those without recent visits (9.3%).
  • The initiative led to a 1-star increase in STAR Quality Ratings across four VBC programs and identified adenomas in a significant proportion of patients undergoing diagnostic colonoscopy.

Conclusions:

  • A large-scale, home-based FIT screening initiative yielded a modest but significant improvement in CRC screening rates within VBC populations.
  • Opportunities exist to further optimize CRC screening and treatment pathways by improving the coordination of diagnostic colonoscopies for patients with abnormal FIT results.