DISCLOSURES: Supported by the National Colorectal Cancer Roundtable. Dr. Hotz has received support for travel from the National Colorectal Cancer Roundtable for a one-day meeting in Washington, DC. The views expressed in this publication are solely the opinions of the authors and do not necessarily reflect the official policies of the US Department of Health and Human Services, the Health Resources and Services Administration, or the Centers for Disease Control and Prevention, nor does mention of the department or agency names imply endorsement by the US Government.
Strategies for expanding colorectal cancer screening at community health centers
Article first published online: 1 JUL 2013
Copyright © 2013 American Cancer Society, Inc.
CA: A Cancer Journal for Clinicians
Volume 63, Issue 4, pages 221–231, July/August 2013
How to Cite
Sarfaty, M., Doroshenk, M., Hotz, J., Brooks, D., Hayashi, S., Davis, T. C., Joseph, D., Stevens, D., Weaver, D. L., Potter, M. B. and Wender, R. (2013), Strategies for expanding colorectal cancer screening at community health centers. CA: A Cancer Journal for Clinicians, 63: 221–231. doi: 10.3322/caac.21191
- Issue published online: 1 JUL 2013
- Article first published online: 1 JUL 2013
- colorectal cancer screening;
- community health centers;
- strategies or strategic planning;
- public health;
- quality/quality improvement;
- Patient Centered Medical Home
Community health centers are uniquely positioned to address disparities in colorectal cancer (CRC) screening as they have addressed other disparities. In 2012, the federal Health Resources and Services Administration, which is the funding agency for the health center program, added a requirement that health centers report CRC screening rates as a standard performance measure. These annually reported, publically available data are a major strategic opportunity to improve screening rates for CRC. The Patient Protection and Affordable Care Act enacted provisions to expand the capacity of the federal health center program. The recent report of the Institute of Medicine on integrating public health and primary care included an entire section devoted to CRC screening as a target for joint work. These developments make this the ideal time to integrate lifesaving CRC screening into the preventive care already offered by health centers. This article offers 5 strategies that address the challenges health centers face in increasing CRC screening rates. The first 2 strategies focus on improving the processes of primary care. The third emphasizes working productively with other medical providers and institutions. The fourth strategy is about aligning leadership. The final strategy is focused on using tools that have been derived from models that work. CA Cancer J Clin 2013;63:221–231. ©2013 American Cancer Society, Inc.