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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/nease-de-et-al-2008
January 01, 2008 - We evaluated whether a generalizable CRS, ClinfoTracker, could improve screening rates for CRC in diverse … Our outcome measures were pre- and post-study practice-level CRC screening rates among patients seen … Results: All but one practice increased their CRC screening rates, ranging from 3.3% to 16.8% improvement … However, for [this project] the system was limited to providing [colorectal cancer (CRC)] screening reminders … [The program's] CRC screening reminders are driven according to U.S.
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digital.ahrq.gov/sites/default/files/docs/citation/IntegratingCDSIntoWorkflow.pdf
September 01, 2011 - for screening effectiveness and low screening rates, the
CRC screening process is an ideal opportunity … We appended the standard CSUQ usability survey with three questions specific to
CRC screening. … Providers noted that patient memory is often unreliable
for providing details about past screenings … This information is needed to
track where the patient is in the CRC screening process. … Both the
redesigned and current CRC clinical screening reminder may inform the patient’s cancer
screening
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digital.ahrq.gov/ahrq-funded-projects/implementing-and-improving-integration-decision-support-outpatient-clinical/annual-summary/2010
January 01, 2010 - developed prototyped design enhancements to the Veterans Health Administration’s (VHA’s) colorectal cancer (CRC … ) screening clinical reminder to compare with the VHA’s current CRC reminder. … controlled simulation experiment, 12 primary care providers used prototypes of the current and redesigned CRC … screening reminder in a within-subject comparison for four simulated patient encounters. … Design enhancements to the VHA’s existing CRC screening clinical reminder positively impacted aspects
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digital.ahrq.gov/sites/default/files/docs/activity/implementing_and_improving_the_integration_of_decision_support_into_outpatient_clinical_workflow_2010_pdf__2.pdf
January 01, 2010 - prototyped design enhancements to the Veterans
Health Administration’s (VHA’s) colorectal cancer (CRC … ) screening clinical reminder to compare with
the VHA’s current CRC reminder. … IntegratIon of decIsIon support
Into outpatIent clInIcal WorkfloW
prototypes of the current and redesigned CRC … screening reminder in a within-subject comparison for
four simulated patient encounters. … Design enhancements to the VHA’s existing CRC screening clinical reminder positively impacted aspects
-
digital.ahrq.gov/sites/default/files/docs/page/health-it-for-preventive-cancer-screening-a-population-based-approach-to-patient-centric-care.pdf
January 01, 2009 - not all eligible individuals are screened
Breast (mammography): 66.5% eligible women up to date
CRC … present a single,
patient-centric perspective
Ex.: 62 year old woman due for breast, cervical, CRC … Un-Linked
HARVARD
MEDICAL SCHOOL
0%
25%
50%
75%
100%
Mammography
(n=35,865)
Pap Test
(n=65,860)
CRC … Status
P<0.001 P<0.001 P<0.001
HARVARD
MEDICAL SCHOOL
CRC Screening – By Race & Linkage
Aged 52- … 69*
* n = 37,601;
CRC: 1) FOBT- 1 yr; 2) Sigmoidoscopy or DCBE - 5 yrs or 3)Colonoscopy – 10 yrs
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs026257-friedman-final-report-2020.pdf
January 01, 2020 - ; CRC screening; HIV screening; HTN screening; Alcohol misuse;
Tobacco cessation; Aspirin use; BRCA-related … CRC 0.39 2
Consensus
(GREEN) BRE CRC CER 0.89 2
Consensus
(GREEN) STA DIE ASA 0.39 2
Consensus … CRC DIE AAA
Consensus
(ALL) SMO BP ALC 0.67 3
Consensus
(ALL) DIE STA CRC 0.39 2
Consensus … Consensus
(ALL) CRC DIE DEP 0.56 2
Consensus
(ALL) BP SMO ALC 0.22 1
Consensus
(GREEN) CRC … (last screen 3 years ago; no prior abnormal screens)
CRC Colorectal cancer screening
DEP Depression
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018644-haas-final-report-2016.pdf
January 01, 2016 - health risk appraisal (HRA) for coronary heart disease (CHD),
diabetes, breast and colorectal cancer (CRC … greater improvement in
accuracy of self-perceived risk for diabetes (16.0% vs. 12.6%, p=0.006) and CRC … No changes in
plans for breast cancer screening were observed. … to promote health,
more accurate self-perceived risk assessment, and subsequent use of breast and CRC … screening.
-
digital.ahrq.gov/ahrq-funded-projects/implementing-and-improving-integration-decision-support-outpatient-clinical
January 01, 2023 - phase one, the project team developed prototyped design enhancements to the VHA’s colorectal cancer (CRC … ) screening clinical reminder. … primary care providers were given four simulated patient encounters using both current and redesigned CRC … screening reminders. … Redesign of a computerized clinical reminder for colorectal cancer screening: a human-computer interaction
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digital.ahrq.gov/sites/default/files/docs/resource/Logan_QMforColonoscopy_Narrative_v4.pdf
December 12, 2008 - SCREENING INTERVAL. … of adenomatous polyps or CRC in a first degree relative, a history
of ovarian or endometrial cancer … o For non-FAP FH of polyps and non-HNPCC FH of CRC, the quality
measure should consider higher risk … CORI does capture some relative information for CRC
but not for polyps, however, so this report will … Results will be stratified by screening vs. non-screening examinations.
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015459-goldberg-final-report-2008.pdf
January 01, 2008 - The tribe then assigned a nurse as the
designated Clinical Research Coordinator (CRC). … This CRC was trained by the St. Vincent and
University of Pennsylvania research team. Dr. … March 2006, the CRC for St. … Service center had an enrollment of only four subjects/patients and has
been placed on hold for “active” screening … Primary exclusion factors were; once potential patient was identified and then upon
screening the medical
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017017-logan-final-report-2009.pdf
January 01, 2009 - test, treatment, or
other clinical service.
3
Final Report
Purpose
Colorectal cancer (CRC … Because screening for CRC has been demonstrated to reduce mortality, national expert panels
have developed … screening guidelines. … Colonoscopy may be used either for primary screening or
to evaluate after other positive screening tests … Number of screening colonoscopies.
b.
-
digital.ahrq.gov/sites/default/files/docs/resource/Logan_QMforColonoscopy_Fields_v4.pdf
December 12, 2008 - SCREENING INTERVAL. … Indications>Average risk screening) NOT (Indications>
any others besides average risk screening)]; … Stratify procedures by screening vs. non-screening
COUNT as 'screening' [Indications>.Screening (no … = 'Yes' AND any intervention is checked))]
STRATIFY by screening vs non-screening.
c. … any) AND interval >= 9.5 years) OR (type = 5 AND Indications in ('Adenomatous
polyps','Positive FH CRC
-
digital.ahrq.gov/sites/default/files/docs/resource/final-b14-archives-sarkar2075.pdf
January 01, 2013 - Sewell’s request at GI Clinic, this patient is not being followed up
with panel management for CRC surveillance … A new page with the heading “Screening questions for Gastroenterology Clinic”
will appear. … Answer “NO” for the first screening question and “YES” for the
second screening question, and click … Answer “NO” for the first screening question and “NO” for the
second screening question, and click the … shared file in GI folder, once set up].
17
Rev 12/17/12
Patient has history of CRC
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017820-singh-final-report-2013.pdf
January 01, 2013 - poor outcomes and increased malpractice litigation,[2,5,23-26]
and many arise when abnormal cancer screening … algorithms were successfully designed to identify patients at high risk
for delayed prostate cancer and CRC … diagnosis and were developed after iterative review of 214
records (88 prostate cancer and 126 CRC) … Battaglia TA, Roloff K, Posner MA, Freund KM:
Improving follow-up to abnormal breast cancer
screening … Quality of Follow-Up
Care after Abnormal Screening Results.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023849-valdez-final-report-2018.pdf
January 01, 2018 - Participants:
Individuals were considered eligible for screening if they were 18 years of age or older … A phone-based screening interview was conducted with each
individual during which two functional assessment … Boca Raton, FL: CRC Press; 2011.
39. Wiklund M, Kendler J, Strochlic A. … Boca Raton, FL:
CRC Press; 2010.
40. Kaye R, North R, Peterson M.
-
digital.ahrq.gov/sites/default/files/docs/publication/r03hs022559-corser-final-report-2015.pdf
January 01, 2015 - “Effects of
EHR Use on Preventive Screening for Comorbid Medicaid Adults.” … Cervical cancer screening; 2. Colorectal cancer screening; 3.
Diabetes screening, 4. … baseline screening procedures at age 50 years of age);
d. … Diabetes Screening
Of the 3,294 sample patients eligible for this screening, 1,140 (34.6%) were white … London:
Chapman and Hall/CRC.
-
digital.ahrq.gov/sites/default/files/docs/citation/r03hs027247-trikalinos-final-report-2020.pdf
January 01, 2020 - The system unifies the query formulation and citation screening processes by exploiting
modern machine … Cross-classification matrix for semi-automated screening. … diverticulitis, clinical
consequences of diagnostic
imaging, detection strategies
for colorectal cancer (CRC … process; one screener estimated that the screening took about twice as much
time as screening the same … steps of systematic review, thereby
improving comprehensiveness and reducing screening burden.
-
digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
January 01, 2013 - stroke secondary prevention) AHRQ
• A-TRIP (36 primary care indicators) AHRQ
• AA-TRIP (alcohol screening … , brief intervention) NIAAA
• C-TRIP (CRC screening) NCI
• MS-TRIP (medication safety) AHRQ
• SO-TRIP … (screening, immunizations and diabetes care management) AHRQ
• AM-TRIP (alcohol screening, brief intervention … Regarding the AM-
TRIP project, we collected practice comments regarding the use of alcohol screening … progress that other practices had made in their participation in improving performance on alcohol
screening
-
digital.ahrq.gov/sites/default/files/docs/better-quality-care-slides-082913.pdf
August 29, 2013 - 2002
▪ A-TRIP (36 indicators) AHRQ 2002-2006
▪ AA-TRIP (alcohol SBIRT) NIAAA 2005-2007
▪ C-TRIP (CRC … screening) NCI 2006-2010
▪ MS-TRIP (med safety) AHRQ 2007-2010
▪ SO-TRIP (screening, immunizations … Statistics for population by age groups and mortality rates
A= Aspirin Prophylaxis B= BP control C= LCL Screening
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018170-green-final-report-2014.pdf
January 01, 2014 - Quantitative data on rates of mammography, childhood lead screening, Pap smears, immunizations, blood … The senior clinician indicated in debriefing that it did help them catch many missing
screening, prevention … Prior to that time they were recording only rates of eligible patients receiving cervical cancer screening … (CRC) as
well. … Figure 1
Pap
Lipid
ASA
CRC
AAP
0
There was a clear trend across