Colorectal Cancer Screening Performance Improvement Project - UCare Minnesota
This is a
three-year program funded by UCare that started in March, 2006. The member population included in this study
is Medicaid participants. Using claims
data, UCare identifies plan members who are due for CRC screening and sends
them FOBT kits based on birth date or the most recent screening claim date for
colonoscopy, sigmoidoscopy or FOBT.
The study
design includes a test of two methods of patient follow-up contact that started
in late August. Half the follow-ups are
done using automated telephone calling, and the other half is a mailed
follow-up. So far, results indicate that
mail follow-up yield two times more screenings than no follow-up contact at
all.
Data for
the first year of the program is still being analyzed, but preliminary results
indicate that this study intervention is increasing the rate of screening among
UCare members. UCare’s baseline screening
rate was 30.46% at the beginning of the study with a target screening rate at
the end of year one of 33.46%. At this
stage, the projected rate at year end will be 34%.
One aspect
of the study is the production and delivery of “risk lists” for members who
need screening to UCare providers. An
example of how the list was used is a clinic serving the Hmong community. After using the list to make
clinic patients aware of their need for screening, the rate of screening at
that clinic went from 3% to 60%. This
approach appears to get a better response from small clinics than from larger
clinics possibly due to the fact that a risk list for a larger clinic could be
many pages long and require too great a staff commitment to make phone calls to
members on the list. Responses to the
project on the part of providers appeared to vary between care systems. For more information, contact: Wendy Metchnek
Phone: 612-676-3403
Email: wmetchnek@ucare.org
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