{"id":159,"date":"2016-05-03T15:21:08","date_gmt":"2016-05-03T19:21:08","guid":{"rendered":"http:\/\/blog.camberry.ca\/?page_id=159"},"modified":"2016-05-25T12:14:51","modified_gmt":"2016-05-25T16:14:51","slug":"cancer-screening-colorectal","status":"publish","type":"page","link":"https:\/\/blog.camberry.ca\/?page_id=159","title":{"rendered":"Cancer Screening &#8211; Colorectal"},"content":{"rendered":"<p><strong><u>Patients Screened for Colorectal Cancer<\/u><\/strong><strong><u><br \/>\n<\/u><\/strong>Percent of eligible patients\/clients who are up-to-date in screening for colorectal cancer. <strong><br \/>\n<\/strong><em>Direction of improvement: increase<\/em><\/p>\n<p><strong>?<img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-128\" src=\"http:\/\/blog.camberry.ca\/wp-content\/uploads\/2016\/05\/colorectalscreen.png\" alt=\"colorectalscreen\" width=\"915\" height=\"559\" srcset=\"https:\/\/blog.camberry.ca\/wp-content\/uploads\/2016\/05\/colorectalscreen.png 915w, https:\/\/blog.camberry.ca\/wp-content\/uploads\/2016\/05\/colorectalscreen-300x183.png 300w, https:\/\/blog.camberry.ca\/wp-content\/uploads\/2016\/05\/colorectalscreen-768x469.png 768w\" sizes=\"(max-width: 915px) 100vw, 915px\" \/><\/strong><\/p>\n<p><strong>Summary\/Analysis<\/strong><\/p>\n<p>Common theme is better data and reminders.<\/p>\n<p>The screening process is a little different from the other two because of the use of the FOBT kits. Education around these kits as well as general cancer screening education is beneficial.<\/p>\n<p><u>Effectiveness:<\/u><\/p>\n<p><strong>Alliston:<\/strong> patient education on website regarding FOBT kits.<\/p>\n<p><strong>North York:<\/strong> retrospective search in EMR to identify eligible patients to contact<\/p>\n<p><strong>Markham: <\/strong>e-communication reminders as well as use of CCOs funding for sending out reminders<\/p>\n<p><strong>Southlake:<\/strong> truly individualized reminders about screening (i.e. 50<sup>th<\/sup> birthday card, personalized letters)<\/p>\n<p><u>Recommendations:<\/u><\/p>\n<p>Utilize the EMR to better track screening status and create proactive reminders. Utilize SAR data to improve data quality. Those sending out more personalized reminders to patients have received better response for patients getting screened. Patient education regarding the FOBT kits has also proved to be effective.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>DETAILS<\/strong><\/p>\n<p><u>Bancroft<\/u>???? <em>39.12 ?&gt; 32.80<\/em><\/p>\n<ul>\n<li>Identify all patients eligible for screening in EMR and maintain up to date reminder system in EMR -&gt;<strong> Reminder done automatically in EMR<\/strong><\/li>\n<\/ul>\n<p><u>?<\/u><\/p>\n<p><u>Trent Hills<\/u>??? <em>47.00 ?&gt; 45.00 <\/em><\/p>\n<ul>\n<li>Better track patient compliance throughout year\n<ul>\n<li><em>Our physicians did sign up with Cancer Care Ontario to receive Screening Activity Reports (SAR) but only 2 of 10 physicians remain active<\/em><\/li>\n<li><em>Need to appoint a member of senior administration to be able to view reports as well <\/em><br \/>\n-&gt;<strong> use ONEID to access colorectal cancer SAR online<\/strong><\/li>\n<\/ul>\n<\/li>\n<li>Work with Cancer Care Ontario to review and improve our current letters and follow-up methods\n<ul>\n<li><em>Cancer Care Ontario provided new letters <\/em><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Aurora-Newmarket FHT:? <em>73.00 ? 75.00<\/em><\/p>\n<ul>\n<li>Provide an interactive video on our website and social media as instruction to patients on how to complete FOBT kits<\/li>\n<li>Colorectal screening kits remain assembled for patients we identified as being never screened, and remain readily accessible for patients who are overdue<\/li>\n<li>Patients will continue to be notified of overdue cancer screening at each visit<\/li>\n<\/ul>\n<p>Health For All FHT:<em>? <\/em><em>50.00 ? 70.00<\/em><\/p>\n<ul>\n<li>Intend to examine why we aren?t attaining higher performance in this measure and how, collectively, we can improve<\/li>\n<li>Might be need to engage inter-professional health providers and admin staff better and to communicate more effectively with patients<\/li>\n<\/ul>\n<p>Positive learning experience<\/p>\n<p><u>Key Learning:<\/u> there are various data sources available regarding the performance of individual physicians screening rates. Identifying appropriate data source is important it forms the basis of our strategies implementation efforts<\/p>\n<p><u>Impact of change ideas<\/u>: fostered greater integration among providers and staff. Provided new awareness\/knowledge of issues in communicating with patients. Enhanced team collaboration and communication supports continued improvement<\/p>\n<p>North York FHT: <em>72.00 ?&gt; 80.00<\/em><\/p>\n<ul>\n<li>Perform retrospective EMR search to find patients who are eligible and overdue for screening<\/li>\n<li>Send letters to these patients inviting them to participate in screening<\/li>\n<\/ul>\n<p>Markham FHT: <em>25.00 ?&gt; 64.10<\/em><\/p>\n<ul>\n<li>Improved data capture from EMR<\/li>\n<li>Enhanced and possible automated e-communication reminders for those due for screening<\/li>\n<li>Funding from Cancer Care Ontario for contacting patients needing screening<\/li>\n<\/ul>\n<p>Southlake FHT:? <em>41.00 ?&gt; 48.00<\/em><\/p>\n<ul>\n<li>Call identified patients to pick-up an FOBT kit and requisition at the office<\/li>\n<li>Conduct a ?root cause analysis? as to why eligible patients have not been screening or are overdue for colorectal cancer screening within our clinic<\/li>\n<li>Mail eligible patients a uniquely created patient letter that includes a true patient story<\/li>\n<li>Patients turning 50 will receive a birthday card to raise awareness of colorectal cancer and early screening<\/li>\n<\/ul>\n<p>Mount Sinai Academic FHT: <em>62.00 ? 72.00<\/em><\/p>\n<ul>\n<li>Education for administrative and clinical staff to ensure comprehensive understanding of toolkit\n<ul>\n<li>Team review of toolkit<\/li>\n<li>Reports as implementation is completed<\/li>\n<li>Review of results<\/li>\n<\/ul>\n<\/li>\n<li>Continue use of Cancer Care Ontario?s Cancer Screening Toolkit for FOBT screening, incorporating EMR functionality\n<ul>\n<li>Review available information<\/li>\n<li>Engage clinicians to validate data<\/li>\n<li>Use CCO toolkit to manage outreach and recall<\/li>\n<li>Determine needed changes to increase FOBT screening rate<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Patients Screened for Colorectal Cancer Percent of eligible patients\/clients who are up-to-date in screening for colorectal cancer. Direction of improvement: increase ? Summary\/Analysis Common theme is better data and reminders. The screening process is a little different from the other two because of the use of the FOBT kits. Education around these kits as well [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":85,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-159","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/blog.camberry.ca\/index.php?rest_route=\/wp\/v2\/pages\/159","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.camberry.ca\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/blog.camberry.ca\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/blog.camberry.ca\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.camberry.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=159"}],"version-history":[{"count":1,"href":"https:\/\/blog.camberry.ca\/index.php?rest_route=\/wp\/v2\/pages\/159\/revisions"}],"predecessor-version":[{"id":160,"href":"https:\/\/blog.camberry.ca\/index.php?rest_route=\/wp\/v2\/pages\/159\/revisions\/160"}],"up":[{"embeddable":true,"href":"https:\/\/blog.camberry.ca\/index.php?rest_route=\/wp\/v2\/pages\/85"}],"wp:attachment":[{"href":"https:\/\/blog.camberry.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=159"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}