Colorectal Cancer Screening Improvement Team Training Day

Due to the rapidly evolving COVID-19 pandemic, this in-person team training has been converted  into a virtual event. This allows us to still deliver valuable programming to you, reframed to fit a virtual format.

(Password provided via email to registrants. Need help? Contact Erin.)

Ohio Academy of Family Physicians members and their practice teams have the unique opportunity to take part in a quality improvement (QI) project to increase colorectal cancer (CRC) screening rates in their practice.

Teams will have access to virtual presentations delivered by Durado Brooks, MD, MPH, vice president, cancer control interventions, with the American Cancer Society on best practices in screening protocols, up-to-date guidelines, and the importance of QI in patient care and population health as a whole. Participants will use an online module to measure their team engagement, benchmark patient data, select an intervention for care delivery, and remeasure outcome data after a three-month change period.

Of the practices that completed the program in 2019, an average of 27% saw an increase in CRC screening rates! Not only was this program recognized with the 80% by 2018 National Achievement Award by the National Colorectal Cancer Roundtable, it continues to provide practice teams and their patients with positive outcome measures!

Selected Practices Must

  • Participate in a welcome kick off Zoom call to review the outline of the program and expectations
  • Utilize the CRC screening module, presented by the New Jersey Academy of Family Physicians, to enter chart data, select a pathway of intervention, and re-enter data after three months of protocol intervention. View the instructions for using the module and claiming credit.
  • Review the following webinars at a time most convenient for them.
    (Access will be provided to registered teams on a password protected page of the OAFP site.)
Laying the Groundwork for Practice Change: State of the Science (45 minutes)
Speaker: Durado Brooks, MD, MPH 

  • Discuss the burden of CRC and impact on stage of diagnosis and disease outcomes
  • Review evidence supporting current screening recommendations – and the need to eliminate outdated practices
  • Review the main components of the How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician’s Evidence-Based Tool Kit and Guide that compels practice redesign
  • Recommendation from a physician is the key factor for patient compliance in getting screened.

Tailoring an Office Protocol to ‘Fit’ the Practice (45 minutes)
Speaker: Durado Brooks, MD, MPH 

While almost all primary care providers recommend screening for CRC, few have office systems in place to assure compliance. Effective clinical outcomes are enhanced by clear office policies, well-designed systems, effective communications, clinician and patient reminders, and quality reviews. How these elements are operationalized can vary from practice to practice, but their presence is necessary.

Exercise: Workflow & Process Mapping Example (15 minutes)
Speaker: Jon Seager, MD

Eliminating unnecessary or wasteful steps in a process makes work run more smoothly and is more satisfying for the entire staff. Dr. Seager will walk you through a process mapping exercise. Work together in-person as a staff, or utilize a group video conferencing system to walk though office protocols. Once complete, the practice will be able to keep the map as a reminder to their agreed upon workflow process. Be sure to document the process for the practice’s future reference. This exercise will help the practice establish or amend their office protocol on how to improve CRC screening referrals. 

Interventions That Work (30 minutes)
Speaker: Durado Brooks, MD, MPH 

A number of evidence-based interventions have been demonstrated to contribute to more effective CRC screening. These interventions include practice programs and changes, tips for collaboration with specialists, and community-wide engagement.

Participating Practices Will Receive

  • Valuable American Academy of Family Physicians (AAFP) continuing medical education (CME) credits for participating in a kick-off Zoom call and watching the recorded webinars (credit is transferable to all members of the care team)
  • American Board of Family Medicine (ABFM) Family Medicine Certification Performance Improvement Activity credit and 20 AAFP Performance Improvement in Practice credits for completing the module.

Registration Fee

  • $200 per 4-person team
    Note: A $200 rebate will be offered to each team that completes the online module within the three-month program period.

CME Accreditation

This Enduring Material activity, Colorectal Cancer Screening Improvement Team Training, has been reviewed and is acceptable for up to 3.00 Prescribed credit(s) by the American Academy of Family Physicians. AAFP certification begins 06/10/2020. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Questions

If you have questions regarding the team training day, please contact Director of Education Erin Jech or call 800.742.7327.

This QI initiative is supported by grants provided by the American Cancer Society (ACS) East Central Division and the Ohio Department of Health (ODH).


Background Information

Based upon successes recognized over the past several years, the OAFP continues to move forward with the evidence-based intervention program that increase referrals for, and completion of, CRC screening. This endeavor continues to be a collaborative intervention with the OAFP, ODH, and the ACS East Central Division.

This intervention focuses on OAFP members using the professional education materials developed by the Thomas Jefferson University Department of Family Medicine in collaboration with ACS “How to Increase CRC Screening Rates in Practice: A Primary Care Clinician’s Evidence-Based Tool Kit and Guide.” These professional education materials include three evidence-based strategies to increase CRC screening rates (1) office policies, (2) reminder systems, and (3) communication. Other activities include (4) establishing a baseline CRC screening rate for the practice; and (5) tracking the completion of CRC screening to detect if an increase in screening is taking place as a result of the professional education intervention.

This evidence-based initiative is included as an objective in Ohio’s Comprehensive Cancer Control Plan 2015-20 and recognized in the Ohio Coordinated Chronic Disease State Plan 2014-18.