Evaluation of an Intervention to Increase Colorectal Cancer Screening in Primary Care Clinics

Inclusion Criteria:

Inclusion Criteria for the Patient-focused Intervention

- Average risk

- Male or female

- 50-75 years

- Scheduled for non-acute ambulatory care visit at one of the study sites

- Due for CRC screening including no record of FOBT in the past year, no record of
flexible sigmoidoscopy in the past 5 years, no record of colonoscopy in the past 10
years, and no record of double contrast barium enema in the past 5 years

Inclusion Criteria for the Clinic-focused Intervention

- Primary care clinicians, to include the following specialties: Family
Practice/General Practice Physicians, General Internal Medicine Physicians, Nurse
Practitioners in Family/General Practice, Physician Assistants who conduct non-acute
ambulatory medical exams in study clinics

- Primary care clinical staff, to include nurses, medical assistants, and appointment
schedulers

Exclusion Criteria (Patients):

- Prior diagnosis of CRC

- Prior diagnosis of colorectal polyps

- Prior diagnosis of ulcerative colitis

- Prior diagnosis of Crohn's Disease

- Prior diagnosis of hereditary nonpolyposis or polyposis

- Medical records contain an International Classification of Diseases (ICD-9) code for
family history of CRC

- Younger than 50 years of age

- Older than 80 years of age.