University of Missouri Kansas City Overland park, KS
Mohamed Ahmed, MD1, Hana Qasim, MD2, Adel Muhana, MD2, Saqr Alsakarneh, MD2, Wael Mohamed, MD2, Julie Banderas, PharmD3, David Wooldridge, MD3 1University of Missouri Kansas City, Overland Park, KS; 2University of Missouri-Kansas City, Kansas City, MO; 3University of Missouri Kansas City, Kansas City, MO
Introduction: Colorectal cancer (CRC) is the third most common cancer and the second leading cause of cancer deaths in the United States. Primary care providers (PCP) are usually the starting point for most CRC screening and they play a major role in follow up colonoscopies. Prior studies showed that patients who follow up with their PCP are more likely to get CRC screening.
The aim of this project was to increase the number of screening colonoscopies ordered directly from the UH primary care clinic through resident education and implementation of measures including a Cerner dot phrase.
Methods: The Cerner dot phrase was implemented at the outpatient University Health EMR to access the most recent colonoscopy report and the gastroenterologist recommendations regarding the next colonoscopy timing. Resident education presentation about most recent ACG guidelines. Outcomes were assessed by mean number of screening colonoscopies ordered pre (Dec 2020-Feb2021) and post intervention (Dec 2021-Feb2022). Pre and post intervention survey with 5 questions was implemented to evaluate resident’s feedback.
Results: Pre-intervention mean of ordered colonoscopies was 20.17 while post intervention mean was 41.67, t-test was t(10)=4.669 with p value of < 0.001. Related-Samples Wilcoxon Signed Rank test was used to compare the pre and post intervention survey results. There was significant difference in adherence to CRC screening, ease, efficiency of locating last colonoscopy report, time efficiency in covering CRC screening and overall satisfaction in covering CRC screening. (p< 0.05)
Discussion: Implementing a dot phrase that makes it easier to locate the last colonoscopy result and increasing resident awareness of most recent CRC screening recommendations significantly increased the number of screening colonoscopies ordered from the outpatient primary clinic and improved overall resident’s experience with the process of CRC screening.
Figure: Answers to questions addressed before and after intervention.
Mohamed Ahmed indicated no relevant financial relationships.
Hana Qasim indicated no relevant financial relationships.
Adel Muhana indicated no relevant financial relationships.
Saqr Alsakarneh indicated no relevant financial relationships.
Wael Mohamed indicated no relevant financial relationships.
Julie Banderas indicated no relevant financial relationships.
David Wooldridge indicated no relevant financial relationships.
Mohamed Ahmed, MD1, Hana Qasim, MD2, Adel Muhana, MD2, Saqr Alsakarneh, MD2, Wael Mohamed, MD2, Julie Banderas, PharmD3, David Wooldridge, MD3. P1785 - Improving Colorectal Cancer Screening Rate in the Outpatient Primary Clinic: A Quality Improvement Project, ACG 2023 Annual Scientific Meeting Abstracts. Vancouver, BC, Canada: American College of Gastroenterology.