Preventive Care - Appendix D

APPENDIX D:

Peer Examples and Stories from the Field

 

Practices across California and the U.S. offer a treasure trove of examples of how to improve colorectal cancer, breast cancer and cervical cancer screening rates. In many cases, these examples show how practices implemented multiple activities in this guide to increase cancer screening rates.

The table below provides links to some of these examples, along with the activities in this guide that the example is related to or touches on.
 

FIGURE 27: CORE POPULATION HEALTH MANAGEMENT FUNCTIONALITY REQUIREMENTS


Example
Activities in This Guide the Example Relates To

How The Los Angeles LGBT Center Championed Population Health to Maximize Colorectal Cancer Screening.

  • Key Activity 1: Convene a Multidisciplinary Implementation Team for Cancer Screening.
  • Key Activity 2: Develop or Update the Practice’s Cancer Screening Protocols.
  • Key Activity 3: Use Care Gap Reports or Registries to Identify All Patients Due for Cancer Screening.
  • Key Activity 5: Develop and Implement Standing Orders.
  • Key Activity 8: Refine and Implement a Pre-Visit Planning Process.
  • Key Activity 6: Conduct Proactive Outreach to Patients Due for Screening.
  • Key Activity 11: Provide or Arrange for Cancer Screening.

North Coast Clinics Network shares how health centers can provide the necessary care for cervical cancer screening in rural northern California.

  • Key Activity 3: Use Care Gap Reports or Registries to Identify All Patients Due for Cancer Screening.
  • Key Activity 6: Conduct Proactive Outreach to Patients Due for Screening.
  • Key Activity 13: Coordinate Care.
  • Key Activity 14: Use Social Needs Screening to Inform Patient Treatment Plans.
  • Key Activity 15: Strengthen Community Partnerships.

North Coast Clinics Network shares how health centers can provide the necessary care for breast cancer screening in rural northern California.

  • Key Activity 3: Use Care Gap Reports or Registries to Identify All Patients Due for Cancer Screening.
  • Key Activity 6: Conduct Proactive Outreach to Patients Due for Screening.
  • Key Activity 13: Coordinate Care.
  • Key Activity 14: Use Social Needs Screening to Inform Patient Treatment Plans.
  • Key Activity 15: Strengthen Community Partnerships.
  • Key Activity 16: Continue to Develop Referral Relationships and Pathways

North Coast Clinics Network shares how health centers can provide the necessary care for colorectal cancer screening in rural northern California.

  • Key Activity 3: Use Care Gap Reports or Registries to Identify All Patients Due for Cancer Screening.
  • Key Activity 6: Conduct Proactive Outreach to Patients Due for Screening.
  • Key Activity 10: Use Culturally Appropriate Educational Materials for Cancer Screening.
  • Key Activity 11: Provide or Arrange for Cancer Screening.

Shasta Community Health Center describes how they used scribes to improve cervical cancer screening.

  • Key Activity 9: Partner with Patients to Discuss Cancer Screening During Patient Visits.
  • Key Activity 10: Use Culturally Appropriate Educational Materials for Cancer Screening.

OLE Health shares how they improved cervical cancer screening rates.

  • Key Activity 2: Develop or Update the Practice’s Cancer Screening Protocols.
  • Key Activity 6: Conduct Proactive Outreach to Patients Due for Screening.
  • Key Activity 10: Use Culturally Appropriate Educational Materials for Cancer Screening.

OLE Health shares how they used care coordinators to increase colorectal cancer screening rates.

  • Key Activity 2: Develop or Update the Practice’s Cancer Screening Protocols.
  • Key Activity 3: Use Care Gap Reports or Registries to Identify All Patients Due for Cancer Screening.
  • Key Activity 5: Develop and Implement Standing Orders.
  • Key Activity 8: Refine and Implement a Pre-Visit Planning Process.
  • Key Activity 11: Provide or Arrange for Cancer Screening.
  • Key Activity 13: Coordinate Care.

San Mateo Medical Centers: Using 22otters for Colonoscopy Prep.

  • Key Activity 6: Conduct Proactive Outreach to Patients Due for Screening.
  • Key Activity 10: Use Culturally Appropriate Educational Materials for Cancer Screening.

Santa Rosa Community Health’s increased its colorectal cancer screening rates by developing a new way of packaging FIT Tests.

  • Key Activity 10: Use Culturally Appropriate Educational Materials for Cancer Screening.
  • Key Activity 11: Provide or Arrange for Cancer Screening.
  • Key Activity 15: Strengthen Community Partnerships.
  • Key Activity 16: Continue to Develop Referral Relationships and Pathways

Community Medical Centers (CMC) implemented a “Do the Poo” initiative to increase colorectal cancer screening rates.

  • Key Activity 2: Develop or Update the Practice’s Cancer Screening Protocols.
  • Key Activity 3: Use Care Gap Reports or Registries to Identify All Patients Due for Cancer Screening.
  • Key Activity 10: Use Culturally Appropriate Educational Materials for Cancer Screening.
  • Key Activity 11: Provide or Arrange for Cancer Screening.