AHRQ Innovations Exchange | Quality Improvement Collaborative Helps Clinic Serving the Uninsured to Significantly Increase Colorectal Cancer Screening and Smoking Cessation Education

full¨text ►AHRQ Innovations Exchange | Quality Improvement Collaborative Helps Clinic Serving the Uninsured to Significantly Increase Colorectal Cancer Screening and Smoking Cessation Education: "Quality Improvement Collaborative Helps Clinic Serving the Uninsured to Significantly Increase Colorectal Cancer Screening and Smoking Cessation Education

Snapshot
Summary
Wayne Action Teams for Community Health, or WATCH, a nonprofit organization that offers primary care to uninsured residents of Wayne County, NC, participated in a 12-month collaborative quality improvement initiative sponsored by the North Carolina Prevention Collaborative. As part of this collaborative, WATCH decided to focus on improving the provision of colorectal cancer screening and smoking cessation education to eligible patients. To that end, it created new processes to identify those in need of these services, formed partnerships with community-based organizations and providers to offer additional support to such patients, and participated in ongoing performance monitoring, reporting, and improvement. The program significantly increased the percentage of eligible patients receiving the targeted services, and convinced several patients to make important health-related decisions, such as quitting smoking and getting a colonoscopy after an abnormal screening result. Because of these successes, WATCH now routinely uses these new processes and partnerships as a routine part of patient care.

Evidence Rating
Moderate: The evidence consists of a pre- and post-implementation comparison of the percentage of eligible patients who received colorectal cancer screening and smoking cessation education, along with the cumulative number of patients who made critical health decisions after receiving these services.

Developing Organizations
North Carolina Prevention Collaborative; Wayne Action Teams for Community Health

Date First Implemented
2007

Patient Population
Vulnerable Populations > Homeless; Impoverished; Medically uninsured; Insurance Status > Uninsured

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