TY - JOUR
T1 - Colorectal cancer screening rates at community health centers that use electronic health records
T2 - A cross sectional study
AU - Baker, David W.
AU - Liss, David T.
AU - Alperovitz-Bichell, Kari
AU - Brown, Tiffany
AU - Carroll, Joseph E.
AU - Crawford, Phil
AU - Harigopal, Padmini
AU - Henley, Eric
AU - Nelson, Christine A.
AU - Rittner, Sarah S.
N1 - Publisher Copyright:
© Meharry Medical College.
PY - 2015
Y1 - 2015
N2 - Background. This study was conducted to validate use of electronic health record (EHR) data for measuring colorectal cancer (CRC) screening rates at community health centers (CHCs). Methods. Electronic health records were queried to assess screening via colonoscopy, flexible sigmoidoscopy, or fecal occult blood testing (FOBT) in 2011. Results. Multiple iterations were required to maximize query accuracy. Manual chart reviews, stratified by screening modality, confirmed query results for 112 of 113 (99.1%) reviewed colonoscopies, 110 of 110 (100%) reviewed FOBTs, and 111 of 120 (92.5%) unscreened patients. At participating CHCs, CRC screening rates ranged from 9.7% to 67.2% (median, 30.6%). Adherence to annual FOBT ranged from 3.3% to 59.0% (median, 18.6%). Most screening was done by colonoscopy. Conclusions. Colorectal cancer screening varies substantially across CHCs. Electronic health record data can validly measure CRC screening, but repeated assessments of programming accuracy are required. Community health centers may need support to measure quality using EHR data and increase screening.
AB - Background. This study was conducted to validate use of electronic health record (EHR) data for measuring colorectal cancer (CRC) screening rates at community health centers (CHCs). Methods. Electronic health records were queried to assess screening via colonoscopy, flexible sigmoidoscopy, or fecal occult blood testing (FOBT) in 2011. Results. Multiple iterations were required to maximize query accuracy. Manual chart reviews, stratified by screening modality, confirmed query results for 112 of 113 (99.1%) reviewed colonoscopies, 110 of 110 (100%) reviewed FOBTs, and 111 of 120 (92.5%) unscreened patients. At participating CHCs, CRC screening rates ranged from 9.7% to 67.2% (median, 30.6%). Adherence to annual FOBT ranged from 3.3% to 59.0% (median, 18.6%). Most screening was done by colonoscopy. Conclusions. Colorectal cancer screening varies substantially across CHCs. Electronic health record data can validly measure CRC screening, but repeated assessments of programming accuracy are required. Community health centers may need support to measure quality using EHR data and increase screening.
KW - Colorectal cancer screening
KW - Community health centers
KW - Electronic health records
KW - Health care disparities
KW - Preventive medicine
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UR - http://www.scopus.com/inward/citedby.url?scp=84928190289&partnerID=8YFLogxK
U2 - 10.1353/hpu.2015.0030
DO - 10.1353/hpu.2015.0030
M3 - Article
C2 - 25913336
AN - SCOPUS:84928190289
SN - 1049-2089
VL - 26
SP - 377
EP - 390
JO - Journal of health care for the poor and underserved
JF - Journal of health care for the poor and underserved
IS - 2
ER -
