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Table 2 Key workflow activities and processes by primary care practice

From: An observational study of workflows to support fecal testing for colorectal cancer screening in primary care practices serving Medicaid enrollees

  Primary care practice
Higher performing Lower performing
1 2 3 4 5 6 7 8 9
Visit-based workflow          
Identifying patients due for CRC screening          
 Protocol in place for reviewing charts before schedule clinic visits X X X X X X X X X
 Meticulous review of charts before scheduled clinic visits X X X X   X    X
 Medical assistants have ability to order FIT/FOBT   X X X X X    
Distributing FIT/FOBT          
 Medical assistants discuss FIT/FOBT screening with patients X X X X      
 Medical assistants provide short tutorial and/or pre-label FIT/FOBT kits   X X X      X
 Medical assistants review FIT/FOBT instructions with patients X X X X X     
Reminders          
 Standard, consistent reminders (letters and/or phone calls)   X X X X   X X X
Documenting results and conducting follow-up          
 Results from FIT/FOBT electronically uploaded into patient chart X X X    X X X  
 Medical assistants communicate normal results to patients X X X X X X X X X
 Medical assistants communicate abnormal results to patients   X    X   X   X
 Nurses communicate abnormal results to patients X X X X X    X X
Population outreach workflow          
Identifying patients due for CRC screening          
 Staff generate lists of patients due for screening   X X X X X    X
Distributing FIT/FOBT          
 Support staff prepare and mail FIT/FOBT kits regularly   X X X X X    X
Reminders          
 Standard, consistent reminders (letters and/or phone calls)   X X X X     X
Documenting results and conducting follow-up          
 External labs process FIT/FOBT kits and import results into patient charts   X X    X    X
 Medical assistants communicate normal results to patients   X    X     X
 Medical assistants communicate abnormal results to patients   X    X     X
 Nurses communicate abnormal results to patients   X    X     X