Date of Completion

Summer 2024

Document Type

Open Access Capstone

Degree Name

Doctor of Nursing Practice (DNP)

Faculty Advisor

Joanne Roman Jones, JD, PhD, RN

Site Advisor

Archana Sookhoo

Second Reader

Jennifer Belfry DNP FNP-BC

Abstract

Abstract

Background: The United States Preventive Services Task Force (USPSTF) now recommends that colorectal screening begins at age 45 rather than 50. The purpose of this QI project was to improve colorectal cancer screening rates in adults to prevent diagnosis, promote earlier detection, and reduce mortality from colorectal cancer.

Local Problem: This QI project was completed at a large urban federally qualified health center (FQHC) that served a diverse and underserved population. Its colorectal cancer screening rate for adults aged 45 to 49 was low compared to older adults (50-75) and national standards.

Methods: A literature review identified technology-based outreach as the best evidenced-based intervention for the project site. The Plan-Develop-Study-Act (PDSA) cycle was used to guide the development and implementation of this project.

Intervention: Patients aged 45 to 49 seen in the last 12 months who were due for colorectal cancer screening and had email or cell phone contact information received a message from a patient-engagement platform inviting them to select a colorectal cancer screening option. These selections were then reviewed and ordered by their primary care providers.

Results: 396 patients were outreached. 44 patients responded to the message and 50% of patients who requested a screening successfully completed the stool-based test or connected with a gastroenterologist within three months. Greater than 50% of providers were satisfied with project implementation and supported similar outreach in the future.

Conclusion: Technology-based outreach improved colorectal cancer screening in adults aged 45-49. Future projects should be focused on multipronged approaches to increase screening rates.

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