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David Haggstrom Slides from AHRQ Kick-Off Event

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ShawnHoke
ShawnHoke

Colorectal cancer screening: overview & background

Health & MedicineTechnology
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Colorectal cancer screening: overview & background January 8,2007 David A. Haggstrom, MD, MAS LEADERS SYMPOSIUM “ Strategic Planning to Inform a Funded Project on how to Achieve Workflow Integration in Developing and Implementing CDS for CRC Screening”
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Colorectal cancer screening Clinical practice guidelines ,[object Object],[object Object]
Colorectal cancer screening Clinical practice guidelines (USPSTF) Test Interval ,[object Object],[object Object],Annually Flexible sigmoidoscopy Every 5 years Colonoscopy Every 10 years Double-contrast barium enema Every 5 years
Competing clinical demands ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(Yarnall et al., AJPH , 2003)
Computer reminders – Regenstrief Institute ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(Litzelman, Tierney, JGIM , 1993)
Electronic health record – Partners HealthCare Barriers to use ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(Linder, AMIA Annu Symp Proc , 2006)
Computer reminders - VA Facilitators to adherence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(Mayo-Smith, Abha Agrawal, 2004 & 2006)
Computer reminders - VA Barriers to reminders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(Patterson, Doebbeling, Asch et al., J Biomed Inform , 2005)
Colorectal cancer screening Primary care-based interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(STEP-UP - Study to Enhance Prevention by Understanding Practice) (Stange, Goodwin, Am J Prev Med , 2001 & 2003)
CRC screening in primary care practices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(Hudson & Crabtree, Can Det Prev , 2007)
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Systems engineering framework ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(Kopach-Konrad, Doebbeling et al., JGIM , 2007)

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David Haggstrom Slides from AHRQ Kick-Off Event

  • 1. Colorectal cancer screening: overview & background January 8,2007 David A. Haggstrom, MD, MAS LEADERS SYMPOSIUM “ Strategic Planning to Inform a Funded Project on how to Achieve Workflow Integration in Developing and Implementing CDS for CRC Screening”
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