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Department of Family and Preventive Medicine: Community Health and Education

Colorectal Cancer Screening

Stages of Change: A Four-Part Series on One Clinic’s Journey to Improved Colorectal Cancer Screening Rates with Keith Winfrey, M.D.

Keith Winfrey, MD, took a deep dive on why his clinic was under-performing on colorectal cancer screening. See this 4-part series on the barriers he faced and what worked to achieve an 80 percent screening rate.

Keith Winfrey, MD, explains his clinic's start on the journey to 80 percent colorectal cancer screening rate.

Part 1 – Contemplation: What Must Change?

As medical director at New Orleans East Louisiana Community Health Center, Dr. Winfrey was appalled at the clinic’s 3% colorectal screening rate.

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Older physician in office sitting with hands together, speaking to a patient.

Part 2 – Preparation: Who Will Spark the Change?

The clinic sees a 20 – 30 percent increase in screening by bringing in a patient navigator and focusing on patient adherence. The best test is the one that’s completed.

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Giving patients a choice leads to higher screening rates

Part 3 – Action: How To Tackle Barriers to Change?

Providers are often pressured to see a high volume of patients daily, but they need to remember that provider endorsement of screening is essential to completion.

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Two physicians discuss patient chart

Part 4 – Maintenance: Why is Change Important?

A stool-based test such as the FIT or Cologuard is helpful in increasing the screening rates.

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