Table 2 Description of systems and implementation outcomes by level of implementation
System and number of interviews | Cancer type and screening test | Description of system and patient volume (large, medium or small)a | Goal achievement for client remindersb | Goal achievement for screening testb | Level of implementation and likely sustainability |
|---|---|---|---|---|---|
System A (n = 9) | CRC (FIT) | FQHC (medium) | Exceeded | Exceeded | High |
13,380 (161Â % of goal) | FIT: 2130 (128Â % of goal) | Sustainability likely due to workflow redesign and practice changes | |||
Colonoscopy: 170 (480Â % of goal) | |||||
System B (n = 8) | CRC (colonoscopy) | Community hospital and health system (large) | Exceeded | Exceeded | High |
3420 (140 % of goal) | 3500 (143 % of goal) | Sustainability unclear—need funding for patient navigator | |||
System C (n = 7) | CRC (colonoscopy) | University health system with FQHC partner | No goal | Exceeded | High |
(Large with small partner) | 230 | 2100 (419 % of goal) | Sustainability unclear—dependent on volunteers and partnerships | ||
System D (n = 6) | CRC (FIT) | FQHC (large) | Exceeded | Exceeded | Medium |
8680 (2480 % of goal) | 260 (115 % of goal) | Sustainability unclear—vague discussion | |||
System E (n = 6) | Breast (mammography) | FQHC (medium) | Exceeded | Did not meet goal | Medium |
1760 (352 % of goal) | 970 | Sustainability unclear—will need to scale back outreach | |||
System F (n = 7) | Breast (mammography) | FQHC (small) | No target | Exceeded | Medium |
200 | 1180 (147Â % of goal) | Sustainability mixed: EMR changes sustainable; patient navigator requires funding | |||
System G (n = 5) | Breast (mammography) | Regional health system (large) | No target | Not met | Low |
350 | 250 | Sustainability unlikely for screening—need funding & no concrete actions taken | |||
System H (n = 3) | Breast and colorectal (mammography and colonoscopy) | FQHC (medium) | No report | No report | Low |
Sustainability mixed—EMR changes sustainable, outreach will be scaled back | |||||
System I (n = 6) | Breast (mammography) | FQHC look-alike (small) | No target | Not met | Low |
180 | <5 | Sustainability unclear-limited practice changes to sustain |