Table 1 Context-based adaptations implemented in the second-year mailed FIT program

Population receiving program

W

●

●

●

●

●

- Refocused program on dual-eligible beneficiaries in WA state**

●

●

Program alignment with priorities/incentives

W

●

●

●

●

- Focus on supporting quality goals, such as Medicare 5-STAR

- Focus on Medicare enrollees as they have more accurate address and prior screening information

●

●

O

●

●

●

●

●

- Included FIT return in broader patient incentive program within health plan for meeting a range of preventive care needs ($25)

●

O

●

●

●

●

●

- Began to identify need to prioritize future outreach to health centers serving Medicare enrollees

●

Program leadership

W

●

●

●

- Transferred full program effort to state health plan Quality Improvement (QI) department involved in year one (previously led by national office)

- Retained some local state QI staff involved in year one/hired new QI director with responsibility to lead program efforts

●

●

Vendor to deliver program (for phone calls, letters, FITs)

W

●

●

●

●

●

●

- Contracted with new vendor that offered more services, e.g., delivered outreach calls and communicated FIT results to members and primary care providers

●

●

Program expansion

O

●

●

●

●

●

- Health plan provided three additional staff to support some health centers with chart review, reminder calls, and processing returned kits

●

O

●

●

●

●

●

●

- Expanded program to 4 additional health centers

●

●