New Hampshire Colorectal Cancer Screening Program Patient Navigation Model Replication Manual

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Core elements of the NHCRCSP Patient Navigation Model: nurse navigators, PN champion with clinical expertise, medical oversight of the navigation intervention, partnerships, six-topic navigation protocol, an effective data system, and philosophy of shared success.

New Hampshire Colorectal Cancer Screening Program Patient Navigation Model Replication Manual pdf icon[PDF-1MB]

The New Hampshire Colorectal Cancer Screening Program (NHCRCSP)external icon patient navigation model has been highly effective in increasing the completion and quality of colonoscopy screening among low income, uninsured, and underinsured groups. The results of a comparison group study showed that NHCRCSP-navigated patients were 11 times more likely to complete their colonoscopy than non-navigated patients. Given its success, CDC and NHCRCSP developed a manual to help others replicate the model.

This manual provides specific information and tools to replicate the NHCRCSP patient navigation model. Detailed information is provided on implementing a model that improves completion of colonoscopy and follow-up, increases patient knowledge about their tests and results, and improves overall screening quality and patient satisfaction.

Intended Audiences

Any organization that conducts colorectal cancer screening or administers a colonoscopy program may benefit from implementing this intervention. Organizations could include health systems, endoscopy centers, primary care practices (including Federally Qualified Health Centers), universities, state or local health departments, and grantee programs. This manual also may be useful for health care providers, pharmacy staff, and other community partners to clarify their roles in the intervention and how it benefits their patients.

Related Research
DeGroff A, Gressard L, Glover-Kudon R, Rice K, Tharpe FS, Escoffery C, Gersten J, Butterly L. Assessing the implementation of a patient navigation intervention for colonoscopy screening.external icon BMC Health Services Research 2019;19(1):803. DOI: 10.1186/s12913-019-4601-4. external icon

Rice K, Sharma K, Li Chunyu, Gersten J, Butterly L, DeGroff A. Cost-effectiveness of a patient navigation intervention to increase colonoscopy screening among low-income adults in New Hampshire. Cancer 2019;125(4):601–609. DOI: external icon10.1002/cncr.31864.external icon

Rice K, Gressard L, DeGroff A, Gersten J, Robie J, Leadbetter S, Glover-Kudon R, Butterly L. Increasing colonoscopy screening in disparate populations: results from an evaluation of patient navigation in the New Hampshire Colorectal Cancer Screening Program.external icon Cancer 2017;123(17):3356–3366. DOI: 10.1002/cncr.30761.external icon

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Patient navigators make it easier to complete lifesaving colorectal cancer screening. In the New Hampshire Colorectal Cancer Screening Program, patients who received patient navigation were more likely to complete their colonoscopy, show up for their colonoscopy appointments, and complete the prep correctly.
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Page last reviewed: February 11, 2020
Content source: Division of Cancer Prevention and Control, Centers for Disease Control and Prevention