Spotlight on Year 3

During the first 3 years of the CRCCP, awardees worked with 679 clinics from 221 health systems that serve over 1.1 million patients ages 50 to 75. The majority of clinics (68%) are Federally Qualified Health Centers (FQHCs), nearly a third (30%) are in nonmetropolitan areas, and 29% serve populations with over 20% of uninsured patients.

After three years, the 30 awardees of CDC's Colorectal Cancer Control Program have worked with 679 clinics in 221 health systems, reaching 5,436 health care providers and 1,135,719 patients aged 50 to 75 years.

After three years, the 30 awardees of CDC’s Colorectal Cancer Control Program have worked with 679 clinics in 221 health systems, reaching 5,436 health care providers and 1,135,719 patients aged 50 to 75 years.

The longer clinics participate in the CRCCP, the greater the increase from baseline in their colorectal cancer screening rates. For example, clinics participating in the CRCCP for 2 years increased screening rates, on average, 8.3 percentage points.

After 1 Year
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    Screening rates increased 4.7 percentage pointsOver 47,000 screenings

After 2 Years
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    Screening rates increased 8.3 percentage pointsOver 75,000 screenings

After 3 Years
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    Screening rates increased 10.1 percentage pointsOver 82,000 screenings

EBIs and Sustainability

Chart showing the percentage of clinics with three to four evidence-based interventions in place.

After one year, 76% of clinics had three to four evidence-based interventions in place. This percentage fell to 73% after two years, and went up to 79% after three years.

Awardees can implement up to 4 evidence-based interventions (EBIs) in clinics: provider reminders, client reminders, removal of structural barriers, and provider assessment and feedback. A CDC study based on the first year of the CRCCP found that implementing 3 to 4 EBIs was associated with higher CRC screening rates. Nearly 4 in 5 clinics implemented 3 to 4 EBIs after 3 years of participation. Sixty-three percent of clinics had at least one EBI considered to be sustainable after 1 year, 70% after 2 years, and 69% after 3 years.

CRC Screening Champion and Policy

The CDC study also found that championing CRC screening or having a CRC screening policy was associated with higher CRC screening rates. While the percentage of clinics with a screening policy (written clinic procedures to support screening) has increased among clinics with longer program participation, the percentage with champions has decreased.

Screening Champions
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    Percent of Clinics with a Screening Champion• 79% after 1 year
    • 79% after 2 years
    • 70% after 3 years

Screening Policies
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    Percent of Clinics with a Screening Policy• 74% after 1 year
    • 78% after 2 years
    • 79% after 3 years

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Page last reviewed: February 6, 2020