Spotlight on Year 4
CRCCP Reach After 4 Years
During the first 4 years of the CRCCP, awardees worked with 831 clinics from 261 health systems that served more than 1.3 million patients aged 50 to 75. The majority of clinics (71%) were Federally Qualified Health Centers (FQHCs); more than a quarter (26%) were in nonmetropolitan areas; and 26% served a high percentage (more than 20%) of uninsured patients.

Screening Rate Increases After 4 Years in CRCCP
The longer the clinics participate in the CRCCP, the greater the increase from baseline in their colorectal cancer screening rates. Clinics that participated for 2 years increased their screening rate by 8.2 percentage points on average, while those that participated for 4 years increased their screening rate by 12.3 percentage points on average.
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4.5percentage points
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8.2percentage points
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8.4percentage points
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12.3percentage points
EBI Use and Sustainability
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 colorectal cancer screening rates.
Screening Champion and Policy
The CDC study also found that having a champion for colorectal cancer screening or having a colorectal cancer screening policy was associated with higher colorectal cancer screening rates.
While the percentage of clinics with a screening policy (written clinic procedures to support screening) increased among clinics with longer program participation, the percentage with a champion has fluctuated over time, although the percentage has remained relatively high.
Years of Participation in CRCCP | Percentage |
---|---|
1 Year | 78% |
2 Years | 82% |
3 Years | 74% |
4 Years | 75% |
Years of Participation in CRCCP | Percentage |
---|---|
1 Year | 77% |
2 Years | 81% |
3 Years | 82% |
4 Years | 86% |