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.

After four years, the 30 awardees of CDC's Colorectal Cancer Control Program have worked with 831 clinics in 261 health systems, reaching 6,359 health care providers and 1,300,790 patients aged 50 to 75 years.

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.

1 Year
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    4.5percentage points

2 Years
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    8.2percentage points

3 Years
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    8.4percentage points

4 Years
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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.

More than 4 in 5 clinics implemented 3 or 4 EBIs after 4 years of participation.
The percentage of clinics with at least one EBI considered to be sustainable increased from 67% at year 1 to 77% at year 4.

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.

Screening Champions
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Percentage of clinics with a colorectal cancer screening champion
Years of Participation in CRCCP Percentage
1 Year 78%
2 Years 82%
3 Years 74%
4 Years 75%
Screening Policies
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Percentage of clinics with a colorectal cancer screening policy
Years of Participation in CRCCP Percentage
1 Year 77%
2 Years 81%
3 Years 82%
4 Years 86%
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Page last reviewed: October 26, 2020