Improving Cancer Screening Rates in Primary Care via Practice Facilitation and Academic Detailing: A Multi-PBRN Quality Improvement Project

Authors

Christopher P. Morley, Department of Public Health and Preventive Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse, NY.
Laura A. Schad, Department of Public Health and Preventive Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse, NY.
Laurene M. Tumiel-Berhalter, Department of Family Medicine, SUNY University at Buffalo, Buffalo, NY.
Laura A. Brady, Department of Family Medicine, SUNY University at Buffalo, Buffalo, NY.
Alexandrea Bentham, Department of Family Medicine, SUNY University at Buffalo, Buffalo, NY.
Carlos Swanger, Rochester Regional HealthFollow

Document Type

Article

Publication Title

Journal of Patient-Centered Research and Reviews

Abstract

Purpose: In the United States, cancer screening rates are often below national targets. This project implemented practice facilitation and academic detailing aimed at increasing breast, cervical, and colorectal cancer screening rates in safety-net primary care practices.

Methods: Three practice-based research networks across western and central New York State partnered to provide quality improvement strategies on breast, cervical, and colorectal cancer screening. Pre/postintervention screening rates for all participating practices were collected annually, as were means across all practices over 7 years. Simple ordinary least squares linear regression was used to calculate the trend for each cancer type and test for statistical significance (ie, P≤0.05), using the ordinal time point as a fixed effect.

Results: An overall increase in mean screening rates was seen over the duration of this project for colorectal (24.6% preintervention to 48.0% in year 7 of intervention; P

Conclusions: Practice facilitation and academic detailing were successful in significantly increasing, on average, colorectal cancer screening rate. Cervical cancer screening showed an overall decrease, likely due to difficulties for primary care practices in tracking and implementation, as many patients seek this service at outside gynecology facilities. Regional differences, guideline changes, and practice reorganization each may have played a part in observed trends. A standardization of queries being used to pull screening rates is an important step in increasing the reliability of these data.

First Page

315

Last Page

322

DOI

10.17294/2330-0698.1855

Volume

8

Issue

4

Publication Date

10-18-2021

Comments

See full list of authors at journal website.

PubMed ID

34722799

Recommended Citation

Morley, C. P., Schad, L. A., Tumiel-Berhalter, L. M., Brady, L. A., Bentham, A., & Swanger, C. (2021). Improving Cancer Screening Rates in Primary Care via Practice Facilitation and Academic Detailing: A Multi-PBRN Quality Improvement Project. Journal of Patient-Centered Research and Reviews, 8 (4), 315-322. https://doi.org/10.17294/2330-0698.1855