• Institute for Clinical Systems Improvement (ICSI). Colorectal cancer screening. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Jun. 27 p. [57 references]

Does not apply to this measure

This measure is used to assess the percentage of African American patients age 45 and older who are up to date with colorectal cancer screening.

The priority aim addressed by this measure is to increase the percentage of African American patients aged 45 and older who are up to date with colorectal cancer screening.

Colorectal cancer screening; guaiac-based fecal occult blood test; fecal immunochemical test; flexible sigmoidoscopy; colonoscopy; computed tomographic (CT) colonography; double-contrast barium enema (DCBE)

Number of African American patients age 45 and older who had an encounter with the medical group in the past month

Number of patients in the denominator who were up to date with screening for colorectal cancer at the time of their last visit (see the related "Numerator Inclusions/Exclusions" field in the Complete Summary)

• A clinical practice guideline or other peer-reviewed synthesis of the clinical evidence

Unspecified

Current routine use

Internal quality improvement

Physician Group Practices/Clinics

Physicians

Group Clinical Practices

Age greater than or equal to 45 years

Either male or female

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Staying Healthy

Effectiveness

Users of care only

African American patients age 45 and older

A random sample of at least 10 patient medical records per month. The status of the individuals is most likely collected with chart abstract data. However, an individual's status may be collected with administrative data and augmented with chart abstraction.

A lack of data on an individual is interpreted as not up-to-date and is not counted in the numerator, but is included in the denominator.

Patients associated with provider

Inclusions
Number of African American patients age 45 and older who had an encounter with the medical group in the past month

Exclusions
Unspecified

All cases in the denominator are equally eligible to appear in the numerator

Encounter

Time window is a single point in time

Inclusions
Number of patients in the denominator who were up to date with screening for colorectal cancer at the time of their last visit*

*Patients in the denominator, having one or more of the following screenings:

• Occult blood test yearly
  • Annual guaiac-based fecal occult blood test with high test sensitivity for cancer, or
  • Annual fecal immunochemical test with high test sensitivity for cancer
• Flexible sigmoidoscopy every five years
• Double-contrast barium enema (DCBE) every five years
• Computed tomographic colonography every five years
• Colonoscopy every 10 years

Exclusions
Unspecified

The measure results are somewhat or substantially under the control of the health care professionals, organizations and/or policymakers to whom the measure applies.

Fixed time period

Administrative data
Medical record

Individual Case

Unspecified

Rate

Better quality is associated with a higher score

Unspecified

Internal time comparison

Unspecified

Percentage of African American patients age 45 and older who are up to date with colorectal cancer screening.

Institute for Clinical Systems Improvement

The following Minnesota health plans provide direct financial support: Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica, Metropolitan Health Plan, PreferredOne and UCare Minnesota. In-kind support is provided by the Institute for Clinical Systems Improvement's (ICSI) members.

Work Group Members: John Mageli, MD (Work Group Leader) (Aspen Medical Group) (Internal Medicine); Scott Boyers, MD (Sanford Health) (Family Medicine); Christopher Carlson, MD (Camden Physicians) (Family Medicine); Jerome Potts, MD (Hennepin County Medical Center) (Family Medicine); Irshad Jafri, MD (HealthPartners Medical Group) (Gastroenterology); Theresa Smith, MD (St. Mary's/Duluth Clinic Health Systems) (Gastroenterology); Joseph Tombers, MD (Minnesota Gastroenterology) (Gastroenterology); John Barlow, MD (Mayo Clinic) (Radiology); Penny Fredrickson (Institute for Clinical Systems Improvement) (Measurement Advisor/Implementation Advisor); Melissa Marshall, MBA (Institute for Clinical Systems Improvement) (Facilitator)

Measure was not adapted from another source.

2006 Jun

2008 Jun

This is the current release of the measure.

This measure updates a previous version: Institute for Clinical Systems Improvement (ICSI). Colorectal cancer screening. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2006 Jun. 50 p.

• Institute for Clinical Systems Improvement (ICSI). Colorectal cancer screening. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Jun. 27 p. [57 references]

This NQMC summary was completed by ECRI on July 17, 2006. This NQMC summary was updated by ECRI Institute on August 6, 2008.

This NQMC summary (abstracted Institute for Clinical Systems Improvement [ICSI] Measure) is based on the original measure, which is subject to the measure developer's copyright restrictions.

The abstracted ICSI Measures contained in this Web site may be downloaded by any individual or organization. If the abstracted ICSI Measures are downloaded by an individual, the individual may not distribute copies to third parties.

If the abstracted ICSI Measures are downloaded by an organization, copies may be distributed to the organization's employees but may not be distributed outside of the organization without the prior written consent of the Institute for Clinical Systems Improvement, Inc.

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