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Colorectal Cancer Screening

posted Sep 22, 2013, 1:37 PM by PC/SM Chief Resident   [ updated Oct 7, 2013, 6:34 AM ]
From Magni:

At the Adult Medicine Practice Meeting on Friday, we discussed how we passed our audit for the Patient-Centered Medical Home.  Our application is being submitted, and we are crossing our fingers that we will be granted PCMH status!!  Thank you for all your hard work... and stay tuned for more info on this.

We also discussed cancer screening.  While we are doing great on getting folk their mammograms q2yrs beginning at age 50, we are not doing so well on colorectal cancer screening.  Only about 50% of our patients are getting colorectal cancer screening.  Please remember that colorectal cancer screening does NOT equal colonoscopy.  Many patients are resistant to colonoscopy -- but might be willing to do annual fecal occult blood testing.

It is very easy to order fecal occult blood testing:
--> go to the disease management page
--> click on the convenience tab
--> click on the "stool hemoccult" button on the lower right side of the page
--> exit this screen and click on the orders button, to sign off on the three hemoccult stool specimen orders
--> send your patient with the printed lab slip to the lab.  The lab will give them the packet, label the stool specimen cards, and explain how to collect the stool specimen!!

I have attached to this email a great article that came out in this week's NEJM, showing the benefit of fecal occult blood testing for colorectal cancer screening.  **But remember that any positive test needs to be followed up with colonoscopy.**

Also, please take a good look at the disease management screen.  Lots of helpful things, especially under the convenience and DME tabs, from where you can easily prescribe insulin, pen needles and assist devices among other things!

Let us know if you have any questions,

Magni