Goal of Module
The goal of this module is to help family physicians improve patient care and outcomes through the implementation of a quality improvement initiative focused on ensuring appropriate patients receive colorectal cancer screening according the most recent evidence-based guidelines. This module begins with assessing your current practice using quality measures to identify opportunities for improvement and determining an aim or goal (what you and your practice team are trying to accomplish). You then select quality measures which will be used to determine if the changes you will make lead to improvement (for this module, the focus is on the single quality measure of CRC screening). Next, the intervention is implemented and the effectiveness of the interventions is measured. You then analyze the results and decide whether modifications or additional changes need to be made.
After completion of this module, you should be able to:
- Describe the recommendations for CRC screening for the average risk patient.
- Perform an assessment in your practice to identify opportunities for improvement in the screening of patients for CRC.
- Select and implement a quality improvement plan (QIP) based on identified opportunities for improvement in CRC screening.
- Perform a post-assessment to measure improvement produced by implementation of a QIP for CRC screening.
Robert Gorman, MD: Chairman, Department of Family Medicine; Mountainside Hospital; Clinical Instructor and Assistant Clinical Professor of Family Medicine; Rutgers—New Jersey Medical School
Theresa J. Barrett, PhD: New Jersey Academy of Family Physicians
The CRC Part IV MOC module remains an active program that is continuously updated to reflect the most current evidence for CRC screening. The original module was first created in 2008 with the assistance of the following people. NJAFP wishes to express their appreciation for their contributions.
Roger S. Klein, MD, FACP. Assistant Clinical Professor of Medicine, Mount Sinai School of Medicine; Terry E. Shlimbaum, M.D. Clinical Assistant Professor of Family and Community Medicine, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School; Andrew Miller, MD, MPH, Director, Physician Services, HQSI (2008); Linda De Marzo, PharmD, MLS, HQSI (2008); Carolyn Hezekiah Hoitela, MLS, HQSI (2008) Joyce Pontbriand, RN, BC, MEd, CPHQ, HQSI (2008).
The New Jersey Academy of Family Physicians adheres to the conflict-of-interest policy of the American Academy of Family Physicians as well as to the guidelines of the Accreditation Council for Continuing Medical Education and the American Medical Association (AMA). Current guidelines state that participants in CME activities should be made aware of any affiliation or financial interest that may affect an author's article.
The current faculty have no financial conflicts of interest relevant to this activity.
At the time this module was created the 2008 faculty disclosed no financial conflicts of interest relevant to this activity.
CME Statement (For completion as a Practice Improvement Program)
This Performance Improvement activity, Improving Colorectal Cancer Screening Rates in the Family Physician Office (PIP), has been reviewed and is acceptable for up to 20.00 Prescribed credit(s) by the American Academy of Family Physicians. Term of approval begins 04/01/2019. Term of approval is for two years from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn twenty (20) Performance Improvement points in the American Board of Family Medicine (ABFM) Family Medicine Certification program. Please report learner completion data directly to AAFP, who will ensure the information is shared with the ABFM.
AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 credit(s)™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.
CME Statement (For completion as Maintenance of Certification)
This activity has been approved by the American Board of Family Medicine as an external provider of Family Medicine Certification Performance Improvement credit. This activity has been renewed from April 1, 2019, to March 31, 2021.
This module is supported in part by a grant from the Ohio Department of Health Comprehensive Control Program and the American Cancer Society.
This program was originally developed through a health education grant from The Horizon Foundation for New Jersey.