Screen Up
The Problem
Louisiana has some of the highest death rates in America for breast, cervical, and colorectal cancers. All three types of cancer are very common and often don’t show warning signs. Screening is the best way to prevent these cancers and detect them early when they are easiest to treat.
What We Do
Screen Up raises breast, cervical, and colorectal cancer screening rates across Louisiana by facilitating quality improvement work at primary care clinics and health systems. We teach clinics how to use national experts’ guidelines, quality improvement best practices, and evidence-based interventions (EBIs) to create tailored, sustainable changes. By using strategies that are proven to be effective, clinics improve the quality and rate of cancer screenings which reduces health care costs and saves the lives of more patients. Source: Centers for Disease Control and Prevention
Screen Up offers support for EBIs including:
- Provider assessment and feedback
- Provider reminders
- Client/patent reminders
- Reducing obstacles that limit access to quality care
Successes
Below are examples of how clinics across the state have partnered with Screen Up to improve their breast, cervical, and colorectal cancer screening rates:
- CareSouth Medical and Dental increased its CRC screening rate from 16% to 41% in just 3 years! This 25% increase is due to their ability to sustain patient reminders via Care Messenger & their Patient Navigator, daily huddles, provider scorecards, and their ability to reduce structural barriers. CareSouth offers transportation to their patients and as an established partnership with a local GI provider.
- Odyssey House Louisiana, Community Health Center began working with Screen Up in 2023 to increase their breast cancer screening rates. Their baseline breast cancer screening rate was 0% due to their inability to track patients after referral. After an extensive chart review via LBCHP & Screen Up, they established a true baseline screening rate of 19.58%. After implementing provider reminders and patient reminders, OHL-CHC saw their screening rate increase to 57.48% in just one year!
- In 2023, Baptist Community Health Services began working with Screen Up to improve their colorectal cancer screening rates which was 50% at baseline. In the same year, they were able to raise their screening rate to 57.5% by improving their CRC screening workflows. In addition, they increased their FIT return rate by 44.7%! This was done by implementing rigorous patient reminders and provider assessment/feedback.
- Plaquemines Primary Care began working with Screen Up in 2023 to increase their colorectal cancer screening rates. By implementing provider reminders and patient reminders, they increased their screening rate from 19.6% to 31.4%, in just one year! In addition, they doubled their FIT return rate from 21.7% to 40.3%.
- Through working with Screen Up, CrescentCare increased it cervical cancer screening rate by 9 percentage points by sending patient reminders, prioritizing cervical cancer screening in daily huddles, and sending providers “scorecards” on their screening rate and giving strategies for improvement.
If you are interested in applying for our program, please fill out this form and someone will be in touch, thank you!
Eligibility
Screen Up targets clinics with low screening rates (less than 60%) in areas with the highest numbers of new cases of late-stage cancer and/or high Medicaid or uninsured population.
What Participating Clinics Receive
- A no cost practice facilitator
- A grant to support implementation of EBIs. Funds can be used for:
- Salaries directly related to increasing screening (project champion, patient navigator, coordinator)
- HIT enhancements
- Consultants (HIT/QI)
- Professional development/provider education
- Packaging and mailing of FIT kits
- Client reminders—mailers, emails, texts or calls
- Technical assistance for collecting and using data and reporting
- Progress reports
- Supporting webinars and CE opportunities
- Online resources
- Promoting services and success: brag sheets, social media, CDC success stories
- Professional development/training. Previous topics include:
- Colorectal Cancer Screening 101
- Process Mapping
- Case Studies
- Using Data for Improvement
- Root Cause Analysis
- Motivational Interviewing
- Six Sigma Boot Camp
- Achieving QI Sustainability in Health Care
To learn more about participating in Screen Up, email Dr. Bilikisu “Reni” Elewonibi at belewo@lsuhsc.edu.