My Cancer Screening Action PlanCancer Screening Workshop:

October 12th, 2016

1. Dr. Meghan Davis’ presentation

Smoking status documented – billing codes

Breast screening:

□ Is the high risk program form on my EMR?

□ Do I refer to OBSP sites?

□ Do I want to use the patient decision-making tool?

□ How do I know who has had breast cancer?

Cervical screening:

□ Where do I document those who do not need Paps anymore due to hysterectomy?

□ Do I want access to Cytobase?

□ Follow-up guidelines

Colorectal screening:

□ Where is family history documented?

□ How is “next screening intervention” selected and set due? (e.g. has had a colonoscopy, no FOBT for 10 years)

□ Will someone in my office prepare FOBT kits for those overdue?

□ Who hands out the FOBT kits?

□ Do I refer +FOBT immediately to colonoscopy and not repeat the kit?

□ Who checks if there are any +FOBT/no scopes on my SAR?

□ Will my office accept +FOBT patients? (Incentive: New Patient Fee)

□ Do not do blood/urine tests for colorectal cancer

Motivators:

□ Am I interested in doing an audit? (MainPro+ 18 credits; templates available here)

□ Do I want a facilitator to help with the audit? (sign up on evaluation sheet)

“My Tool Kit”: I am interested in:

Patient Information

□ Posters for waiting room/exam rooms

□ Video on MyCancerIQ for waiting room

□ Video on colorectal screening and how to do the FOBT (Long or Short)

□ MyCancerIQ cards/posters in waiting room or on back of exam room doors

□ Breast cancer videos in other languages (i.e. Hindi, Arabic, Bengali, Mandarin)

Office Resources

□ Screening Guidelines

□ Have I signed up for Physician-Linked Correspondence?

□ Will I use Q codes to track ineligible patients?

□ Would e-learning modules be helpful for you or your team? (e.g. SAR, EMR, screening)

Office Flow

□ Who is our office screening champion?

□ Do I want to use CCO cancer screening workflow sheets?

2. Screening Activity Report

Report View #1: Dashboard

□ Finding patients with +FOBT/no scope

□ My screening rates

Report View #2: Patient Summary

□ Filtering for “triple reds’

Report View #3: Specific Program Report

□ Sorting by single screening status (Overdue? Abnormal result?)

Report View #4: Individual Patient Report

□ Screening data on individual patients

Features:

□ Download to Excel and sort for recent information

□ Reconcile electronically with my EMR (if possible)

□ Limitations – Cancer Dx Delay, Hysterectomy, hospital Paps

□ How/when will I use the SAR? Do I want a delegate? (identify on evaluation sheet)

3. EMR

Data Discipline and Standardization

□ Tip Sheet for PS Data Cleansing:

□ Worksheets for PS:

□ Everyone uses consistent fields

□ Classify the test based on how you will search for it

□ How can I clean my current data?

□ How will I keep it up to date?

Using searches for population-based cancer screening:

□ What EMR functionality is used to identify patients?

□ Who generates this list and how often?

□ How and when do clinicians review the list?

□ What method will the team use to contact patients?

How to calculate preventative bonus:

□ Limitations

Opportunistic screening:

□ Can I tell who is overdue when they come in?

□ How are conversations charted about screening? (e.g. decliners)