Implementation Study 1

Implementation Study 1 lead Dr. Allison Cole will partner with WWAMI region Practice and Research Network (WPRN) and/or Breast, Cervical, and Colon Health Program (BCCHP) Learning Collaborative clinics to optimize the impact of practice facilitation on colorectal cancer screening in federally qualified health centers.

While practice facilitation is an effective strategy for improving preventive service delivery and chronic disease management in primary care settings, it can be conducted in myriad ways, resulting in varying degrees of effectiveness.

Using OPTICC Stage III methods, this study is testing whether practice facilitation’s impact on colorectal cancer screening rates can be optimized through feedback on baseline determinants (using Stage I methods) and by monitoring strategy-determinant alignment (using Stage II methods).

An expected result of this study is increased colorectal cancer screening rates in safety-net clinic settings through the optimization of a widely used, yet poorly understood implementation strategy.

Knowledge of which method(s) optimize practice facilitation’s efficiency and effectiveness that can be tested in a large-scale confirmatory trial in diverse settings.