Using a Multifaceted Approach to Improve the Follow-Up of Positive Fecal Occult Blood Test Results

Abstract

Multifaceted QI activities improved rates of timely colonoscopy referral and performance in an electronic medical record system. However, colonoscopy was not indicated in over one third of patients with positive FOBTs, raising concerns about current screening practices and the appropriate denominator used for performance measurement standards related to colon cancer screening.