Implementation Of A Colorectal Cancer Screening Program

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Implementation of a Colorectal Cancer Screening Program in a Rural Upper Midwest Federally Funded Health Center: An Evidence Based Project
One of the many goals developed by the United States Government in its Healthy People 2020 campaign was to “reduce the number of new cancer cases, as well as the illness, disability, and death caused by cancer” (Healthy People 2020, 2016). This goal is further broken down by cancer types. The goals for colorectal cancer (CRC) is to reduce the 2007 baseline mortality rate of 17.1 deaths per 100,000 to 14.5 deaths per 100,000 and to increase the proportion of adults to receive colorectal cancer screening (CRCS) based on the most recent guidelines by the year 2020. The American Cancer Society (ACS,
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NCHC’s CRC rates (22%) are below North Dakota’s established rate of screening. The purpose of this Doctorate of Nursing Practice Project will be to establish an evidenced based colorectal cancer screening and surveillance initiative to help improve CRC rates.
Identify the problem CRC screening rates have been improving since Healthy People 2010, however the rates in North Dakota are still significantly lower than the goal proposed by Healthy People 2020. The ACS (2014a) has released a document revealing the most recent facts and figures regarding CRC screening rates, diagnoses, risk factors, and treatment in the United States. These data are most recent as of 2012. CRC screening prevalence in North Dakota (ND) for those age 50 years and older was 57.9%, ranking ND in the lower tertile bracket of states in the U.S., and below the national average (CDC, 2013). This rate, with Washington D.C. included, ranked ND at 42 out of 51 states. Healthy People 2020 (2016) hopes to increase the national CRC screening rate to greater than 70% for all people age 50 years and older by the year 2020. There has been an identified need at NCHC, a federally qualified community health center, located in North Dakota, to improve CRC screening rates and surveillance within its healthcare system. Based on results from quality measure
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