Provision of High-Quality Clinical Services

Providing high-quality clinical services is critically important to the demonstration program. CDC provides guidance to colorectal cancer screening demonstration program (CRCSDP) sites to ensure that high-quality services are delivered. Programs and their participating endoscopists are encouraged to follow the standardized colonoscopy reporting system,¹ which specifies which elements should be included in colonoscopy reports, provides a standard method for reporting them, and specifies key quality indicators to be considered for periodic monitoring.^{2 3}

Current guidelines for surveillance following polypectomy or cancer resection also should be followed.^{4 5} Data elements (such as whether the bowel preparation was adequate, the cecum was reached, and polyps were removed completely) are collected by sites to enable them to assess the quality of endoscopic services.

References

¹DeGroff A, Boehm J, Green SG, Holden D, Seeff LC. Facilitators and challenges to start-up of the colorectal cancer screening demonstration program. Preventing Chronic Disease 2008;5(2):A39.

²Tangka FKL, Subramanian S, Bapat B, Seeff LC, DeGroff A, Gardner J, Ryerson B, Nadel M, Royalty J. Cost of starting colorectal cancer screening programs: results from five federally funded demonstration programs. Preventing Chronic Disease 2008;5(2):A47.

³Seeff LC, DeGroff A, Tangka F, Wanliss E, Major A, Nadel M, Ryerson AB, Nadel M, Royalty J. Development of a federally funded demonstration colorectal cancer screening program. Preventing Chronic Disease 2008;5(2):A64.

⁴Joseph DA, Rim SH, Seeff LC. Use of colorectal cancer tests—United States, 2002, 2004 and 2006. MMWR 2008;57(10):253–258.

⁵Lieberman D, Nadel M, Smith RA, Atkin W, Duggirala SB, Fletcher R, Glick SN, Johnson CD, Levin TR, Pope JB, Potter MB, Ransohoff D, Rex D, Schoen R, Schroy P, Winawer S. Standardized colonoscopy reporting and data system: Report of the Quality Assurance Task Group of the National Colorectal Cancer Roundtable. Gastrointestinal Endoscopy 2007;65(6):757–766.