Open AccessAdaptation of the Flu-FIT Program for Patient-Aligned Care Teams: A Quality Improvement Project
Author(s) -
Sofia A. Funes,
Claudia Flores,
Amy L. Davidow,
Samuel Friedman,
Pearl Korenblit,
Pauline Thomas
Publication year - 2021
Publication title -
journal of public health management and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.771
H-Index - 50
eISSN - 1550-5022
pISSN - 1078-4659
DOI - 10.1097/phh.0000000000001313
Subject(s) - adaptation (eye) , quality management , quality (philosophy) , patient care , process management , medicine , nursing , psychology , computer science , operations management , business , engineering , management system , philosophy , epistemology , neuroscience
The Flu-FIT program aims to increase colorectal cancer screening rates by offering a home fecal immunochemical test (FIT) at the time of annual influenza immunization. This program was piloted at a VA campus in New Jersey during the 2018-2019 influenza season, with a 9% increase in colorectal cancer screening rates. In the 2019-2020 season, the program was implemented in 6 primary care teams; 6 additional teams maintaining standard of care served as a comparison group. A total of 816 patients aged 50 to 75 years were eligible for participation; 509 patients were available for analysis, 242 in the Flu-FIT group and 267 in the comparison group. The Flu-FIT group patients were 2.4 times more likely to accept FIT kits (95% confidence interval: 1.6-3.6, P = .001). The colorectal cancer screening rates increased 77.0% to 81.9% in the Flu-FIT group and 77.0% to 79.8% in the comparison group (P > .05).