Improving breast, cervical, and colon cancer screenings HEDIS metrics

Improving breast, cervical, and colon cancer screenings HEDIS metrics

Bibliography

Name: Miev Carhart

Rank: Lt Col

Presenter/Poster: Accepted - no presentation due to COVID19 response

Year: 2020

Abstract

Cancer screenings save lives, however, getting patients screened for breast, cervical, and colon cancer have been challenging at many military treatment facilities (MTFs). The Health Plan Employer Data and Information Set (HEDIS) is used to track performance trends. Prior to the initiatives, the HEDIS metrics were 64.75% breast (<50%ile), 73.80% cervical (<50%ile), and 68.18% colon cancer (50%ile). Both mammography and colonoscopy were completed with network providers and required a report to be sent to the MTF. Cervical cancer screening was available in-house. The PICOT question is in a population eligible for screenings and assigned to a MTF (P), do reminder letters, appointment reminder booking, and proactive capturing of network reports (I) (compare to no intervention from previous years) improve the HEDIS metrics for breast, colon, and cervical cancer screenings in 1 year (T)? The purpose of this study is to do a retrospective data analysis of the initiatives to see if it would improve cancer screening metrics. After 1 year, the breast cancer metrics improved to 70.18% (+5%; <50%ile), cervical to 81.23% (+7.43%; 75%ile), and colon cancer to 76.22% (+8.04%; 90%ile). Breast cancer screening lagged behind in HEDIS metrics due to dependency on patients to call and schedule the appointment and on network providers to send the written report. Cervical cancer screening had a good internal process to get patients scheduled for the appointment. Colon cancer screening improved due to referral process, reliable network providers providing the report, and a sharing of electronic medical record with the Veteran’s Administration. Conclusion: Reminder letters, appointment reminder booking, and proactive capturing of network reports improve breast, cervical, and colon cancer screening. Bundling initiatives provide the best outcome.