National CRC Screening Summit | 2025-10 Screening Follow-up

Video Transcription

Video Summary

Dr. Brenna Lynn from NCQA discussed developing a new colorectal cancer screening follow-up measure aimed at improving timely follow-up after positive stool-based screening tests among health plan members aged 45-75. NCQA focuses on health plan-level quality measures, using clinical and claims data, with a mission to improve healthcare quality through transparency and accountability via HEDIS metrics. The follow-up measure is still under development, with testing planned across diverse health systems and health plans. It primarily includes stool-based tests due to current coding limitations for blood-based tests. Challenges include data interoperability and standardized coding, with NCQA pushing for electronic clinical data systems (ECDS) to enhance data capture beyond claims data. Digital feasibility assessments show varying readiness, with stool tests and colonoscopy data better standardized than blood test results. NCQA urges stakeholders to advocate for standardized coding (LOINC, SNOMED) in their networks to improve measurement accuracy and benchmarks. The measure aims for public release in HEDIS 2027 pending ongoing evaluation and voting.

Keywords

colorectal cancer screening

follow-up measure

NCQA

HEDIS metrics

data interoperability