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Colorectal Cancer Screening Project | 2023
Description
Increasing Rate of Colonoscopy Follow-up Among Underserved

Overview

ASGE has embarked on this Colorectal Cancer Screening Project to develop a financially sustainable model that can be replicated across the U.S. to ensure patients in minority or otherwise underserved populations who have a positive stool-based colorectal cancer screening test get a timely follow-up colonoscopy.

The overall colorectal cancer screening rate in the U.S. has increased in the last 10 years, but the number of uninsured or underinsured people who get a colonoscopy after they’ve had a positive stool-based test remains unacceptably low – at just 50 percent to 70 percent.

This low adherence rate is attributed to a diverse mix of clinical and non-clinical barriers, including a lack of awareness among patients and health care professionals, local conditions and legislative and regulatory policies.  

More than 130,000 Americans are diagnosed with colorectal cancer every year, and nearly 50,000 of them die from the disease. Yet, colorectal cancer has a 90 percent survival rate when it’s detected early enough, so this project has an immense potential to save lives.

Kickoff Projects

ASGE will be collaborating with health care facilities in Georgia and Maryland that have proven track records of working with underserved populations and that provide the full continuum of colorectal cancer care to encourage patients to follow-up with a colonoscopy after receiving positive stool-based test results.

As part of an integrated effort, ASGE will also be working with health care systems, physicians and allied health care professionals, patient navigators, legislators and regulators, state and local advocacy organizations and community leaders.  

With a potential for three phases (2023-2025), the project includes education, patient navigation and outreach components. The project is designed to create a roadmap that will help the most vulnerable patients navigate the process from beginning to end – including screening and, if applicable, a timely follow-up colonoscopy and treatment.

In 2023, lawmakers in Georgia and Maryland honored ASGE for its efforts to raise awareness about the crucial need for people to get screened for colorectal cancer – including Georgia HR 510, Georgia SR 349, Maryland SR 356 and citations by Maryland Sen. Clarence K. Lam, MD, MPH, and Maryland Rep. Terri L. Hill, MD.

This project is being funded with a grant from Exact Sciences.  

 
Goals and Objectives
  • Develop a financially sustainable model that can be replicated across the U.S. to ensure that uninsured and underinsured patients who have a positive stool-based CRC screening test get a timely follow-up colonoscopy.
  • Educate policymakers on the need for follow-up colonoscopies and work with them to develop prototype legislation for sustainable funding.
  • Fund developmental CRC screening programs in Georgia and Maryland that have education, navigation, and outreach components.
  • Develop a roadmap to help patients navigate the CRC screening process from beginning to end – including screening, follow-up, and treatment (if applicable).
  • Reduce the amount of time it takes for patients who have an abnormal stool test to get a colonoscopy.
  • Gain a better understanding of the barriers along the CRC screening continuum.
  • Use metrics to demonstrate how to develop sustainable programs.
  • Develop playbooks that can be used to institute programs across the U.S. 

ASGE will identify and collaborate with “primary” health care facilities in Georgia and Maryland that have proven track records of working with the underserved and that provide the full continuum of CRC care.

ASGE will also be working with other key participants and stakeholders, including health care systems, physicians and allied health care professionals, patient navigators, legislators and regulators, state and local advocacy organizations, community leaders, patients, and patient groups.

The project is being funded with an unrestricted grant from Exact Sciences.

Colorectal Cancer Screening Project Advisory Council

Chair

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Jennifer Christie, MD, FASGE
Emory University, Atlanta, GA


Members


Tonya Adams, MD
Gastro Health-Virginia Division, Fairfax, VA


Iman Boston, MD, MBA
University of Arkansas for Medical Sciences, Little Rock, AR

juancarlos
Juan Carlos Bucobo, MD, FASGE
Northwell Health, Manhasset, NY


Lukejohn Day, MD, FASGE
University of California San Francisco, San Francisco, CA

Jason Dominitz
Jason Dominitz, MD, MHS, FASGE
University of Washington, Seattle, WA
Summit Planning Committee


Pegah Hosseini-Carroll, MD, FASGE
University of Mississippi Medical Center & Baptist GI, Jackson, MS
Summit Planning Committee


Rachel Issaka, MD, MAS
Fred Hutchinson Cancer Research Center & University of Washington, Seattle, WA


Brian Jacobson, MD, MPH, FASGE
Massachusetts General Hospital, Boston, MA
Summit Planning Committee


Inessa Khaykis, MD, FASGE
Vanguard Gastroenterology, New York, NY


Mark Marino, MD
GI Alliance (Metropolitan Gastroenterology Associates), Metairie, LA
 
Folasade P. May, MD, PhD, MPhil
Folasade P. May, MD, PhD, MPhil
UCLA Health, Los Angeles, CA
Summit Planning Committee

doug rex
Doug Rex, MD, MASGE
Indiana University School of Medicine, Indianapolis, IN

Colleen Schmitt
Colleen Schmitt, MD, MHS, MASGE
Galen Medical Group, Chattanooga, TN
Summit Planning Committee

sun
Edward Sun, MD, MBA, FASGE
Peconic Bay Medical Center, Northwell Health, Riverhead, NY

wynter
Javelle Wynter, MD
Columbia University Medical Center, New York, NY
Summary
Availability: On-Demand
Cost: FREE
Credit Offered:
No Credit Offered
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