Attachment 3. Sample Feedback Reports

ATTACHMENT 3

SAMPLE FEEDBACK REPORTS

a. Error Summary/Edit Report

b. Data Quality Indicator Guide Report

c. Service Quality Indicator Guide Report

SUMMARY OF ITEM ERROR COUNTS

Program and Enrollment Data Section Count Pct

1.1 Program .................................................................. 0 0.0

1.2 Date of Eligibility ........................................................ 5 0.0

1.3.1 Knowledge of program (1)................................................. 33 0.1 %

1.3.2 Knowledge of program (2).................................................. 0 0.0

Client and Record Identification Section

2.1 Client Identifier ....................................................... 0 0.0

2.2 Record Identifier ...................................................... 0 0.0

Demographic Information Section

3.1 Date of Birth .............................................................. 0 0.0

3.2 Gender ............................................................. 0 0.0

3.3 Hispanic or Latino origin .................................................. 0 0.0

3.4.1 Race1 ..........................................................127 0.3 %

3.4.2 Race2 .......................................................... 0 0.3

3.5 State of Residence ......................................................... 0 0.0

3.6 County of Residence......................................................... 0 0.0

Screening History Section

4.1.1 Previous take-home CRC fecal test........................................ 0 0.0

4.1.2 Previous take-home CRC fecal test date .................................. 0 0.0

4.1.3 Previous take-home CRC fecal test result ........................... 0 0.0

Colorectal Cancer Risk Factors Section

5.1 Personal History of CRC .................................................... 0 0.0

5.1.2 Year CRC diagnosed ................................................. 0 0.0

5.2.1 Personal History of polyps ........... .................................... 0 0.0

…. Continued for all CCDE variables

Date Your Program Began Screening: January, 2006

Cut-off Dates
Submission Cut-off Date: 05/31/2007
Diagnostic Cut-off Date: 02/28/2007		Note: Items 7-18 and 20-27 are not evaluated for screening exams that are performed after the diagnostic cut-off date, which is 3 months prior to the submission cut-off date. All screenings that are performed prior to the diagnostic cut-off date are expected to have complete diagnostic and treatment information, as necessary. All screening data are used.

Overall Record Counts	(From start of program 01/2006 - 04/2006	(Previous 12 months) 03/2006 - 02/2007	(Recent 3 months) 03/2007 - 05/2007	Notes
Total Screen Cycles reported	xxxxx	xxxxx	xxxxx	These counts do not include screens
First Test:				with pending results
FOBT/FIT	xxx	xxx	xxx
Colonoscopy	xxx	xxx	xxx
Sigmoidoscopy	xxx	xxx	xxx
DCBE	xxx	xxx	xxx

Demographic Data
	Variable	Attribute	01/2006 - 04/2006	03/2006 - 02/2007	03/2007 - 05/2007	Notes
1	Date of Birth	Percentage missing	xx%	xx%	xx%	< 5%
2	Gender	Percentage missing	xx%	xx%	xx%	< 2%
3	Hispanic or Latino Origin	Percentage unknown	xx%	xx%	xx%	unknown and missing combined should be
		Percentage missing	xx%	xx%	xx%	< 5%
4	Race	Percentage unknown	xx%	xx%	xx%	unknown and missing combined should be
		Percentage missing	xx%	xx%	xx%	< 5%
5	State of Residence	Percentage missing	xx%	xx%	xx%	< 5%
6	County of Residence	Percentage missing	xx%	xx%	xx%	< 5%
..… Continued for all CCDE data items ….

Refer to the CRCSDP Policy Manual for additional information and on Service Quality Indicators

Indicator Type, Number and Description			CDC Benchmark	Your Program Results %, (Numerator/ Denominator)	All CRCSDP Programs Combined Results %, (Numerator/Denominator)
Screening Priority Population	1	Percent of program screens that are provided to clients at average risk for CRC	> 75%	xx %, (xxx / xxxx)	xx %, (xxx / xxxx)
	2	Percent of average risk clients screened who are aged 50 years and older	> 95%	xx %, (xxx / xxxx)	xx %, (xxx / xxxx)
Completeness of Clinical Follow-up	3	Abnormal test result with diagnostic follow-up completed	> 90%	xx %, (xxx / xxxx)	xx %, (xxx / xxxx)
	4	Treatment Initiated following diagnosis of cancer	> 90%	xx %, (xxx / xxxx)	xx %, (xxx / xxxx)
Timeliness of Clinical Follow-up	5	Percent of positive tests (FOBT/FIT, sigmoidoscopy, or DCBE) followed-up with colonoscopy within 60 days	> 80%	xx %, (xxx / xxxx)	xx %, (xxx / xxxx)
	6	Percent of abnormal colonoscopies followed-up to final diagnosis within 30 days.	> 80%	xx %, (xxx / xxxx)	xx %, (xxx / xxxx)
	7	Treatment initiated within 60 days of diagnosis of cancer	> 80%	xx %, (xxx / xxxx)	xx %, (xxx / xxxx)

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