Attachment H1 – Table 1 |
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Number of eligible facilities in the universe and sample, by region and urban/rural |
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Region |
Urban |
Rural |
Total |
Universe |
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Northeast |
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South |
|
|
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Midwest |
|
|
|
West |
|
|
|
Total |
|
|
|
Sample |
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Northeast |
|
|
|
South |
|
|
|
Midwest |
|
|
|
West |
|
|
|
Total |
|
|
|
Attachment H1 – Table 2 |
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Surveys and response rate, by region and urban/rural |
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|
Urban |
Rural |
Total |
Region |
|
|
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Northeast |
|
|
|
South |
|
|
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Midwest |
|
|
|
West |
|
|
|
Total |
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|
|
Attachment H1 – Table 3 |
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Percentage of all flexible sigmoidoscopies and colonoscopies
performed, |
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|
ASC |
Hospital |
Physician Practice |
Total |
Flexible sigmoidoscopy |
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Gastroenterologist |
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|
|
|
Primary Care Provider |
|
|
|
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Internist |
|
|
|
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Family practitioner/ General practitioner |
|
|
|
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Surgeon |
|
|
|
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General surgeon |
|
|
|
|
Colorectal surgeon |
|
|
|
|
Non-physician endoscopist |
|
|
|
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Other |
|
|
|
|
Total |
|
|
|
|
Colonoscopy |
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Gastroenterologist |
|
|
|
|
Primary Care Provider |
|
|
|
|
Internist |
|
|
|
|
Family practitioner/ General practitioner |
|
|
|
|
Surgeon |
|
|
|
|
General surgeon |
|
|
|
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Colorectal surgeon |
|
|
|
|
Non-physician endoscopist |
|
|
|
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Other |
|
|
|
|
Total |
|
|
|
|
Attachment H1 – Table 4 |
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Type of lower GI equipment owned, by region |
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|
Colonoscopes |
Flexible sigmoidoscopes |
Video monitors |
Other |
Mean per Facility |
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Northeast |
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|
|
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South |
|
|
|
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Midwest |
|
|
|
|
West |
|
|
|
|
Total in Region |
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Northeast |
|
|
|
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South |
|
|
|
|
Midwest |
|
|
|
|
West |
|
|
|
|
|
Attachment H1 – Table 5 |
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Procedures currently being performed by urban/rural |
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|
Flexible Sigmoidoscopy |
Colonoscopy |
||
|
Urban |
Rural |
Urban |
Rural |
Percent of facilities that perform the procedure |
|
|
|
|
Mean number of procedures performed per week per facility * |
|
|
|
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Percent of procedures performed for screening* |
|
|
|
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Percent of procedures that are incomplete* |
|
|
|
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Mean number of procedures possible per week per facility* |
|
|
|
|
Number of facilities |
|
|
|
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*Among those facilities that perform the procedure |
Attachment H1 – Table 6 |
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Measures to address increased need for flexible sigmoidoscopy
|
||||
|
Flexible Sigmoidoscopy |
Colonoscopy |
||
|
Urban |
Rural |
Urban |
Rural |
Increase proportion of work day allocated to procedures |
|
|
|
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Modify block scheduling |
|
|
|
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Use patient navigators or reminder calls to decrease cancellations and “no shows” |
|
|
|
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Increase physician staff |
|
|
|
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Increase/hire non-physician endoscopists to perform procedures |
|
|
|
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Increase nursing staff to assist with procedures |
|
|
|
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Increase ancillary staff to help with room turnover |
|
|
|
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Increase staff or physicians to monitor the sedation or anesthesia |
|
|
|
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Establish a larger screening unit/more procedure rooms |
|
|
|
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Establish additional prep and/or recovery areas |
|
|
|
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Purchase or lease more equipment |
|
|
|
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Other |
|
|
|
|
Not applicable, not planning to perform more procedures |
|
|
|
|
Number of facilities |
|
|
|
|
Attachment H1 – Table 7 |
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Average room time typically scheduled for flexible
sigmoidoscopy |
||||
|
Flexible Sigmoidoscopy* |
Colonoscopy* |
||
|
Mean |
Standard error |
Mean |
Standard error |
ASCs |
|
|
|
|
Hospitals |
|
|
|
|
Physician practices |
|
|
|
|
*Among those facilities that perform the procedure |
Attachment H1 – Table 8 |
||
Typical waiting time for various endoscopy procedures for State and the nation |
||
|
Percent of facilities |
Standard Error |
Screening flexible sigmoidoscopy* |
||
1-2 weeks |
|
|
3-4 weeks |
|
|
1 – 2 months |
|
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3 – 4 months |
|
|
5 – 6 months |
|
|
More than 6 months |
|
|
Screening colonoscopy* |
||
1-2 weeks |
|
|
3-4 weeks |
|
|
1 – 2 months |
|
|
3 – 4 months |
|
|
5 – 6 months |
|
|
More than 6 months |
|
|
Follow-up colonoscopy* |
||
1-2 weeks |
|
|
3-4 weeks |
|
|
1 – 2 months |
|
|
3 – 4 months |
|
|
5 – 6 months |
|
|
More than 6 months |
|
|
* Among those facilities that perform procedure |
Attachment H1 – Table 9 |
|||
Estimated number of facilities that provide |
|||
|
Flexible sigmoidoscopy |
Colonoscopy |
Any endoscopy |
Region |
|||
Northeast |
|
|
|
South |
|
|
|
Midwest |
|
|
|
West |
|
|
|
Total |
|
|
|
|
Attachment H1 – Table 10 |
||||||||||
Potential volume, current volume, and unused capacity for
flexible sigmoidoscopy and colonoscopy, by region – annual
number of procedures |
||||||||||
|
Flexible Sigmoidoscopy |
Colonoscopy |
||||||||
Potential Volume |
Current Volume |
Unused Capacity |
Potential Volume |
Current Volume |
Unused Capacity |
|||||
Region |
||||||||||
Northeast |
|
|
|
|
|
|
||||
|
|
|
|
|
|
|||||
South |
|
|
|
|
|
|
||||
|
|
|
|
|
|
|||||
Midwest |
|
|
|
|
|
|
||||
|
|
|
|
|
|
|||||
West |
|
|
|
|
|
|
||||
|
|
|
|
|
|
|||||
Total |
|
|
|
|
|
|
||||
|
|
|
|
|
|
|||||
|
File Type | application/msword |
File Title | Table 2-1 |
Author | Battelle |
Last Modified By | Manninen, Diane L |
File Modified | 2009-11-25 |
File Created | 2009-11-25 |