0539_Att H2_State SECAP II Table Shells

Facility characteristics

Attachment H2 – Table 1
Number of eligible facilities, by sub-state region and survey administration
	National SECAP	State SECAP	Total
Region
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Total

Facility characteristics

Attachment H2 – Table 2
Surveys and response rate, by sub-state region and survey administration
	National SECAP	State SECAP	Total
Region
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Total

Facility characteristics

Attachment H2 – Table 3
Mean number of providers performing sigmoidoscopies and colonoscopies, by physician specialty, by facility type for State (standard errors in parentheses)
	ASC	Hospital	Physician Practice	Total
Flexible sigmoidoscopy
Gastroenterologist
Primary Care Provider
Internist
Family practitioner/ General practitioner
Surgeon
General surgeon
Colorectal surgeon
Non-physician endoscopist
Other
Total
Colonoscopy
Gastroenterologist
Primary Care Provider
Internist
Family practitioner/ General practitioner
Surgeon
General surgeon
Colorectal surgeon
Non-physician endoscopist
Other
Total
Number of facilities

Facility characteristics

Attachment H2 – Table 4
Number of procedure rooms, video monitors, and endoscopes for lower endoscopies, by region (standard errors in parentheses)
	Procedure rooms	Video monitors	Colonoscopes	Flexible sigmoidoscopes	Other lower endoscope
Mean per Facility
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Total in Region
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6

Facility characteristics

Attachment H2 – Table 5
Number of procedure rooms, video monitors, and endoscopes for lower endoscopies, by facility type (standard errors in parentheses)
	Procedure rooms	Video monitors	Colonoscopes	Flexible sigmoidoscopes	Other lower endoscope
Mean per Facility
ASC
Hospital
Physician practice
Total
ASC
Hospital
Physician practice

Facility characteristics

Attachment H2 – Table 6
Average room time typically scheduled for flexible sigmoidoscopy and colonoscopy, in State and the nation by facility type (standard errors in parentheses)
	Flexible Sigmoidoscopy*		Colonoscopy*
	State	Nation	State	Nation
ASCs
Hospitals
Physician practices
*Among those facilities that perform the procedure

Facility characteristics

Attachment H2 – Table 7
Percentage of facilities typically using sedation and anesthesia for colonoscopy in State and the nation, by facility type (standard errors in parentheses)
	Opioids/Benzodiazepines		Propofol
	State	Nation	State	Nation
ASCs
Hospitals
Physician practices

Characteristics of the individuals performing screening and follow-up examinations

Attachment H2 – Table 8
Percentage of all flexible sigmoidoscopies and colonoscopies performed, by physician specialty, by facility type for State (standard errors in parentheses)
	ASC	Hospital	Physician Practice	Total
Flexible sigmoidoscopy
Gastroenterologist
Primary Care Provider
Internist
Family practitioner/ General practitioner
Surgeon
General surgeon
Colorectal surgeon
Non-physician endoscopist
Other
Total
Number of facilities
Colonoscopy
Gastroenterologist
Primary Care Provider
Internist
Family practitioner/ General practitioner
Surgeon
General surgeon
Colorectal surgeon
Non-physician endoscopist
Other
Total
Number of facilities

Characteristics of the individuals performing screening and follow-up examinations

Attachment H2 – Table 9
Percentage of facilities in State authorizing non-physician endoscopists to perform flexible sigmoidoscopies and colonoscopies with varying levels of supervision, by facility type (standard errors in parentheses)
	ASC	Hospital	Physician Practice	Total
Flexible sigmoidoscopy
A physician is present for the entire exam
A physician is present only when the flexible sigmoidoscope is withdrawn
The non-physician endoscopist is unsupervised, but…
A physician is “immediately available” in clinic
A physician is “immediately available” in hospital
A physician is “immediately available” by beeper/phone
The non-physician endoscopist is authorized to perform the entire exam unsupervised
Other
Non-physician endoscopists do not perform flexible sigmoidoscopy
Number of facilities
Colonoscopy
A physician is present for the entire exam
A physician is present only when the colonoscope is withdrawn
The non-physician endoscopist is unsupervised, but…
A physician is “immediately available” in clinic
A physician is “immediately available” in hospital
A physician is “immediately available” by beeper/phone
The non-physician endoscopist is authorized to perform the exam unsupervised
Other
Non-physician endoscopists do not perform colonoscopy
Number of facilities

Screening and follow-up tests currently being performed

Attachment H2 – Table 10
Procedures currently being performed in State and the nation (standard errors in parentheses)
	Flexible Sigmoidoscopy		Colonoscopy
	State	Nation	State	Nation
Percent of facilities that perform the procedure
Mean number of procedures performed per week per facility *
Percent of procedures performed for screening*
Percent of procedures that are incomplete*
Mean number of procedures possible per week per facility*
Number of facilities
*Among those facilities that perform the procedure

Screening and follow-up tests currently being performed

Attachment H2 – Table 11
Procedures currently being performed by facility type (standard errors in parentheses)
	Flexible Sigmoidoscopy			Colonoscopy
	ASC	Hospital	Physician Practice	ASC	Hospital	Physician Practice
Percent of facilities that perform the procedure
Mean number of procedures performed per week per facility *
Percent of procedures performed for screening*
Percent of procedures that are incomplete*
Mean number of procedures possible per week per facility*
Number of facilities
*Among those facilities that perform the procedure

Screening and follow-up tests currently being performed

Attachment H2 – Table 12
Typical waiting time for various endoscopy procedures for State and the nation (standard errors in parentheses)
	State	Nation
Screening flexible sigmoidoscopy*
1-2 weeks
3-4 weeks
1 – 2 months
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

Maximum number of screening and follow-up examinations with widespread screening.

Attachment H2 – Table 13
Limiting factors to increasing the number of endoscopies, in State and the nation (standard errors in parentheses)
	Flexible Sigmoidoscopy		Colonoscopy
	State	Nation	State	Nation
Time
Insufficient time – few open appointments
Insufficient utilization due to cancellations or “no shows”
Physicians & Staffing
Insufficient number of physicians available to perform procedures
Insufficient nursing staff to assist with procedures
Insufficient ancillary staff to help with room turnover
Insufficient staff or physicians to monitor the sedation or anesthesia	NA	NA
Space & Equipment
Insufficient procedure rooms
Insufficient prep and/or recovery areas
Insufficient endoscopes or monitors
Insufficient reimbursement
Other
Not applicable, not planning to perform more procedures

Maximum number of screening and follow-up examinations with widespread screening.

Attachment H2 – Table 14
Primary limiting factor to increasing the number of endoscopies, in State and the nation (standard errors in parentheses)
	Flexible Sigmoidoscopy		Colonoscopy
	State	Nation	State	Nation
Time
Insufficient time – few open appointments
Insufficient utilization due to cancellations or “no shows”
Physicians & Staffing
Insufficient number of physicians available to perform procedures
Insufficient nursing staff to assist with procedures
Insufficient ancillary staff to help with room turnover
Insufficient staff or physicians to monitor the sedation or anesthesia	NA	NA
Space & Equipment
Insufficient procedure rooms
Insufficient prep and/or recovery areas
Insufficient endoscopes or monitors
Insufficient reimbursement
Other
Not applicable, not planning to perform more procedures

Maximum number of screening and follow-up examinations with widespread screening.

Attachment H2 – Table 15
Measures to address increased need for flexible sigmoidoscopy and colonoscopy, in State and the nation (standard errors in parentheses)
	Flexible Sigmoidoscopy		Colonoscopy
	State	Nation	State	Nation
Time
Increase proportion of work day allocated to procedures
Modify block scheduling
Use patient navigators or reminder calls to decrease cancellations and “no shows”
Physicians & Staffing
Increase physician staff
Increase/hire non-physician endoscopists to perform procedures
Increase nursing staff to assist with procedures
Increase ancillary staff to help with room turnover
Increase staff or physicians to monitor the sedation or anesthesia
Space & Equipment
Establish a larger screening unit/more procedure rooms
Establish additional prep and/or recovery areas
Purchase or lease more equipment
Other
Not applicable, not planning to perform more procedures

Maximum number of screening and follow-up examinations with widespread screening.

Attachment H2 – Table 16
Measures to address increased need for flexible sigmoidoscopy and colonoscopy, by facility type (standard errors in parentheses)
	Flexible Sigmoidoscopy				Colonoscopy
	ASC	Hospital	Physician Practice	ASC		Hospital	Physician Practice
Time
Increase proportion of work day allocated to procedures
Modify block scheduling
Use patient navigators or reminder calls to decrease cancellations and “no shows”
Physicians & Staffing
Increase physician staff
Increase/hire non-physician endoscopists to perform procedures
Increase nursing staff to assist with procedures
Increase ancillary staff to help with room turnover
Increase staff or physicians to monitor the sedation or anesthesia
Space & Equipment
Establish a larger screening unit/more procedure rooms
Establish additional prep and/or recovery areas
Purchase or lease more equipment
Other
Not applicable, not planning to perform more procedures

Maximum number of screening and follow-up examinations with widespread screening.

Attachment H2 – Table 17
Estimated number of facilities and potential to provide endoscopies statewide, by region
	Flexible sigmoidoscopy			Colonoscopy
Region	Number of facilities	Mean number of weekly procedures possible	Potential Annual Volume	Number of facilities	Mean # weekly procedures possible	Potential Annual Volume
1
2
3
4
5
6
Total

Attachment H2 – Table 18
Potential volume, current volume, and unused capacity for flexible sigmoidoscopy and colonoscopy, by region – annual number of procedures (standard errors in parentheses)
	Flexible Sigmoidoscopy					Colonoscopy
	Potential Volume		Current Volume		Unused Capacity	Potential Volume		Current Volume		Unused Capacity
Region
Region 1
Region 2
Region 3
Region 4
Region 5
Region 6
Total