CRCCP Logic Models

Attachment 2 - CRCCP Logic Models

CDC-RFA DP15-1502 Logic Model – Component 1
Grantee Strategies and Activities

Short-Term Outcomes

Intermediate Outcomes

Partnerships and Program Coordination
• Establish formal agreements (e.g., MOUs or contracts with health
systems, CBOs)
• Collaborate with chronic disease programs to increase CRC
cancer screening

Priority Evidence-based Strategies
Implement:
• Patient reminder systems*
• Provider reminder systems*
• Provider assessment and feedback systems*
• Reduce structural barriers*

Multiple EBIs implemented within health
systems, insurers, others
Increased high quality,
appropriate screening among
defined patient populations†

Increased CRC
prevention via
polypectomy

Increased adherence to timely,
diagnostic colonoscopy†

Decreased
disparities in CRC
screening

Appropriate provider recommendations
for patients to receive CRC screening
Knowledge about the need for CRC
screening among priority populations

Supportive Activities
Implement:
• Small media*
• Patient navigation

Reduced barriers to CRC screening
Adherence to USPSTF and USMSTF CRC
screening guidelines

Community-Clinical Linkages
•
•
•
•

Population level
80% CRC
screening by
2018

Established partnerships that support
increased CRC screening

Access to CRC screening for priority
populations

Conduct targeted outreach to priorty populations
Utilize community-based health workers (CHWs)
Implement workplace interventions
Facilitate linkage to medical home

Provider knowledge of CRC screening
quality standards
Measurements and use of health
system data

Long-Term Outcomes

Increased rescreening among
defined patient populations†

Decreased
disparities in CRC
incidence and
mortality
Decreased CRC
incidence and
mortality

Increased
detection of
early-stage CRC

Increased timely
CRC treatment
initiation

Professional Development Training
• Promote USPSTF guidelines for CRC screening
• Promote USMSTF surveillance guidelines
• Promote EBIs and QA/OI practices

Project period outcomes expected to be measured
and achieved at level of provider clinics, health
systems, specific insured populations

*

Acronyms:

CHWs: Community health workers
CRC: Colorectal cancer
EBIs: Evidence-based interventions/strategies
GPRA: Government Performance and Results Act
MOUs: Memoranda of Understanding
QA/QI: quality assurance/quality improvement
UDS: Unified Data System
USMSTF: United States Multi-Society Task Force
USPSTF: United States Preventive Services Task Force

Information Technology
• Support utilization of EMRs to implement EBIs and performance
monitoring (e.g., GPRA, UDS, HEDIS)

Program Monitoring and Evaluation, including assessing changes in screening rates for a defined population

Contextual Factors: resources, ACA, unemployment, endoscopic capacity, geography, cultural beliefs, CRC-related policies, other CRC screening resources

Strategies recommended by Guide to Community Preventive
Services for increasing colorectal cancer screening by FOBT
(http://ww.thecommunityguide.org/cancer/index.html)

*

CS250452

CDC-RFA DP15-1502 Logic Model – Component 2
Grantee Strategies and Activities

Short-Term Outcomes

Intermediate Outcomes

Long-Term Outcomes

Program Management
• Convene medical advisor(s)
• Establish/maintain contract(s) with providers
• Maintain data management and billing systems

Population level
80% CRC
screening by
2018

CRC Screening, Diagnostics, Patient Navigation, and
other Support Services
• Integrate screening with other clinical services
• Provide quality, appropriate screening and surveillance
to average risk populations
• Provide timely follow-up of abnormal screens
• Implement patient navigation
• Facilitate access to diagnostic services and
cancer treatment

Increased high quality,
appropriate screening among
CRCCP clients†

Increased adherence to timely,
diagnostic colonoscopy†

Increased rescreening among
CRCCP clients†

Data Management and Utilization for Recruitment
and Quality Assurance/Quality Improvement
•
•
•
•

Identification of priority populations
In-reach to patients in existing health care systems
Clinical data collection and tracking
Monitoring and Evaluation

Increased CRC
prevention via
polypectomy

Decreased
disparities in CRC
screening

Decreased
disparities in CRC
incidence and
mortality
Decreased CRC
incidence and
mortality

Increased
detection of
early-stage CRC

Increased timely
CRC treatment
initiation

Contextual Factors: resources, ACA, unemployment, endoscopic capacity, geography, cultural beliefs, CRC-related policies, other CRC screening resources

Project period outcomes expected to be measured
and achieved among CRCCP clients

†

Acronyms:

CRC: Colorectal cancer
CRCCP: Colorectal Cancer Control Program
CS250452