DESCRIPTION:

Percentage of adults 50 - 75 years of age who had appropriate screening for colorectal cancer

IMPROVEMENT NOTATION:

Higher score indicates better quality

INITIAL POPULATION:

Patients 50 - 75 years of age with a visit during the measurement period

DENOMINATOR:

Equals Initial Population

DENOMINATOR EXCLUSIONS:

Patients with a diagnosis or past history of total colectomy or colorectal cancer

OR

Patients age 65 and older in Institutional Special Needs Plans (SNP) or residing in long-term care with a POS code 32, 33, 34, 54 or 56 any time during the measurement period 

DENOMINATOR EXCEPTIONS:

None

NUMERATOR:

Patients with one or more screenings for colorectal cancer. Appropriate screenings are defined by any one of the following criteria:

•              Fecal occult blood test (FOBT) during the measurement period

•              Flexible sigmoidoscopy during the measurement period or the four years prior to the measurement period 

•              Colonoscopy during the measurement period or the nine years prior to the measurement period 

•              FIT-DNA during the measurement period or the two years prior to the measurement period

•              CT Colonography during the measurement period or the four years prior to the measurement period

NUMERATOR EXCLUSIONS:

Not Applicable



GUIDANCE: 

Do not count DRE, FOBT tests performed in an office setting or performed on a sample collected via DRE.