INTRODUCTION: @entity1241 ( @entity1241 ) is an attractive approach for @entity14 screening at community health centers. This budget impact analysis investigated benefits and costs of @entity1241 outreach-with @entity1241 kits mailed to @entity1 , followed by reminders and phone calls-compared with point-of-care (POC) strategies. METHODS: Five screening and cost outcomes were simulated over 1 year at a "base case" community health center serving 1000 screening-eligible @entity1 : (1) @entity1241 completion among @entity1 due for screening; (2) proportion up-to-date on screening; (3) cost per @entity1 due for screening; (4) cost per completed @entity1241 ; and (5) total organizational cost. Uncertainty analysis investigated potential savings from optimizing staff workflows during @entity1241 outreach. Data were collected in 2012-2014, with analysis conducted 2014-2015. RESULTS: Using POC strategies, 24.0% of @entity1 due for screening completed @entity1241 , versus 42.4% under outreach (18.4% absolute difference). When calculations included @entity1 up-to-date on screening from prior colonoscopy, 41.7% were up-to-date via POC, versus 55.8% for outreach (14.1% absolute difference). POC cost  4.93 per @entity1 , versus  30.43 for outreach ( 25.50 difference). Cost per @entity1 screened was  20.60 for POC and  71.84 for outreach ( 51.24 difference). Total organizational cost was  3,779 for POC distribution and  23,315 for outreach ( 19,536 difference). Outreach costs decreased by approximately one fourth under optimized workflows. CONCLUSIONS: Outreach is an effective, practical, relatively low-cost strategy; costs could be reduced further by optimizing staff workflows. Despite its value, outreach costs more than POC distribution and may be difficult for community health centers to implement under current payment models.

Outreach for Annual XXXX : A Budget Impact Analysis for Community Health Centers.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1241 :: ('MESH:D005242', 'Disease') :: ['FIT', 'Fecal immunochemical testing'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal cancer']
@entity14 :: (MESH:D015179,Disease) :: ['Colorectal Cancer Screening']
