Record of prior screening and family history, however, did require information transfer from additional health systems. As our practice works within the university training center and veteran's hospital, some adaptation or integration of our data with these institutions was required. The principal players, however, were the group of physicians within our practice who had to commit the tie and finances to implement the program. All needed to agree that this was a viable activity they could support and would subsequently change their practice patterns if they were found to be at variance with the accepted published guidelines. Appoint an administrative team to provide oversight for the implementation.
Physicians have to fill in the appropriate responses or the chart is returned as incomplete.
Each group is queried as to their screening history, personal and family risk factors, and any clinical symptoms. Patients are then risk stratified as low, moderate, or high according to guidelines and based on the findings from physician queries. High-risk patients as well as those patients with presumed genetic predisposition according to their family history are referred to a colorectal cancer registry. Charts are randomly reviewed by the oversight committee for completion, appropriate risk stratification, and proper intervention. All physicians are given group and individual statistics on the appropriateness of recommended intervention.