Reported Use of Electronic Health Records to Implement Evidence Based Approaches to Colorectal Cancer Screening in Community Health Centers

J Health Care Poor Underserved. 2015 Nov;26(4):1235-45. doi: 10.1353/hpu.2015.0120.

Abstract

Background: Community health centers (CHCs) are critical sources of primary care for medically underserved populations. Electronic health records (EHRs) are important for implementation of evidence-based approaches for cancer control.

Methods: Cross-sectional study of CHCs from the Cancer Prevention Control Research Network's community health center Clinic Characteristics Survey. Proportions of CHCs using EHR data to: 1) measure colorectal cancer screening, 2) deliver reports, and 3) provide patient reminders for colorectal cancer screening.

Results: Only 27% of CHCs perceive EHR system's colorectal cancer screening data as very accurate. Over half (57%) of respondent CHCs with EHRs reported it is easy or very easy to do colorectal cancer screening activities using EHR systems.

Conclusions: Poor EHR data quality and cumbersome EHR systems may be significant barriers to implementation of evidence-based approaches to colorectal cancer screening in CHCs.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Colorectal Neoplasms / prevention & control*
  • Community Health Centers*
  • Cross-Sectional Studies
  • Early Detection of Cancer / methods*
  • Electronic Health Records / statistics & numerical data*
  • Evidence-Based Practice / organization & administration*
  • Humans
  • United States