1. Flu-FOBT Pilot Project October 2013 Marla Jackson (ESC) & Cheryl Shoemaker (WW) July 14, 2014

2. How Does a FluFOBT Program Work? Staff provide FOBT kits to eligible patients when they get their annual flu shot Patient completes FOBT at home and returns kit to doctor’s office or mails kit to the lab for processing

3. Are There Benefits for my Practice?

4. Average Practice in WW

5. Method EMR 50-74 TPSR SAR Developed list of eligible patients Verified if previous colonoscopy within Nightingale

6. Method

7. Statistics Goal - 10% increase in identified practice. Waterloo WellingtonErie St. Clair # of Practices35 # of Patients invited2931308 # of Clinics210 # of Kits handed out82329 # of Kits returned47203 + FOBT discovered08 High Risk Sent for Colonoscopy 17

8. Intervention Summary October – Nov 2013 Invitation Mail out – IMPORTANT INFORMATION FROM YOUR DOCTORS OFFICE Clinic Offering – 2 dates 2 Week Reminder Card Mailed Nurse Follow up call at 6 weeks

9. Additional Findings In Waterloo Wellington 25% of invited under/never screened patients did have an FOBT kit given to them in previous 2 yrs and had NOT completed it!

10. Workload Primary Care Office Regional Cancer Program Hours2-480 Education, teaching RCP staff to use computer, printing Data validation, Roster vs. Non, Mail outs & reminders Clinic Education Consolidation

11. Evaluation Survey What would you need to run this clinic on your own? Patient kits Pamphlets Assistance with mail outs Assistance developing overdue lists Tracking sheets Improvements? Clinic reminder calls from receptionist

13. Patient Materials