Flowchart Template: Review Link to Learn How - PowerPoint Presentation

1. Flowchart Template: Review Link to Learn HowStartProcessProcessProcessDecisionYeshttps://www.youtube.com/watch?v=GsfZD4oU7l0NoEnd

2. Identifying Patients for ScreeningDescribes process around identifying eligible patients, noting patients due for screening, notifying patients due for screening, and flagging files for providersNurse reviews patient chartNurse puts note on chart for provider stating the need for home stool testNurse calls or sends a letter to patient notifying patient of due screening and need to schedule appointmentPatient calls clinic to schedule appointment for screeningHx of Crohn’s Dx or Colitis?YesNoLeave note on chart for provider to discuss scheduling a colonoscopyPatient is considered high risk and does not qualify for take home testNurse pulls list of patients aged 45-75Has patient had a colonoscopy within the last 10 years?NoHas patient done a home stool test for CRC this year?Hx of polyps or CRC?Fam Hx of polyps or CRC in fam <60 y.o.?Go to next patientYesNoNoNoYesYesYes

3. Patient Flow During VisitInclude:Physical spaces and processes that take place for eachIdentify the availability of educational materials at each stepIdentify when and how CRC screening is discussedIdentify staff responsibilities for ordering tests and for educating patient on how to complete the testsPatient checks in with registration staffProvider schedules patient for a colonoscopy and provides education for next stepsProvider utilizes Exact Sciences Screening Option tear-off sheet to facilitate shared decision on the best test for the patient.Provider provides a home stool test with instructions and places an order in the chartNurse ensures patient does not have any other questions prior to leavingDoes patient require a colonoscopy?YesNoRegistration staff update patient contact information and hand patient paperwork to completeNurse rooms patient, completes health maintenance items and sees note for CRC testProvider conducts clinic visit with patientProvider notifies patient they are due for their home stool test/colonoscopyNurse ensures a note is on the chart to alert provider and lets provider know patient is ready and verbally confirms need for home stool test or colonoscopyPatient arrives for visitNurse utilizes CRC screening algorithm to determine risk levelEndProvider notifies the nurse the patient will complete the stool test at homeYesNo

4. Screening and Results TrackingInclude:Staff responsible for determining when a screening test has been completed or if a screening test is incomplete.How results are documentedHow patients are informed of resultsProvider or nurse puts order in chart for CRC screening test and makes appropriate referralsTest has been completed and resulted in the EHRNurse reviews resultsNurse sends letter to patient stating the test was negative and to follow up as usual with primary care providerProvider/nurse calls patient with results and schedules follow-up appointment to discuss colonoscopyNurse notifies the provider of positive resultsWas the test negative?YesNo

5. Workflow for Follow-up Colonoscopy(following positive stool test)Include:Staff responsible for scheduling the follow-up colonoscopyStaff who reviews prep instructions with the patientWhat happens when patients are uninsured or underinsuredSpecialist provider referral processesEstimated wait timesReception staff confirm patient informationPatient, nurse, and schedulers work together to schedule colonoscopy test and estimate wait time for appointmentNurse reviews prep instructions with patientReferrals sent to appropriate locationsPatient completes visitDoes patient need to be referred out for test?YesNoPatient has positive CRC home stool test and arrives for follow-up appointmentNursing team rooms patient and completes health maintenance itemsNurse asks patient if anything has changed related to stool health since last visit and documentsProvider answers any questions patient may haveProvider places referral for colonoscopy and communicates new order to nurseProvider reviews stool test results and educates patient on next stepsNurse notifies provider patient is ready and communicates any changesNurse determines if patient qualifies for NDCRCSI