Quality Improvement of Patient-Provider Communication For Colorectal Cancer Screening

Inclusion Criteria:

Provider Eligibility:

* Primary care providers (MD, Certified Registered Nurse Practitioner (CRNP), or PA) at the study sites who see patients in the primary care setting at least 1 day per week and had no involvement in the design of the study are eligible for enrollment in the study.

Patient Eligibility:

* Primary care patients who are not "up-to-date" with colorectal cancer screening are the targeted population for study enrollment.
* Up-to-date with colorectal cancer screening is defined as having completed one of the following:

  * fecal occult blood testing within the past year
  * sigmoidoscopy within the past 5 years
  * colonoscopy within the past 10 years
  * barium enema within the past 5 years.
* Other patient eligibility criteria are:

  * Primary Care Provider (PCP) enrolled in the study
  * clinic visit scheduled with the enrolled PCP during the recruitment period
  * English speaking
  * no prior history of colorectal cancer or adenomatous polyps
  * no prior history of inflammatory bowel disease

Exclusion Criteria:

* Patients who are deemed clinically not appropriate for colorectal cancer screening due to severe comorbidity and/or limited life expectancy as determined by the patient's primary care provider will be excluded from the study.