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Using Practice Facilitation to Increase Rates of Colorectal Cancer Screening in Community Health Centers, North Carolina, 2012–2013: Feasibility, Facilitators, and Barriers

ORIGINAL RESEARCH — Volume 14 — August 17, 2017

PEER REVIEWED

The conceptual model that guided the study posits that consistent, high-quality delivery or use of an evidence-based practice, such as US Public Health Service colorectal cancer screening guidelines (implementation effectiveness), is a function of the office systems that a clinic employs (implementation policies and practices); the technical assistance provided by the practice facilitator (implementation support); and the resulting perception among clinic staff that consistent, high-quality delivery or use of an evidence-based practice is expected, supported, and rewarded (implementation climate).

Figure.
Organizational model of innovation implementation, study on colorectal cancer screening in community health centers, North Carolina, 2012–2013. Abbreviation: TA, technical assistance.

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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions.

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