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Norris Cotton Cancer Center
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New Hampshire Colorectal Cancer Screening Program (NHCRCSP)

NHCRCSP works with health systems, including clinics, hospitals, and other health care organizations in the State of New Hampshire to use and strengthen strategies that have been shown to improve quality and completions of screenings.

true or false colortectal screening graphic

This graphic courtesy of CDC Screen for Life: National Colorectal Cancer Action Campaign

NHCRCSP works to:

  • Partner with health systems that serve New Hampshire residents age 50-75.
  • Improve the use of public health strategies that have been shown to increase screening.
  • Monitor the impact of implemented strategies on screening rates.

Increasing Screening to Save Lives

Colorectal cancer is cancer that occurs in the colon or the rectum. (The colon is the large intestine and the rectum is the passageway that connects the colon to the anal canal.)

Among cancers that affect both men and women, colorectal cancer is the second leading cancer killer in the U.S. If everyone aged 50 years or older had regular screening tests, many deaths from this cancer might be avoided.

The gastrointestinal oncology program provides information for patients about colorectal screening (including a video - 'Tips and Tricks for Colonoscopy Prep'), resources and clinical trials. 

Information for Providers

Increasing Quality and Completion of Patient Colonoscopy Screenings

The NHCRCSP patient navigation model has been highly effective in increasing the completion and quality of colonoscopy screening among underserved groups. Patients in this program were 11 times more likely to complete colonoscopy than a comparison group. Given their success, CDC and the NHCRCSP worked together to develop a manual to help others replicate the model. Expanded use of the NHCRCSP model can help reach our shared goal of 80% colorectal cancer screening by 2018.

Download the manual, and forward to colleagues.

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Evidence Based Interventions

NHCRCSP uses strategies recommended by the Guide to Community Preventive Services, focusing on four activities (evidence-based interventions, or EBIs) in partner health systems:

  1. Patient reminders
  2. Provider reminders
  3. Provider assessment and feedback on CRC screening rates
  4. Reducing structural barriers for patients

Information and materials available through NHCRCSP

  • An information sheet explaining current insurance coverage of screening colonoscopies, with questions for patients to ask their insurance companies prior to scheduling the procedure.
  • A provider pocket card summarizing current CRC screening and surveillance recommendations, including information for average-risk individuals, and increased-risk individuals.
  • A fact sheet explaining the differences among various types of stool tests.
  • An easy-to-understand summary of the latest recommendations from the U.S. Preventive Services Task Force (USPSTF) and the US Multi-Society Task Force on Colorectal Cancer.
  • Various cards, brochures, booklets, and posters to use in discussing CRC screening with patients.

Centers for Disease Control Continuing Education

This online activity provides guidance and tools for clinicians on the optimal ways to implement screening for colorectal cancer to help ensure that patients receive maximum benefit. There are two versions of this course: one for primary care providers and one for clinicians who perform colonoscopy. Continuing education is available for both versions.

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Phone: (603) 653-3702
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