Development of the Parkland-UT Southwestern Colonoscopy Reporting System (CoRS) for evidence-based colon cancer surveillance recommendations

Celette Sugg Skinner, Samir Gupta, Ethan A. Halm, Shaun Wright, Katharine McCallister, Wendy Bishop, Noel Santini, Christian Mayorga, Deepak Agrawal, Brett Moran, Joanne M. Sanders, Amit G. Singal

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Objective Through colonoscopy, polyps can be identified and removed to reduce colorectal cancer incidence and mortality. Appropriate use of surveillance colonoscopy, post polypectomy, is a focus of healthcare reform. Materials and Methods The authors developed and implemented the first electronic medical record-based colonoscopy reporting system (CoRS) that matches endoscopic findings with guideline-consistent surveillance recommendations and generates tailored results and recommendation letters for patients and providers. Results In its first year, CoRS was used in 98.6% of indicated cases. Via a survey, colonoscopists agreed/strongly agreed it is easy to use (83%), provides guideline-based recommendations (89%), improves quality of Spanish letters (94%), they would recommend it for other institutions (78%), and it made their work easier (61%), and led to improved practice (56%). Discussion CoRS' widespread adoption and acceptance likely resulted from stakeholder engagement throughout the development and implementation process. Conclusion CoRS is well-accepted by clinicians and provides guideline-based recommendations and results communications to patients and providers.

Original languageEnglish (US)
Pages (from-to)402-406
Number of pages5
JournalJournal of the American Medical Informatics Association
Volume23
Issue number2
DOIs
StatePublished - Mar 1 2016

Keywords

  • Colonoscopy
  • Decision support
  • Surveillance
  • Tailored intervention

ASJC Scopus subject areas

  • Health Informatics

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