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Open Access Colonoscopy Quality Improvement: A Doctor of Nursing Led Initiative Edit


190 - 01 - 04 - Open Access Colonoscopy


  • 2019 (Creation)


  • 1 Files (Whole)

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  • Physical Characteristics and Technical Requirements

    Available only in electronic format.

  • Scope and Contents

    Publisher: Edinboro, Pa. : Edinboro University of Pennsylvania ; Clarion, Pa. : Clarion University of Pennsylvania

    Publication Date: 2019

    Format: 1 online resource (26 pages) text file PDF


    Colorectal cancer is a leading cause of death in the United States with colonoscopy fundamental to any colorectal cancer screening program. Open access colonoscopy allows procedures to be performed in a timely manner to detect adenomas. The efficacy of adenoma detection is largely dependent on the quality of colonoscopy bowel preparation. Adenoma detection rate of open access screening colonoscopies and quality of split dosed bowel preparation was measured in a rural private gastroenterology practice in Central Pennsylvania using the 2017 Registry Individual Measure Flow created by the Centers for Medicare and Medicaid Services (CMS) noting the quality of bowel preparation at the time of review. Open access screening colonoscopy reports were reviewed for ICD-10 codes for 3 risk factors for colorectal cancer, age 50 years and greater, and CPT codes for colonoscopy procedure without modifiers resulting in early termination of the procedure. The annual adenoma detection rate of open access screening colonoscopy patients who me the inclusion criteria was 44.47 % with 96.7% of open access screening colonoscopies rated to have optimal bowel preparations. These findings suggest that open access screening colonoscopy can be a timely, patient-centered method of effective, high quality colorectal cancer screening.

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