Strategy 1: Promote the importance and benefits of colorectal cancer screening with personal empowerment messages.

Outcomes

·         South Dakotans will have increased exposure to colorectal cancer screening facts and information.

-        Baseline = no measurement

·         South Dakota adults age 50 and older will receive reminders to schedule a colorectal cancer screening.

-        Baseline = no measurement

Strategy 2: Ensure healthcare providers provide or refer patients to appropriate screening.

Outcomes

·         Enhanced technology to simplify a colorectal cancer screening reminder system.

·         There will be increased number of physicians speaking to their patients about colorectal cancer screening and patients following through with screening.

-        Baseline = 33% of adults age 50 and older had physician speak to patient about colorectal cancer screening. Of those, 78% received colorectal cancer screening. (BRFSS, 2006)

-        Target = 68% of adults age 50 and older have physician speak to patient about colorectal cancer. Of those, 78% receive colorectal cancer screening. (Colorectal Workgroup)

Strategy 3: Eliminate disparities and barriers to colorectal cancer screening and diagnostic services.

Outcomes

·         Reduce disparities in colorectal cancer burden, screening and access to care.

·         Increase colorectal cancer screening among American Indians age 50 and older.

-        Baseline = 19% of Aberdeen Area active clinical patients aged 50-81 who have received any colorectal cancer screening in the past year. Compared to 29% national average of the 2008 Indian Health Service direct and tribal facilities (Government Performance and Results Act, 2008)

-        Target = 29% of American Indians age 50 and older screened for colorectal cancer. (Colorectal Workgroup)

·         Reduce age-adjusted colorectal cancer rates among American Indian males

-        Baseline = American Indian males average annual colorectal cancer age-adjusted death rate of 46.5% compared to 22.8% of South Dakota male population. Rates are per 100,000. (South Dakota Department of Health)

-        Target = Reduce to 36.5% American Indian male average annual colorectal cancer age-adjusted death rate by 2015. (Colorectal Workgroup)