Improving colonoscopy referral rates through computer-supported, primary care practice redesign.

Michael K. Magill, Julie Day, Annie Mervis, Steven M. Donnelly, Mary Parsons, Anna Nibley Baker, Linda Johnson, Marlene J. Egger, Jerilin Nunu, Jacob Prunuske, Brent C. James, Randall Burt

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


This quality improvement project was designed to improve rates of referral for colonoscopy screening in the Utah Health Research Network, University of Utah Community Clinics. This study was conducted between October 2004 and June 2007 with the main intervention being a clinic workflow modification using computerized screening reminders embedded in the electronic medical record (EMR). The intervention led to sustained improvement, largely driven by the performance of two network clinics. This study demonstrates that a robust EMR, with decision prompts, accompanied by clinic workflow changes and feedback to providers, can lead to sustained change in the rates of colonoscopy referral.

Original languageEnglish (US)
Pages (from-to)43-52; quiz 52-53
JournalJournal for healthcare quality : official publication of the National Association for Healthcare Quality
Issue number4
StatePublished - 2009
Externally publishedYes


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