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Improving colonoscopy referral rates through computer-supported, primary care practice redesign. J Healthc Qual 2009 Jul-Aug;31(4):43-52; quiz 52-3



Pubmed ID




Scopus ID

2-s2.0-77957727504   10 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.

Author List

Magill MK, Day J, Mervis A, Donnelly SM, Parsons M, Baker AN, Johnson L, Egger MJ, Nunu J, Prunuske J, James BC, Burt R


Jacob P. Prunuske MD Assistant Dean, Professor in the Medical School Regional Campuses department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Electronic Health Records
Primary Health Care
Quality Assurance, Health Care
Referral and Consultation
Reminder Systems