The investigators will conduct pre-implementations assessments of primary care clinics within a rural health system to determine current practices and capacities regarding colorectal cancer (CRC) screening and follow-up, preferred evidence-based interventions (EBIs) to improve follow-up, and factors that could influence successful implementation and eventual impact of a multi-level intervention to increase timely and complete follow-up after positive fecal occult blood test (FOBT) in rural patients.
Inclusion Criteria for Primary Care Provider/Staff Participants -Eligible providers and staff include physicians, nurse practitioners, nurses, case managers, medical assistants, administrative staff, or other employees of the clinic involved in the cancer screening and follow-up process.
Inclusion Criteria for Patient Participants (Interview)
-Positive FOBT or colonoscopy
Inclusion Criteria for Patient Participants (Survey)
50 years of age or older Had a colonoscopy at one of Southern Illinois Healthcare's facilities within the last 24 months
Inclusion Criteria for Colonoscopy Provider/Staff Participants -Provider and a staff or mid-level provider in each office (5 colonoscopy providers in the Southern Illinois Healthcare region)
Exclusion Criteria for Primary Care Provider/Staff Participants
-None
Exclusion Criteria for Patient Participants (Interview)
Negative FOBT or colonoscopy Exclusion Criteria for Patient Participants (Survey) Younger than 50 years of age
Exclusion Criteria for Colonoscopy Provider/Staff Participants None
