Digestive Diseases and Sciences

, Volume 54, Issue 9, pp 1991–1996

Effectiveness of a Provider Reminder on Fecal Occult Blood Test Follow-up

  • Meaghan F. Larson
  • Cynthia W. Ko
  • Jason A. Dominitz
Original Article

DOI: 10.1007/s10620-009-0751-2

Cite this article as:
Larson, M.F., Ko, C.W. & Dominitz, J.A. Dig Dis Sci (2009) 54: 1991. doi:10.1007/s10620-009-0751-2


Purpose To determine the impact of an electronic reminder upon the timeliness and proportion of patients referred for evaluation of a positive fecal occult blood test and receipt of colonoscopy. Methods Outpatients (468) with a positive occult blood test were prospectively identified and had a note entered into their electronic medical record prompting their provider to act upon this result. The results were compared to 634 control patients from the prior year. Results The intervention was associated with a 20.3% absolute increase in gastroenterology consultation within 14 days (P < 0.001) and significantly prompter consultation. The median time to colonoscopy decreased by 38 days during the intervention (P = <0.0001). A multivariable model found that the intervention was significantly associated with shorter time to consultation and colonoscopy. Conclusion A simple electronic reminder is associated with a significant improvement in the proportion of patients referred for, and timeliness of, evaluation of a positive FOBT.


Occult bloodMass screeningQuality of health careDelivery of health careHealth personnelVeteransColorectal neoplasm

Copyright information

© US Government 2009

Authors and Affiliations

  • Meaghan F. Larson
    • 1
  • Cynthia W. Ko
    • 2
  • Jason A. Dominitz
    • 2
    • 3
  1. 1.VA Puget Sound Health Care SystemSeattleUSA
  2. 2.Division of Gastroenterology, Department of MedicineUniversity of Washington School of MedicineSeattleUSA
  3. 3.Northwest Center for Outcomes Research in Older Adults, VA Puget Sound Health Care SystemSeattleUSA