Colorectal Cancer Screening (COL) (COL-E)

HEDIS Measure

Colorectal Cancer Screening (COL) (COL-E)

Line of business: Commercial Medicare Medicaid

Data Collection Method:

COL

Administrative (Claims)
Hybrid (HEDIS Chart Chase)
Supplemental Data Submission

• Standard - Electronic Clinical Data (ECDS) Layout
• Non-Standard - Medical Record

COL-E

Administrative (Claims)
Supplemental Data Submission

• Standard - Electronic Clinical Data System (ECDS) Layout
• Non-Standard - Medical Record

Measure Description

The percentage of members 45–75 years of age who had appropriate screening for colorectal cancer.

Numerator Compliance

Fecal Occult Blood test during the measurement year.

Flexible Sigmoidoscopy during the measurement year or the four years prior to the measurement year.

Colonoscopy during the measurement year or the nine years prior to the measurement year.

CT Colonography during the measurement year or the four years prior to the measurement year.

Stool DNA (sDNA) with FIT test during the measurement year or the two years prior to the measurement year.

Best Practices

• Assess existing barriers to colorectal cancer screening (i.e. access to care, cost)
• Educate the members about the importance of early detection and encourage screening
• Request to have any colorectal cancer screening results sent to you if done at a specialty office
• Engage patients to discuss their fears
• Document the month, year and type of screening of most recent colorectal cancer screening in the medical record
• Set care gap “alerts” in your electronic medical record
• Emphasize personal choice and various modalities, especially for those who may fear having a colonoscopy
• Distribute FOBT or FIT test kits to members who need to be screened
• Act quickly for members who have a positive stool test result

Quality Value Set Directory Coding Tips

Colonoscopy

CT Colonography

FIT DNA Lab Test

FIT DNA Test Result or Finding

Flexible Sigmoidoscopy

FOBT Lab Test

FOBT Test Result or Finding

History of Colonoscopy

History of Flexible Sigmoidoscopy