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Table 1 BeneFIT Implementation Activities

From: First-year implementation of mailed FIT colorectal cancer screening programs in two Medicaid/Medicare health insurance plans: qualitative learnings from health plan quality improvement staff and leaders

Activities

Collaborative Model

Centralized Model

Staff Preparation/Training

ā€ƒTraining health plan staff

X

X

ā€ƒTraining vendor staff

X

X

ā€ƒTraining clinic staff

X

Ā 

Determining Member Eligibility

ā€ƒGenerating list of members due for CRC screening

X

X

ā€ƒNotifying providers and health systems about mailed FIT kit program

Ā 

X

ā€ƒProcessing provider and health system opt-outs

Ā 

X

ā€ƒCoordinating health plan and contracted clinics/health systems to finalize member list

X

X

ā€ƒScrubbing list of eligible members

X

X

ā€ƒSending member list to vendor

Ā 

X

Introductory Letter and FIT Kit Mailing/Tracking

ā€ƒOrdering FIT kits

X

X

ā€ƒDistributing FIT kits and FIT kit mailing materials to vendor

X

X

ā€ƒPreparing and mailing introductory letter

X

X

ā€ƒPreparing and mailing FIT kits

X

X

ā€ƒMonitoring tracking system/sending regular activity reports to health plan/clinics

X

X

ā€ƒCalling members to ask if they received FIT and/or had questions; resending FIT kits if needed

X

X

ā€ƒFielding incoming calls from FIT kit recipients

X

X

ā€ƒReminding members to complete the FIT kit

X

X

FIT & Results Processing

ā€ƒClinics: Receiving returned FIT, placing lab order, and sending to lab for processing

X

Ā 

ā€ƒLab: Receiving completed FITs and processing results

X

X

ā€ƒLab: Notifying health plan about claims

X

X

ā€ƒLab: Entering results in clinic EHR

X

Ā 

ā€ƒLab: Sending results to print vendor

Ā 

X

ā€ƒPrint vendor: Sending results to clinics/providers

Ā 

X

ā€ƒPrint vendor: Notifying health plan about positive results

Ā 

X

ā€ƒCare coordinators: Calling members with positive results to connect with provider

Ā 

X

ā€ƒProviders: Reviewing results in EHR

X

Ā 

ā€ƒClinics/providers: Notifying patients of results and following up on positive results

X

Ā 

Evaluation/Program Administration

ā€ƒProcessing insurance claims as needed

X

X

ā€ƒConducting oversight meetings and conference calls

Ā 

X

ā€ƒReporting fiscal and budget-related information

Ā 

X

ā€ƒProcessing incentives

X

X

ā€ƒReviewing and evaluating mailed FIT program results

X

X