FIBER is 4-year study that will evaluate the implementation of a large-scale
population-based colorectal cancer screening patient reminder and coordinated follow-up
program. The CRC screening program began in 2007 with Kaiser Permanente Northwest (KPNW),a
not-for- profit, integrated health system in Oregon and Washington. FIBER consists of 1)a
practical randomized controlled trial at the start of the program, followed by 2) a
longer-term cohort study as all remaining eligible patients receive the program, and 3)a
qualitative evaluation. FIBER will evaluate the factors that are associated with
implementation success across multiple levels: patient, primary care provider (PCP) team,
specialists (gastroenterologists, general surgeons, pathologists), and other health plan
staff and systems.
- KPNW members since 2005
- Men and women, aged 50-80 who were due for CRC screening during a 24-month period of
- KPNW members who were part of a previous quantitative study.