Mailed fecal immunochemical test kits (FIT) and outreach can raise rates of colorectal cancer (CRC) screening among low-income patients seen at community clinics, according to a study published Aug. 6 in JAMA Internal Medicine. These increases in CRC screening occurred despite relatively low implementation of the program, suggesting that additional strategies may be needed to support program implementation in low-resource health centers. Despite recommendations from professional groups and the U.S. Preventive Screening Task Force, CRC screening rates remain low nationally, particularly among underserved groups, including the 24 million Americans seen at federally qualified health centers where screening rates are estimated at 40 percent for eligible adults. FIT is a convenient CRC screening tool because it does not require a clinical visit, taking time off from work, or a chaperon, like colonoscopy. The present study was conducted in 26 federally qualified health center clinics, representing eight health centers in Oregon and California, randomized to intervention (n = 13 clinics; 21,134 patients) or usual care (n = 13; 20,059 patients). Electronic health records (EHRs) identified participants (aged 50 to 74 years) who were overdue for colorectal cancer screening during the accrual interval (February 2014 to February 2015). FIT follow-up extended to August 2015. EHR-embedded tools enabled […]