The Changing Health Systems to Increase Colorectal Cancer Screening program, led by Quality Health Associates of North Dakota (QHA), works to improve colorectal cancer (CRC) screening rates across North Dakota—especially among underserved and tribal communities.
Although ND ranks 26th in colorectal cancer (CRC) screening rates, with a rate of 72.4% (2022 BRFSS), many populations still face major gaps in access and awareness. This program focuses on closing those gaps by partnering with tribal clinics and Federally Qualified Health Centers (FQHCs) to make screening more accessible, timely, and effective.
QHA supports clinics through evidence-based interventions such as:
- Patient Reminders
- Provider Reminders
- Reducing Structural Barriers
- Provider Assessment and Feedback
Clinics also receive hands-on assistance with data tracking, quality improvement, and tailored action plans designed to fit their specific needs.
By helping clinics strengthen their systems and engage patients, this initiative aims to increase screening rates, detect cancer earlier, and reduce deaths from colorectal cancer in North Dakota’s most at-risk communities.