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Capstone Committee

Dr. Mona Sarfaty, Chair

Dr. Albert Crawford, Preceptor


The association between the presence of multiple chronic conditions and preventive cancer screenings is inconclusive in the present medical literature. This study investigated this association, as well as measuring changes in screening rates associated with the implementation of quality improvement measures at Jefferson Internal Medicine Associates (JIMA). The study utilized a longitudinal analysis of the same group of patients in a pre- and post-intervention design to observe differences in cancer screening rates that occurred as the result of the quality improvement measures. Cancer screening rates of interest were for breast, cervical, and colorectal cancer. The quality improvement measures were shaped by the principles of the patient centered medical home. Preventive service rates for one time period, prior to the quality improvement intervention, were compared to those during the second time period, after the quality improvement intervention. Comparing September 2012 to June 2013, the proportion of patients who received a colonoscopy increased substantially from 6.9% to 43.4%. This reached statistical significance (p

Presentation: 23 minutes