Why Colorectal Cancer Screening?

According to the Center for Disease Control and Prevention, colorectal cancer affects men and women of all racial and ethnic groups, and is most often found in people aged 50 years or older.

Of cancers that affect both men and women, colorectal cancer is the second leading killer in the United States. Deaths from colorectal cancer are preventable by early detection and treatment. Screening can find precancerous polyps—abnormal growths in the colon or rectum—so that they can be removed before turning into cancer. About nine out of every 10 people whose colorectal cancers are found early and treated appropriately are still alive five years later.

While screening rates have increased in the U.S., not enough people are getting screened for colorectal cancer. Despite new easy home methods for screening, in 2014, only 66% of U.S. adults were up-to-date with colorectal cancer screening; 7% had been screened, but were not up-to-date; and 27% had never been screened (CDC).


What We Do

RCHC’s program to improve colorectal cancer screening includes shared clinical guidelines, clinical decision support tools, sharing of best practices, and quality improvement and population health support in the form of trainings.

Guidelines and Protocols

RCHC Colon Cancer Screening Guideline

Clinical Decision Support

RCHC Colorectal Cancer Screening CDS Package

Promising Practices

Promising Practices – Colorectal Cancer Screening


RCHC Training Calendar

Who We Serve

We serve the 13 participating health centers and over 200,000 health center patients from 5 counties: Marin, Mendocino, Napa, Sonoma, and Yolo.

Health Centers: Alexander Valley Healthcare, Anderson Valley Health Center, Coastal Health Alliance, CommuniCare Health Centers, Marin City Health and Wellness, Marin Community Clinics, OLE Health, Petaluma Health Center, Ritter Center, Santa Rosa Community Health, Sonoma Valley Community Health Center, West County Health Centers, and Winters Healthcare Foundation.


This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1.5 million. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government.

Project Timeline

August 1, 2016 – July 31, 2019


The project team will use our four-point Evidence Based Care framework to focus on the following measure.

Outcome Measures
Colorectal Cancer Screening Rates


Health Centers:

  • Alexander Valley Healthcare
  • Anderson Valley Health Center
  • Coastal Health Alliance
  • CommuniCare Health Centers
  • Marin City Health and Wellness
  • Marin Community Clinics
  • OLE Health
  • Petaluma Health Center
  • Ritter Center
  • Santa Rosa Community Health
  • Sonoma Valley Community Health Center
  • West County Health Centers
  • Winters Healthcare Foundation

Strategic Partners:

  • Health Resources and Services Administration (HRSA)
  • Partnership HealthPlan of California
  • American Cancer Society (ACS)


For more information, please contact Michelle Rosaschi.


  • HRSA Health Center Controlled Network (HCCN) Grant
  • Partnership HealthPlan’s Quality Improvement Program (QIP)
  • RCHC’s Performance Improvement Program (PIP)