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Colorectal Cancer Screening with Programmatic Mass Mailed FIT

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Screening is proven to reduce mortality from colorectal cancer (CRC), the second leading cause of cancer death in the United States. Unfortunately, hundreds of thousands of Veterans are not up to date with screening. To expand access to life-saving screening, the VHA has launched an effort to mail Fecal Immunochemical Test (FIT) kits for CRC screening directly to Veterans so that they can complete screening from the comfort of their homes.

We believe our FIT-first approach, modeled after the successful Kaiser Permanente program, will increase CRC screening adherence, reduce overall costs, increase colonoscopy access for Veterans with the highest risk for CRC, and ultimately save lives.

This innovation is scaling widely with the support of national stakeholders. See more scaling innovations.


February 2021, VISN-21


36 successful, 19 in-progress

Awards and Recognition:

SCOPY Award Winner, American College of Gastroenterology, Diffusion of Excellence Promising Practice, VHA Shark Tank Winner


Gastroenterology and Hepatology, Office of Primary Care, Oncology, Pathology and Laboratory Medicine Service


Diffusion tracker

Does not include Clinical Resource Hubs (CRH)


AL: Tuscaloosa VA Medical Center (Tuscaloosa) AR: John L. McClellan Memorial Veterans' Hospital (Little Rock, Arkansas) AZ: Carl T. Hayden Veterans' Administration Medical Center (Phoenix, Arizona) CA: Fresno VA Medical Center (Fresno)
  • Started adoption on 02/2021.
CA: Palo Alto VA Medical Center (Palo Alto, California) CA: Sacramento VA Medical Center (Sacramento) CA: San Francisco VA Medical Center (San Francisco) CA: Tibor Rubin VA Medical Center (Long Beach) CT: West Haven VA Medical Center (West Haven) HI: Spark M. Matsunaga Department of Veterans Affairs Medical Center (Honolulu) IA: Iowa City VA Medical Center (Iowa City, Iowa) IL: Edward Hines Junior Hospital (Hines) IL: Marion VA Medical Center (Marion, Illinois) IN: Richard L. Roudebush Veterans' Administration Medical Center (Indianapolis, Indiana) KS: Colmery-O'Neil Veterans' Administration Medical Center (Topeka) KS: Robert J. Dole Department of Veterans Affairs Medical and Regional Office Center (Wichita) MI: Battle Creek VA Medical Center (Battle Creek) MI: Oscar G. Johnson Department of Veterans Affairs Medical Facility (Iron Mountain) MN: Minneapolis VA Medical Center (Minneapolis, Minnesota) MO: Harry S. Truman Memorial Veterans' Hospital (Columbia, Missouri) MO: John J. Pershing Veterans' Administration Medical Center (Poplar Bluff) MO: Kansas City VA Medical Center (Kansas City, Missouri) MO: St. Louis VA Medical Center-Jefferson Barracks (St. Louis Jefferson Barracks) MS: G.V. (Sonny) Montgomery Department of Veterans Affairs Medical Center (Jackson, Mississippi) NV: Ioannis A. Lougaris Veterans' Administration Medical Center (Reno) NV: North Las Vegas VA Medical Center (North Las Vegas) NY: Northport VA Medical Center (Northport) NY: Syracuse VA Medical Center (Syracuse) OH: Chalmers P. Wylie Veterans Outpatient Clinic (Columbus, Ohio) OH: Chillicothe VA Medical Center (Chillicothe) OR: Portland VA Medical Center (Portland, Oregon) PA: Corporal Michael J. Crescenz Department of Veterans Affairs Medical Center (Philadelphia, Pennsylvania) PA: Erie VA Medical Center (Erie) RI: Providence VA Medical Center (Providence) TX: Thomas E. Creek Department of Veterans Affairs Medical Center (Amarillo) VA: Richmond VA Medical Center (Richmond, Virginia)

There are no unsuccessful adoptions for this innovation.