The QI Chat Room

This episode tackles a challenge many health centers face: how to truly integrate nutrition into whole‑person care. We’re joined by partners from Santa Rosa Community Health and the Center for Well‑Being, who are working together to embed nutrition services into clinical care in practical, sustainable ways that work for both patients and care teams. The conversation highlights what their model looks like in practice, how it fits into existing workflows, the outcomes they are seeing, and practical takeaways that other health centers can apply and test in their own settings.

In this episode, we explore the role of Community Health Workers (CHWs) within Federally Qualified Health Centers and how Marin Community Clinics partnered with Aliados Health to design and launch their CHW pilot in response to the Medi-Cal CHW Benefit limitations on FQHCs. This podcast episode was made possible by funding from UCLA/UCFS ACEs Aware Family Resilience Network (UCAAN). .

In this episode, we discuss a major step forward in cervical cancer screening—HPV self-swab testing—and how Santa Rosa Community Health is using it to expand access and equity for patients who have struggled with traditional Pap smears.

In this episode, we sit down with Marin Community Clinic's (MCC)quality improvement team and discuss their success in increasing breast and colorectal cancer screening rates. Join us to learn more about MCC's strategic interventions to achieve top performance in breast and colorectal cancer screenings

In this episode, we sat down with Dr. Josette Rivera, a distinguished professor of Medicine and a clinician educator at the renowned UCSF Division of Geriatrics. Kathryn Stambaugh, MPH,MBA, Geriatric Services Director from LifeLong Medical Care also joins us to share their journey on becoming an IHI Level 1 recognized Age Friendly Health System. Join us as we discuss Aliados Health’s collaboration with UCSF and explore training opportunities for the 4Ms within the Geriatric Workforce Enhancement Project. The 4Ms refer to optimizing older adult health through Medication, Mentation, Mobility, and What Matters Most. Learn how becoming an IHI Age-Friendly Health Systems Level 1 & 2 recognized health center can significantly benefit your health facility and the geriatric population you serve.

This episode features a prenatal immunization discussion with an expert panel from the California Department of Public Health (CDPH). It explores the impactful prenatal immunization multi-year project made possible by funding from CDPH and in partnership with Aliados Health and its member health centers. Hear about efforts to boost prenatal immunization rates and lead the charge in enhancing maternal and child health with community health centers in a six-county region. Learn about CDPH resources that can support your health center in your efforts to improve prenatal immunization rates.

Street medicine takes health services on the road, creating access outside of clinic walls to serve populations experiencing homelessness and other barriers to care. In this episode, we are introduced to LifeLong Medical Care's Street Dentistry program and the Botanical Bus's Mobile Herb Clinic, providing dental and homeopathic services to unhoused and migrant communities.

Aliados Health Sr. Program Managers Keira Dagy & Jennifer Inden talk with Health Centers about Patient Telehealth survey results, what the data tells them, and what should be taken into consideration in molding best practices when it comes to implementing a sustainable Virtual Care program.

First 5 Contra Costa is leading the local effort to implement Help Me Grow, a system of coordination used nationally to connect children to the early screening and community services they need to thrive. The HMG model has been implemented throughout the U.S. and in half of California’s counties. First 5 Contra Costa, the Contra Costa Crisis Center, and La Clinica de la Raza came together to develop a pilot to integrate ACE screening and response workflow utilizing the existing HMG model.

Diversity, Equity, and Inclusion reforms are critical and challenging. CommuniCare Health Centers strives to be humble and learn from their staff and the communities they serve, as well as commit to their own development in unlearning patriarchal, heterosexist, white-supremist systems, while learning anti-racism best practices in trauma informed care. This episode features CommuniCare’s Dr. Suzanne Eidson-Ton, Chief Medical Officer, Yvonne Page, Respite Services Supervisor, Sara Gavin, Chief Behavioral Health Officer, and Desirae Spignor, Behavioral Health Manager, who share their journey and specific examples of DEI and anti-racist efforts in their organization and community health centers, including agency-wide education efforts, changes in recruiting, hiring and retention practices, and a renewed and reinvigorated focus on equity and inclusion among their staff, as well as the health equity outcomes of their patients and clients.

Today’s episode features a street medicine conversation with our panel from CommuniCare Health Centers in Yolo County, Ritter Center in Marin County, and Kaiser Permanente Vallejo Medical Center in Solano County. According to the Street Medicine Institute, street medicine is the provision of health care directly to those living and sleeping on the streets through mobile services such as walking teams, medical vans, and outdoor clinics.

Join a conversation between Aliados Health's Population Health Department Director, Michelle Rosaschi, and Partnership Health Plan of California's Director of Care Coordination, Katherine Barresi, as they discuss the California Advancing and Innovating Medi-Cal (CalAIM) Enhance Care Management or ECM program.

Max Perrey in conversation with Rebecca Boyd Anderson, Director of Population Health for Partnership Health Plan celebrates their 2 year anniversary.

In honor of Black History Month, Dr. Mohamed A. Jalloh, Pharm.D., BCPS, Assistant Professor of the Department of Clinical Pharmacy at Touro University California College of Pharmacy and Ambulatory Care Specialist at OLE Health Pharmacy Residency Program, is speaking on the role of race in medicine and the impact of race corrections in clinical algorithms. This podcast is inspired by the NEJM article: Hidden in Plain Sight-Reconsidering the Use of Race Correction in Clinical Algorithms. We invite you to click on the article link HERE to learn more.

The COVID-19 pandemic has dramatically highlighted social inequities in health. In response, the American Heart Association (AHA) is launching a new evidence-based, community-driven effort to reduce hypertension. The National Hypertension Control Initiative (NHCI) seeks to improve health care and save lives in at-risk communities, which are most affected by hypertension and COVID-19. Listen in as AHA presents an overview and health centers share how they are accessing support and resources. This episode features Leslie Brown and Dionisio Palencia from AHA, Beth Dadko of Santa Rosa Community Health, and Jennifer Durst of OLE Health. To learn more about the great work the American Heart Association is doing go to: www.heart.org. For questions about the National Hypertension Control Initiative (NHCI) email: [email protected] To access a downloadable version of the “Let’s Talk About Salt” song go to: Let's Talk About Salt (Video)

This episode features our host Max Perrey in conversation with Eli White and Adam Unger of Covered California. Topics explored include how to protect your health, how to apply for health insurance coverage if you are uninsured, and what's new for those who are already insured.

Building with Community to Advance Health Equity: How to Implement a CIE In this final CIE podcast series episode, join Karis Grounds, Vice President of Health and Community Impact of 211/CIE San Diego, and Sheena Nahm McKinlay, VP of Research & Development of Health Leads as they discuss how to implement a CIE, including the key components of day-to-day operations.

Building with Community to Advance Health Equity: Authentic Community Engagement Listen in as Brenda Aguilera, Director of Community Transformation, Para Los Niños and Carlos Arceo, Program Manager, Para Los Niños passionately discuss the purpose of authentic partnership with the community to ensure the conditions created are addressed at the roots and ensure that community is involved, not just included. Learn about authentic community engagement and how to do it in ways that uplift vs tokenize.

This episode features our host Max Perrey in conversation with Rocio Rodriguez, Director of Sonoma County COAD, Tom Welch, Deputy Fire Chief of Operations for the Southern Marin Fire District and Melinda Rivera, Local Public Affairs Specialist for PG&E for Sonoma and Lake Counties. Topics include how best health centers, their staff and patients can best prepare for wildfire season in Northern California, what to include in a grab and go bag, and how to sign up for emergency alerts.

This episode is dedicated to increasing public awareness of CalFresh, which helps to improve access to healthy and nutritious foods. QI Chat Room Guest Host Yesenia Mendoza, Aliados Health CalFresh Program Manager, is in conversation with CalFresh representatives from Sonoma, Marin, and Alameda counties. This includes Rigoberto Morales Mendoza, Bank Food Connections Supervisor at the Redwood Empire Food, Alexandra Danino, Sr. Programs Manager at the San Francisco Marin Food Banks, Njeri McGee-Tyner, Chief Eligibility and Enrollment Officer at the Alameda Health Consortium, and Yoselyn Ayon, Outreach Program Manager at Catholic Charities. Together they cover who is eligible for CalFresh benefits, COVID-19 updates, how they promote CalFresh awareness, and ways we can connect patients to vital nutritional benefits.

Building with Community to Advance Health Equity: What is a CIE? Many communities across the country are considering the implementation of Community Information Exchanges, a model established by 211 San Diego, to advance community health. Local leaders in Marin, Contra Costa, Santa Clara, and Sonoma counties are exploring the design of equity-anchored CIE-inspired networks with the support of Health Leads, United Way Bay Area and Aliados Health. Session 1 of this 3-part knowledge building series features Julie Wang from Health Leads and Beth Johnson from 211 San Diego discussing the following questions: What is a Community Information Exchange and why is everyone talking about it?

This episode features Max Perrey who is the Director of Communications and Public Affairs at Aliados Health. Max will be interviewing our two guest speakers, Dr. Mike Witte, Chief Medical Officer at the California Primary Care Association, and Cindy Keltner, Director of Transformation at the California Primary Care Association. The topic for today’s session is Covid Telehealth Reflection & Telehealth Policy Response.

This episode features Dr. Joshua Weil of Kaiser Santa Rosa and the Jewish Community Free Clinic and Dr. Deborah Roberts from the Jewish Community Free Clinic who discuss Covid-19 vaccine hesitancy among staff and patients.

This episode features speakers from the Northern California Center for Well-Being, Carium, and Santa Rosa Community Health who will talk about their work with Community Health Workers (or CHWs) and partnerships that leverage this work.

Last week was Food Champion Week at Aliados Health. We hosted a Food Champion Roundtable event, and taped two podcast episodes related to food and nutrition. This is the second podcast episode and features Edye Kuyper from CommuniCare Health Centers. Edye Kuyper manages CommuniCare Health Centers’ food programs that connect patients with healthy food and with each other in order to prevent and manage diet-related disease. Raised on a farm in Vermont, Edye served as a Peace Corps Volunteer in rural Mauritania. Edye holds an M.S. in International Agricultural Development from UC Davis. Prior roles include facilitating better integration of agriculture and nutrition development efforts in low-income countries, and providing technical assistance to community-based nutrition education and food security projects that engage low-income U.S. households. Edye also lectures in the Nutrition, Food and Dietetics program at CSU-Sacramento. CommuniCare Health Centers’ (CCHC) “Food is Medicine” initiatives integrate food with the delivery of clinical services. CCHC is located in Yolo County, where agricultural traditions run deep. Programs draw on unique community strengths to address patients’ mental and physical health needs while considering environmental justice. Initiatives to date include the Garden and Outdoor Classroom, cooking classes, and produce distribution and prescriptions.

Last week was Food Champion Week at Aliados Health. We hosted a Food Champion Roundtable event, and taped two podcast episodes related to food and nutrition. This is one of the podcast episodes and features Dr. Steven Chen (Chief Medical Officer) of All In Alameda County and Jessica Jamison, MPH (Director of Patient and Community Engagement) of Tiburcio Vasquez Health Center. They discussed their many food initiatives including food as medicine. ALL IN Alameda County expanded its Food as Medicine to Tiburcio Vasquez Health Center in February 2020. Tiburcio is a primary care clinic in San Leandro, serving the Ashland and Cherryland districts. This partnership builds upon the prior success of Food as Medicine at Hayward Wellness, part of Alameda Health System. Food as Medicine provides an integrative model for healthcare that addresses the social determinants of health and chronic disease. This model shifts medical practices by giving healthcare providers in Alameda County’s network of community-based health clinics the tools, training, and infrastructure they need to utilize healthy food interventions in combination with group behavioral support to improve health, socio-emotional wellbeing, and food security for Alameda County residents.

This episode features Dr. Danielle Oryn and Dr. Lisa Ward. Dr. Oryn is the Chief Medical Officer/Chief Medical Informatics Officer at Aliados Health. Dr. Ward is a Regional Medical Director at Marin Community Clinics (MCC), located in Marin County. Dr. Oryn will be asking Dr. Ward questions about MCC’s COVID-19 vaccination efforts.

This episode features Michaela Moss, a health educator from Marin City Health and Wellness Center (MCHW), who will talk about their food access and nutrition education initiatives. This is a unique episode, as it was recorded in March of 2020, just as the pandemic was starting to affect health centers. Many of the health center’s patient programs, including an in-person food pharmacy program, have been put on hold since the recording due to the pandemic.

This episode features Cathryn Couch who is the founder and CEO of Ceres Community Project, a non-profit working to foster health by connecting people to one another and to a healthier food system. Ceres provides 150,000 organic medically tailored meals annually to primarily low-income people struggling because of a health challenge. Youth volunteers grow food and prepare the meals as part of a youth development, culinary and food system education program. Ceres has trained a dozen communities across the United States and in Denmark to replicate their model and the organization supports 8 Affiliate Programs. Couch is the 2020 chair for the California Food is Medicine Coalition, a six-agency collaboration conducting the first statewide medically tailored meal pilot for MediCal members. Ceres is also one of four agencies currently conducting large-scale randomized control trial for medically tailored meals at Kaiser Permanente. Couch is as advisor to the Aspen Institute’s Food & Society initiative; contributed to the Rockefeller Foundation’s 2020 report Rest the Table, sits on the leadership team for Hearts of Sonoma County – a collaborative working to reduce heart attacks and strokes; and participates in Marin Food Policy Council, California Food & Farming Network, and the Food Lab at Google. Couch previously gave a TEDx Talk in 2018 on nutritious meal delivery, which can be viewed here.

This episode features health center staff Michelle Hill and Avani Bedagkar. Michelle is the CQI Coordinator at Long Valley Health Center (LVHC) in Laytonville, CA. She was the Patient-Centered Medical Home (or PCMH) Project Lead when LVHC applied for certification in 2018 using the new 2017 Standards and Distinction programs. LVHC was the 1st Health Center in California to receive the Distinction for Behavioral Health Integration. Michelle will discuss the application and renewal process for the PCMH Distinction for Behavioral Health Integration. This distinction helps practices provide comprehensive whole-person care that acknowledges the behavioral health needs of the individual beyond the core requirements of NCQA PCMH Recognition. Avani is the QI Manager at Marin Community Clinics (MCC) and joined in 2017. She is the PCMH Manager for both Annual reporting and Transformation and works with other team members to ensure timely project completion. Avani will talk about the annual reporting process of PCMH. MCC is still going through the transformation process, so will talk about the basic structure of how to provide evidence for the transformation process.

This episode features Julie Vlasis, "Compliance Officer and CQI Coordinator" for Sonoma Valley Community Health Center. In January of 2020, Sonoma Valley documented a promising practice titled “Continuous Glucose Monitoring for Uncontrolled Diabetic Patients”. While a lot has changed since January, Sonoma Valley has continued to expand its Continuous Glucose Monitoring (or CGM) project and are seeing significant results.

This episode is all about childcare. Childcare is an ever-present need for our workforce. Every county in California has a Resource and Referral (R & R) agency that serves as a hub for parents and childcare providers. They connect children and open spots, train providers, and manage financial assistance options that are available. This panel brings together the Executive Directors from the R & R agencies in Marin, Sonoma, Napa, and Solano counties to discuss concerns and potential solutions that they can help health centers to implement in both the short and long term. A summary of this episode can be found here: 2020-9-4 Aliados Health Child Care Resources Panel Summary.

This episode features Jennifer Inden, Aliados Health’s Health Information Technology Project Manager. She is joined by three health center representatives who will explore the different facets of realizing a successful Patient Portal. A Patient Portal is a secure website or app which patients can access certain health records, review lab results, and send messages to their care team. For years it has been acknowledged that the use of health information technologies and online resources has great potential to boost care quality and increase patient engagement in their care. Despite the advantages to both patients and providers, the adoption of patient portal use can be slow on both sides. The COVID-19 Public Health Emergency has shown once again how important it is to have a way for patients and providers to communicate with each other during non or limited business hours. This discussion includes Jane Brown, Operations Manager at Humboldt Independent Practice Association, Heidi Garzo, EMR Training Specialist at Petaluma and Rohnert Park Health Centers, and Summer Penn, Director of Information Technology at West County Health Centers.

This episode is the sixth in our series of COVID-19 focused sessions. The goal of these sessions is to share information with health centers that can help make this challenging time a little bit easier. This will be our last COVID focused session and features Aliados Health’s CEO Dr. Karen Milman who will talk about Aliados Health’s response to COVID-19. Dr. Milman has focused her career on improving systems to address the health of both individuals and the community. She is passionate about promoting health equity. Dr. Milman has over ten years of experience working in governmental public health, coordinating health improvement coalitions, and overseeing programs in chronic disease prevention, communicable disease control, environmental health, and emergency preparedness. She came to the Aliados Health from the California Department of Public Health, where she has been serving as a Public Health Medical Officer in the Emergency Preparedness Office. Prior to that, she was the Sonoma County Health Officer. Dr. Milman earned her medical degree from the University of Maryland and completed residency as well as obtained her Master of Public Health from Johns Hopkins University. She is board certified in Preventive Medicine and Public Health.

This episode is the fifth in our series of COVID-19 focused sessions. The goal of these sessions is to share information with health centers that can help make this challenging time a little bit easier. Today we’re joined by four guests representing COADs and VOADs of Marin, Napa, and Sonoma Counties to talk about the work they’re doing during the COVID-19 pandemic specifically around food resources.

This episode is the fourth in our series of COVID-19 focused sessions. The goal of these sessions is to share information with health centers that can help make this challenging time a little bit easier. Today we’re joined by three health centers in Sonoma County and one in Marin County to talk about the homeless response during COVID. Each of our four guests will talk about their unique perspective on homeless outreach, programs, and policies at the health center, county, and state level.

This episode is the third in our series of COVID-19 focused sessions. The goal of these sessions is to share information with health centers that can help make this challenging time a little bit easier. Today we have a continuation of our last episode “What Matters Most to You?” with Dr. Ellen Barnett. She is a recently retired family doctor who practiced for 20 years at the Integrative Medical Clinic in Santa Rosa and was on the faculty of the Sutter Family Medicine Residency from 1987 to 2016. She developed the Imagine You project as part of her work in the nonprofit Integrative Medical Clinic Foundation. Imagine You offers tools for self care that we can use for our own wellbeing and as we work with our patients and clients. In response to several recent disasters in Northern California, such as the wildfires, and now COVID-19, the Imagine You project offers trainings to organizations working with the most vulnerable in our communities. Our last episode introduced the “What Matters Most to You” tool, and focused on how to use the tool for self care. This episode will continue that conversation, going more in depth on the tool. Dr. Barnett will also share ways for health centers to use the tool in a healthcare setting with patients.

This episode is the second in our series of COVID-19 focused sessions. The goal of these sessions is to share information with health centers that can help make this challenging time a little bit easier. This episode features Ellen Barnett who is a recently retired family doctor. She practiced for 20 years at the Integrative Medical Clinic in Santa Rosa and was on the faculty of the Sutter Family Medicine Residency from 1987 to 2016. She developed the Imagine You project as part of her work in the non profit Integrative Medical Clinic Foundation. Imagine You offers tools for self care that we can use for our own wellbeing and as we work with our patients and clients. In response to several recent disasters in Northern California, such as the wildfires, and now COVID-19, the Imagine You project offers trainings to organizations working with the most vulnerable in our communities. This conversation with Dr. Barnett will introduce listeners to one of the Imagine You project’s tools and demonstrate how the tool can be used for self-care, as well as with patients in clinical settings.

This episode is the first episode in a series of COVID-19 focused sessions. Our goal is to share information with health centers that can help make this challenging time a little bit easier. Aliados Health’s Health Information Technology Project Manager, Jennifer Inden, joined this session. She brings years of experience working in a health center, and at Aliados Health has become our resident expert on telehealth. In our current state, telehealth is the primary way health centers can continue to care for their high risk populations. If you’re finding it challenging to keep up with the ever changing rules and regulations around telehealth, you’re not alone. Throughout the episode Jennifer will be asked a series of questions to help clarify telehealth changes to date. She’ll provide some helpful tips around documentation and more.

The COVID-19 pandemic is effecting all American lives, especially those that work in our healthcare system. This episode features current COVID legislation in Sacramento as it relates to health centers, and general state policy priorities. Bethany Snyder, Aliados Health’s Advocacy Consultant, and Victor Christy, Assistant Director of Legislative Affairs at CaliforniaHealth+ Advocates joined us to discuss these issues. We hope you and your families are safe and healthy. Keep practicing social distancing and Wash Your Hands!

This episode features Bethany Snyder, Aliados Health's ( Aliados Health) Advocacy Consultant, and Darlene Rios Drapkin, a Partnership Specialist at US Census Bureau. Our guests will talk about the upcoming 2020 Census. April 1 is Census Day! Every ten years the U.S. government conducts a census to count every resident in the US. It is a huge undertaking that greatly impacts the health care sector. Census data guides the distribution of more than $115 billion in federal funds to California each year. Aliados Health health centers serve over 230,500 patients each year, which amounts to millions of dollars in needed funding over the next 10 years. Our guests will discuss what you need to know about the census, how to reply, and how you and your health centers can ensure your patients, staff, and community get counted. Aliados Health has added information about the census, including outreach efforts, materials, and a short video explaining the census to our website. To access this information go to aliadoshealth.org and click on the census banner located on the home landing page, or click here. Aliados Health is working within our four county region to make connections and find resources to share with health centers. As Aliados Health collects additional resources and information, we will add these to our Aliados Health census webpage.

This episode features Michael Edwards the director of quality and training at the Community Health Center Association of Mississippi. He will talk about colorectal cancer screening best practices and what his health centers have done to improve their screening rates.

This episode features Trina Higgins, a Registered Dietitian from the Northern California Center for Well-Being. A Registered Dietitian, or RD, is someone who is licensed to counsel patients on their dietary habits. To become a dietitian, one must obtain a four year degree with many specific dietetic course requirements, complete a dietetic internship, and pass a rigorous exam. More information on requirements can be found here. By 2024 it will be required that one earn a Master's Degree to be eligible to take the exam. In other words, there’s a lot of nutrition knowledge and expertise behind the title. While some health centers have an RD on staff, many do not. Those that do are often limited in how many patients that RD can fit into their schedule. We’ll save the issues around reimbursements for dietitians for another episode. Trina joined us to talk about nutrition counseling techniques for health care providers. This topic was requested by Aliados Health member health center providers. In general providers don’t receive much nutrition education and training in school, so we agree that some basic nutrition counseling techniques could help. Resources from Trina: The Harvard T.H. Chan School of Public Health's public-access website includes evidence-based nutrition information for providers who'd like basic nutrition education for themselves. The site includes information that applies to the general population, including their “Healthy Eating Plate” and other guidelines. American Association of Diabetes Educators and NovoNordisk Cornerstones4Care are resources geared toward diabetes management.

This episode features Jessicca Moore, director of innovations at Petaluma Health Center who will talk about the PHASE program. PHASE stands for Preventing Heart Attacks and Strokes Every Day which is an evidence-based approach that first helped Kaiser Permanente reduce heart disease morbidity by 60 percent among its members. Aliados Health has participated in the PHASE program since 2011 with funding from the Kaiser Permanente Northern California Community Benefits Program and The Kaiser Foundation Hospital Fund for Community Benefit Programs at the East Bay Community Foundation. In 2020 Aliados Health will participate in an additional round of PHASE, with a new focus on health equity. Aliados Health participating health centers will measure and report on rates of A1c control among uninsured patients with diabetes. More information on the program can be found on Aliados Health’s PHASE webpage. During this episode Jessicca will talk about how PHASE can be implemented as a care team and what roles members of the care team have to play.

This episode features Jessicca Moore, director of innovations at Petaluma Health Center who will talk about the PHASE program. PHASE stands for Preventing Heart Attacks and Strokes Every Day which is an evidence-based approach that first helped Kaiser Permanente reduce heart disease morbidity by 60 percent among its members. Aliados Health has participated in the PHASE program since 2011 with funding from the Kaiser Permanente Northern California Community Benefits Program and The Kaiser Foundation Hospital Fund for Community Benefit Programs at the East Bay Community Foundation. In 2020 Aliados Health will participate in an additional round of PHASE, with a new focus on health equity. Aliados Health participating health centers will measure and report on rates of A1c control among uninsured patients with diabetes. More information on the program can be found on Aliados Health’s PHASE webpage.

This episode features Danny Toub from Santa Rosa Community Health in Sonoma County CA, who will talk about their recently documented promising practice titled “HIV Testing Program and PrEP Management”.

This episode features Tiffany Jimenez from Petaluma Health Center who will talk about how to huddle as a care team.

This episode features Ariel Thomas-Urlik from Sonoma County's Department of Health Services, Impact Sonoma Tobacco and Nicotine Prevention Team who will talk about the vaping epidemic and resources available for health centers to help patients.

This first podcast episode features health center Santa Rosa Community Health presenting their new promising practice titled "FIT Test Lab Packaging". This promising practice aimed to increase colorectal cancer screening among patients.