Evaluation of an Intervention to Increase Colorectal Cancer Screening in Primary Care Clinics

Inclusion Criteria: Inclusion Criteria for the Patient-focused Intervention * Average risk * Male or female * 50-75 years * Scheduled for non-acute ambulatory care visit at one of the study sites * Due for CRC screening including no record of FOBT in the past year, no record of flexible sigmoidoscopy in the past 5 years, no record of colonoscopy in the past 10 years, and no record of double contrast barium enema in the past 5 years Inclusion Criteria for the Clinic-focused Intervention * Primary care clinicians, to include the following specialties: Family Practice/General Practice Physicians, General Internal Medicine Physicians, Nurse Practitioners in Family/General Practice, Physician Assistants who conduct non-acute ambulatory medical exams in study clinics * Primary care clinical staff, to include nurses, medical assistants, and appointment schedulers Exclusion Criteria (Patients): * Prior diagnosis of CRC * Prior diagnosis of colorectal polyps * Prior diagnosis of ulcerative colitis * Prior diagnosis of Crohn's Disease * Prior diagnosis of hereditary nonpolyposis or polyposis * Medical records contain an International Classification of Diseases (ICD-9) code for family history of CRC * Younger than 50 years of age * Older than 80 years of age.