Multilevel Interventions to Improve Colonoscopy Completion After Abnormal Fecal Immunochemical Testing in a Safety-Net Health System: Preliminary Findings from the IMPACTT Study

Background: Timely diagnostic colonoscopy is a critical step after an abnormal fecal immunochemical test (FIT), yet many patients do not complete follow-up within recommended timeframes, particularly in safety-net settings. Barriers occur across multiple levels and stages of care, suggesting a need for interventions that address both clinic processes and patient-level barriers. Methods: IMProving Adherence to Colonoscopy through Teams and Technology (IMPACTT) evaluated two concurrent interventions across 12 adult primary care clinics in the San Francisco Health Network. A clinic-level Best Pra

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