Quality Improvement of Patient-Provider Communication For Colorectal Cancer Screening

Inclusion Criteria: Provider Eligibility: Primary care providers (MD, Certified Registered Nurse Practitioner (CRNP), or PA) at the study sites who see patients in the primary care setting at least 1 day per week and had no involvement in the design of the study are eligible for enrollment in the study. Patient Eligibility: Primary care patients who are not "up-to-date" with colorectal cancer screening are the targeted population for study enrollment. Up-to-date with colorectal cancer screening is defined as having completed one of the following: fecal occult blood testing within the past year sigmoidoscopy within the past 5 years colonoscopy within the past 10 years barium enema within the past 5 years. Other patient eligibility criteria are: Primary Care Provider (PCP) enrolled in the study clinic visit scheduled with the enrolled PCP during the recruitment period English speaking no prior history of colorectal cancer or adenomatous polyps no prior history of inflammatory bowel disease Exclusion Criteria: Patients who are deemed clinically not appropriate for colorectal cancer screening due to severe comorbidity and/or limited life expectancy as determined by the patient's primary care provider will be excluded from the study.