The purpose of the study is to boost colorectal cancer (CRC) screening rates in an underserved population in Brooklyn through organized, proactive outreach of mailed Fecal Immunochemical Tests (FIT), utilizing evidence-based interventions tailored to the needs of the population.

Inclusion Criteria:

Patients

• Men and women aged 45-75
• Receiving medical care at NYULH Flatbush FHC and CHN Crown Heights, East New York, East New York Health Hub, Williamsburg clinic sites.
• Due or overdue for CRC screening.
• Medical visit of any type at clinic in past year.

Providers

• Physicians or primary care givers at Flatbush FHC or CHN Crown Heights, East New York, East New York Health Hub, Williamsburg clinic sites (CHN employees)
• Provide care to CRC screen-eligible patients

Exclusion Criteria:

• Age younger than 45 years old or greater than 75 years old
• Up-to-date with colorectal cancer screening:
• History of colorectal cancer, inflammatory bowel disease, colorectal polyps, or total colectomy
• In hospice care
• Patients 66 years or older living long-term in an institution or with advanced illness
• No address or phone number on file

Providers

• No longer employed at an included clinic site

The de-identified participant data from the final research dataset used in the published manuscript will be shared upon reasonable request beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research provided the investigator who proposes to use the data executes a data use agreement with NYU Langone Health. Requests may be directed to: Aasma.Shaukat@nyulangone.org. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research.

The investigator who proposed to use the data will be granted access upon reasonable request. Requests should be directed to Aasma.Shaukat@nyulangone.org. To gain access, data requestors will need to sign a data access agreement.