Reducing colorectal cancer mortality: The e-Autopsy tool.

60 Background: Colorectal cancer (CRC) remains the second leading cause of cancer death in the US, despite the availability of highly effective screening and treatment modalities. Kaiser Permanente Southern California is a non profit integrated health care organization that serves 3.7 million socio-economically diverse members. Our region has developed a goal to reduce colorectal cancer mortality by 50% in the next decade, from our baseline measurement of 13.8 deaths/100,00 members to 6.9 deaths/100,000 members. Methods: A literature search was conducted by the evidence based services unit to identify interventions demonstrated in published literature to reduce CRC mortality. These interventions were used to develop a spread sheet to guide the e-Autopsy, an electronic medical records review of 50 cases of recent death with CRC that was conducted by a multi-specialty group of reviewers: physicians in primary care, medical and surgical oncology, and pathology. Records of patients who died were compared to t...