Effectiveness of a Cloud-based Digital Health Navigation Program for Colorectal Cancer Screening

Inclusion Criteria

Inclusion Criteria: 1. Age 45-74 years 2. Be identified in the electronic health record as due for routine CRC screening, defined as 1. No colonoscopy in prior 10 years 2. No flexible sigmoidoscopy in prior 5 years 3. No CT colography in prior 5 years 4. No FIT-DNA test (Cologuard) within prior 3 years 5. No Fecal Occult Blood Test within prior 1 year 3. Have a cell phone number listed in the EHR 4. Have a preferred language of English or Spanish in the EHR 5. Upcoming appointment within 9 to 16 days 6. Georgia Market Only: Insurance type is listed as Medicare Advantage. Exclusion Criteria 1. Prior diagnosis of colorectal cancer 2. Prior history of total colectomy 3. Currently enrolled in palliative care or Hospice 4. Age over 65 AND currently enrolled in an Institutional SNP (I-SNP) or living in Long Term Care 5. Age over 65 with frailty and advanced illness (as defined by the health system's My Panel metric which mirrors the HEDIS COL-E quality metric for CRC screening)