Systems Science Friday Noon Seminar Series

Systems Diagramming to Support Implementation Science Research in the SMARTER CRC Study



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Video: MP4; File size: 187 MB; Duration: 57:48




The uptake of evidence-based health care interventions into clinical practice is slow, particularly for under- resourced clinics. The field of implementation science studies strategies for identifying, adapting, and implementing evidence-based practices in clinical care. Researchers in this field have recognized a need for systems science approaches to account for complexity in local contexts and multi-level interventions, but little guidance exists regarding its use. In this seminar, I will show how we are using systems diagramming (causal- loop and stock-and-flow) to support the implementation of two interventions to improve rates of colorectalcancer (CRC) screening among rural Medicaid enrollees in Oregon. This study, titled SMARTER CRC, is conducted by the Oregon Rural Practice-based Research Network (ORPRN) and the Kaiser Permanente Center for Health Research and is part of Accelerating Colorectal Cancer Screening and follow-up through Implementation Science (ACCSIS), a Cancer Moonshot program.

Biographical Information

Erin Kenzie, PhD, is a senior analyst at the Oregon Rural Practice-based Research Network at Oregon Health & Science University and an instructor in the PSU Systems Science Program. She graduated with her PhD in systems science from PSU in 2021. Her current research involves utilizing systems-based approaches to synthesize evidence and support decision-making in health care systems.


Systems diagramming, Emerging technologies, Computer software – Development, System analysis


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© 2022 Erin Kenzie

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Systems Diagramming to Support Implementation Science Research in the SMARTER CRC Study