Effective October 1, 2025, Fecal Occult Blood Testing (FOBT) will be unavailable for ordering in adult ED and inpatient units.
Fecal Occult Blood Testing (FOBT) is frequently performed in the ED and inpatient units of Corewell Health hospitals. Evidence supports that this testing is not appropriate for evaluation of acute or chronic GI bleeding. The use of fecal occult blood testing for indications outside of colorectal cancer screening is considered low-value and unnecessary. Utilizing this testing inappropriately results in increased lab costs, potential for unnecessary consults and procedures, delays in diagnosis, and increased length of stay (LOS).
FOBT supplies will be removed from unit stock. Orders will be restricted and removed from relevant order sets. Areas impacted include all adult ER and inpatient spaces, in all three regions, beginning with inpatient units (Helen Devos and Corewell Children’s Hospitals are excluded at this time).
Please refrain from initiating FOBT orders and use alternative assessment methods as needed.
For questions, please reach out to your unit leadership or clinical education team.
TEST INFORMATION:
- Occult Blood, CRC Screening [LAB1230599]
- Occult Blood, FIT Diagnostic Stool [LAB1230898]
- Occult Blood Screen, Stool [LAB695]
- Occult Blood Diagnostic, Stool [LAB2111554]