Transcription

1 Navigating Breast Health: A Portrait of Community Health Workers at the Breast Health Collaborative of Texas Gretchen H. Walton, JD, MPH Executive Director 3015 Richmond Avenue, Suite 140, Houston, TX

2 My Background Executive Director of BHCTexas Doctorate of Jurisprudence from St. Louis University School of Law with combined Health Law Certificate Master of Public Health from University of Kansas Medical Center Graduate of Rice University s Leadership Institute for Non-Profit Executives Seasoned litigator and civil attorney Directed former Houston Chapter of YSC

3 Your Background: CHW Core Competencies Communication Interpersonal Skills Service Coordination Skills Capacity Building Skills Advocacy Skills Teaching Skills Organization Skills Knowledge Base

4 You Meet People Where They Are Amazing opportunities throughout the State to utilize your training and make a difference in the health of Texans.

5 It s a Great Time to be a Certified Community Health Worker! The Affordable Care Act (ACA): 1. Allows for the Centers for Disease Control and Prevention (CDC) to provide grants for organizations to improve health in underserved areas through the use of CHWs* CDC works 24/7 to protect America from health, safety and security threats, both foreign and in the U.S. Whether diseases start at home or abroad, are chronic or acute, curable or preventable, human error or deliberate attack, CDC fights disease and supports communities and citizens to do the same. 2. Medicaid has increased access to preventive health care services and allows each state to designate CHWs to provide those services 3. Created funding for State Innovation Models which are costeffective ideas and programs that improve health care outcomes and quality and encourage the use of CHWs in these plans

6 Affordable Care Act (ACA) The ACA is a US law aimed at reforming the American health care system. Also referred to as ObamaCare, it s main focus is: Providing more Americans with access to affordable health insurance Improving the quality of health care and health insurance offered Regulating the health insurance industry Reducing health care spending in the US

7 Medicaid A social health care program for families and individuals with low income and limited resources. It is jointly funded by each state and the federal government, but managed by each state. In Texas, Medicaid and the Children s Health Insurance Program (CHIP) provide medical coverage for more than 4 million low-income Texans.

8 BHCTexas Overview History, Mission, & Vision Membership Events Programs How CHWs Make a Difference for BHCTexas

9 History 2005: First Annual Breast Health Summit The Rose Houston Affiliate of Susan G. Komen for the Cure Pink Ribbons Project MD Anderson Cancer Center American Cancer Society 2007: Breast Health Collaborative of Texas Officially Formed 2008: Recognized by the National Breast Cancer Coalition Fund One of the Most Effective State Collaborations Best Practices in Breast Cancer Advocacy Award 2012: Obtained 501(c)(3) status

10 Mission: To unite the Texas breast health community to educate, advocate, navigate, and maximize resources. Vision: Ensuring access to quality breast health care for all Texans.

11 Board of Directors and Membership Board Members Amarillo Area Breast Health Coalition Baylor College of Medicine Harris Health System Houston Affiliate of Susan G. Komen for the Cure J.P. Morgan Private Bank MD Anderson Cancer Center Moncrief Cancer Institute University of Texas Medical Branch at Galveston Houston Community College Coleman College of Health Sciences K + S Consulting American Association of Breast Care Professionals State of Texas Comptrollers Office 700+ Members in 68 Counties include: Advocates Caregivers Community clinics Educational institutions Healthcare professionals Hospitals Nonprofits Patients Survivors

12 Annual Breast Health Summit Programs Biannual Breast Health Advocacy Day Bimonthly General Membership Meetings Breast Health Portal Mammography Screening Grant Programs through American Cancer Society, Episcopal Health Foundation, The Avon Foundation for Women, and the Agency for Healthcare Research and Quality Monthly Fourth Thursdays Lunch and Learn Webinar Series Education and Outreach efforts with Certified Community Health Workers across Texas to improve mammography screening rates and share guidelines

13 It s All About Collaboration and Playing Nicely in the Sandbox with Others

14 Avon Foundation for Women Avon provided our beginning: Recipient of funding for our infrastructure and programs since 2009 Summit Education and Outreach Initial Staff Breast Health Portal

15 Breast Health Summit Only annual conference dedicated to improving breast health care for the medically underserved in Texas Forum for exchange of information for survivors, advocates, healthcare professionals, educators, caregivers and friends Scholarships offered CEUs for CHWs, Social Workers, Nurses

16 Breast Health Summit Only annual conference dedicated to improving breast health care for the medically underserved in Texas Forum for exchange of information for survivors, advocates, healthcare professionals, educators, caregivers and friends Scholarships offered CEUs for CHWs, Social Workers, Nurses

17 Navigating through Healthcare A Roadmap for Texans November 6-7, 2014 Advancing Equity and Improving Quality in Cancer Care in the Era of Healthcare Reform Controversy in Breast Cancer Screening The Affordable Care Act s Impact on Breast Cancer Screening and Treatment Attendee Feedback The Breast Health Summit was one of the most rewarding experiences in my breast health career thus far. It was my first time attending the Summit and I wasn t sure what to expect; what I found was an incredible multidisciplinary group of people who were all passionate about breast health, survivorship, and well-being. Breast Reconstruction

18 Breast Health Summit Conference offers special CHW Training in specialized sessions with the help of Professors/Instructors from Houston Community College - Coleman College for Health Sciences Save the Date: 11 th Annual Breast Health Summit November 2-3, 2015 Bayou City Events Center Houston, Texas

19 Breast Health Summit

20 Breast Health Portal Free online health clinic guide and health data resource Developed as Safety Net resource for the underserved Unites Texas providers of free and/or reduced cost breast health services in one search Operated, Managed and Training provided by the Breast Health Collaborative of Texas Clinics and organizations provide information and assist in managing their entry details Accessed through our website

21 Breast Health Portal

22 Breast Health Portal

23 Breast Health Services in BHP Search Biopsy - Excisional Surgical BCCS Biological Therapy/ Immunotherapy Biopsy - Core Needle Biopsy - Fine-Needle Aspiration Biopsy - Incisional Biopsy - Mammotome Biopsy - Sentinel Lymph Node Biopsy - Stereotactic-guided Biopsy - Ultrasound-guided Bone Marrow Transplant Breast Imaging - Diagnostic Chemotherapy - High-dose Chemotherapy - Standard Clinical Breast Exam Community Education Community Outreach Community-Based Screenings Complementary and Alternative Medicine Ductal Lavage Genetic Testing and Counseling Hormone Therapy Hospice - Home Care Imaging - CT Scan Imaging - MRI Imaging - PET Scan Imaging - Ultrasound Lymphedema Mammogram - Diagnostic Mammogram - Diagnostic Digital Mammogram - Diagnostic X-Ray Mammogram - Screening Nutritional Counseling Pain Management Patient Education Patient Navigation Prosthesis/Wardrobe/Hair Radiation - External Radiation - Internal (Brachytherapy) Rehabilitation Therapy Second Opinion Social Work Support Groups Surgery - Mastectomy/Lumpectomy Surgery - Reconstruction Survivorship Treatment Clinical Trials

24 American Cancer Society Lee Denim Community Grant for Change at Central Care Community Health Center Program Goals and Metrics Our CHW is charged with: 127 mammogram screenings 311 patients navigated 2500 education and outreach 2 provider trainings 500 reminder phone calls

25 Agency for Healthcare Research & Quality (AHRQ) 3 Year federal grant to improve the mammography screening no-show rate for 20 Federally Qualified Health Centers and/or Charity Clinics in the Greater Houston Metropolitan area. Federally Qualified Health Centers (FQHCs) are health clinics must serve an underserved area or population, offer a sliding fee scale, provide comprehensive services, have an ongoing quality assurance program, and have a governing board of directors.

26 Agency for Healthcare Research & Quality (AHRQ) Research Tested Intervention Program (RTIP) a communication technique utilized by Community Health Workers to get patients to their appointments. CHCHWs will provide full-time, culturally-sensitive, navigation services to medically underserved women using a telephone-based and/or in-person reminder system. What does this mean? How does this work?

27 Agency for Healthcare Research & Quality (AHRQ) CHWs will provide full-time, culturally-sensitive, navigation services to medically underserved women using a telephone-based and/or in-person reminder system. How confident are you in keeping your mammogram screening appointment Active listening Working with existing staff Reduction in the no-show

28 Upcoming Ways CHWs Can Participate Summit Steering Committee Volunteer at the Breast Health Summit Attend Membership Meetings and Webinars

29 Contact Information Gretchen H. Walton, JD, MPH Executive Director Lanita Burton, CHW Esmeralda Gonzalez, CHW 3015 Richmond Avenue, Suite 140 Houston, TX Phone: Fax: Eleanor Nguyen, CHW Jenna Streusand, BS Program Coordinator