Cancer Screening Program
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1 Cancer Screening Program Mountain Park Health Center/Mayo Clinic Collaboration Region IX Management Training Conference November 11 th, 2008
2 Mountain Park Health Center! Founded in 1980! Services: Pediatrics, Women's Health, Adult Medicine, Pharmacy, Mammography, Dental Clinic, Integrated Behavioral Health, WIC, Health Education and Ancillary Services! JCAHO accredited! 2007 volume: +200,000 encounters! 2007 users: 55,000 patients - 80% household income less than 200% FPL - 70% of all adult patients are uninsured - 85% Hispanic, 50% monolingual Spanish Mountain Park Health Center works with the communities it serves to sustain and improve health by providing affordable primary care
3 Mountain Park Health Center " One Corporate Site " Five Clinics: Baseline Tolleson Tempe Maryvale East Phoenix
4 Health Disparities Collaboratives! Diabetes! Asthma! Cardiovascular Disease! Childhood Obesity! Cancer (Early 2007)
5 Cancer Screening Program Goals! Improve the quality of breast, colon, and cervical cancer screening promotion and follow up management! Enhance shared medical decision making between medical providers and patients! Optimize processes of care involved with cancer screening! Build strategic partnerships between the patient, team members and community services
6 Change Package cts/planned%20care%20model.bmp
7 Cancer Screening Team " Bill Rosenfeld, L.P.C., Director, Integrated Behavioral Health, Health Disparities Collaborative Lead " Davinder Singh, M.D., Medical Director " Anna Alonzo, Chief Operating Officer " Stella Xenakis, Grants Manager " Maureen Whitfield, Practice Administrator " Michael Tuminello, Operations Director- Internal Medicine " Maureen Welsh, N.P., Provider Champion- Internal Medicine " Jennifer Varela, Medical Assistant II- Internal Medicine
8 Cancer Screening Team " Lupe Hedrick, Operations Director- Women s Health " Diane Hibbs, D.O., Provider Champion, Women s Health " Monica Castro, Medical Assistant II- Women s Health " Melanie Wilson, Mammogram Tech " Olivia Garcia, B.A., Cancer Screening Patient Navigator " Raquel Acosta, B.S., Cancer Screening Program Coordinator
9 Key Community Partnerships
10 Mayo Clinic Cancer Center " NCI-designated comprehensive cancer center " 3 campuses Arizona, Florida, & Minnesota " Office of Cancer Health Disparities Research and Interventions " Community-based participatory research and intervention model " Win-win-win objective " Collaboration is the backbone of success
11 Mayo Health Disparities Teams
12 Accrual to all Interventional* Mayo Clinic Cancer Center Clinical Trials Total # of patients on interventional trials 1,696 1,870 1,624 1,761 1,445 % minority * Trials involving agents, devices, supportive care, early detection, diagnosis, or prevention
13 Accomplishments! Cancer Screening Patient Navigator - Supported by the Mayo Clinic - Education & Support - Increase Awareness and Motivation - Follow Up Services - Navigate Through the System - Breast Health and Healthy Latinos Classes! Breast Health for Life Program - Susan G. Komen Grant 2007 & Free Screening Mammograms
14 Navigator Contacts Jan - Sept 2008 BREAST CERVICAL COLORECTAL Face-to-Face Contacts Telephone Contacts Scheduled appointments after intervention Successfully Seen after Navigator Intervention
15 Accomplishments! Data Entry Clerk - Supported by the Mayo Clinic - All women 18 and older - All men 50 and older
16 Accomplishments! Centricity/PECS - Demographic Data Import! Laboratory/PECS Interface - SonoraQuest & LabCorp - Laboratory Results Import! FOBT - Done at the Lab - Instructions with Illustrations! Pap Tracking - Medical Assistant II! Colorectal Cancer Screening Program - ADHS Grant - Screening & Diagnostic Services - Cancer Screening Patient Navigator
17 Accomplishments " Mayo/MPHC Mammography - July Funds for equipment and personnel - Diagnostic Mammogram & Breast Ultrasound - Mammography Database
18 Cancer Screening Snapshot Baseline Site MOUNTAIN PARK HEALTH CENTER Pap Normal Abnormal Normal Abnormal Screening Normal Abnormal Diagnostic Breast Biopsy Dept Sm ear Results Results FOBT Results Results Mam m o Results Results Mam m o U/S Needed Jan IM WHC Feb IM WHC Mar IM WHC Apr IM WHC May IM WHC Jun IM WHC Jul IM WHC Aug IM WHC Sept IM WHC T OT AL
19 FOBT PDSA " Jan 2008 July FOBT Offered: Phone Calls: Mailed Letters: Returned FOBT: Positive FOBT: 12 - Return Rate: 89%
20 Challenges! Poverty - Lack of Insurance - Inability to Pay - Lack of Transportation! Cultural Differences - Knowledge - Communication - Language Barrier! System of Care - Diagnostic and Treatment Services - Outside Referrals - Policies and Procedures! Information System - PECS Registry
21 References & Contact Contact: Raquel Acosta, BS References: Information
22 Final Thought If we focus on doing good for the community we will continue to make a difference, one patient at a time. John Swagert, MD Chief Executive Officer
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