THE LINCOLN JOURNAL Wednesday, October 7, Breast & Cervical Cancer Pink Issue

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1 THE LINCOLN JOURNAL Wednesday, October 7, 2015 Page 11a

2 Page 12a - Wednesday, October 7, THE LINCOLN JOURNAL -

Page 8a - Wednesday, October 7, 2015 - THE LINCOLN JOURNAL - WWW.LINCOLNJOURNAL.

among low-income, uninsured, and underinsured women.

The NBCCEDP is CDC s core cancer screening program. Since it was started, the NBCCEDP has been designed to serve women in the United States who don t have health insurance.

The program reaches many underserved women, and plays an important role in reducing screening disparities across different populations.

3 Page 8a - Wednesday, October 7, THE LINCOLN JOURNAL - New directions: the future of cancer screening In 1990, the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) was established to increase breast and cervical cancer screening among low-income, uninsured, and underinsured women. Twenty years later, the NBCCEDP has a substantial infrastructure across the nation and effective systems to reach underserved communities and assure timely follow-up and treatment. The NBCCEDP is CDC s core cancer screening program. Since it was started, the NBCCEDP has been designed to serve women in the United States who don t have health insurance. The program s reach has been quite significant over the last two decades, providing more than 10 million screening tests to more than four million women. The program reaches many underserved women, and plays an important role in reducing screening disparities across different populations. The NBCCEDP also has substantial capacity, with a network of more than 22,000 clinical providers in Community health centers and federally qualified health centers (FQHCs). Private practices. Health plans. Cancer centers. Tribal health clinics. Local health departments. Minority health clinics. "Safety net" hospitals. The NBCCEDP funds every state in the U.S. to provide screening services, as well as 11 tribes and five territories. Each health department works with an extensive network of clinical providers to provide these services. CDC funded the Colorectal Cancer Control Program (CRCCP) in The CRCCP s real emphasis is on population-based screening promotion. The states and tribes in the program use evidence-based interventions to increase colorectal cancer screening rates among men and women between 50 and 75 years old. CDC is also interested in fostering collaborations between state health Proud Supporter of departments and state Medicaid and Medicare Breast Cancer Awareness. programs. For example, in White s Plaza Hamlin WV Get Involved! LOVEJOY QUINTRELL Minnesota, the state Medicaid program identifies unscreened individuals through its claims database, and the state health department sends them invitations, reminders, and incentives to be screened. The Impact of Health Care Reform on Breast and Cervical Cancer Screening Health care reform through the Affordable Care Act (ACA) will increase access to breast and cervical cancer screening services for many low-income, underserved women through expanded insurance coverage and eliminating costsharing. Other provisions of the ACA and the American Reinvestment and Recovery Act (ARRA, the stimulus bill) will also improve delivery of these essential services by improving health care quality and driving wider adoption of electronic health records. However, all ACA provisions will not be implemented until 2015 and some effects will take longer. Currently, even with adequate health insurance, many women will still face substantial barriers to obtaining breast and cervical cancer screening like geographic isolation, limited health literacy or self-efficacy, lack of provider recommendation, inconvenient times to access services, and language barriers. The Role of Public Health in Organized Cancer Screening CDC and other public health agencies now have an unprecedented opportunity to embrace new roles that build on the NBCCEDP s capacity and extensive clinical network. Much of this work can focus on assuring the delivery of clinical preventive services. Widespread participation in screening and aggressive outreach to underserved communities with a disparate cancer burden can be achieved through the following population-based approaches Public Education and Outreach: Educate women about breast and cervical cancer screening through traditional media and new communication avenues like social media. Increase the use of peer educators and patient navigators to help women in underserved communities adhere to cancer screening recommendations. Screening Services and Care Coordination: Provide screening services to women not covered by the ACA's new insurance provisions, particularly in states that do not expand Medicaid eligibility. Help all women who have positive screening results get appropriate follow-up tests and treatment. Quality Assurance, Surveillance, and Monitoring: Use state and local health departments existing infrastructure to monitor the provision of screening services in every community. Develop electronic AND INSURANCE SERVICES 9826 Straight Fork Rd. West Hamlin (Now located at the mouth of Gue Hollow, 1/4 mile on left going toward Hamlin) Entrance in rear of building - Handicap Accessible Owners: Lena Lovejoy & Diann Quintrell Auto Home Business ATV s Motorcycles Campers Boats Antique Autos Walk-ins are welcome and Quotes are always FREE Phone Fax reporting mechanisms for use in aggressive management of cancer cases found through screening tests. Expand CDC's quality assurance system to other health care settings like federally qualified health centers. Use new resources like health information exchanges to monitor screening and follow-up. Organized Systems: Develop more systematic approaches to cancer screening to organize health care providers efforts. Take a more central role in developing the infrastructure for systematic approaches such as population-based screening reg- See Future Page 9a

THE LINCOLN JOURNAL - WWW.LINCOLNJOURNAL.

Walks for Women...Take a Step Against Breast Cancer.

Pleasant, Quinwood, Racine, Union, West Union, Wheeling and Williamson.

screening process. Work with state Medicaid programs and state insurance exchanges to promote, coordinate, and monitor cancer screening.

screening programs. As the ACA and related efforts are implemented, CDC and its state program partners will continue to look for possible gaps that can be filled by their programmatic activities.

The remaining funds are used to implement population-based approaches to increase screening among both insured and uninsured populations, such as patient and provider reminder systems, nurse referral

Study on the ACA s Impact: CDC funded George Washington University to estimate the ACA s impact on expanded insurance coverage rates and on clinical preventive services provided for NBCCEDP- and

Medicaid Collaboration Planning Grants: CDC supports the National Association of Chronic Disease Directors to work with Michigan, North Carolina, and Washington to plan collaborative approaches to

All donations benefit the West Virginia Breast and Cervical Cancer Diagnostic and Treatment (D&T) Fund and usually come from individuals and corporate sponsors participating in and/or supporting the

The D&T Fund, created by the West Virginia State Legislature in 1996, helps pay for diagnostic and limited treatment services for uninsured West Virginia women who may not be able to otherwise afford

4 THE LINCOLN JOURNAL Wednesday, October 7, 2015 Page 9a From Page 8a Future Throughout October 2015, Mountains of Hope (West Virginia s Comprehensive Cancer Coalition) and its partners are sponsoring 18 regional Walks for Women...Take a Step Against Breast Cancer. The Walks will take place in Clarksburg, Clay, Falling Waters, Grafton, Hamlin, Hundred/Burton, Lindside, Man, Moundsville, New Cumberland, Princeton, Pt. Pleasant, Quinwood, Racine, Union, West Union, Wheeling and Williamson. The purpose of the Walks is to raise awareness about the importance of breast cancer screening, to honor breast cancer sur- istries to identify eligible adults who need to be screened, and manage the screening process. Work with state Medicaid programs and state insurance exchanges to promote, coordinate, and monitor cancer screening. As public health agencies develop aggressive approaches to improve cancer screening through the NBCCEDP s infrastructure, this will provide a foundation for future expansion to other clinical preventive services. CDC Program Activities Related to Health Care Reform CDC has implemented several new activities to prepare for the implementation of health care reform and expand the impact and reach of our cancer screening programs. As the ACA and related efforts are implemented, CDC and its state program partners will continue to look for possible gaps that can be filled by their programmatic activities. Colorectal Cancer Control Program: Up to one-third of the funds provided through the CRCCP may be used to pay for screening. The remaining funds are used to implement population-based approaches to increase screening among both insured and uninsured populations, such as patient and provider reminder systems, nurse referral protocols, and patient navigation systems. Study on the ACA s Impact: CDC funded George Washington University to estimate the ACA s impact on expanded insurance coverage rates and on clinical preventive services provided for NBCCEDP- and CRCCP-eligible populations. The results of these analyses[pdf-149kb] provide data on the size and characteristics of the population that will not have health insurance in 2014 and beyond. Medicaid Collaboration Planning Grants: CDC supports the National Association of Chronic Disease Directors to work with Michigan, North Carolina, and Washington to plan collaborative approaches to improve cancer screening rates in their state Medicaid programs. These programs will develop vivors and to remember those who have died from the disease. All donations benefit the West Virginia Breast and Cervical Cancer Diagnostic and Treatment (D&T) Fund and usually come from individuals and corporate sponsors participating in and/or supporting the Walks. The D&T Fund, created by the West Virginia State Legislature in 1996, helps pay for diagnostic and limited treatment services for uninsured West Virginia women who may not be able to otherwise afford breast and cervical cancer diagnostic and treatment services. The policies that facilitate organized cancer screening programs for Medicaid enrollees, and move NBCCEDP patients into state Medicaid programs as Medicaid eligibility criteria are expanded. Collaboration with the Health Resource and Service Administration (HRSA): Many FQHCs are NBCCEDP and CRCCP providers. Grantees are expanding their work by collaborating with state primary care associations and FQHC networks to implement evidence-based approaches to increase cancer screening. At the federal level, CDC and HRSA are working together to address colorectal cancer screening rates as a Uniform Data Set (UDS) quality measure for all FQHCs. Innovative Demonstration Projects: CDC supports large-scale demonstration projects in two state health departments to develop data systems and systematic outreach for active screening recruitment and follow-up in a state Medicaid program, and to develop and implement cancer screening registries in a statewide system of FQHCs. Care Coordination Funding: Supplemental funding was awarded to 11 grantees in fiscal year 2010 to demonstrate new roles in early breast and cervical cancer detection through targeted outreach, patient navigation, and case management. This two-year demonstration project explored ways to use proven cancerrelated patient care coordination programs in new settings and evaluated their cost-effectiveness. NBCCEDP Promising Practices Assessment: Non-screening practices that increase quality cancer screening in the NBCCEDP are being documented so they may be used for newly insured populations under the ACA. The three program areas include health education and promotion, quality assurance and quality improvement, and case management and patient navigation. NBCCEDP Waiver Demonstration Project: This two-year demonstration project in Washington, Massachusetts, and Utah assesses the feasibility of waiving the mandates to provide screening services so that more federal resources can be used for non-clinical activities like patient navigation, public education, and outreach. Walk for Women... Take a Step Against Breast Cancer Legislature allows Mountains of Hope and its volunteers to raise money, through donations, to increase the amount of dollars in the D&T Fund. The Office of Maternal, Child and Family Health within the West Virginia Bureau for Public Health administers the D&T Fund. Every dollar raised supplements the D&T Fund and allows more women to access services. Individual and corporate tax deductible contributions are accepted through the Greater Kanawha Valley Foundation. Last year the Walks raised nearly $100,000. The Walks for Women range from one to three miles long. To find out how to participate in a Walk, call your local Health Information Specialist or call the West Virginia Breast and Cervical Cancer Screening Program s Outreach and Education Coordinator at The Walk for Women in Hamlin will take place at the Lincoln Primary Care Center (walking track) as follows: Sunday, October 18, 2015 Registration: 1 p.m. Walk: 2 p.m. The following organizations have free educational materials about breast health and/or breast cancer: WV Breast and Cervical Cancer Screening Program, or Contact your local Health Information Specialist or call (304) or go to National Alliance of Breast Cancer Organization (NABCO) NABCO ( ) National Cancer Institute CANCER ( ) Supporting the Fighters, Admiring the Survivors, Honoring the Taken, and Never Giving Up HOPE More Information American Cancer Society ACS-2345 ( ) Susan G. Komen for the Cure GO KOMEN ( ) ww5.komen.org HANDLEY FUNERAL HOME HAMLIN, WV Aracoma Drug Company Proudly Supporting Breast Cancer Awareness! Become Aware! Full line of Merle Norman Cosmetics! 772 Main Street Chapmanville MCGHEE HANDLEY FUNERAL HOME WEST HAMLIN, WV J.T. HANDLEY - L. I. C. KENT HALL - L. F. D. SCOTT STEWART - L. F. D. DANVILLE MONUMENT CO. DANVILLE, WV IRA HANDLEY JT HANDLEY Jim s Steak & Spaghetti House Supports Breast Cancer Awareness Sally Tweel 44 year Breast Cancer Survivor Hope Koontz Funeral Home Established 1921 Owned & Operated by Shane Koontz Hamlin, WV th Avenue Huntington, WV

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Cancer Causes & Control, The Reach and Health Impacts of the National Breast and Cervical Cancer Early Detection

Since 1990, the program has provided breast and cervical cancer screening and diagnostic services to more than 4.

It is the largest organized cancer screening program in the country, and is designed to reach women who may not

Together, the articles in this special issue report on the reach and health impact of the NBCCEDP, and help us

The findings indicate that the NBCCEDP continues to reach women who are medically underserved.

Compared to other women with breast cancer, women diagnosed with breast cancer through the NBCCEDP were

Among women diagnosed through the NBCCCEDP Distant-stage breast cancer was more common among older women, black

5 Page 10a - Wednesday, October 7, THE LINCOLN JOURNAL - Cancer Causes and Control CDC s Division of Cancer Prevention and Control sponsored a special issue in Cancer Causes & Control, The Reach and Health Impacts of the National Breast and Cervical Cancer Early Detection Program. In 2015, the NBCCEDP celebrated its 25th anniversary. Since 1990, the program has provided breast and cervical cancer screening and diagnostic services to more than 4.8 million low-income, underinsured, and uninsured women across the United States. It is the largest organized cancer screening program in the country, and is designed to reach women who may not have access to these services otherwise. Together, the articles in this special issue report on the reach and health impact of the NBCCEDP, and help us understand the challenges and opportunities in improving access to cancer screening for all women. The findings indicate that the NBCCEDP continues to reach women who are medically underserved. Key Findings About one-third of women who are eligible for the NBCCEDP were not screened for cervical cancer, either within or outside the program. About 60% of all women who are eligible for the NBCCEDP were not screened for breast cancer. Compared to other women with breast cancer, women diagnosed with breast cancer through the NBCCEDP were diagnosed at a later stage. Among women diagnosed through the NBCCCEDP Distant-stage breast cancer was more common among older women, black women, and those whose mammograms were diagnostic. Distant-stage cervical cancer was more common among older women and those who had not been screened within the last 5 years. West Hamlin Town Hall proud supporters of Breast Cancer Awareness MAYOR Farris Burton, Jr. TOWN RECORDER Jo Anna Cardwell TOWN COUNCIL Robert L. Bias Myrl Gue Nellie G. Adkins Sherrill Porter Joey Crum Hope In Loving Memory Penny Hudson April 2010 Women Keep A Good Mental Attitude! HUDSON S Lincoln Plaza West Hamlin Owner: Bill Hudson

Improving Women s Health Through the Prevention and Control of Chronic Disease

Improving Women s Health Through the Prevention and Control of Chronic Disease Pamela Protzel Berman, MPH, Doctoral Candidate Deputy Director Division of Cancer Prevention and Control, CDC December 10,