Screening Disparities Action Plan

Transcription

1 Screening Disparities Action Plan Networking Webinar August 21, 2018 Let s connect! Please introduce yourself in the chat box Name, Org, Agenda Review of the Screening Disparities Action Plan Guest Speaker: Sarah Francois, Progressive Community Health Centers, Milwaukee Q&A and Discussion Screening Disparities Action Plan Gather, examine and disseminate existing data on cancer disparities Convene a cancer screening disparities advisory team Create and convene a cancer screening networking group Disparities in Wisconsin Geographic Data source: Wisconsin Cancer Reporting System rates.info/wi/ Full action plan can be found online at wicancer.org Disparities in Wisconsin Racial/Ethnic A Few Resources* Cancer Health Disparities Initiative (chdi.wisc.edu) WI County Cancer Profiles (2016) cancerprofiles/ Trends in Disparities between African Americans & Whites in WI (2017) content/uploads/sites/620/2018/06/statewide Trends in Disparities_AA and White_3Ed_2017.FINAL_.pdf Wisconsin Cancer Reporting System (dhs.wisconsin.gov/wcrs) Maps: rates.info/wi/ Racial and Ethnic Cancer Disparities Fact Sheet American Indian/Alaska Native Cancer Incidence and Mortality in Wisconsin keynotes pdf Source: WI Dept of Health Services, Division of Public Health, Office of Health Informatics, WCRS. WI Cancer Statistical Fact Sheet, Racial and Ethnic Cancer Disparities (P 01794). May 2017 *not all inclusive 1

2 Our Mission WI Cancer Council Reducing disparities in colorectal cancer screening August 21, 2018 Presenter: Sarah Franҫois Director of Fund Development & Marketing Progressive Community s exists to improve the health and quality of life of the community by providing culturally competent services that address identified needs. What is a Community? Located in a federally designated medically underserved area Offer comprehensive primary health care and other services to facilitate access to care, such as transportation and interpretation Governed by a board of directors composed of at least 51% consumers Cannot refuse care to those unable to pay offer sliding fee scale Must participate in federal reporting requirements True or False? Federally Qualified s are the same as Community s. TRUE. There are three types of FQHCs: Community s, Homeless and Migrant Health Centers, and Tribal s. True or False? True or False? Most Community s are entirely funded by the federal government. FALSE. As non-profit entities, s must leverage additional resources to support operations. The federal contribution is intended to be only a portion of the agency s overall budget. Most providers and support staff at Community s are volunteers. FALSE. s typically employ their providers and support staff. Patients and their care team establish long-term relationships in a medical home environment. 2

3 Economic Impact Serve 27 million people nationwide Approximately 200,000 employees Save over $30 billion in annual health care costs patients on average shorter hospital stays Fewer unnecessary ER visits Wisconsin CHCs -Established in 1970s -18 CHCs statewide -90+ sites -Rural and urban -Serve more than 300,000 people annually Our Clinics Our Sinai Medical Center Lisbon Avenue Hillside Family 12 th Street Urgent Care Kilbourn Avenue 3522 W. Lisbon Avenue Monday-Thursday 8am-6pm Friday 8am-5pm 1452 N. 7 th Street, 2 nd Floor Monday-Friday 8am-5pm 945 N. 12 th Street (next to Aurora Sinai Emergency Dept.) Monday-Friday 9am-7pm 1218 W. Kilbourn Avenue, Suite 124 (inside Sinai Physician Office Building) Monday-Friday 8am-5pm Our Patients ,148 patients 45,055 clinic visits 82% African American 30% children under 19 22% adults ages % live in poverty 87% insured through public assistance (Medicaid/Medicare) or uninsured General Primary Care Family/internal medicine Chronic disease management Preventive screenings Women s Health (OB/GYN) Family planning Prenatal/postpartum care Integrated Behavioral Health Radiology X-Ray 2-D Mammography Ultrasound Dental Preventive Restorative Seal-a-Smile (school-based program) Enabling Services Eligibility assistance Case management Health education Prescription assistance programs Our Services 3

4 Quality Improvement Established Clinical Quality Committee focused on: Colorectal cancer screening Depression screening Sealants Diabetes EHR Certified OCHIN/Epic (medical) Wisdom (dental) Meaningful Use Collaboration Milwaukee Health Care Partnership ED Care Coordination Milwaukee Enrollment Network (MKEN) Specialty Access for Uninsured Program (SAUP) Grant-funded partnerships to improve health outcomes Participating Clinics Progressive Community Health Centers Kenosha Community Health Center Outreach Community Health Center Sixteenth Street Community s Milwaukee Health Services, Inc. Scenic Bluffs Community Health Centers Access Community Health Centers Gerald L. Ignace Community Walker s Point Community Clinic CRC Peer Learning Collaborative 5-year CDC-funded project aimed at increasing colorectal cancer (CRC) screening rates among adults ages Supports system level implementation of evidence-based interventions (EBIs) to reach national goal of 80% screened by Technical assistance provided by University of Wisconsin Carbone Cancer Center and Center for Urban Population Health. Progressive s CRC Team Michael Belete, MD Internal Medicine Allison Kos, DO Chief Medical Officer Tracy Blohm Medical Records David Goines Community Health Worker Bonnie Johnson QI Coordinator Amanda Parrell- Kaczmarek Program Manager Enetrea Newell Clinic Manager Kelly Uhan IT/EMR Specialist Evidence-Based Interventions Evidence-Based Interventions (cont.) EBI #1: Provider Assessment and Feedback Monthly provider-specific roster reports of met/unmet screenings Reports are unblinded so provider teams can compare EBI #2: Patient Reminder Systems Health Maintenance reminders (EMR) Verbal reminders from providers Phone call reminders from CHW (navigation) Referral letters Pins EBI #3: Reducing Structural Barriers Worked with U.S. Postal Service to develop a postagepaid Business Reply return mailing envelope for completed FIT kits We are only charged for kits that are actually returned via mail EBI #4: Health Information Technology Provider chart audits and data scrubbing in EHR 4

5 Evidence-Based Interventions (cont.) Outcomes EBI #5: Professional Development Hosted CME workshop for providers and clinical support staff EBI #6: Patient Navigation CHW follows-up with patients who have not completed screening (assesses barriers) Overall agency CRC screening rate increased from 46% (July 2016) to 61% (June 2018) Ranked #1 in CRC screening statewide as of Q Added third CRC screening site (Kilbourn) Distributed nearly 400 incentive gift cards In year-by-year comparison survey, more than double # of patients reported awareness of CRC screening Outcomes (cont.) Winner: Poop to the Hoop Challenge! First annual contest sponsored by American Cancer Society Goal = distribute the most FIT kits during the month of March We distributed 53 kits as part of the campaign the most of any participating agency! Thank You! Policy, Systems and Environmental Changes Sarah Franҫois Director of Fund Development & Marketing sarah.francois@progressivechc.org (414) Policy: Written statement of organizational position, decision, or course of action Systems: Changes in organizational procedures (such as personnel, resource allocation, programs) Environment: Physical, observable changes in the built, economic, and/or social environment Source: 5

6 Finding Answers: Solving Disparities Poll Question: Poll Question: Are you aware of cancer screening disparities in your organization/clinic/community? Yes, we have identified disparities and have a plan to address them Yes, we have identified disparities but aren t sure how to address them We have not identified disparities in my organization but would like assistance doing so. We have not identified disparities and don t plan to look further. I have no clue. Discussion Wisconsin Cancer Council Join Us What are some initiatives that your organization is undertaking to address disparities? The good, the bad and the ugly What kind of support would be helpful to encourage this work? facebook.com/wicancercouncil twitter.com/wicancercouncil WI Cancer Council Annual Cancer Summit Thank you Please take a moment to fill out our evaluation your feedback will help shape future networking calls/opportunities! 6