Taussig Cancer Institute Community Outreach Efforts Kimberly - - PowerPoint PPT Presentation

Taussig Cancer Institute Community Outreach Efforts

Kimberly Kreller RN, BSN Director Community Outreach and Research

Team Members

• Dr. Marc Shapiro, Medical Director
• Angela Bailey
• Stacey Booker, RN MSN
• MaryAnne Ott

Disparities of Health

Defined as the differences in:

• Incidence
• Prevalence
• Mortality
• Burden of Disease

Among specific population groups

Cancer: Disparities Overview

• African Americans
• Latinos
• Native Americans
• White Impoverished
• Older Aged Population

Affected Groups with Worse Cancer Outcomes

• African Americans more likely than

Caucasians to be diagnosed with malignant cancers

• Overall decreases in cancer death rates
• ver past decade, but age-adjusted total

cancer mortality higher in African Americans

• African Americans less likely to be

diagnosed with cancer at early stage and less likely to survive five years after diagnosis

Contributing Factors

• Suspicion of the medical establishment
• Lack of education (general and regarding cancer)
• Lack of resources
• Health insurance
• Money
• Family support
• Medical Establishment – Major Issues
• Distribution of physicians
• Lack of cultural diversity
• Those available to under-served may not have

time or experience regarding cancer advances

Race to Reducing Disparities

Build Trust Eliminate Fear Increase Awareness Provide Resources Resolve Barriers

Why Navigation Works

Without Navigation

No follow up after initial diagnosis (2007) Cancer progressed to stage 4 with metastasis (2009) No identified medical home “If I ignore, it will go away” “ I didn’t have no support”

With Navigation

Coordinated plan of care Received financial assistance Connected to Healthcare system/PCP Transportation arranged Referral to cancer support group at Huron Hospital

Patient Navigation Model

Outreach

Patient Navigation Patient Navigation

Rehabilitation

Abnormal Results

Diagnosis Treatment

Abnormal Finding Resolution Conclude Navigation

Freeman, et.al., Cancer Practice, 1995.

Patient Navigation Program

• Elimination of barriers to care
• Timely diagnosis and treatment
• One of five national cancer centers
• Follows the Patient Navigation Model

developed by Harold P. Freeman. MD

• Certified Patient Navigators

Patient Demographics

• 140 navigated
• 31% male; 69% female
• 5% Caucasian; 95% African American
• Insurance Status
• 38% Medicare
• 28% Medicaid
• 27% Uninsured
• 6% Private

Barrier Resolution

Barrier Number Identified Number Resolved

Financial

Insurance Medication

54 50

Psycho/Social

Support Housing

14 14

Service Delivery

Scheduling

1 1

Other

Transportation Homecare

30 30

Beauty and Barbershop Programs

• Community talking to one another
• Engage the community to engage one

another

• The community delivers the message
• Trust built and fear eliminated
• Access to screening services
• Link to Patient Navigation Program

Beauty and Barbershop Program Goals

• Increase the amount of programming
• Quantify efforts
• Provide pre-test, post test and retest
• Provide and report out results
• Demonstrate and increase in knowledge
• Reduce the lack of education as a

contributing factor to disparity of care

Geriatric Oncology Program

• Program launched in July 2009
• Early stage of development (TOPS)
• Three physician leaders with expertise in

geriatrics, oncology, pharmacology and palliative care

• Comprehensive care to patients 75 years

and older

• Supportive care services for cancer

symptoms or its treatment

The Finish Line

Listen to the community Strengthen relations with our religious leaders Develop and sustain internal and external partnerships Continue to implement programs and initiatives that address disparities Remain in contact with our political leaders who are aware of the policies that impact what we do