Disparities are seen in breast cancer screening rates by poverty level, geography, and insurance type. The Colorado Cancer Plan has prioritized the following goals to help decrease these disparities:

– Increase the number of women age 50+ in poverty (under 250% FPL) who had a mammogram in the last two years from 61.3% in 2014 to 81.1% by 2020.

– Increase the number of women age 50+ who live in rural or frontier counties who had a mammogram in the last two years from 66% in 2014 to 81.1% in 2020.

– Increase the number of women age 50+ who have Health First Colorado (Medicaid) who had a mammogram in the last 2 years from 69.3% in 2014 to 81.1% in 2020.

CancerPlanBreastCancerDisparities

 

Strategies:

  • Increase access to cancer screening services, including colonoscopy, mammography and low- dose lung CT screening, in rural areas by implementing mobile services, traveling providers, upgraded equipment or increased Medicaid reimbursement.
  • Partner with community-based organizations to reduce barriers (financial, cultural, structural or regional) to obtaining cancer screening services through engagement of community health workers and patient navigators.
  • Provide culturally relevant screening services for medically underserved communities and promote culturally sensitive informed decision-making about screening through engagement of community health workers and patient navigators.
  • Facilitate enrollment in public and private health insurance.
  • Educate Medicaid-eligible Coloradans about their cancer screening coverage, including locations that accept Medicaid.
  • Address limited local provider access for individuals due to insurance coverage, insurance plans accepted by providers, or provider capacity.
  • Educate employers on the importance of providing paid leave for cancer screenings (especially for hourly employees).

For more on the Colorado Cancer Plan: http://bit.ly/cocancerplan

The Colorado Cancer Plan outlines cancer screening as a high priority for the state. Stakeholders across the state are working to improve the screening rates in women 50+ from 72.4% to 81.1% by 2020. And in women 40-49 from 57.6% to 63.4%.

BreastCancerMeasuresStateCancerPlan

Strategies:

  • Educate primary care providers on the importance of a provider recommendation and adhering to nationally recognized, evidence based cancer screening guidelines such as the United States Preventive Services Task Force (USPSTF), the National Comprehensive Cancer Network (NCCN), the American Cancer Society (ACS) and the American College of Radiology (ACR).
  • Promote informed decision-making at both the provider and individual level regarding breast cancer screening guidelines. Discussions should include the advantages and disadvantages related to the variations in how often and when to begin and end screening based on individual risk.
  • Implement client reminder systems (e.g., print or phone) to advise individuals in need of a cancer screening; messages may be tailored or general.
  • Implement provider-oriented strategies, including provider reminders and recalls to identify when an individual is in need of, or overdue for, a cancer screening test based on individual or family history risk, and provider assessment and feedback interventions that present information about screening provision, in particular through use of an electronic health record system.
  • Deliver one-on-one or group education conducted by health professionals or trained lay people to motivate individuals to seek screenings by ad- dressing indications for and benefits of screening, and what to expect during screening services. Use small media to support this education (e.g., brochures or newsletters).
  • Implement workplace policies to provide paid time off for individuals to complete recommended cancer screenings.
  • Collaborate with health plans to achieve in- creased cancer screening compliance rates, for example through the use of National Committee for Quality Assurance (NCQA) Healthcare  Effectiveness Data and Information Set (HEDIS) cancer screening measures.
  • Implement evidence-based practices through engagement of patient navigators in cancer screening processes.

For more on the Colorado Cancer Plan: http://bit.ly/cocancerplan

With the new all-volunteer structure of the Colorado Cancer Coalition, we are looking for dedicated committee members to start a few new committees and one more new Task Force. Please indicate your interest in the following:
  • Starting a new Cancer Treatment/Clinical Trials Task Force
  • Resource Directory Committee
  • Colorado Cancer Fund Check-off Communications Committee
  • CCC Annual Symposium Committe

Let us know your interest

The Colorado Cancer Coalition Steering Committee is looking for three new representatives that cover the following:

  • Rural representative
  • Primary Care Physician
  • Health Equity representative

The roles and responsibilities of a Steering Committee member can be found here: https://drive.google.com/file/d/0BzprTC59c3WnY0o1X2hhTkZzQ0k/view?usp=sharing

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