Tennessee Breast & Cervical Screening Program
Crissy Hartsfield September 9, 2019
Mission
• Decrease mortality and morbidity rates of breast and cervical cancer through delivery of timely quality care – Decrease health disparities – Improve screening rates and increase early detection – Initiate health system interventions
Key Partners
• Tennessee Cancer Coalition • Susan G. Komen • American Cancer Society • National Breast and Cervical Cancer Early Detection
Program • Center for Disease Control and Prevention • TennCare • UT Extension • HPV Cancer Free Tennessee Coalition • 400 Screening & Referral Providers
Services
• Well-woman exams including clinical breast exams and pap smears
• Screening Mammograms • Diagnostic Services for breast for both men and women • Diagnostic Services for abnormal pap smears • Patient Navigation along the continuum of care • Community Education and Outreach
Unique Patients Served
3160
2624
3726
4855
4195
2300
0
1000
2000
3000
4000
5000
6000
East Middle West
FY 2018FY2019
General Eligibility
• Low Income • Uninsured, Underinsured • Tennessee Resident
Clinical Eligibility
Breast Screening • Women 40 and up • USPSTF Guidelines Breast Diagnostics • Men & Women 18 and up • NCCN Guidelines
Cervical Screening • Women 40 and up • ASCCP Guidelines
Cervical Diagnostics • Women 21 and up • ASCCP Guidelines
Screening Providers Responsibility
• Enrollment of Patients- Consent Form, Eligibility • Preventative Health Visits with CBE and Pap • Completion of Transmittal Sheets-Data • Patient Navigation • Follow Reimbursement Guidelines
Health System Interventions
• Patient Reminders – Text messages, reminder cards
• Provider Reminders – EHR prompts
• Provider Feedback – QA/QI Review – Annual Feedback
Requirements
• Collection of baseline data • Initiation of health system intervention • Collection of annual data
Request for Proposals
• January 2020 • $10,000 • 5 Health Systems