Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #114111

David Haggstrom, MD, MAS, Cancer Prevention Fellowship Program/Applied Research Program, UCSF, 6130 Executive Blvd, EPN room 4005, Rockville, MD 20852-7344, 301 435 4986, haggstrd@mail.nih.gov and Stephen Taplin, MD, Applied Research Program, National Cancer Institute, 6130 Executive Blvd., EPN 4094, Rockville, MD 20852.

The Cancer Health Disparities Collaborative was designed to use evaluation and feedback to improve cancer screening and follow-up among community health centers that serve poor, minority, and other underserved populations. Participating centers agreed to plan care using a common organizational frame work called the Chronic Care Model. Care teams adopt shared measures aligned with evidence-based guidelines.

The goals of the evaluation are to determine (1) whether evaluating and providing feedback to the collaborating centers will improve mammography, Pap smear, and colorectal cancer screening and follow-up, (2) what processes of the chronic care model mediate changes in outcomes, and (3) what structural characteristics of health centers participating in the collaborative (including leadership, community involvement, and larger health care system support) affect the outcomes of cancer screening and follow-up.

In addition to evaluating whether screening tests have been disseminated by centers using evidence-based clinical practices, other outcomes include prompt notification of screening results, appropriate follow-up of abnormal results, and the documentation of self-management goal setting. Moreover, as a part of the evaluation, computerized registry records will be introduced into the centers in order to measure whether these evidence-based practices are being implemented.

To determine what structural characteristics of organizations participating in the quality collaborative moderate changes in the outcomes of cancer screening and follow-up, the following three hypotheses will be tested and results presented: 1. Leadership quality moderates any change associated with the collaboratives. 2. Community involvement moderates any change associated with the collaboratives. 3. Larger health care system support moderates any change associated with the collaboratives.

Learning Objectives: At the conclusion of this session, the participant will be able to

• Identify the key feastures of the Breakthrough Series collaborative
• Describe the components of the chronic care model

Keywords: Cancer Screening, Quality of Care

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Recorded presentation