199446 Assessing Effective Strategies to Integrate Breast Care into Primary Care for Uninsured, Low-Income Women in Montgomery County Maryland

Tuesday, November 10, 2009: 5:00 PM

Maria Triantis, RN, MBA , Center for Health Improvement, Primary Care Coalition, Silver Spring, MD
Richard Palmer, DrPH , School of Public Health, Robert Stempel School of Public Health, Florida International University, Miami, FL
Raquel Samson, MPH , Primary Care Coalition of Montgomery County, Silver Spring, MD
Introduction: Breast cancer screening rates are not at optimal levels for the poor and uninsured. Subsequently, the Primary Care Coalition implemented a breast healthcare patient navigation and provider training program to increase mammography referral rates and patient mammography screening rates within the Montgomery Cares safety-net clinics. Montgomery Cares safety net clinics provide primary care to ethnically diverse, low-income and uninsured adult residents of Montgomery County, MD

Methods: A comprehensive program was developed to address mammography screening and included the following:1) A breast health needs assessment which resulted in enhancements to the electronic medical record for tracking and reporting mammography screening within Montgomery Care clinics; 2) the development of a patient navigator program; and 3) the development of an online CME, “A Review of Breast Cancer Screening: The Role of Culture” that was made available to clinic staff.

Results: The mammography referral rate within safety-net clinics nearly doubled (from 35% to 66%; P≤.05) and mammogram screening rate more than doubled (from 15% to 32%; P≤.05) between baseline data collected in 2006 and data collected in 2008.

Conclusions: The program designed increased both mammogram referral and screening rates within low-income minority women. The strategies identified may be effective in other community-based health centers for increasing screening rates among underserved populations and may help reduce the health disparities seen for breast cancer.

Learning Objectives:
•Describe 3 patient barriers to breast cancer screening for low income and uninsured women in Montgomery County, MD. •List 2 strategies to community based strategies to leverage resources for breast cancer prevention for low income and uninsured women. •Identify how to access the free clinical provider CME training, “A Review of Breast Cancer Screening: The Role of Culture”.

Keywords: Cancer Prevention, Access

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: A. Positions and Honors. Positions and Employment 2007 - Present Project Manager, Primary Care Coalition of Montgomery County, Silver Spring, MD 2005 – 2007 Clinical Center Director, Planned Parenthood of Maryland, Baltimore, MD 2001 – 2004 Family Planning/Outreach Education Coordinator, Nashua Area Health Center, Nashua, NH 1999 – 2001 Associate Director of Education, Planned Parenthood of New York City, New York, NY 1997 – 1999 Maternal/Child Health Volunteer, United States Peace Corps, Ouarzazate, Morocco 1996 – 1997 Assistant to Program Officer, UNICEF Office of Emergency Programs, New York, NY 1995 – 1996 Health Educator,Tulane Student Health Center, New Orleans, LA Other Experience and Professional Memberships 1995 – Present APHA American Public Health Association 2007 – Present Shepherd’s Clinic 2001 – 2004 New Hampshire Reproductive Health Association 2001 – 2004 Nashua Outright, Inc. B. Selected peer-reviewed publications (in chronological order). C. Research Support 2007 – Present Susan G. Komen Community-Academic Partnership: Assessing Effective Strategies to Integrate Breast Care into Primary Care for Uninsured, Low-Income Women. 2006 – 2007 Johns Hopkins, Stan Becker, PhD, Couples Counseling at an Abortion Clinic: A Pilot Study
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.