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Amber Roche, MPH Breast, Cervical, and Colon Health Program (BCCHP) Public Health – Seattle & King County.

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Presentation on theme: "Amber Roche, MPH Breast, Cervical, and Colon Health Program (BCCHP) Public Health – Seattle & King County."— Presentation transcript:

1 Amber Roche, MPH Breast, Cervical, and Colon Health Program (BCCHP) Public Health – Seattle & King County

2 Genomics Objective G-1:  Increase the proportion of women with a family history of breast and/or ovarian cancer who receive genetic counseling  Baseline: 23.3%  Target: 25.6% (10% improvement) ctiveslist.aspx?topicId=15

3  Federal (CDC), state, and Komen funding  Serves low-income clients without insurance, or with high deductibles  Helps eligible clients get screened for breast, cervical, and colorectal cancers  Connects clients with diagnostic services and treatment  Pays for services  Works to improve access/reduce barriers to care

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5 Breast screening & annual exam Cervical^Colon 40-64, or 35-39, if being seen for breast symptoms, or 64+ if ineligible for Medicare Priority for Mammography:  Ages 50 or older, and last mammogram > 2 years  Suspicious breast findings  Strong family history or other high risk If last pap normal & > 3 years or co-testing (Pap normal and HPV negative) > 5 years:   35-39, if being seen for breast symptoms ^As per USPSTF 2012 Cervical Cancer Screening Guidelines. If not eligible for Pap Test, pelvic exam paid only if done as part of visit for breast screening/annual exam or 64+ if ineligible for Medicare or Under 50 if 1 st degree relative (parent, sibling, child) was diagnosed prior to age 60 with colon cancer or pre- cancerous polyps At or below 250% of Federal Poverty Level (FPL)* Uninsured or Underinsured (deductible over $500) Washington State Residents *mammography and breast diagnostics available to clients at or below 300% FPL (Komen funding)

6 BCCHP:  Identify clients with family history of HBOC, and refer to genetic counseling  Those diagnosed with breast cancer  All enrolled clients  Genetic counselors discuss contacting family members Beyond BCCHP:  Providers ID women at risk, & make referrals.  Use EMR capabilities?

7  DOH revised questions about family history of breast/ovarian cancer on the BCCHP history & exam form  Promoting:  Cancer Family History Guide (developed by the Michigan Department of Community Health)  Online Breast Cancer Genetics Referral Screening Tool (developed by Cecelia Bellcross, PhD, MS, CGC):

8  Data fields on forms vs. in data system  Ability to run reports of clients with family history  Limited time, not highest priority

9  Training clinic staff  Possibility for inappropriate referrals  Reality of EMRs  Who to refer clients to?  How to pay for genetic counseling and testing  Will these be Essential Health Benefits?

10  Pilot project  Student labor!  Involve patient navigators


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