1. University of Maryland Baltimore City Cancer Program Rhonda Silva, RN BSN Program Manager November 12, 2004

2. Mission Statement Baltimore City Cancer Program (BCCP) aims to eliminate cancer deaths through early detection, diagnosis, and treatment. We promote healthier lifestyles through education, focused on cancer risks and prevention. We offer breast, cervical, and oral cancer screening services targeted to uninsured or under-insured minority communities in Baltimore City and link those requiring follow-up to diagnosis and treatment services.

3. Vision Statement To be a recognized leader in the delivery of a comprehensive screening, diagnosis and treatment program for targeted diseases in Baltimore City.

4. Goals Reduce the burden of cancer in Baltimore City by decreasing cancer incidence through education and prevention initiatives. Reduce Baltimore City’s cancer morbidity rate for targeted cancers. Address cancer disparities for targeted cancers among minorities. Develop a medical delivery system (primary and specialty care) for uninsured population. Expand existing services and leverage additional resources through partnerships and collaborations.

5. Program Model A Comprehensive Approach Baltimore City Residents Screening Diagnosis Treatment Follow-Up Case Management Outreach Activities

6. BCCP Infrastructure Medical Director (MD, MPH) Program Manager (RN, BSN) Clinical Staff Case Management Outreach Clerical 13 FTEs

7. CRF BCCP University of Maryland Johns Hopkins Department of Health & Mental Hygiene Baltimore City Health Department Screening & Treatment Partners UniversityCare University of Maryland Medicine Open Gates Total Health Sinai Hospital (Future) Other Partners Maryland Statewide Health Network Millennium Health T.V. /Radio Baltimore Times Bea Gaddy Day Committee Cigarette Restitution Fund Baltimore City Cancer Program

8. Clinical Approaches Targeted Cancers ScreeningDiagnosisTreatment BreastRoutineDx. Mammo Ultrasound CervicalRoutineHPV Colposcopy OralRoutineBrush Biopsy Case Management Surgery Medical Oncology Radiation Oncology Tri-Modality Care

9. Screenings FY02-FY04 ScreeningsFY02FY03FY04 1 st Quarter Mammo 412626180 Clinical Breast Exam 406781226 Cervical 338614131 Oral 1,332885206 Total Screened 2,4882,906797 Cancer Identified 4124

10. Payment for Treatment Challenges FY03 Budget

11. Projecting incidence rates of cancer difficult. Don’t underestimate cost of diagnosis and treatment. Program reach limited by funding. To ensure sustainable medical delivery system, can not run out of money. Must adjust program accordingly. Outreach “Think non-traditional.” “Don’t take no for an answer.” Be Prepared, “Quarterly Targets.” Lessons Learned

12. “Celebrating Life Now… We Are Journeying Together”