BREAST AND CERVICAL CANCER CONTROL PROGRAM
Emily Vance
Nursing 250
COMMUNITY ENVIRONMENT
The BCCCP is offered to all eligible women throughout Michigan
Located at county health departments and then referred to local participating providers
Also offered at certain tribal health clinics
BCCCP OF MICHIGAN
Implemented by the Michigan Department of Community Health (MDCH) in 1991.
*received grant from U.S. Centers for Disease Control and Prevention to start program
VULNERABLE POPULATIONS
Women who: Have an income < 250% of federal poverty
level Are uninsured or underinsured Are age 40 - 64 for breast/cervical cancer
screening and for diagnostic follow-up of breast/cervical abnormalities.
Are age 18 – 39, have been identified with a cervical abnormality through the Title X Program, and referred to the BCCCP for cervical cancer diagnostic follow-up.
** Breast and Cervical Cancer Control Program
WHAT IS TITLE X?
Devoted to providing comprehensive family planning and other related preventive health services to individuals.
These services are provided to low-income and uninsured individuals (including those who are not eligible for Medicaid) who might not otherwise have access to these health care services at reduced or no cost.
Its overall purpose is to promote positive birth outcomes and healthy families by allowing individuals to decide the number and spacing of their children.
**U.S. Department of Health and Human Services Office of Population Affairs
Federal Poverty Level (2013)*
Size of Family Unit Poverty Guideline 250% of Poverty Level
1 $11,490 $28,725
2 $15,510 $38,775
3 $19,530 $48,825
4 $23,550 $58,875
5 $27,570 $68,925
6 $31,590 $78,975
7 $35,610 $89,025
8 $39,630 $99,075
Each additional member (beyond
8) $4,020 add $10,050
*The federal poverty level figures are updated annually.
** Michigan Department of Community Health
BREAST CANCER STATISTICS FOR MICHIGAN
CERVICAL CANCER STATISTICS FOR MICHIGAN
SERVICES PROVIDED BY BCCCP & COSTS TO PATIENTS Screening Services Provided:
Clinical Breast Examinations Mammograms Pap Tests Pelvic Exams
Diagnostic Services Provided: (Not all services are covered, but it does offer 75 free of cost diagnostic services. Here are a few listed below)
Diagnostic mammograms Ultrasounds Breast biopsy Colposcopy services Colposcopy-directed biopsy services Medical consultations and Selected anesthesia services
Cancer Treatment Payment is not covered
Women may be eligible to apply for Medicaid coverage. They will receive Medicaid coverage as long as they are undergoing treatment for breast or cervical cancer.
If a woman does not qualify for Medicaid, the BCCCP agency will assist her in obtaining the needed cancer treatment.
To find a local agency near you call
1-800-922-MAMM.
HEALTH PROMOTION THEORY
Pender’s Model of Health Promotion “Nola Pender developed her Health Promotion model after seeing
professionals intervening only after patients developed acute or chronic health problems. She became convinced that patients' quality of life could be improved by the prevention of problems before this occurred, and health care dollars could be saved by the promotion of healthy lifestyles.” – Nursing Theory
Breast and Cervical Cancer Control Program of Michigan This program is directly modeled after Pender’s theory Prevention is the key point addressed in both
ROLE OF THE NURSE
Promote preventative screening to all eligible women Perform accurate health history Offer support and referrals to women who have received
a positive cancer screening
How might this role be expanded? Offer education to younger girls on the importance of
having preventative screenings Advocate for non-eligible women wanting preventative
screenings
EVALUATION OF PROGRAM
Awesome program Prevention helps lower healthcare costs by decreasing the amount
of expensive procedures being used Early detection of STDs decreases transmission rates and reduces
the number of HPV cases becoming cervical cancer
Ways to strengthen program: Offer selected services to younger age groups who are also at risk Provide more awareness of the programs services Offer incentives to get women to come in regularly for screenings Have more educational material located on their websites about the
program
REFERENCESMichigan Breast and Cervical Cancer Control Program. (2013). Retrieved August 8, 2013 from http://www.michigancancer.org/bcccp/index.cfm
Michigan Department of Community Health. (2013). Michigan breast and cervical cancer control program. Retrieved August 8, 2013 from http://www.michigan.gov/mdch/0,1607,7-132-2940_2955-13487-- ,00.html
Michigan Public Health Institute. (2011). The cancer burden in michigan. Retrieved August 10, 2013 from http://www.michigan.gov/documents/mdch/Ca_burden_MI_select_sta ts_1993-2011_371092_7.pdf
Nursing Theory. (2011). Nola Pender – nursing theorist. Retrieved August 10, 2013 from http://www.nursing-theory.org/nursing-theorists/Nola- Pender.php
U.S. Department of Health and Human Services Office of Population Affairs. (2008). Family planning. Retrieved August 9, 2013 from http://www.hhs.gov/opa/familyplanning/index.html