outreach strategies that work nancy jo bleier, lcsw, c-aswcm wisewoman women's health program...
TRANSCRIPT
![Page 1: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/1.jpg)
Outreach Strategies That Work
Nancy Jo Bleier, LCSW, C-ASWCMWISEWOMAN Women's Health Program Coordinator
Southeast Alaska Regional Health Consortium
Nancy Jo Bleier, LCSW, C-ASWCMWISEWOMAN Women's Health Program Coordinator
Southeast Alaska Regional Health Consortium
![Page 2: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/2.jpg)
Who we are
• The SEARHC BCHP program is federally funded through a Cooperative Agreement with the Centers for Disease Control and Prevention
• The program also receives additional support from the SouthEast Alaska Regional Health Consortium
• The SEARHC BCHP program is federally funded through a Cooperative Agreement with the Centers for Disease Control and Prevention
• The program also receives additional support from the SouthEast Alaska Regional Health Consortium
![Page 3: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/3.jpg)
Who we serve All women, Native or Non-Native, who:
• Are SEARHC beneficiaries• Live in Southeast Alaska• Are 18-64 for BCHP• Are 30-64 for WISEWOMAN• Have a limited income• Have insurance that does not fully cover women’s
preventive or diagnostic services• If age 65+, are without Medicare Part B
• Are SEARHC beneficiaries• Live in Southeast Alaska• Are 18-64 for BCHP• Are 30-64 for WISEWOMAN• Have a limited income• Have insurance that does not fully cover women’s
preventive or diagnostic services• If age 65+, are without Medicare Part B
![Page 4: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/4.jpg)
Reach - Since 1998:
• Screened a total of 9,096 women.• Provided 16,536 breast cancer screenings.• Provided 30,276 cervical cancer screenings.• Diagnosed 101 breast cancers.• Diagnosed 156 HSIL, CIN2, CIN3/CIS and
invasive cervical cancers.
source of data - WHTP Minimum Data Element file 1/1/98 - 12/31/11
• Screened a total of 9,096 women.• Provided 16,536 breast cancer screenings.• Provided 30,276 cervical cancer screenings.• Diagnosed 101 breast cancers.• Diagnosed 156 HSIL, CIN2, CIN3/CIS and
invasive cervical cancers.
source of data - WHTP Minimum Data Element file 1/1/98 - 12/31/11
![Page 5: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/5.jpg)
Services we provide:
• Pap tests• Clinical breast exams• Screening & diagnostic mammograms• Breast biopsies, breast ultrasounds• Surgical consultations• Colposcopies and colposcopy-directed biopsies,
LEEP, cryotherapy• Integrated cardiovascular screening and healthy
lifestyle support services through WISEWOMAN
• Pap tests• Clinical breast exams• Screening & diagnostic mammograms• Breast biopsies, breast ultrasounds• Surgical consultations• Colposcopies and colposcopy-directed biopsies,
LEEP, cryotherapy• Integrated cardiovascular screening and healthy
lifestyle support services through WISEWOMAN
![Page 6: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/6.jpg)
SEARHC Women’s Health Program Goal
Reduce morbidity, mortality and health disparities in breast and cervical cancer
Reduce morbidity, mortality and health disparities in breast and cervical cancer
![Page 7: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/7.jpg)
DP12-1205 Public Education and Targeted Outreach
• Promote population-based screening• Promote screening among disparate and other • population subgroups• Use program planning approaches to prioritize • populations and activities• Develop and cultivate partnerships to maximize
reach• Implement evidence-based strategies for public
education and targeted outreach
• Promote population-based screening• Promote screening among disparate and other • population subgroups• Use program planning approaches to prioritize • populations and activities• Develop and cultivate partnerships to maximize
reach• Implement evidence-based strategies for public
education and targeted outreach
![Page 8: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/8.jpg)
What’s worked so far:
• “Captive audience” RPMS Clinic User Population
• Clinic connections• Door-to-door, face-to-face• Integrated programming• Special Women’s Health Clinic events• Provider champions• Unique partnerships• Patience!
• “Captive audience” RPMS Clinic User Population
• Clinic connections• Door-to-door, face-to-face• Integrated programming• Special Women’s Health Clinic events• Provider champions• Unique partnerships• Patience!
![Page 9: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/9.jpg)
Captive Audience
• RPMS Clinic User Population in a centralized service system• “ever seen at a SEARHC clinic”
• Women’s Health Tracking Package• Breast & cervical cancer screening
status reports• Targeted calling and mailing lists
• RPMS Clinic User Population in a centralized service system• “ever seen at a SEARHC clinic”
• Women’s Health Tracking Package• Breast & cervical cancer screening
status reports• Targeted calling and mailing lists
![Page 10: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/10.jpg)
Clinic Connections
• RPMS-generated outreach lists reviewed by local clinic staff on a per-community basis
• Remove “moved, deceased, otherwise unavailable”
• Update RPMS Registration for system-wide use
• RPMS-generated outreach lists reviewed by local clinic staff on a per-community basis
• Remove “moved, deceased, otherwise unavailable”
• Update RPMS Registration for system-wide use
![Page 11: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/11.jpg)
Door-to-door, face-to-face
• Women’s Health Program staff often go door-to-door during scheduled special clinic events and mobile mammography clinics
• Contact with women outside of work (grocery store, ball games, etc) leveraged into clinic appts
• Women’s Health Program staff often go door-to-door during scheduled special clinic events and mobile mammography clinics
• Contact with women outside of work (grocery store, ball games, etc) leveraged into clinic appts
![Page 12: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/12.jpg)
Integrated Programming• Leverage interest in WISEWOMAN as a
“club”• Merge outreach or “due now” lists from
RPMS-based tracking packages (BCHP, CRC, WW)
• Compare other databases and registry data (DPP and LBP, Health Promotion)
• Support from primary care staff to review “due now” status in clinic
• Leverage interest in WISEWOMAN as a “club”
• Merge outreach or “due now” lists from RPMS-based tracking packages (BCHP, CRC, WW)
• Compare other databases and registry data (DPP and LBP, Health Promotion)
• Support from primary care staff to review “due now” status in clinic
![Page 13: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/13.jpg)
Special Women’s Health Clinic Events
• Evening and Saturday Clinics• “Specialty Clinic” model • “Pre-mobile” mammogram events• CHAPs training clinic
• Evening and Saturday Clinics• “Specialty Clinic” model • “Pre-mobile” mammogram events• CHAPs training clinic
![Page 14: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/14.jpg)
Provider Champions
• Provider recommendation still a strong strategy
• Identify and support a provider champion in each primary care facility
• Streamline referral system (how many hoops?)
• Provider recommendation still a strong strategy
• Identify and support a provider champion in each primary care facility
• Streamline referral system (how many hoops?)
![Page 15: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/15.jpg)
Unique Partnerships
• Alaska Breast & Cervical Health Partnership• Joint outreach, public education, provider
education projects designed to maximize geographic reach of funded programs
• State of Alaska-WISEWOMAN-BCHP partnership in Wrangell
• Alaska Breast & Cervical Health Partnership• Joint outreach, public education, provider
education projects designed to maximize geographic reach of funded programs
• State of Alaska-WISEWOMAN-BCHP partnership in Wrangell
![Page 16: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/16.jpg)
Patience
• Takes time to develop relationships:• In villages and larger communities• Within clinics (high turnover in rural areas)• Within the care team setting• In ever-changing systems• Moving targets for multiple stakeholders• With patients
• Takes time to develop relationships:• In villages and larger communities• Within clinics (high turnover in rural areas)• Within the care team setting• In ever-changing systems• Moving targets for multiple stakeholders• With patients
![Page 17: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/17.jpg)
Select DP12-1205 focus areas
• Increase employer/corporate outreach• Refine public education messages• Explore policy approach to highest-risk
patients (similar to CRC)• Provider education re: current screening
recommendations (just when you think you have it figured out…)
• Evaluate, evaluate, evaluate
• Increase employer/corporate outreach• Refine public education messages• Explore policy approach to highest-risk
patients (similar to CRC)• Provider education re: current screening
recommendations (just when you think you have it figured out…)
• Evaluate, evaluate, evaluate
![Page 18: Outreach Strategies That Work Nancy Jo Bleier, LCSW, C-ASWCM WISEWOMAN Women's Health Program Coordinator Southeast Alaska Regional Health Consortium Nancy](https://reader035.vdocuments.site/reader035/viewer/2022070307/551a08c9550346ad578b460a/html5/thumbnails/18.jpg)
Questions?
Thank you!
Nancy Jo Bleier, LCSW, C-ASWCMWISEWOMAN Women's Health Program CoordinatorSoutheast Alaska Regional Health [email protected]
Thank you!
Nancy Jo Bleier, LCSW, C-ASWCMWISEWOMAN Women's Health Program CoordinatorSoutheast Alaska Regional Health [email protected]