Tennessee Breast & Cervical Screening Program

Crissy Hartsfield September 9, 2019

Mission

• Decrease mortality and morbidity rates of breast and cervical cancer through delivery of timely quality care – Decrease health disparities – Improve screening rates and increase early detection – Initiate health system interventions

Key Partners

• Tennessee Cancer Coalition • Susan G. Komen • American Cancer Society • National Breast and Cervical Cancer Early Detection

Program • Center for Disease Control and Prevention • TennCare • UT Extension • HPV Cancer Free Tennessee Coalition • 400 Screening & Referral Providers

Services

• Well-woman exams including clinical breast exams and pap smears

• Screening Mammograms • Diagnostic Services for breast for both men and women • Diagnostic Services for abnormal pap smears • Patient Navigation along the continuum of care • Community Education and Outreach

Unique Patients Served

3160

2624

3726

4855

4195

2300

0

1000

2000

3000

4000

5000

6000

East Middle West

FY 2018FY2019

General Eligibility

• Low Income • Uninsured, Underinsured • Tennessee Resident

Clinical Eligibility

Breast Screening • Women 40 and up • USPSTF Guidelines Breast Diagnostics • Men & Women 18 and up • NCCN Guidelines

Cervical Screening • Women 40 and up • ASCCP Guidelines

Cervical Diagnostics • Women 21 and up • ASCCP Guidelines

Screening Providers Responsibility

• Enrollment of Patients- Consent Form, Eligibility • Preventative Health Visits with CBE and Pap • Completion of Transmittal Sheets-Data • Patient Navigation • Follow Reimbursement Guidelines

Health System Interventions

• Patient Reminders – Text messages, reminder cards

• Provider Reminders – EHR prompts

• Provider Feedback – QA/QI Review – Annual Feedback

Requirements

• Collection of baseline data • Initiation of health system intervention • Collection of annual data

Request for Proposals

• January 2020 • $10,000 • 5 Health Systems

Crissy Hartsfield crissy.hartsfield@tn.gov

615-741-5253