No Excuses! Central Valley Health District, Hospital And .

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5/11/2018presented byCentral Valley Health andJamestown Regional Medical CenterLearning objectives Describe CDC best practices for increasing mammographyscreenings Review how to assess the population of women for improvedmammography rates. Identify barriers and overcoming excuses to mammographyscreening Discuss how to develop a public/private partnership.1

5/11/2018Region & Missions Stutsman & Logan CountiesPublic Health DepartmentHelping communities to be thehealthiest places to live, learn,work and play.Region & Missions Central North Dakota (ninecounty area with 55,000people)To exceed expectations andbe the difference in the livesof those we serve.2

5/11/2018ND Women’s Way ProgramNeed for No ExcusesA LOOK AT NO EXCUSES: Healthy people 2020 goal 81%. Medicare enrollees ages 67-69 in 2014 was 63.3%. (Stutsman) Women’s Way targets rarely or never screened women as part of theirscreening goals. Stutsman county goal is to screen 124 women. North Dakota women 40 and over who had mammogram in past 2years was 65.3 (2015) 2014 there was a gap between insurance coverage for newtechnology and insurance payments.3

5/11/2018Best omponent-BreastCancer.pdfNo Excuses- Reduces BarriersACCESS TO WOMEN’S HEALTH SCREENINGSNo Excuses targets females between 40 and 80 who experience barriersto screening services. These barriers include lack of: insurance time transportation understanding of the need4

5/11/2018My WHYLoss of a friendHow I can make a differenceOur WHYBRENDA’S STORY New to the community No insurance No provider .no referral no awareness5

5/11/2018Patient Access & EducationHOW WE MADE IT HAPPEN Challenges Insurance Payment Paperwork FoundationPatient Access & EducationAll in one callNO CALL NEEDED!6

5/11/2018Patient Access & EducationCARE BEYOND THE SCREENINGSWhat happens . Financial counseling Connecting patients to the next servicesNeed for PartnersMULTI-AGENCY PARTNERSHIP Providers Funding partners Cross agency staffing Volunteers Community partners7

5/11/2018Need for SupportPROGRAM FUNDING R.M. Stoudt Running of the pink JRMC Foundation State legislation Women’s Way Community CareNo Excuses – How we made it happenEngaged staff Attending events Marketing and spreading the word Working shifts extending in to the evening Guiding patients through their care Teamwork and coordination across departments and organizations8

5/11/2018No Excuses – How we made it happenEvolution and Improvements Pre-planning and post event review meetings with everyone involved Providers – Dr. Runkles OB/GYN and Kara Falk NP Provided additional women screening exams Managed care for patients without a primary care provider Registration/patient coordinator Streamlined scheduling Assists the patient in navigating financial qualificationNo Excuses – How we made it happenMammography ACR practice parameters – screening mammogram starting at age 40 Use the best technology of 3D tomography Stutsman county medicare mammo rates for patients age 67-69 at63.3% in 2014 and 71% in 2017.9

5/11/2018No Excuses – GrowthMammography Participation has increased 8 patients at first event 14 at the second event 22 at the third event in 2017 Planning two events in 2018 – anticipate 20 at each. Younger women with questions and concerns Impact extends beyond the day of the event Financial assistance is available year roundWhat We’ve LearnedBRENDA’S STORYA widow and mother of four sons, Brenda Skavroneck delayed obtainingher regular Pap test and mammogram because she couldn’t afford it.She promised herself, and her children, she’d somehow budget for aphysical in sometime 2018. That’s when she noticed an ad for No Excuseson Facebook. She was new to the area and did not have a provider.10

health.orgThank you!www.jrmcnd.comwww.centralvalleyhealth.org11

No Excuses targets females between 40 and 80 who experience barriers to screening services. These barriers include lack of: insurance time transportation understanding of the need No Excuses- Reduces Barriers. 5/11/2

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