University of Maryland Baltimore City Cancer Program

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 ModelA Comprehensive Approach Baltimore City Residents Outreach Activities Screening Diagnosis Case Management Treatment Follow-Up

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

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

8. Clinical Approaches Tri-Modality Care Medical Oncology Surgery Radiation Oncology Case Management

9. Screenings FY02-FY04

10. Payment for Treatment ChallengesFY03 Budget

11. Lessons Learned • 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.”

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