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Fieldstone Clinic Access to Gynecological Cancer Diagnosis and Prevention Services February 2009 - February 2010 Pamela Smith, Project Director pamela.smith@fsclinic.org/666-666-6666 www.fieldstoneclinic.org. Outcomes as of May 15, 2010. bcbsncfoundation.org.

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  1. Fieldstone ClinicAccess to Gynecological Cancer Diagnosis and Prevention ServicesFebruary 2009 - February 2010Pamela Smith, Project Director pamela.smith@fsclinic.org/666-666-6666 www.fieldstoneclinic.org Outcomes as of May 15, 2010 bcbsncfoundation.org

  2. Anticipated vs. Actual Outcomes bcbsncfoundation.org

  3. Outcomes • 266 of our charity care patients have returned to a normal pattern of surveillance for cervical cancer. • We are more actively communicating and participating with private practice providers in the community. • 14 providers are now offering care to cover 80 patients a year free of charge. • We have created sustainable change for a moderate number of patients in need of free care. In addition to 80 patients that will receive ongoing care through the Project Access model, we will provide care for another 30 through 6 days of free clinic services supported by the medical community. bcbsncfoundation.org

  4. Keys to Success • Project led to sustainable change for the community. • Developed and strengthened relationships with private providers to continue to provide this service on an ongoing basis. • The private practices now: • Better understand our scope of service and limited resources • Better understand need for free services • Better equipped to participate in care for this population bcbsncfoundation.org

  5. Lessons Learned • Course corrections: Due to physician attitudes and preferences, we identified a model that allows them to provide free care outside of their own practice setting producing a higher level of commitment among providers. • Population Served: Breakdown of the women least likely to finish treatment • Pregnant (25%) or with children (86%) • Smokers (50%) • Self pay (50%) • Project Access (38%) • What is your organization doing differently as a result of this project? • Opened our clinic to volunteer providers so that they may provide care here rather than in their locations. • Providing smoking cessation and childcare to increase compliance with treatment for above population. bcbsncfoundation.org

  6. Summary of Future Plans • Next Up • Elements of this program will be maintained. • Higher level of commitment from the community to provide cervical cancer surveillance • Expect expanded capacity to see uninsured women in the community. • Future Targets • Offer free clinic at our site using volunteer docs to enhance accessibility • Purchase equipment for clinic (colposcope) • Get contracts/MOUs with volunteer docs • How We’ve Changed • Opened a dialogue with the community physicians– understand the need and their potential role in achieving a solution. What we had perceived as indifference was just a lack of awareness. bcbsncfoundation.org

  7. Photos PHOTO 1 PHOTO 2 PHOTO 3 PHOTO 4 bcbsncfoundation.org

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