Program Overview Expert Panel April 7, 2005

1. Program Overview Expert Panel April 7, 2005 Reviewing the Past. Planning the Future

3. Background • Program Implementation • Planning began in 1992 • Screening began in 1993 • More than 77,000 women screened, reaching an estimated 30% of potentially eligible women in 2004 • Funding • Federal through CDC • National Breast and Cervical Cancer Early Detection Program • WISEWOMAN Well-Integrated Screening and Evaluation for Woman Across the Nation • Massachusetts State Legislature (4570-1500)

4. NBCCEDP National Figures

5. Number of Cardiovascular Risk Factor Screenings All States Massachusetts

6. CDC NBCCEDP • Women must be low income (< 250% FPL) • Women must be under or uninsured • 60% of Funds must be spent on Direct Services • Services must be for breast and cervical cancer screening or diagnostics only • 75% of mammograms must be for women age 50 to 64 • 20% of cervical cancer screening must be for rarely or never screened women

7. WISEWOMAN Mandates • Women Must be 40 to 64 years old • Women Must be enrolled in breast and cervical cancer screening program • Women must be screened for CVD risk and referred for lifestyle interventions • Massachusetts must screen a minimum of 2500 women per year • Women with “alert” values must be referred for medical followup

8. Case Management • Case Management is a legislative mandate • All women with an abnormal result must be offered case management services • All women with a cancer diagnosis must be offered case management services

9. Program Requirements • Screening and Diagnostic Services • Case Management • Professional Education • Public Education and Outreach • Quality Assurance • Surveillance and Evaluation

10. Contract Services • 26 Contracting Organizations • Enrollment • Eligibility determination • Provision and clinical management of screening and diagnostic services • Case management • Data submissions/billing • Continuous quality improvement