Project Director Name: Al Ballesteros Contact Phone Numbers: 323-201-4516 ext. 3017 (Voice), 323-215-0170 (Fax) Email Address: firstname.lastname@example.org Website: www.jwchinstitute.org Grant Funds Requested: $500,000 Health Center Program grant #: (H80CS06673) Summary of Proposed Services and Partnership(s): JWCH is partnering with NCI-designated Cancer Center, City of Hope, for this project with the goal of increasing access and addressing barriers to cervical, breast and colorectal cancer screening and referral to care and treatment. Our multi-component program will include: (1) team-based patient navigation of cancer screening, abnormalities, diagnostics, and treatment, leveraging existing infrastructure and resources to resolve medical, social, and system barriers to screening and follow-up care; (2) a public health campaign titled Cancer Screening for Life, involving linguistically and culturally responsive in reach and outreach strategies for existing patients (e.g., text messages, patient portal engagement, point of care messages, newsletter) and multiethnic community outreach (e.g., community events, media, newspapers); (3) expanded access to screening through partnership with City of Hope’s mobile cancer screening unit; (4) quality improvement with enhanced workforce training and clinical workflows to facilitate routinized procedures for screening and follow-up and data collection and monitoring of abnormal screening tests; (5) technical upgrades to support cancer epidemiologic data mining, and robust patient navigation tracking, registries, and electronic medical record integration. Objective 1: Cervical cancer screening will increase from 51.38% (9,983/19,428) to 67% for a minimum goal of 13,061 female patients screened by 2023. • Objective 1a: Increase the number of patients assisted with accessing appropriate follow-up care (e.g., diagnostic services, therapies, clinical trials) within 30 days of receiving an abnormal cervical
cancer screening test result from 71.43% (50/70) to 90% by December 31, 2023. Objective 2: Breast cancer screening will increase from 61.52% (5,380/8,745) to 79% for a minimum goal of 6,994 female patients screened by December 31, 2023. • Objective 2a: Increase the number of patients assisted with accessing appropriate follow-up care (e.g., diagnostic services, therapies, clinical trials) within 30 days of receiving an abnormal breast cancer screening test result to 90% by December 31, 2023. Objective 3: Colorectal cancer screening will increase from 43.54% (7,602/ 17,458 among adults ages 50-75 years) to 60.5 (10,474/17,458 among adults ages 45-75) with a minimum goal of 10,474 patients ages 45-75 screened by 2023. • Objective 3.a: Increase the number of patients assisted with accessing appropriate follow-up care (e.g., diagnostic services, therapies, clinical trials) within 30 days of receiving an abnormal colorectal cancer screening test result to 90% by December 31,2023. Needs to be Addressed: The primary focus of this project is to provide community outreach, increase cervical, breast, and colorectal cancer screening, improve detection, referral to care, and provide increased treatment services to underserved populations. This project will also address patient barriers to accessing care and Social Determinants of Health including enrollment into health insurance benefits and providing mental health and emotional support to patients, family and caregivers. Population group(s) to be served: This project will reach low-income Hispanic/Latino, African American and other persons of color in JWCH’s service area throughout Los Angeles County, including remote/rural communities in the Antelope Valley. This population also includes a substantial HCH population experiencing homelessness in skid row and metro Los Angeles.