Saturday, April 5, 2025
4/5/2025
Accelerating Cancer Screening - Bronx Community Health Network (BCHN) is proposing to partner with the Montefiore Einstein NCI-designated Cancer Center (MECC) to foster a coordinated shared approach to improve colorectal cancer screening and follow up care in the Bronx. The project’s goal is to utilize resources over a two-year period to develop a closer relationship between BCHN and the MECC that leverages both systems of care to decrease colorectal cancer incidence and mortality. The project has two objectives: 1) Increase the number and percentage of patients screened for colorectal cancer from 58% to 60% in Year 1 and 62% in Year 2, and 2) Increase the number of patients assisted with accessing appropriate colorectal cancer follow-up care within 30 days of receiving an abnormal cancer screening test result. Our response is informed by our employing a trauma informed approach that incorporates an understanding of the historical context of personal exposures and vulnerabilities related to persistent poverty and focuses on changes in accessibility of health services along with changes in neighborhood resources and stressors. It acknowledges that there is great unpredictability, perhaps even chaos, in public health capabilities. Ultimately, its goal is to enhance social capital for promoting health care access and for coping with structural racism and discrimination. The majority of proposed activities will leverage and refine existing processes such as targeted community outreach, gaps in preventive care, direct colonoscopy patient navigation, eConsults, and initiatives to improve care timelines for patients with abnormal results. Activities will be conducted consistent with BCHN’s regular collaborative quality improvement framework to iterate and optimize clinical and data workflows for sustainability by integration into routine clinical and data activities. Two Community Health Workers will be hired to support outreach, care coordination, eligibility assistance, patient navigation, patient experience, and screening and follow-up activities. Because of lower screening rates a particular focus will be on men who are overdue for colorectal cancer screening. Outreach will be supported by data identifying “hot spots”.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).