The SouthEast Alaska Regional Health Consortium (SEARHC) Breast and Cervical Health Program (BCHP) remains a model for comprehensive healthcare for women in Southeast Alaska.The SEARHC BCHP will decrease cancer incidence, morbidity, and mortality for Alaska Native and rural women in Southeast Alaska by providing coordinated outreach, screening, tracking, patient navigation, and diagnostic services to women. SEARHC will focus on key evidence-based interventions including: client reminders, reducing structural barriers/out of pocket costs, small media campaigns for clients, provider assessment and feedback, and provider reminder and recall systems. SEARHC will collaborate with screening partners including SEARHC clinics, other Community Health Centers, and a mobile mammography provider to improve access to screening. The primary target audience for this project is women in Southeast Alaska who are at or below 250% of the Federal Poverty Level (FPL), aged 40 to 64 for breast cancer services, and aged 21-64 for cervical cancer services. The program will also continue to serve uninsured and under-insured women of all races who live in isolated, rural communities. Strategies targeting these women are designed to provide services in the patient?s community of residence. All women served under this proposal are in groups identified as ?priority populations.? The majority of women served by SEARHC are Alaska Natives (62%). All improvements in breast and cervical cancer screening will have a significant impact on this population. The program will also continue to serve uninsured and under-insured women of all races who live in isolated, rural communities. Strategies targeting these women are designed to provide services in the patient?s community of residence. SEARHC?s primary priority is on broad population reach: re-screening current clients while striving to provide services to those women that have been identified as ?never or rarely screened.? In add
ition, SEARHC continues to focus on providing the bulk of program mammograms to women over 50 years of age.Project outcomes for the SEARHC BCHP include: establishing internal and external partnerships to support increased breast and cervical cancer screening; increasing access to appropriate breast and cervical cancer screening, rescreening, and surveillance among Alaska Native and rural women in Southeast Alaska; establishing policies and systems that support high-quality breast and cervical cancer screening; using evidence-based interventions to support provider practices, health systems, and patients for high-quality breast and cervical cancer screening; using data systems for patient outreach, screening, and CDC-required measures; retaining high quality staff, clinical consultants, and providers; reducing breast and cervical cancer morbidity and mortality; and reducing disparities in breast and cervical cancer incidence and mortality.For FY18 (Project Year 1), based on previous levels of service provided and analysis of the patient database for need for screening, SEARHC anticipates serving 2,101 women with NBCCEDP-funded services. Of these women, 1,321 will be served for breast cancer, and 1,100 will be served for cervical cancer. In addition, SEARHC anticipates serving 75 women with NBCCEDP-funded patient navigation services.