BREAST AND CERVICAL CANCER CONTROL PROGRAM

Emily Vance

Nursing 250

COMMUNITY ENVIRONMENT

The BCCCP is offered to all eligible women throughout Michigan

Located at county health departments and then referred to local participating providers

Also offered at certain tribal health clinics

BCCCP OF MICHIGAN

Implemented by the Michigan Department of Community Health (MDCH) in 1991.

*received grant from U.S. Centers for Disease Control and Prevention to start program

VULNERABLE POPULATIONS

Women who: Have an income < 250% of federal poverty

level Are uninsured or underinsured  Are age 40 - 64 for breast/cervical cancer

screening and for diagnostic follow-up of breast/cervical abnormalities.

Are age 18 – 39, have been identified with a cervical abnormality through the Title X Program, and referred to the BCCCP for cervical cancer diagnostic follow-up.

** Breast and Cervical Cancer Control Program

WHAT IS TITLE X?

Devoted to providing comprehensive family planning and other related preventive health services to individuals.

These services are provided to low-income and uninsured individuals (including those who are not eligible for Medicaid) who might not otherwise have access to these health care services at reduced or no cost.

Its overall purpose is to promote positive birth outcomes and healthy families by allowing individuals to decide the number and spacing of their children.

**U.S. Department of Health and Human Services Office of Population Affairs

Federal Poverty Level (2013)*   

Size of Family Unit  Poverty Guideline 250% of Poverty Level 

 1  $11,490 $28,725

 2  $15,510 $38,775

 3  $19,530 $48,825

 4  $23,550 $58,875

 5  $27,570 $68,925

 6  $31,590 $78,975 

 7  $35,610 $89,025

  8  $39,630 $99,075

  Each additional member (beyond

8) $4,020 add $10,050

  *The federal poverty level figures are updated annually.   

** Michigan Department of Community Health

BREAST CANCER STATISTICS FOR MICHIGAN

CERVICAL CANCER STATISTICS FOR MICHIGAN

SERVICES PROVIDED BY BCCCP & COSTS TO PATIENTS Screening Services Provided:

Clinical Breast Examinations Mammograms Pap Tests Pelvic Exams

Diagnostic Services Provided: (Not all services are covered, but it does offer 75 free of cost diagnostic services. Here are a few listed below)

Diagnostic mammograms Ultrasounds Breast biopsy Colposcopy services Colposcopy-directed biopsy services Medical consultations and Selected anesthesia services

Cancer Treatment Payment is not covered

Women may be eligible to apply for Medicaid coverage.  They will receive Medicaid coverage as long as they are undergoing treatment for breast or cervical cancer. 

If a woman does not qualify for Medicaid, the BCCCP agency will assist her in obtaining the needed cancer treatment.

To find a local agency near you call

1-800-922-MAMM.

HEALTH PROMOTION THEORY

Pender’s Model of Health Promotion “Nola Pender developed her Health Promotion model after seeing

professionals intervening only after patients developed acute or chronic health problems. She became convinced that patients' quality of life could be improved by the prevention of problems before this occurred, and health care dollars could be saved by the promotion of healthy lifestyles.” – Nursing Theory

Breast and Cervical Cancer Control Program of Michigan This program is directly modeled after Pender’s theory Prevention is the key point addressed in both

ROLE OF THE NURSE

Promote preventative screening to all eligible women Perform accurate health history Offer support and referrals to women who have received

a positive cancer screening

How might this role be expanded? Offer education to younger girls on the importance of

having preventative screenings Advocate for non-eligible women wanting preventative

screenings

EVALUATION OF PROGRAM

Awesome program Prevention helps lower healthcare costs by decreasing the amount

of expensive procedures being used Early detection of STDs decreases transmission rates and reduces

the number of HPV cases becoming cervical cancer

Ways to strengthen program: Offer selected services to younger age groups who are also at risk Provide more awareness of the programs services Offer incentives to get women to come in regularly for screenings Have more educational material located on their websites about the

program

REFERENCESMichigan Breast and Cervical Cancer Control Program. (2013). Retrieved August 8, 2013 from http://www.michigancancer.org/bcccp/index.cfm

Michigan Department of Community Health. (2013). Michigan breast and cervical cancer control program. Retrieved August 8, 2013 from http://www.michigan.gov/mdch/0,1607,7-132-2940_2955-13487-- ,00.html

Michigan Public Health Institute. (2011). The cancer burden in michigan. Retrieved August 10, 2013 from http://www.michigan.gov/documents/mdch/Ca_burden_MI_select_sta ts_1993-2011_371092_7.pdf

Nursing Theory. (2011). Nola Pender – nursing theorist. Retrieved August 10, 2013 from http://www.nursing-theory.org/nursing-theorists/Nola- Pender.php

U.S. Department of Health and Human Services Office of Population Affairs. (2008). Family planning. Retrieved August 9, 2013 from http://www.hhs.gov/opa/familyplanning/index.html