University of Maryland Baltimore City Cancer Program

Rhonda Silva, RN BSN

Program Manager

November 12, 2004

Mission Statement

Baltimore City Cancer Program (BCCP) aims to

eliminate cancer deaths through early detection,

diagnosis, and treatment. We promote healthier

lifestyles through education, focused on cancer risks and

prevention. We offer breast, cervical, and oral cancer

screening services targeted to uninsured or under-

insured minority communities in Baltimore City and

link those requiring follow-up to diagnosis and

treatment services.

Vision Statement

To be a recognized leader in the delivery of a comprehensive screening, diagnosis and treatment program for targeted diseases in Baltimore City.

Goals

• Reduce the burden of cancer in Baltimore City by decreasing cancer incidence through education and prevention initiatives.

• Reduce Baltimore City’s cancer morbidity rate for targeted cancers.

• Address cancer disparities for targeted cancers among minorities.

• Develop a medical delivery system (primary and specialty care) for uninsured population.

• Expand existing services and leverage additional resources through partnerships and collaborations.

Program ModelA Comprehensive Approach

Baltimore City Residents

Screening

Diagnosis

Treatment

Follow-Up

Cas

e M

anag

emen

t

OutreachActivities

BCCP Infrastructure

Medical Director (MD, MPH)Program Manager (RN, BSN)

Clinical Staff

Case ManagementOutreachClerical

13 FTEs

CRFBCCP

University ofMaryland

JohnsHopkins

Department ofHealth & Mental

Hygiene

Baltimore CityHealth

Department

Screening & Treatment

Partners

• UniversityCare• University of

Maryland

Medicine• Open Gates• Total Health• Sinai Hospital

(Future)

OtherPartners

• Maryland

Statewide

Health Network• Millennium

Health• T.V. /Radio• Baltimore

Times• Bea Gaddy Day

Committee

Cigarette Restitution FundBaltimore City Cancer Program

Clinical Approaches

Targeted Cancers

Screening Diagnosis Treatment

Breast Routine Dx. Mammo

Ultrasound

Cervical Routine HPV

Colposcopy

Oral Routine Brush Biopsy

Case Management

SurgeryMedical

Oncology

RadiationOncology

Tri-Modality Care

Screenings FY02-FY04

Screenings FY02 FY03 FY04

1st Quarter

Mammo 412 626 180

Clinical Breast Exam 406 781 226

Cervical 338 614 131

Oral 1,332 885 206

Total Screened 2,488 2,906 797

Cancer Identified 4 12 4

Payment for Treatment Challenges FY03 Budget

Screening & Infrastructure

69%

Treatment Fund31%

• Projecting incidence rates of cancer difficult.• Don’t underestimate cost of diagnosis and treatment.• Program reach limited by funding.• To ensure sustainable medical delivery system, can not

run out of money. Must adjust program accordingly.• Outreach “Think non-traditional.”• “Don’t take no for an answer.”• Be Prepared, “Quarterly Targets.”

Lessons Learned

“Celebrating Life Now…

We Are Journeying Together”