Cancer Screening Dr. Meghan Davis Regional Primary Care Lead HNHB - PowerPoint PPT Presentation

Cancer Screening Dr. Meghan Davis Regional Primary Care Lead HNHB LHIN Cancer Care Ontario 1

Regional Cancer Screening Leads Dr. Terry Minuk Dr. Dustin Costescu Dr. Barry Lumb Dr. Danny Kraftcheck Dr. Andrea East Dr. Meghan Davis

Integrated Cancer Screening Team Carol Rand, Director Patti-Ann Allen, Manager Riley Crotta, Health Planner Alyssa Higginson, Coordinator Lise Diebel, Coordinator Britney Martin, Data Analyst 3

HNHB Aboriginal Cancer Team ABORIGINAL CANCER ABORIGINAL NAVIGATOR ABORIGINAL OUTREACH LEAD COORDINATOR Dr. Andrea East Deena Klodt Stephanie Morningstar andreajeast@gmail.com klodtdee@hhsc.ca morningst@hhsc.ca

Why Cancer Screening? Patient Care Cancer Site Current Effectiveness New/pending Mammography: 21% ⬇ ฀ Breast in High Risk breast cancer mortality 50- to 69-year-olds -average risk for breast cancer Cervical Pap: Cervical cancer HPV incidence and mortality ⬇ ฀ approx. 80% FOBT: 15% ⬇ ฀ Colorectal FIT in colorectal cancer mortality 5

Why Cancer Screening? 1° Care Reform ! 6

Why Cancer Screening? 1° Care Reform ! 7

Why Cancer Screening? MainPro C OCFP PEARL™ reflection 3 MainPro-C 3 Mainpro-M1 8

How to Screen:Physician-Linked Correspondence Physician-linked correspondence includes the physician’s name in their rostered patients’ cancer screening letters. Recent Study:  response rate Opt In Program : You have to sign up Next : Breast and Cervical automatically

How to Screen:Physician-Linked Correspondence

How to screen? Physician Linked Correspondence • . 11

How to screen : E-Learning Cancer Care Ontario E-Learning elearning.cancercare.on.ca 12

How to screen? Resources: E learning Four E-learning modules • . 30 min each 0.5 MainPro M1 *Intro to Screening *Breast *Cervical *Colorectal 13

9 courses worth 8.5 Mainpro-M1 credits total. Accredited by the College of Family Physicians of Canada and the Ontario Chapter. • https://elearning.cancercare.on.ca

How to screen? Resources: Toolkit • . • OHIP Billing Codes • EMR use video’s • Patient Informed Choice tools • FOBT video ⬇ ฀ 6% rejection rate • Video: how to use SAR • ……… 15

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How to screen? Screening Activity Report • . • Available monthly, PEM model • Enrolled patients: Cervical, colorectal, breast + results • Assign a delegate • Efficiently update your EMR & track screening • Increased bonus – new colleague 44% ➡ ฀ 73% 17

FOBT + and potentially No C-scope 34 ↖ ฀ 18

FOBT + and ?No C-scope 1368 19

FOBT + and ? No C-scope 342 20

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Dr. Basil, Niagara Falls, 2015 Hi Meghan.....just to let you know that the 3 FOBT non follow ups have now been resolved. One did have a neg. colonoscopy but our office did not receive his report. The other 2 were referred for colonoscopy but both cancelled their appointments with the surgeon and they are now being re-booked. Your reminder system is thus invaluable and much appreciated. Many thanks, Brian Bassil 22

OBSP Screening Rates 64.5 64 63.5 Percentage Screened 63 62.5 62 2015 61.5 2016 61 60.5 60 59.5 Ontario LHIN 4 Ontario Breast Screening Program 23

Cervical Screening Rates 66 65 64 Percentage Screened 63 2015 62 2016 61 60 59 Ontario LHIN 4 Ontario Cervical Screening Program 24

Colon Cancer Check Screening Rates 66 65 64 63 Percentage Screened 62 2015 61 2016 60 59 58 57 Ontario LHIN 4 ColonCancerCheck 25

Smoking Cessation: Smoker’s Help Line 26

Cancer Screening THANKS FOR LISTENING http://www.hnhbscreenforlife.ca/provider/davis/ dr.meghan.davis@gmail.com 27