Att G- Sample Grantee Report

Attachment G - Sample Grantee Report
NBCCEDP Program Implementation - DP12-1205 - PY1 (July 2012 - June 2013)
PROGRAM
State X

REPORT PRODUCED
9/3/2014

CONSULTANT
Jane Doe

A. CLIENT ELIGIBILITY
Table A1. Federal Poverty Level
State X
250%

Table A3. Eligibility Restrictions
200%
19

FPL Level
Grantees, n

250%
45

Other FPL
3

US Citizen
Table A2. Insurance Status
State Resident
Only uninsured
Both uninsured and under-insured Tribal Affiliate
No restrictions
Grantees, n
8
59
State X
Both uninsured and under-insured women were eligible for BCCEDP services Other

State X
.
.
Yes
.
.

Grantees, %
15%
46%
6%
39%
6%

Table A4. Minimum Age for Routine Screening
Minimum Age
Reported

Mode, age

State X

All Grantees

Grantees, n
<21 years

Grantees, n
21-29 years

Grantees, n
30-39 years

Grantees, n
40-49 years

Grantees, n
50 years

Clinical Breast
Exam

18

40

5

14

7

35

6

Mammography

50

40

0

0

0

49

18

Pap Test

18

21

2

31

9

23

2

Pap with
HPV co-Testing

21

30

1

6

35

22

2

Minimum Age Groups

B. CLINICAL SERVICE DELIVERY
Clinic Service Reimbursement Model
Employed/Contracted Service Provider (Grantee uses BCCEDP funds to employ or contract with service providers for screening and/or
diag.stic services; uses other vendor for cytology, radiology, etc.)

State X

Figure B1. NBCCEDP Primary Care Settings for Screening

Number of grantees

Provider SettingNumber of Grantees
Indiv offices/clinics
48
60
FQHCs 50
50
48
Healthcare Systems
30
Other 40
9

50

30

30
20

9

10
0
Indiv offices/clinics

FQHCs

Healthcare Systems

Other

Table B1. Number of Primary Care Sites used by Grantee for Screening

State X
All Grantees, Range

Individual/ Group
PCP sites or clinics
0
1-1487

FQHCs
0
1-105

Health care
systems/clinics
associated with an
insurer
0
0-309

Indian Health
Service/Tribal
Health
Orgainzations
6
1-25

Shaded area in Table A3 indicates age group is outside of USPSTF screening recommendations.
Overall grantee data are presented only as reference and are not meant for direct comparison.
Page 1 of 7

Other
0
0-76

NBCCEDP Program Implementation - DP12-1205 - PY1 (July 2012 - June 2013)
PROGRAM
State X

REPORT PRODUCED
9/3/2014

CONSULTANT
Jane Doe

C. COMMUNITY HEALTH WORKERS (CHWs) AND PATIENT NAVIGATORS/CASE MANAGERS (PNs/CMs)

Used

Figure C1. Grantees using
Community Health Workers

Used

Used

Figure C2. Grantees using PNs/CMs to
assist BCCEDP clients through
screening

Figure C3. Grantees using PNs/CMs
to assist BCCEDP clients through
diagnostic testing

Table C1. CHW Activities
Activity
Outreach to community orgs/members
In-reach to contact women for re-screening
One-on-One education
Group education
Peer counseling and support
Connect women to health care facility
Refer/assist women w/ insurance enrollment
Assist women to address barriers to screening
Other

State X
Yes
Yes
Yes
Yes
Yes
Yes
Yes
.
Yes

Grantees, n
35
29
34
31
19
35
20
34
2

Table C2. Patient Navigation/Case Management Activities for Cancer Screening and Diagnostic Testing
Screening
State X
Grantees, n
Activity
53
Assessment of patient barriers to screening
Yes
Patient education
56
Yes
Provide peer support/counseling
35
Yes
Schedule appointments for screening/diagnostics
59
Yes
.
Arrange/provide transportation, translation, child or elder care services
48
Make reminder calls for screening
48
Yes
Track/follow-up clients to ensure screening
53
Yes
Make recommendations that support client adherence
37
Yes
Collect and report data about PN/CM service delivery
36
Yes
Other activities
1
Yes

State X
Yes
Yes
Yes
Yes
.
Yes
Yes
Yes
Yes
.

Diagnostic
Grantees, n
58
61
40
59
48
47
60
41
37
3

D. TRAINING OF COMMUNITY HEALTH WORKERS (CMWs) AND PATIENT NAVIGATORS (PNs)
Program provided structured CHW training program
Program paid for CHW training offered by others
State X
Program provided structured PN/CM training
Program paid for PN/CM training offered by others
Figure D1: Topics Addressed in PN/CM Trainng
State X
Yes
Health reform issues
Yes
Health systems change strategies
Yes
Collecting/reporting data for PN/CM
Yes
Setting appropriate boundaries with clients
Yes
Providing peer support/counseling
Yes
Conducting patient tracking and followup
Yes
Cultural competency
Yes
Addressing structural barriers
Yes
Motivating clients to be screened
Yes
Educating clients on breast and cervical cancer information
Yes
Screening guidelines for breast and cervical cancer
Yes
Assessing client barriers

.
Yes, BCCEDP-Provided PN/CM Training
Grantees, n

10
17
22
19
18
25
23
28
26
26
25
31
0

Page 2 of 7

5

10

15

20

25

30

35

NBCCEDP Program Implementation - DP12-1205 - PY1 (July 2012 - June 2013)
PROGRAM
State X

REPORT PRODUCED
9/3/2014

CONSULTANT
Jane Doe

E. NON-SCREENING PROGRAM ACTIVITIES
Table E1. Grantees Implementation and Evaluation of non-Screening Activities
State X

Community Guide Strategies

Small
Media
Client
Reminders

State X

Grantees, n

BCCEDP Audiences

Yes

66

Non-BCCEDP Audiences

Yes

63

BCCEDP Clients

Yes

60

.

19

Yes

58

Non-BCCEDP Clients

Yes

27

BCCEDP Providers

Yes

42

Non-BCCEDP Clients

Reducing Structural BCCEDP Clients
Barriers

Provider
Reminders

Provider
Assessment &
Feedback

Mass Media

Outcome
Evaluation

Yes

.

Yes

.

Yes

.

.

Yes

Yes

.

Yes

.

.

.

.
Non-BCCEDP Providers
5
Used clinical program data to produce feedback reports on any core
performance indicators for BCCEDP providers
Yes

47

Yes

47

.

7

BCCEDP Providers

Yes

56

Non-BCCEDP Providers

Yes

41

BCCEDP and
Non-BCCEDP Audience

Yes

29

BCCEDP Providers
Non-BCCEDP Providers

Professional
Development

Process
Evaluation

Table E2. Audiences and Activities Involved in Grantee Implementation of EBIs for non-BCCEDP Patients
Small Media
State X
Patient audience type
FQHCs/CHCs
.
IHS/Tribal Orgs
Yes
Health care systems/Insurers
.
Individual physician offices/provider groups
.
Medicaid/Medicare
.
Communities/General public
Yes
Table E3. Audiences Involved in Grantee Implementation of EBIs for non-BCCEDP Providers

Grantees, n
47
26
31
46
24
59

Provider Assessment & Feedback
State X
Provider audience type
FQHCs/CHCs
.
IHS/Tribal Orgs
.
.
Health care systems/Insurers
.
Individual physician offices/provider groups
Table E4. Activities Involved in Grantee Implementation of Reducing Structural Barriers

Grantees, n
4
1
1
3

Reducing Structural Barriers
State X
Yes
Yes
Yes
.
.

Strategy
Reducing time or distance to service delivery setting
Modifying hours of clinical services
Offering services in alternative or non-clinical settings
Eliminating or simplifying administrative procedures or obstacles
Providing assistance for transportation, language, child/eldercare
Page 3 of 7

Grantees, n
24
26
38
28
52

Client Reminders
State X
.
.
.
.
.

Grantees, n
10
10
8
10
12

Professional Development/
Provider Education
State X
Grantees, n
.
27
.
12
Yes
22
Yes
33

NBCCEDP Program Implementation - DP12-1205 - PY1 (July 2012 - June 2013)
PROGRAM
State X

REPORT PRODUCED
9/3/2014

CONSULTANT
Jane Doe

Table E5. Non-Screening Partners
Non-screening partnership
Cancer Coalition
Community-based nonprofit orgs
Hospitals/Health systems/Insurers
Local health department
FQHC
State Medicaid
CHC
Employers/worksites in state/area
IHS/Other tribal organizations
Other agencies/organizations
Accountable care organizations
Medicare
Figure E1. Non-Screening Partners, All Grantees

Partnership formalized through
a written agreement

State X
Yes
Yes
Yes
Yes
.
.
Yes
.
Yes
.
.
.

Cancer Coalition
61
Community-based Medicare
nonprofit 50
orgs3
Accountable
care
organizations
Hospitals/Health systems/Insurers
41 3
Local
health
departments 39
Other
agencies/organizations
FQHC
36
IHS/Other tribal organizations
State Medicaid
36
Employers/worksites in state/area
CHC
30
Employers/worksites inCHC
state/area
30
State
Medicaid
IHS/Other tribal
organizations
26
Other agencies/organizations
17
FQHC
Accountable
care
organizations
3
Local health departments
Medicare
3

.
.

Yes
.
.

17
26
30
30
36
36
39

Hospitals/Health systems/Insurers

41

Community-based nonprofit orgs

50

Cancer Coalition

61
0

10

20

30

40

50

Shaded are in Table E5 indicates the question was not asked in reference to that type of partnership.

Page 4 of 7

60

70

NBCCEDP Program Implementation - DP12-1205 - PY1 (July 2012 - June 2013)
PROGRAM
State X

REPORT PRODUCED
9/3/2014

CONSULTANT
Jane Doe

Table E6. Activities conducted with non-Screening Partners
FQHC

Conducting activities related to health
reform

State Medicaid

IHS/Other Tribal Orgs

Grantees
States: AL AZ KY MI NJ
Tribes/Terr: none

Grantees
States: ID IL MI NH NY ND VT WI
Tribes/Terr: none

Grantees
States: WY
Tribes/Terr: NN CN

States: RI TN
Tribes/Terr: AS SE

States: TN
Tribes/Terr: none

States: KS
Tribes/Terr: YK NN

States: AK DE ID IN KY ME MS NE NV
NH NC RI WV
Tribes/Terr: SE

States: AL ID IL IA ME MS NM PA
Tribes/Terr: none

States: AK NC SD
Tribes/Terr: SE NN CR

States: GA ID KY LA MD NE NH NJ ND
RI WV WY
Tribes/Terr: MP PR SE

States: MS NC ND PA WV
Tribes/Terr: CR

States: KS MN NC ND RI SD WY
Tribes/Terr: SE HT NN NW CN CR

States: IN LA MA MS NC RI TN WV
Tribes/Terr: AS SE

States: AL HI IA MN MS VT
Tribes/Terr: CR

States: MN NC
Tribes/Terr: SE NN CR SP

Conducting mass media

Conducting activities to improve use
of data

Conducting CHW/PN/CM activities

Conducting QA/QI activities

Conducting special events

Conducting worksite wellness
programming

Facilitating insurance enrollment/3rd
party funding

Implementing EBIs for screening
promotion

States: HI IN LA ME MA NH NJ NM NC States: AL HI IA MS NH VT
ND RI SD TN WV
Tribes/Terr: CR
Tribes/Terr: AS MP PR SE NW SO

States: KS MI NY NC SC SD
Tribes/Terr: SE HT NN NW AC CN SP

States: ID MS NC
Tribes/Terr: MP

States: MS
Tribes/Terr: none

States: none
Tribes/Terr: CN

States: KY NH RI TN
Tribes/Terr: none

States: FL ID KS NH NM ND OH PA RI SD States: none
TN WA WV
Tribes/Terr: CN CR
Tribes/Terr: CN CR

States: DE GA HI ID LA ME MI MS MO States: AZ CA ID IA MN MS PA VT
NE NV NH NJ NM NC RI WV
Tribes/Terr: GU
Tribes/Terr: NW CR

States: AK ID KS MI MN MS NC RI WI
WY
Tribes/Terr: YK SE NN NW AC CN CR

States: ME
Tribes/Terr: none

States: none
Tribes/Terr: none

States: VT
Tribes/Terr: none

Promoting organizational change

Legend for Tribes/Territories: AC=Arctic slope; AS=American Samoa; CN=Cherokee Nation; CR=Cheyenne River Sioux; GU=Guam; HT=Hopi Tribe; KW=Kaw Nation;
MP=Commonwealth of Northern Mariana Islands; NN=Navajo Nation; NW=NARA; PR=Puerto Rico; PW=Republic of Palau; SE=SEARHC; SO=Southcentral Foundation;
SP=SPIPA; YK=Yukon-Kuskokwim Health Corporation

Page 5 of 7

NBCCEDP Program Implementation - DP12-1205 - PY1 (July 2012 - June 2013)
PROGRAM
State X

REPORT PRODUCED
9/3/2014

CONSULTANT
Jane Doe

F. DATA USE
Table F1. Data Utlization

State X

BRFSS

State Cancer
Registry

State/Local
screening registry

Medicaid

Private Insurer

All payor claims
database

Patient records

Primary data
collection

Yes

Yes

Yes

Measure Screening
Rates
Grantees

Measure Clinical Monitor/Evaluate
Quality
Activities
Grantees
Grantees
States: NJ
States: DE FL IN KS
States: AL AK AR CA CO DE DC FL GA
Tribes/Terr: NW ME MS NH NJ ND
HI ID IN IA KS KY LA ME MD MA MI MT
PA
NE NV NH NJ NM NY ND OK PA RI SC
Tribes/Terr: GU
SD UT WY
Tribes/Terr: GU PR SE NN NW AC SO

Assessment and
Planning
Grantees
States: AK AZ CA CO CT FL HI IN KS ME
MA MI MN MT NE NH NJ ND OH OR
PA RI TN TX VT VA WV WY
Tribes/Terr: GU PR SE CN CR

States: AL AK FL ID KY LA MI MO NV NJ States: AR IA MS
NM ND OK PA SD
NH OR PA
Tribes/Terr: PR KW NW SO
TX WA
Tribes/Terr: NN
NW

States: DE FL ID IL
MS MT NH ND PA
RI TX UT VA WI
Tribes/Terr: MP CR
SP

States: AL AK AZ CA CO CT DC FL GA HI
ID IN LA ME MD MA MI MN MS MT NE
NH NJ NM NY NC ND OH OK PA RI SC
TN TX UT VA WA WV WI
Tribes/Terr: GU PW SE CR

States: AK FL ID KY LA MA MI MO NV
NJ NY TN WI WY
Tribes/Terr: KW YK NW AC

States: DC ID MS
MT NY
Tribes/Terr: NN
NW

States: DC FL ID MS States: AK CT FL ID LA MI MN MS MT
MT NY WI
NJ NY SC WI WY
Tribes/Terr: SP
Tribes/Terr: GU AC CN

States: AR ID MI MS NY VT
Tribes/Terr: NW

States: AR MS PA
Tribes/Terr: NW

States: AZ AR CA
States: AL AZ AR CO HI ID IA ME MN
CO HI ID MS MO NE NJ ND PA SC VT
NM PA WA
Tribes/Terr: none
Tribes/Terr: SPIPA

States: AL KS MN MT NH ND VT
Tribes/Terr: NW

States: MN NH ND States: MO MT NH States: AK AZ AR KS NH ND VT
Tribes/Terr: NW UT
Tribes/Terr: PR
Tribes/Terr: PW SP

States: AK FL ID IL PA
Tribes/Terr: HT NW

States: ID IL NV
NM OH
Tribes/Terr: NW

States: AK ID IL MO States: AK ID NV NM OH WV
NV OH SD WV
Tribes/Terr: SE
Tribes/Terr: none

States: AZ AR FL MI MS MO NE NV NY
PA WA
Tribes/Terr: GU KW YK SE HT NW CN
CR

States: AL AK DC
GA HI ID LA MD MI
MS NV NJ NY OH
PA RI TN VA WA
Tribes/Terr: AS YK
NN NW CR

States: AZ AR CA DE States: AZ AR DC HI ID IN MD MN MS
HI ID MS MO MT
NY OH PA RI VA WA
NV NJ NY NC OH PA Tribes/Terr: GU MP YK SE CN CR
SC TX WA
Tribes/Terr: GU YK
SE AC SO CN CR SP

States: MO PA
Tribes/Terr: KW NW

States: KY LA NH
OR PA
Tribes/Terr: GU
KW NW

States: AR CA CT DC States: AK CO DC FL IA KS MD MN NE
FL GA HI IA KS ME NH NJ OR PA UT WA WV
MD MN MS MO MT Tribes/Terr: GU SE NN
NE NH NJ NM NY
OR PA TN UT WY
Tribes/Terr: GU NN
AC SO CN SP

Yes

Yes

.

Yes

.

Legend for Tribes/Territories: AC=Arctic slope; AS=American Samoa; CN=Cherokee Nation; CR=Cheyenne River Sioux; GU=Guam; HT=Hopi Tribe; KW=Kaw Nation;
MP=Commonwealth of Northern Mariana Islands; NN=Navajo Nation; NW=NARA; PR=Puerto Rico; PW=Republic of Palau; SE=SEARHC; SO=Southcentral Foundation;
SP=SPIPA; YK=Yukon-Kuskokwim Health Corporation

NBCCEDP Program Implementation - DP12-1205 - PY1 (July 2012 - June 2013)
PROGRAM
State X

REPORT PRODUCED
9/3/2014

CONSULTANT
Jane Doe

Award

Funding (source: Interim Progress Report)
Program Year
Amount awarded
1
2
3
4
5

Spend rate

$670,000

100%

Amount of Non-CDC Funding Awarded (source: Survey of NBCCEDP Program Implementation - PY1)
Federal
State
Non-Profit
Other
Program Year
$350,000

GENERAL NBCCEDP PROGRAM INFORMATION

1
2
3
4
5

$0

$0

$0

Total
$350,000

Healthcare Reform

Marketplace and Medicaid Expansion (source: Kaiser Family Foundation, accessed 7/23/2014)
Marketplace Type

N/A

Decision on Mediciad Expansion

N/A

Management

Reported Program Challenges (source: Survey of NBCCEDP Program Implementation - PY1)
Learning how this applies to our tribal system.

Educating our IHS recipients.

Anticipating how health care reform will affect our program and our healthcare.

NBCCEDP-funded Screening

Number of Women Screened (source: MDE Submission April 2014)
PY1
2,189
1,240
1,257

Women Screened
Breast (Mam)
Cervical (Pap)

PY2

PY3

PY4

PY5

Tests provided to Women Screened (source: MDE Submission April 2014)
Program Year 1
Mam+Pap
CBE only
Mam
Pap

Mam+Pap
7%
6.8 21-29

Pap
38%

10.95 40-49
43.93 ≥50
CBE only
38.31
11%

CBE

PAP

Mam+Pap

Tests provided to Women by Age Group

8
40
25

Mam

142
76
22

Mam
2
3
41

3
13
281

Mam+Pap
PAP

Mam
44%

CBE
0%

20%

40%
21-29

Page 7 of 7

60%
40-49

≥50

80%

100%