presented by: michelle shanks program director, cdc/paf cancer prevention

18
Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention and Survivorship Partnership Senior Case Manager

Upload: field

Post on 05-Jan-2016

35 views

Category:

Documents


3 download

DESCRIPTION

Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention and Survivorship Partnership Senior Case Manager. Eliminating patient obstacles to ensure access to quality health care. - PowerPoint PPT Presentation

TRANSCRIPT

Page 1: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

Presented By:

Michelle ShanksProgram Director, CDC/PAF Cancer Prevention

and Survivorship PartnershipSenior Case Manager

Page 2: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

2

Eliminating patient obstacles to ensure access to quality health

care.

PAF provides assistance to patients through effective mediation to assure access to quality health care, maintenance of employment and

preservation of financial stability.

Our Mission

Page 3: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

Annual Patients Served2002-2007

3314 3750

22231

27424

39782

44812

0

5000

10000

15000

20000

25000

30000

35000

40000

45000

2002 2003 2004 2005 2006 2007

Total Case Count

2.52.9

3.2

4.1

6.46.9

0

1

2

3

4

5

6

7

2002 2003 2004 2005 2006 2007

Total Contacts for Direct Patient Services (shown in

millions)

Page 4: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

Native Hawaiian and Other

Pacific Islander0.10%

Asian1.45%

American Indian/

Alaskan Native0.58%

Caucasian72.22%

African American16.26%

Hispanic/ Latino8.31%

Middle Eastern0.51%

Blended Ethnicity

0.42% Caribbean Islander0.15%

Gender

Ethnicity

Source: 2007 Patient Data Analysis Report

Male 37.05%Male 37.05%

Female 62.95%Female 62.95%

Analysis of PAF Patients

Page 5: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

Direct Patient Services

•Negotiating pre-authorization approvals•Negotiating resolutions to coding and billing errors•Mediating insurance appeals•Negotiating access to pharmaceuticals agents, chemotherapy, medical devices and surgical procedures•Coordinating benefits•Brokering resources to supplement the limits of insurance and to assure access to care for the uninsured•Providing assistance in expediting the Social Security Disability application and appeals process•Resolving debt crisis related to diagnosis•Resolving insurance issues in the public and private sector

•All services provided FREE of charge

Page 6: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

PAF Programs and Partnerships

• Direct Case Management• Centers for Disease Control Program to Increase Cancer Survivorship in Underserved Populations (SCUP)• Centers for Disease Control Hematologic

Cancer Education and Outreach Program • LAF SurvivorCare Partnership • Co-Pay Relief (CPR), A Patient Assistance Program• Colorectal CareLine (CCL)• Lymphedema CareLine (LCL)• Virginia Cares Uninsured Program (VCUP)• ACS/PAF Partnership Program

Page 7: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

National Hispanic/Latino Outreach Program

Mission Statement

The program seeks to improve access to healthcare for patients diagnosed with a chronic, debilitating or life threatening

illness within the Spanish speaking communities by increasing awareness of

Patient Advocate services.

Spanish 24 hour message line800-516-9256

Page 8: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

National African American Outreach Program

THE NATIONAL COUNCIL OF

NEGRO WOMEN, INC.

Congressional Black Caucus

Annual Session of the

National Baptist Convention

Page 9: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

Disparate Population Outreach Programs

National Hispanic Latino Outreach Program: bi-lingual case managers serve Spanish speaking patients nationwide and conduct 8 hours per week of targeted outreach. Office locations include: California, New York2003: 7.22% of PAF patients were Hispanic/Latino2004: 7.47% of PAF patients were Hispanic/Latino2007: 8.31% of PAF patients were Hispanic/Latino

The National African American Outreach Program: educates specifically on diseases which are high risk for this population by attending and speaking at local and national meetings. 2003: 13.72% of PAF patients were African American2004: 13.92% of PAF patients were African American2007: 16.26% of PAF patients were African American

Source: Patient Data Analysis Reports

Page 10: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

Patient Educational OpportunitiesPatient Educational OpportunitiesPAF PublicationsPAF Publications

• Managed Care Answer Guide• The Patient Pal• Your Guide to the Appeals Process• The National Financial Resources Guidebook for Patients: A State-by- State Directory• First My Illness, Now Job Discrimination• Your Guide to the Disability Process• Promoting a Healthier African American Community• Promoting a Healthier American Indian & Alaskan Native Community• “A Greater Understanding” Pamphlet Series of 10 Pamphlets

Page 11: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

Clinical Trial Education and Enrollment

• PAF provides clinical trial information to patients who have access to care issues.

• We encourage patients to talk to their physician about clinical trials.

206 269

683

1443

0200400600800

1000120014001600

2003-2004

2004-2005

2005-2006

2006-2007

Patients Screened for Clinical Trials

  

Page 12: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

Patient Patient TestimonialTestimonial

“Words can not adequately express my gratitude to PAF for your tremendous help during the difficult time in my life. I pray that the kindness that you have shown to me will be multiplied back to you as answer to your heart's desire.”

Joyce SpenceBreast CancerBessemer, AL

PAF successfully rectified an error in billing of surgery charges.

Page 13: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

DP08-815:Early Detection and Survivorship of Cancer in Underserved Populations

Goal 1: Increase survivorship and enhance quality of life by providing outreach to and direct case management services for patients with breast, cervical, ovarian, colorectal, prostate, and skin cancers in underserved populations.

Goal 2: Providing outreach to increase awareness of services available to uninsured, underinsured, minority or disparate populations.

Goal 3: Provide educational materials that are culturally competent and disease specific for the targeted populations.

Page 14: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

DP08-815: Evaluation of Success

Social Security Death Master File Annual Query:Measures the mortality rate of SCUP patients served

Patient Satisfaction Evaluation: Post case resolution evaluation completed with SCUP patient, allowing PAF to evaluate the impact of the services provided

Page 15: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

Patient Advocate Foundation

The Colorectal CareLine provides assistance to patients who have been diagnosed with colorectal

cancer and are seeking education and access to care. The Colorectal

CareLine is staffed by a team of clinical case managers with both

nursing and social work backgrounds.

Phone: 1.866.657.8634

Page 16: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

Patient Advocate Foundation's Co-Pay Relief (CPR), A Patient Assistance Program provides co-payment assistance for pharmaceutical products to insured Americans who financially and medically qualify. CPR provides direct financial assistance to qualified patients to assist them in the ability to afford the co-payments their insurance requires. The Program offers personal service to all patients through the use of CPR call counselors.

Breast Cancer

Lung Cancer

Prostate Cancer

Secondary issues resulting from

cancer treatment

Kidney Cancer

Sarcoma

Colon Cancer

Diabetes

Osteoporosis

Auto Immune Disorders

Head and Neck

Malignant Brain Tumors

Pancreatic Cancer

Multiple Myeloma

Co-Pay Relief may be the answer. The Patient Advocate Foundation helps insured patients with:

Co-Pay Relief (CPR) Program

Page 17: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

Contact Us

700 Thimble Shoals Blvd, Suite 200Newport News, VA 23606

Phone: 1-800-532-5274

Fax: (757) 873-8999

Internet: www.patientadvocate.org

E-Mail: [email protected]

700 Thimble Shoals Blvd., Suite 201Newport News, VA 23606

Phone:  1-866-512-3861

Fax: (757) 952-0118

Internet: www.copays.org

E-Mail: [email protected]

Page 18: Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

Patient Advocate Foundation

PAF would like to thank the Centers for Disease Control and Prevention for their commitment to

improving oncology care for underserved patients nationwide.