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Women's Health Program Evaluation: Review, Learn, Improve & Plan

Analyzing women's health program progress and challenges for better services with evaluation findings, recommendations, and future plans.

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Women's Health Program Evaluation: Review, Learn, Improve & Plan

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Presentation Transcript

  1. Program Overview Expert Panel March 9, 2005 Reviewing the Past. Planning the Future

  2. Program Evaluation • How are we doing? • What have we learned? • What can we do better? • What are our priorities?

  3. Challenges • Increase services to eligible women • Increase Access to women • Increase Choice for all women • Expand CVD services to all eligible women (40-64) • Provide safety net for low income uninsured women

  4. Background • Program Implementation • Planning began in 1992 • Screening began in 1993 • More than 77,000 women screened, reaching an estimated 30% of potentially eligible women in 2004 • Funding • Federal through CDC • National Breast and Cervical Cancer Early Detection Program • WISEWOMAN Well-Integrated Screening and Evaluation for Woman Across the Nation • Massachusetts State Legislature (4570-1500)

  5. Program Requirements • Screening and Diagnostic Services • Case Management • Professional Education • Public Education and Outreach • Quality Assurance • Surveillance and Evaluation

  6. MassHealth • Breast and Cervical Cancer Treatment Program (MBCCTP) • Implemented January 1, 2004 • Expedited enrollment process • 269 women referred in 2004 • Legislative line 4000-0875 • House 1 funding recommendation ~ $5,022,572

  7. Contract Services • 26 Contracting Organizations • Enrollment • Eligibility determination • Provision and clinical management of screening and diagnostic services • Case management • Data submissions/billing • Continuous quality improvement

  8. Breast and Cervical Cancer

  9. Heart Disease and Stroke Prevention

  10. Evaluations • Patient Satisfaction Survey 2002 • Program Services Qualitative Evaluation 2004 • Case Management Evaluation 2004-2005 • Random Sample Client Survey 2005 • Random Sample Provider Survey 2005 • Site Visit Performance Reviews 2004-2005 • Random Sample Chart Audit 2004-2005

  11. Data Review Session • Save the Date • April 7, 2005 • 3:00 - 6:00 p.m. • Landmark Center

  12. Patient Satisfaction Survey • Number of women participating (1,373) • 4 language groups interviewed • Findings stratified by education and language • Mail and phone sample Selected Findings

  13. Patient Satisfaction Survey Selected Findings • Mammogram and Pap screening • Providers explained findings in an easy to understand way • Name recognition • Program awareness • Access to services

  14. Program Services Selected Findings • Program Strengths • Staff commitment to patients • Dedication to program mission • Challenges to program implementation • Administrative • Adherence to clinical guidelines • Staff turnover • Cultural and linguistic influences • Integration of CVD services

  15. Program Services • Selected Recommendations • Streamline administrative responsibilities • Improve availability of professional training • Enhance outreach and public education services • Identification of additional funding and resources

  16. Case Management Selected Findings • Strengths • High client satisfaction • Assessment and planning • Job satisfaction • Challenges • Staff training • Work load • Medical bills

  17. Site Visit • Performance Measures: Designed to assess and monitor contract compliance • Benchmarks Established for: • Timeliness • Appropriateness • Completeness • Accuracy

  18. Site Visit • Timeliness Benchmarks: BCCEDP Program • 1. Diagnostic evaluations must be completed within 60 days • 2. Treatment initiation within 60 days • Exceeded • Breast Diagnostic Evaluations • Cervical Cancer Treatment • Did not meet • Breast cancer treatment • Cervical diagnostic evaluations

  19. Site Visit • Appropriateness Benchmarks: BCCEDP Program • 100% of clients with an abnormal result need follow up services: • Meets: • Rarely or never screened • Did not meet: • Abnormal breast screening follow-up • Abnormal cervical screening follow-up

  20. Site Visit • HDSPP Benchmark: Appropriateness • 90% of clients receive complete CVD screening • 95% of clients receive PACE assessment and plan • Did not meet: • CVD screening • PACE assessment and plan

  21. Chart Audit • What is Reviewed • Random sample of client records • Medical records • Program records • Fiscal records • Sample Findings • Administrative management, 90% compliance • Clinical documentation, 85% compliance

  22. Site Visit • What is Reviewed • Policies and procedures • Compliance with clinical guidelines • Internal process to implement program • Representative Findings • Administrative management, 90% compliance • Clinical documentation, 85% compliance

  23. Other Data Sources • Data Sources • Behavioral Risk Factor Survey • WHN Program Services • Mammography Screening • Cancer Registry • Eligible Women Health Brief • Public Education Distribution Report • Clinical Cost Projection Worksheet • Policy and Procedure Manual

  24. Structural Framework Steering Committee Expert Panel Case Management CARDIOVASCULAR DISEASE: Medical Knowledge and Healthcare Technology DPH Staff Health Disparities and Barriers to Healthcare Access Research Assistants Program Recommendations BREAST AND CERVICAL CANCER: Medical Knowledge and Healthcare Technology Education, Outreach and Enrollment Healthcare Delivery Systems WHN Business Operations and Fiscal Management

  25. WHN Evaluation Timeline • Executive Steering Convenes ~ January 26, 2005 • Expert Panels Convene ~ March 9, 2005 • Ongoing DPH Review • Task Force Meetings (March to May) • Reconvene Expert Panel Report of Recommendations ~ June 1, 2005 • Convene Evaluation/Quality Improvement Task Force • DPH Review of Recommendations ~ Summer 2005 • Writing of RFR Fall 2005 • Release and Review of RFR ~ January to March, 2006 • Implementation of new contracts ~ July 2006

  26. Meeting Agenda • 5:00 p.m. to 5:15 p.m. Task Force Meeting Procedures and Goals • 5:15 p.m. to 7:15 p.m. Task Force Break-Out Sessions with Buffet Dinner • 7:15 p.m. to 8:00 p.m. Meeting Review and Task Force Plans

  27. 4:00-4:20 Registration and Refreshments • 4:20-4:30 Welcome and Project Overview • Russell K. Schutt, Ph.D., Project Director • 4:30-5:00 The Women’s Health Network: Experience and Needs • Mary Lou Woodford, RN, BS, CCM, Director of • Women’s Health Network • 5:00-5:15 Task Force Meeting Procedures and Goals • Cynthia Piltch, Ph.D., Meeting Facilitator • 5:15-7:15 Task Force Break-Out Sessions with Buffet Dinner • Assigned Rooms • 7:15-8:00 Meeting Review and Task Force Plans • 3rd Floor Rotunda • Cynthia Piltch, Ph.D, Meeting Facilitator

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