Challenge: Delivering High-Quality Services to an Underserved Community

BreastCenter-greenOpened in 2008, The Breast Center at Floyd Medical Center offers screening programs and proactive services that were previously unknown in rural Northeast Georgia. Located more than 70 miles from the nearest NCI-designated cancer center, Floyd delivers services rivaling those offered by nationally recognized programs. For instance, Floyd’s “Know in 24” program presented women with mammogram results in 24 hours and same-day access to biopsies.

Floyd’s Mobile Mammography Coach seeks to take state-of-the-art digital mammography to the mostly rural and underserved community – with a specific goal to reach women who have never had a mammogram before.

Making screening convenient was critical to reducing the breast cancer mortality rate in the region, which was one of the highest in the nation. However, mobile mammography programs often struggle to overcome cost-related and logistical challenges.

Solution: Specialty Care Coordination from Insights to Outreach
                    
Cordata’s oncology solution provides critical support for Floyd’s ability to closely manage its screening population, which includes four counties in a market with a strong competitor. Screening navigators use the Cordata application’s interface data feed to track patients scheduled for mammograms and to monitor the patient database. That helps ensure Floyd patients are compliant with annual screenings – all in the context of the effective and high- visibility “Know in 24” program.
                    
Plus, Cordata enables Floyd to conduct outreach or even launch campaigns, if necessary, to address patient attrition or non-compliance. Screening navigators also use the tool for easy communication and follow-up with patients who received “Know in 24” notifications requiring additional services.
                    
Floyd wanted to go beyond screening women with appointments, and take screening across its service area with a mobile mammography service. It first targeted female employees at several large manufacturers. Some of these women had not had a mammogram in more than five years. The program also reached women working the third shift, who couldn’t adhere to a regular screening appointment. These women are hard to track and are often non- compliant. Once patients are defined and entered into Cordata, every phone call and appointment can be tracked, with appropriate reminders and communications tools to keep patients engaged at every step of a treatment plan.
                    
Results: Increased Market Share and Increased Breast Health
                    
Cordata has helped Floyd establish stronger care coordination and patient management capabilities to reduce breast cancer risk. Focus on high-risk patients has been one key to success, especially to increasing market share and reducing patient attrition. By screening populations in more concerted way, Nurse Navigators can focus on imaging, testing and diagnostics.
                    
The Mobile Mammography program has been a multi-year success. In 2013 alone, the coach traveled more than 7,600 miles. Since the program started, more than 2,500 women have been screened. Of those, about 1,000 were past due for or had never received a mammogram before.
                    
By engaging directly with employers, Floyd has positioned itself as a community partner, committed to lowering the region’s overall healthcare costs through reduced breast cancer incidence. Plus, by focusing on patients with abnormal readings and truly managing their care, the mobile program was able to not just identify patients but keep them compliant.
                    
The bottom line: Floyd relies on Cordata to more effectively track and manage screening and diagnostic patients and improve overall breast health in the community.