Screenings & Educational Programs 2016
Cancer Community Outreach goals for this year are linked to identify health care needs in the surrounding communities. They focus on prevention, early intervention and follow-up care as well as access to clinical trials.
2016 Outreach Goals:
- Expand community outreach into other topics, including shared decision making regarding cancer screening.
- Increase outreach efforts and education of Hepatitis B in the African immigrant community.
- Enhance the Tisch Cancer Institute social media campaign and profile.
- Increase access to genetic counseling services.
Highlights in 2016:
- We participated in 30 health fairs this year, with an extended reach across Manhattan. Our partnership with Mount Sinai Beth Israel and Karpas Health Information Center was a great success and we had four collaborative events, distributing cancer education material.
- We successfully partnered with Gilead Sciences to target African immigrant groups to present the Hepatitis B educational programs. We provided 12 programs this year targeting over 200 participants.
- Living with Cancer, an annual conference to benefit individuals, caregivers, community and health care professionals directly affected by Cancer was held at Mount Sinai this year. The event was a large success with over 230 participants.
- The Tisch Cancer Institute newsletter was published quarterly throughout 2016. Quarterly newsletters will continue in 2017.
- HEALS program (Hepatitis C Education & Liver Screening): There was a 40% increase in individuals screened in 2016, with great success in the program’s follow through and connection to ongoing care as needed.
Breast Health Resource Program offers free clinical breast cancer screenings and education onsite and in the surrounding community. At least 7 community sites were provided with outreach services this year, generating 19 referrals to the breast clinic. Of note, we are now calculating data differently for the breast health resource program. The significant decline is outreach initiatives can be attributed to this change in data collection and reporting, in addition to an open outreach social worker position for six months, and an extended medical leave of the program coordinator of the Breast Health Resource Program.
- 299 individuals participated in educational programs
- 230 individuals received clinical breast exams (resulting in referrals for mammograms, sonograms, appointments at Mount Sinai Breast Clinic, or referrals to outside clinics and social programs)
Witness Project of Harlem offers breast and cervical community-based education and referrals for African Americans.
- Total number of programs since January 2016 = 15
- Total number of participants since January 2016 = 247
Esperanza Y Vida provides culturally sensitive breast and cervical cancer education and referrals to the Latina population primarily in Spanish.
- Total number of programs since January 2016 = 18
- Total number of participants since January 2016 = 305
Woman to Woman, a collaboration between the Division of Gynecologic Cancer and the Department of Social Work provides emotional support, information, and financial aid to women in treatment for gynecologic cancer and their families using a peer to peer model with survivor volunteers. The 20 Woman to Woman survivor volunteers mentor and support women in face to face inpatient and outpatient settings and by phone and email. W2W sponsors bi-annual conferences on wellness and coping with a cancer diagnosis. The most recent conference was titled, “Think Big: Not Letting Cancer and Other Challenges Define Your Life.”
- Total number of patient encounters since January 2016 = 315
- Total number of participants at the September 2016 Conference = 90
The Colorectal Cancer Screening Program of the Division of Gastroenterology and the Department of Oncological Sciences (Cancer Prevention and Control) provides free colonoscopies for low-income uninsured New Yorkers. Funding is provided by the New York City Council and is administered by the American Cancer Society. Mount Sinai has an open-access service to screening colonoscopies and assists patients with their appointments, procedure preparation and transportation.
- Total Number of CRC educational programs since January 2016 = 19
- Total Number Reached at CRC educational programs = 321
- Total Number of CRC Tabling In-House since January 2015 = 3
- Total Number Reached at CRC Tabling In-House = 122
The Division of Cancer Prevention and Control plans to deliver at least 2 more programs through December 31, 2016.
Hepatitis B Group Education Program is a culturally targeted group education program funded by Gilead Sciences, provided culturally appropriate Hepatitis B education to African Immigrants residing in New York City. The group education program provided information that positively impacted participants’ knowledge about Hepatitis B screening and vaccination.
- Total Number of Programs since January 2016 = 12
- Total Number of Participants since January 2016 = 224
Hepatitis Outreach Network (HONE) is a viral hepatitis prevention, screening, and link to care study program focused on minority groups in New York, who are at high risk for chronic Hepatitis B (HBV) and chronic hepatitis C virus (HCV), diseases that have been linked to liver cancer.
- Screened for Hepatitis B & C since January 2016 = 257
- 5% had HCV; 8% had HBV; 57% were immune; 27% were negative; 3% were undetermined
Hepatitis C Education and Liver Screening (HEALS) is an outreach program, coordinated by the medical center’s Internal Medical Associates (IMA) primary care clinic, which provides free Hepatitis C testing and free Hepatitis C educational workshops for community based organizations, social services agencies and other community settings throughout New York City.
- Individuals screened for Hepatitis C in 2015 = 44
- 52 individuals had positive HCV antibody tests
All were offered free confirmatory testing following their antibody result. Eight declined this offer and did not pursue further care with our team. The remaining 44 accepted and completed a second confirmatory test and out of those 44, 30 were found to be chronically infected with Hepatitis C. Out of that 30, 17 accepted a referral to our clinic and were successfully connected to care.
This year our outreach team partnered with a total of 11 community agencies, as well as 4 programs within the Mount Sinai Health System (i.e. CARES, Mount Sinai Beth Israel, Mount Sinai West Addiction Institute’s Opioid Treatment Program and Mount Sinai Beth Israel LGBT Health). Of the 11 community organizations, 7 were new partnerships formed this grant year (Marks JCH, St. Mary’s and St. Antonio’s Church, SAPNA, SCAN NY, Station of Hope Prison Ministry, NYS Division of Parole and Safe Horizon). Our team also coordinated two events here at The Mount Sinai Hospital with the Division of Liver Diseases. All of these collaborative efforts resulted in a total of 90 testing and/or education sessions (2 events consisted of multiple sessions).
Project INSPIRE is a three year CMS funded project implementing care coordination for patients with HCV that has just concluded year 2 of its initiative. This is a multi-faceted program that is being led by the NYC Dept. of Health in conjunction with Mount Sinai and Montefiore medical centers. The information obtained from this project will be used to assess the effectiveness of care coordination in reducing barriers and avoidable costs throughout the treatment process. Enrolled patients are assigned a care coordinator who assists patients with scheduling appointments, following up on test results, aid in securing entitlement services, offer support and educational sessions in either individual or group based settings and help with obtaining prior authorization for HCV medications. Our care coordinators work with the Nurses, MA’s and Specialty Pharmacies taking on an interdisciplinary approach to HCV care.
- Enrollment through November 30th = 881 patients(65% are men and 38% identify as black, 37.2% as Hispanic or Latino). Of all enrolled patients, 87.2% have completed an intake assessment and 97.2% have completed a referral assessment. Nearly everyone (99.7%) has received some form of care coordination services. 97.7% of patients have completed their HCV medical evaluation. Of those who have received a full medical evaluation, 64.1% have begun treatment. Seventy-eight percent (211 patients) of those who started have completed. Sixty-six percent (139 patients) of those who completed have confirmed SVR 12 or 24. Fifty-nine percent of our patients who have been assessed are “high need”, indicating at least one (and frequently multiple) life areas requiring additional support, which we provide on an individualized basis. Of these high need patients, 84% have been identified as medically eligible for treatment. 71% of those confirmed as candidates for treatment have started treatment (270 of 381). Communication ratings on CAHPS survey are in the 90th percentile based on nationwide data, with 96% of respondents rating it top score.
STOMP- C Is a health initiative to evaluate the prevalence of Hepatitis C (HCV) positive baby-boomers (persons born from 1945-1965), receiving primary care at an urban tertiary care center. Annually, MHS serves over 240,000 patients, with approximately 96,000 patients in the HCV birth cohort. MHS’s Stomp-C project aims to implement and evaluate a HCV screening and link to care program for patients within the Baby Boomer birth cohort. Our innovative and multifaceted strategies include: Prompts in the electronic health records; Educational campaigns for providers; direct engagement of HCV treatment providers; Incorporation of patient navigators (2).
Below is our screening and linkage to care data to date:
- Screened 7,408 eligible patients for HCV (July 2014 – October 2016)
- 459 patients screened antibody (Ab) positive – 6.2%
- 383 RNA test conducted – 74%
- 240 patients were confirmed RNA positive – 3.3%
- 143 patients were linked to care (July 2014 – June 2016) – 54%
Mount Sinai Health System Lung Screening Program provides screenings for current, former, and never smokers. Low dose CT scans help evaluate the health of lungs, heart, and other visualized organs including the breast, bone, liver, and spleen. The total number of screenings for the past year was 1,812.
The Lung Cancer Screening Program has been expanded to the entire Mount Sinai Health System network. A common telephone number is available (1-844-MSCT4ME (1-844-672-8463)). The screenings throughout the Mount Sinai Health System are coordinated by the Coordinating Center located at the Icahn School of Medicine. Reporting requirements are in place as mandated by the Centers for Medicare and Medicaid Services (CMS). Screening has started at Icahn School of Medicine and The Mount Sinai Hospital, Mount Sinai Beth Israel, Mount Sinai Brooklyn Heights and Mount Sinai Queens. The program will soon start at Mount Sinai West, Mount Sinai St. Luke’s and Mount Sinai Brooklyn when ACR accreditation is obtained An NP can provide shared decision making for those meeting the Medicare requirements which are: smokers aged 55-77 with at least 30 pack-years of smoking, and if not currently smoking have quit within the last 15 years. Research protocols are available for those who do not meet the CMS requirements and are interested in screening. Information on free services and supplies available for smoking cessation was provided to participants.
The Mount Sinai Hospital hosted the 35th International Conference of Lung Cancer Screening this past fall. It was attended by an international audience. The Initiative for Early Lung Cancer Research on Treatment (IELCART) started in March 2016 with two conferences being held. For lung cancer awareness month there are events to build awareness of the prevalence, risk factors for and treatment of lung cancer, and promote smoking cessation. The lung cancer screening program conducted increased outreach and advertising, including having a table for multiple days in the lobby, for National Lung Cancer Awareness Month, November 2016.
For oral, head and neck cancer awareness month, the Department of Otolaryngology-Head & Neck Surgery hosted FREE oral, head and neck cancer screenings in the Guggenheim Pavilion.
- April: Head and Neck Cancer: 300 visitors and staff received free mouth and throat screenings at Mount Sinai and Mount Sinai Beth Israel sites during Head & Neck Cancer Awareness month. Free educational material about oropharyngeal cancer and its association with the HPV (which accounts for nearly 85 percent of new cases) was also was available at both campuses.
Dean Prostate Health & Research Center provides free educational material and information at Mount Sinai and in the community. ***Screening stats are low as PSA are no longer routinely recommended
- Men’s Health Seminars: June 8 and 21
- Held at Mount Sinai Hospital and Mount Sinai Beth Israel
- Topics included ED, BPH, Risk Reduction for Prostate Cancer
- Two dozen men attended (One dozen each)
- Men’s Health Fitness Walk: June 15
- Two dozen participants
- Men’s Health Event: Sept. 23rd
- Mount Sinai Hospital Guggenheim Pavilion
- Risk Consultations for 50 men, 35 Screened
- Distribution of literature about Prostate Cancer and Urological Conditions Affecting Men
- Q and A with Medical Professionals from the Department of Urology
- Push-Up for Prostate Cancer Challenge
- 200 plus employees and guests approximately
- Men’s Health Event at Abyssinian Baptist Church, Harlem: October 1
- Prostate Cancer Risk Consultations
- PSA Blood Tests of 7 Men
- Men’s Health Event: November 5
- No screenings, but seminars on Prostate Cancer, BPH, Integrative approaches to Wellness, Sexual Rehabilitation after Prostate Cancer treatment, Kidney Stone prevention
- 100 Men anticipated
A series of free onsite skin cancer screenings hosted by the Department of Dermatology:
- April 16th Mt. Sinai Hospital: 59 screenings, 0 abnormal
- May 4th Mt. Sinai Beth Israel: 62 screenings, 11 abnormal
- May 12th Mt. Sinai St. Luke’s: 31 screenings, 2 abnormal
- May 11th Mt. Sinai West: 45 screenings, 8 abnormal
- May 5th at E. 85th St Mount Sinai Skin & Laser Center
- September 29th at MTA (2 Broadway NY,NY): 58 screenings, 11 biopsies recommended
The Department of Dermatology provided free melanoma screenings at the following festivals in 2016:
- Aspen Ideas Festival: Total number of individuals screened = 745; 29 possible basal cell carcinomas, 11 potential squamous cell carcinomas, and 6 possible melanomas. At the time of this report, the dermatology team had not yet tabulated the number of patients that were referred to Mount Sinai. Of note, many of these patients are not typically referred to Mount Sinai practices as this activation takes place out of state and most patients are not from New York. *Of note, since 2013, Mount Sinai’s dermatologist have performed a total of 2591 screenings at the festival, and identified 36 possible cases of melanoma, as well as 196 potential basal cell and squamous cell abnormalities.
- 92nd Street Y Annual Street Festival: Total number of individual screened = 46; 3 potential basal cell carcinomas, 2 potential squamous cell carcinomas.
- American Cancer Society: Look Good Feel Better: monthly program onsite
- Artist In Residence: Onsite/outpatient once per week, onsite/inpatient twice per week
- Mindfulness: Onsite/outpatient once per week. Open to patients, caregivers, & the community
- Musicians On Call: Onsite/inpatient once per week
- Light One Little Candle: Free children’s books provided to patients undergoing treatment available inpatient and outpatient
- Children’s Lives Include Moments of Bravery (CLIMB): A support program that helps children cope with cancer in their families, provided onsite on monthly basis
- Gilda’s Club: Provides a weekly outpatient Spanish speaking support group and educational events monthly on pertinent to topics such as fatigue and chemobrain
- Cook For Your Life: Quarterly sessions available outpatient, which collaborates with onsite nutritionist to provide practical knowledge, tools and inspiration to cook
Other Community Outreach Events
- Disease Awareness Resource Tables: Held onsite in support of Gynecologic Cancer (September) with National Ovarian Cancer Coalition, The Witness Project and Esperanza Y Vida, and these free events offered information on preventative services and programs; Total Attendees for Gynecologic Cancer Awareness = 52
- Disease Awareness Tabling Event Offsite: Lung Force Expo (March); Total attendees = 216 (patients, caregivers, health care providers).
- Lung Force Walk: Coordinated through The American Lung Association, the Mount Sinai Pulmonary team walked and raised funds for the organization.
- Living with Cancer: Annual conference to benefit individuals, caregiver, community and health care professionals directly affected by Cancer; 230 participants attended at Mount Sinai Hospital this year.
- Survivorship Day: Annual celebration for survivors offered onsite at Beth Israel; Total Attendance = 175 patients/family members/staff from across the system. We will now be rotating this event between our campus and BI and we will host next year on June 11th.
- Health Fairs: We participated in 30 health fairs this year, 4 were with collaboration with the Karpas Health Information Center at BI and were MTA events.