Focus Area: Capacity Building for Providers and Staff
Breast Cancer Screening Change Package
The capacity building for providers and staff focus area includes tools and resources for health care staff to increase knowledge and skills, improve cancer screening practices, and monitor and report on screening performance.
- Change concepts are “general notions that are useful for developing more specific strategies for changing a process.”1
- Change ideas are evidence-based or practice-based “actionable, specific ideas or strategies.”1
- Each change idea is linked to tools and resources that can be used or adapted to improve cancer screening.
Notes
- Tools and resources with a symbol may contain some information that does not reflect the current US Preventive Services Task Force (USPSTF) recommendations for breast cancer screening.
- Tools and resources with a symbol are patient resources.
See a list of acronyms used in this change package.
Change Concept: Increase provider and staff knowledge, skills, and motivation to improve screening.
Tools and Resources, by Change Idea
Promote continuing education opportunities to increase provider knowledge and skills.
- GW Cancer Center — Together, Equitable, Accessible, Meaningful (TEAM) Training [CEU course, free, registration required]
- Recio-Boiles A, Karass M, Galeas JN, Sukrithan V, Gutwein AH, Babiker, HM, 2020 — Implementation of a Low-Cost Quality Improvement Intervention Increases Adherence to Cancer Screening Guidelines and Reduces Healthcare Costs at a University Medical Center, see Cancer Screening Questionnaire, page 932 [full text available for purchase]
Offer telementoring to help providers and staff stay current on screening recommendations, guidelines, practices, and approaches.
- UNM Health Science Center — Project ECHO (Extension for Community Healthcare Outcomes)
Train staff and providers on cancer screening and quality improvement.
- Evidence-Based Cancer Control Programs (EBCCP) — Kukui Ahi (Light the Way): Patient Navigation – Role Play
- Mingioni N, 2020 (Thomas Jefferson University-Sidney Kimmel Medical College) — Breast Cancer Screening [presentation slides]
- NIHB — Health Systems Improvement Toolkit: A Guide to Cancer Screenings in Indian Country [PDF-4.2MB], pages 5–9
- Smalls TE, Heiney SP, Baliko B, Tavokoli AS, 2019 — Mammography Adherence: Creation of a Process Change Plan to Increase Usage Rates [full text available for purchase]
Change Concept: Prepare the clinical team.
Tools and Resources, by Change Idea
Implement pre-visit planning into workflows.
- Center for Care Innovations — Pre-Visit Planning: Using Data and Optimizing Care Team Roles [webinar]
Use clinical decision support tools to ensure that indicated screening orders or actions occur during the visit.
- President’s Cancer Panel — Closing Gaps in Cancer Screening: Connecting People, Communities, and Systems to Improve Equity and Access [PDF-14MB], pages 30–37
- UCSF — Screening for Breast Cancer in Transgender Women
Change Concept: Provide individual and system-level feedback on screening measures.
Tools and Resources, by Change Idea
Use audits and feedback to measure and report on screening performance.
- NIHB — Health Systems Improvement Toolkit: A Guide to Cancer Screenings in Indian Country [PDF-4.2MB], pages 15 and 19–21
Monitor and evaluate screening performance at the provider and health care facility levels.
- BMC and AVON Foundation for Women — The Boston Medical Center Patient Navigation Toolkit 1st edition [PDF-807KB], pages 63–70
Establish and communicate screening performance goals at the provider and health care facility levels.
- AICAF, UIHI, and NCUIH — American Indian Cancer Foundation Cancer Plan 2020–2022 [PDF-456KB], pages 15–16
- BMC and AVON Foundation for Women — The Boston Medical Center Patient Navigation Toolkit 1st edition [PDF-807KB], pages 31–36
Reference
1Centers for Disease Control and Prevention. Tobacco Cessation Change Package. Atlanta, GA: Centers for Disease Control and Prevention, U.S. Department of Health and Human Services; 2019.