Sonia “Carol” Robazetti Hodgson, MD, CCRC The University of Texas Health Science Center at Houston – School of Medicine NEW COMMUNITY CERVICAL CANCER SCREENING MODEL IN VULNERABLE INNER-CITY POPULATION: THE HOUSTON EXPERIENCE While there are projects newly focusing on global cervical cancer screening in developing countries, and increasing focus on perceived over- screening in the West, there are significant underserved populations in the US that have limited access to cancer screening and other health care. Through a collaborative effort between CAP Foundation’s See, Test & Treat® program, community organizations and several hospitals and academic institutions, a new model for cervical cancer screening in the inner city population was created. Guidelines and Standards for the CAP Foundation’s See, Test & Treat®, follows the most current American Cancer Society (ACS) guidelines. See, Test & Treat® screening provides free, same day cervical and breast cancer screening and provides results and follow-up care to vulnerable women. 317 women who had never or rarely been screened received a pelvic and breast examination and a Pap test through grants provided by the CAP Foundation’s See, Test & Treat® program. Of these women, 30 had abnormal Pap tests and 15 of these underwent same day colposcopy and cervical biopsies, 4 LEEPS and 7 Breast FNAs were provided on- site by cytopathologists for those women found to have a palpable breast mass. We provided Mammograms at the site in the first event for 25 patients and referral in the second event for 117. The next event should include mammograms at the site with same day results. The number of patients that could be screened and examined was limited by the time the community center was available to the health team as wells as the time it took to process the samples. In both events more women showed up than were anticipated. See, Test & Treat® is funded through grants provided by the CAP Foundation. The program provides funding for resources that help overcome obstacles to care. These resources include: interpreters, nutritious meals, medical and health care supplies, community outreach materials, transportation, and child care. The two events were held in Houston; one in a Community Center in Southwest Houston six miles from the Texas Medical Center and the other at HOPE Clinic. The women targeted for cervical cancer screening had either never had a pap or they had not had one in the last five years. The first event was focused on Spanish speaking women. The second event targeted English, Spanish, Vietnamese, Burmese and Chinese speaking women. Four to six months of careful planning preceded the events to ensure efficient turnaround and processing. Volunteers at the site included pathologists, gynecologists, Gyn-Oncology, nurse practitioners, a variety of support staff from the hospital and the participation of a non-profit community organizations and Community Health Workers (P/CHWs). The women received Pap tests and clinical breast exams. Breast FNAs were provided on-site by cytopathologists for those women found to have a palpable breast mass. Women with abnormal Pap tests underwent colposcopy and LEEPs on site (HOPE clinic only). Physicians and volunteers from 5 major hospitals, 2 Universities, and 4 non-profit organizations donated their time and expertise to this event. The first events was held in a community center which didn’t provided follow –up or a medical home for the patients but the second event had the benefits of a clinical set up, which provided follow-up and a medical home. While there is a huge need to provide screening on a global scale, charity should begin at home.  Our experience demonstrates that a significant impact can be realized in a single visit.  A well-organized screening program can deliver high quality care with rapid and efficient turnaround time.  Professionals and members of committed organizations have the training and resources to organize these programs  The goal is to screen those in our society with limited access to health care due to their lack of medical insurance or other barriers such as cultural beliefs, language barrier or their unawareness of how to obtain appropriate screening.  The “See, Test and Treat” program provides free same day testing, results, follow up care, and education.  This model could facilitate an example for other organizations to replicate and in so doing make a substantial impact in “at risk” communities throughout the country.  This new model also seeks to establish a habit of preventive care and to integrate patients into a medical home.  Self-pap testing and rapid HPV tests have been considered for the future events. Acknowledge Services Provided IntroductionMethodsResultsConclusions Coffey, Donna, M.D., Chevez-Barrios, Patricia, M.D., Diaz-Arrastia, Concepcion M.D., Andrea Caracostis, M.D., Richard Andrew, M.D, Thompson, Marcel, M.D., Gei, Alfredo M.D., Meyer, Larissa, M.D., Shane Chen, Cathy Phan.and all other participants and volunteers The University of Texas Health Science Center at Houston/ Memorial Hermann Hospital The Houston Methodist Hospital Baylor College of Medicine/Texas Children’s Hospital HOPE Clinic/ Asian American Health Coalition Hispanic Health Coalition MD Anderson Cancer Center Rice University Susan’s Rally, CCM Foundation Houston Dept. of Health & Human Services Bio-Reference Laboratories, Hologic, Inc. Walgreens o HPV Vaccines o HIV/Syphilis Testing o Vision Screenings o Health Education Workshops o Hepatitis screening o Glucose/Cholesterol screenings o Patient Navigation o Medical Home REGISTRATION DEMOGRAPHICS BREAST CLINICAL EXAM, PELVIC WITH PAP EDUCATION BREAST, COLORECTAL AND CERVICAL CANCER EDUCATION HPV, HIV, AIDS, STD EDUCATION, HEALTH INSURANCE MARKETPLACE, HEALTHY LIVING RESULTS ABNORMAL PAP COLPO BIOPSY,LEEP FNA AT SITE MAMMOGRAM/US DISCHARGE PATIENT NAVIGATION SCHEDULED SURVEILLANCE AT MEDICAL HOME CANCER TREATMENT ASSISTANT ABNORMAL BREAST EXAM Screening Model