Here to Educate, Help, and Guide – Intro to Chronic Care Management with Erica Weese, RN

Here to Educate, Help, and Guide - Intro to Chronic Care Management with Erica Weese, RN

Here at Barbour Community Health Association, we are constantly working to turn to better healthcare—which is why we are so excited to announce one of our newest endeavors: Chronic Care Management. Ever heard of it? We didn’t think so! Luckily, Belington Medical Clinic’s Health Educator, Erica Weese, RN, was able to sit down and explain what Chronic Care Management is and who it can help.

Q: What is Chronic Care Management?
A: Chronic Care Management is a personalized program designed to assist eligible patients manage their ongoing chronic conditions. After the initial start-up visit or phone call, we draft goal-oriented care plans specific to each patient to help them tackle their health goals. These can range from simple goals like remembering to take medication to more complex goals like managing and changing diets. I spend roughly 20 minutes a month with each patient checking in on their goals and making sure they’re staying on track.

Q: Who is Eligible for Chronic Care Management?
A: To begin, we are only working with Medicare patients, specifically those who have at least two chronic conditions that will last their lifetime or at least twelve months. Some chronic conditions on this list can include Diabetes, Chronic Kidney Disease, High Blood Pressure, High Cholesterol, Cancer, and more.

Q: How do patients get started with Chronic Care Management?
A: Patients can be referred by their primary care physician to begin this program. One of the best parts of Chronic Care Management is that it can all be done over the phone. It begins with an initial phone call or visit where the patient and I review their health history and any medications they’re taking.

Q: What are some benefits for people to start Chronic Care Management?
A: There are so many benefits for people to start Chronic Care Management, the biggest being education. A big part of my job is to collaborate with the patients primary care provider and to help aid in the understanding of their health conditions, labs, medications, treatments, etc.

Q: What is the Health Educator’s Role in Chronic Care Management?
A: I’m here to educate, help, and guide. My role is to be the center of the spider web. I’m the liaison between patients and their primary care physician or any other physicians or specialists the patients see. My goal is to help the patient feel more confident in their understanding of their disease processes so that they can be a happier, healthier version of themselves.

If you or a loved one are eligible for this program, don’t hesitate to contact Erica Weese, RN, at Belington Medical Clinic or Holly Holbert, BSN, RN, at Myers Clinic.

HPV Vaccination: What You Need to Know

HPV Vaccination: What You Need to Know

January is recognized as Cervical Cancer Awareness Month. During this month, BCHA sets out with the intention of raising awareness of the preventable cancer. To provide our patients with education about prevention, screening options and treatments, we sat down for a Q&A with Jenniver Duvall, PA-C at BCHA.

Why should you get your teenager’s HPV vaccinations?

Human papillomavirus (HPV) is the most common sexually transmitted infection in the US and the vaccine protects against particular strains of it. Nearly 80 million Americans are currently infected with HPV and approximately 14 million people become newly infected each year.

How is it cancer protection?

HPV is known to cause cancers of the throat, cervix, vagina, vulva, penis, and anus. Since the vaccine can protect against certain high risk strains of HPV, it can prevent more than 90% of HPV cancers.

What ages should your child get their vaccinations?

Ideally, Gardasil is given to boys and girls between the ages of 11-12 before being exposed to HPV. The body’s immune response to the vaccine seems best at this age range. It can be given as early as nine years of age.

What if you missed your HPV vaccination during childhood? Can a patient catch up?

Yes, it should be given as soon as possible followed by the appropriate immunization schedule. It is given in a series of two or three doses, depending on the age it is started. The vaccine is recommended for ages 9-26, even if the individual has already been diagnosed with HPV. Some adults between the ages of 27-45 may benefit from vaccination depending on risks for new HPV infections. They can discuss this with their healthcare provider.

What else should patients know about cervical cancer and the HPV vax?

For most women, HPV will go away on its own; however, if it does not, there is a chance that over time it may cause cervical cancer.

Some things that increase your risk of developing cervical cancer are being immunocompromised, smoking, being on birth control pills for five or more years, and giving birth to three or more children.

Cervical cancer may not cause any signs or symptoms. Advanced cervical cancer may cause abnormal bleeding or discharge.

Cervical cancer is the easiest gynecologic cancer to prevent with regular screening tests and follow-ups. It also is highly curable when found and treated early. However, each year, approximately 12,000 women in the United States are diagnosed with cervical cancer and more than 4,000 women die.

Getting the vaccine does not eliminate the need for cervical cancer screening.

HPV has been recommended since 2006 and has proven to be safe and effective. However, there are some people that should not get the vaccine, such as people with a life threatening allergic reaction to any ingredient of HPV or to a previous HPV vaccine, people who have an allergy to yeast, or people who are pregnant.

The Vaccines for Children (VFC) program provides vaccines at no cost to children ages 18 years and younger who are uninsured and Medicaid-eligible.

What screening options does BCHA have for cervical cancer?

BCHA offers PAP tests and HPV testing. We start screening PAP tests at 21 and HPV testing at 30.

To help prevent false-negative or false-positive results, you should avoid douching, sexual intercourse, and using vaginal medications or hygiene products for two days before your test.

If you have a low income or do not have insurance, you may be able to get a free or low-cost cervical cancer screening test through the National Breast and Cervical Cancer Early Detection Program or Family Planning.

If you have questions or would like to learn more, contact BCHA today. 

Cervical Cancer Myths Busted

Cervical Cancer Myths Busted

Cervical cancer is considered the fourth most frequent cancer in women with nearly 13,000 women in the United States diagnosed each year. These numbers are startling. However, with vaccinations and early care, many of these women can prevent or lessen the severity of cancer.

That’s why the month of January is so critical in women’s health. January is recognized as Cervical Cancer Awareness Month and empowers people living with cervical cancer and advocates for screening and the HPV vaccination — two factors that can prevent cervical cancer.

With that said, it’s important to understand what HPV is and how it is linked to certain cancers.

Human papillomavirus, or HPV, is the most common viral infection of the reproductive tract and is mainly transmitted through sexual contact. The HPV infection has been known to cause cancer in the genitals, head, neck, and throat. Cervical cancer is by far the most common HPV-related disease and nearly 70% of cases are attributable to HPV infection.

We sat down with Patti A. Hackney, MSN, APRN, CNM and Kelli Snider, LPN at Barbour Community Health Association to bust some common myths surrounding cervical cancer and vaccinations:

  1. Myth: Only girls should receive the HPV vaccination.

Fact: HPV affects both men and women and can cause genital warts, penile, anal, and oral cancer. It can also be easily transmitted to a sexual partner without either of the partners knowing.

  1. Myth: The HPV vaccination causes HPV.

Fact: The vaccine has been researched for many years (including at least 10 years of research before it could even be used in humans) and is highly monitored by the Food and Drug Administration (FDA). Vaccinations in the U.S. have never been safer because of the stringent standards the FDA uses.

  1. Myth: My child doesn’t need the vaccine; they aren’t sexually active.

Fact: It’s recommended that your child receive the HPV vaccination as soon as possible to prevent them from exposure to the virus. Two doses of the HPV vaccine are recommended for all boys and girls at ages 11-12; the vaccine can be given as early as age 9. If you wait until they’re 15 or older, they need three doses instead of two.

  1. Myth: HPV isn’t common.

Fact: HPV is the most common viral infection of the reproductive tract and is mainly transmitted through sexual contact with over 80 million Americans currently infected. In fact, nearly every male and female will be infected with at least one type of HPV at least once in their lifetime. This is why early vaccination is so important to preventing the spread and exposure of HPV.

  1. Myth: The HPV vaccination isn’t safe.

Fact: The Centers for Disease Control indicate that with over 12 years of monitoring and research, the HPV vaccination is very safe. Each HPV vaccine went through years of extensive safety testing before they were licensed by the U.S. FDA. The FDA only licenses a vaccine if it is safe, effective, and the benefits outweigh the risks.

With this information in mind, understand that standard GYN visits, routine screenings and vaccination could save you or a loved one’s life from cervical cancer or other cancers that can be brought on from HPV.

If you have any further questions, give Barbour Community Health Association a call today!

Cancer Sucks – These Affordable Screening Options Don’t

Cancer sucks- These affordable screening options don't

Debbie Schoonover, Chief Operations Officer has been a passionate advocate for women’s healthcare within Barbour County.

The month of October is nationally recognized as Breast Cancer Awareness Month and is a campaign designed to increase awareness of the disease. Though it’s important every month of the year to be aware of the signs of breast cancer, October is a great time to remind yourself and the women in your life to get screened by a provider.

While getting a mammogram may seem intimidating and expensive, Barbour Community Health Association (BCHA) offers several options for women who need financial assistance.

According to Debbie Schoonover, Chief Operations Officer, BCHA offers many affordable options for women to get screened annually, here are two:
One option is the West Virginia Breast and Cervical Cancer Program. Depending on their risks and age, most of these visits are free for our women,” said Schoonover. Through this program, women can be screened through a pap smear and a mammogram exam. The second affordable way women can be checked for breast cancer is through Bonnie’s Bus Mobile Mammography Unit, which visits two to three times a year. Bonnie’s Bus accepts most insurances, just like the WV Breast and Cervical Program, and has some private funding for women who qualify. “We’re able to bridge the gap between transportation barriers and affordable health screenings for women,” said Schoonover. “And it creates a better atmosphere for wellness here in Barbour County.”

October is the perfect time to get screened and raise awareness about Breast Cancer. It’s also a time to recognize those battling breast cancers, survivors, and those we have lost to the disease.

Check with your provider for screening options and information on financial assistance.

Options to Best Fit Your Preferences and Prevent Colon Cancer

Options to Best Fit Your Preferences and Prevent Colon CanceR

Colon cancer is the second leading cause of cancer-related deaths for both men and women combined in West Virginia. Early detection with screening is key in preventing and treating this disease as screening detects colon cancer in its early stages making it easier to treat and cure.

If you are age 50 to 75 or have a family history of colon cancer, you should speak with your healthcare provider about which screening option is best for you. There are several effective screening options to choose from that best fit your personal needs and preferences. But the best screening option is the one you select and complete!

Colonoscopy
The most well-known colon cancer screening option is a colonoscopy. A colonoscopy is a screening test that requires a patient be sedated while a doctor uses a special type of tube with a flashlight on the end to look at the entire colon to see if there are any growths such as polyps or cancer. If the doctor sees any growths, he will remove them during the procedure. There is no discomfort during this procedure, but it does require bowel preparation, occasionally a pre-visit appointment before the procedure appointment and someone else will need to drive the patient home after the procedure.

CT Colonography or Virtual Colonoscopy
CT colonography, or virtual colonoscopy, uses a CT scan to view the colon and rectum to find polyps or cancer. Although this screening does require bowel preparation, no sedation is needed; it is less invasive than a colonoscopy, and it takes approximately 10 minutes to complete.  If polyps or cancer are found, the patient will need to be follow up with a colonoscopy so that the polyps or cancer can be removed. This option is newer than other screening tests and may not be covered by all insurance.

FIT Test

FIT (Fecal Immunochemical Test) kits look for hidden blood in stool. Blood in stool is a sign of colon cancer. A sample of stool is placed on a card or in a tiny tube and returned to the clinic or a lab so that the test can be resulted. FIT kits do not require bowel preparation or medication or dietary restrictions. The test is completed in the privacy and convenience of the patient’s home requiring no time off work. This is an affordable option even without insurance. However, if the FIT test has a positive result, the patient will be required to complete a colonoscopy to see what is causing the hidden blood. You can pick up a FIT kit the next time you are at your healthcare provider’s office.

Cologuard

Cologuard (FIT-DNA) is another take-home screening test that looks for both hidden blood and abnormal DNA in stool. This is a newer screening test, but most major insurers are covering the cost. Cologuard does not require bowel preparation or medication or dietary restrictions. This test can be done in the privacy and convenience of a patient’s home requiring no time off work. If this test has a positive result, the patient will be required to complete a colonoscopy in order to see what is causing the positive result.

For more information on Colon Cancer or to schedule a screening contact your BCHA healthcare provider today!

HPV Vaccine: Fact Sheet

HPV Vaccine: Fact Sheet

There is currently no cure for HPV. Fortunately, a vaccine for many of the cancer-causing strains of HPV is available. Understandably, many parents have questions about HPV, the HPV vaccine, and cancer prevention. Here are some facts to provide some illumination. For more information, go to www.cdc.gov/std/hpv/stdfact-hpv.htm or contact a Barbour Community Health Association site nearest you for personal consultations.

DOWNLOAD HPV VACCINE: FACT SHEET