Colorectal Cancer Screening Project | 2023-17_ Super Saturdays and the Integrated Model Used to Provide Colonoscopies for the Uninsured

Pdf Summary

The document is about the Super Saturday program and the integrated model used to provide colonoscopies for the uninsured population. The program is based on Operation Access in the Bay Area and was started by Dr. Grey and Dr. Schecter 20 years ago. The program in San Diego County is modeled after this and involves various components such as the San Diego County Medical Society Foundation, Project Access San Diego, Kaiser Health Plan and Hospital, and the patients themselves.<br /><br />The program selects eligible patients and provides them with medical records for review before the procedure. Kaiser commits to pre- and post-surgery visits, necessary lab and imaging tests, and any required treatment. Patients are required to be San Diego County residents with no health insurance and income below 250% of the federal poverty level. The program has provided colonoscopies and flexible sigmoidoscopies for various indications, such as positive FOBT test, rectal bleeding, and family history of colorectal cancer.<br /><br />The results of the program show that since 2009, 215 colonoscopies have been performed, with indications including colon cancer, advanced neoplasia, and adenoma detection. The program has had excellent case management and high patient compliance. Another alternative model discussed in the document is the integrated model used by Operation Access and UCSD and UC Davis, which involves adding uninsured patients to the regular schedule.<br /><br />The document also mentions California's efforts to reduce the number of uninsured individuals, such as the expansion of Medi-Cal eligibility and the coverage of undocumented Californians. The results show a significant decrease in the uninsured rate in California.<br /><br />Overall, the Super Saturday program and integrated model have been successful in providing colonoscopies for the uninsured population, with positive results and a decrease in the uninsured rate in California.

Asset Subtitle

Daniel “Stony” Anderson, MD, MACP

Keywords

Super Saturday program

integrated model

colonoscopies

uninsured population

Operation Access

San Diego County

Kaiser Health Plan

medical records

case management

uninsured rate