National CRC Screening Summit

Sanchez

Pdf Summary

Operation Access is a nonprofit organization dedicated to advancing health equity by connecting low-income, uninsured patients with donated surgical and specialty services, including colonoscopies, in Northern and Central California. Through partnerships with over 100 medical groups and community health centers, the program offers a streamlined referral system ensuring patients receive timely care—eligibility is determined within 10 days, and appointments are typically scheduled within 72 days.<br /><br />The program operates mainly on two service delivery models: integrated scheduling, where approximately 95% of procedures occur during normal specialist clinic hours, and an intensive all-volunteer “Surgery Session Model” held typically on Saturdays delivering about 5% of procedures. Care—comprising facility use, anesthesia, pathology, and imaging—is donated free of charge to patients. Key to success is clear referral guidelines, dedicated case management, physician involvement, and partnership agreements to ensure comprehensive care including follow-up for significant findings.<br /><br />Eligibility for Operation Access requires patients to be uninsured or have Medi-Cal Share of Cost, with income up to 400% of the federal poverty level. Colonoscopy referrals focus primarily on patients at above-average colorectal cancer risk evidenced by symptoms or family history, with some limited access for routine screenings. <br /><br />A testimonial from Elias, an undocumented construction worker suffering severe symptoms, illustrates the impact: after a donated colonoscopy at Kaiser Richmond, polyps were removed, relieving his pain and fear of cancer and providing dignity and safety during care.<br /><br />In 2024, the program expects over $19 million worth of donated care, supported by a $1.8 million budget for coordination, recruitment, interpretation, and operations. Operation Access collaborates with sister organizations nationwide to extend efforts to underserved populations. More information is available at www.operationaccess.org.

Keywords

Operation Access

health equity

low-income patients

uninsured patients

donated surgical services

colonoscopy referrals

Northern and Central California

volunteer surgery sessions

Medi-Cal Share of Cost

colorectal cancer risk